Comparison between intravenous and thoracic epidural analgesia in single coronary artery bypass graft surgery

Nevriye SALMAN; Fatih Tanzer SERTER; Halil İbrahim UÇAR; Serdar GÜNAYDIN; Ali Cem YORGANCIOĞLU

Article Details

Comparison between intravenous and thoracic epidural analgesia in single coronary artery bypass graft surgery

Authors:

Nevriye SALMAN | Fatih Tanzer SERTER | Halil İbrahim UÇAR | Serdar GÜNAYDIN | Ali Cem YORGANCIOĞLU

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue 4, pp.581-589

Document Type:

Article

Publication Date:

3/2012

Document Language:

Turkish

Document ID (Org No.):

2000754078

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Keywords:

Abstract:

 

Aim: To compare thoracic epidural analgesia with intravenous analgesia in patients who underwent coronary artery bypass grafting surgery.   Materials and methods: This retrospective study included 40 patients who had received elective single artery bypass surgery. After general anesthesia, one group was given patient-controlled thoracic epidural analgesia and the other group was given patient-controlled intravenous meperidine analgesia. Patient assessments were performed during the postoperative period and included the duration of hospital stay, pain and sedation scores, ambulation score, atrial fibrillation incidence, and organ morbidities.   Results: No differences were detected between the groups in the demographic or intraoperative data. However, a statistically significant difference was detected in favor of thoracic epidural analgesia for the duration of extubation and hospital stay, pain control, sedation grade, mobilization, and quality of recovery scores.  Conclusion: After single coronary artery surgery, thoracic epidural analgesia was more effective than intravenous analgesia; it also enabled earlier tracheal extubation and a shorter hospitalization period.

 

Aim: To compare thoracic epidural analgesia with intravenous analgesia in patients who underwent coronary artery bypass grafting surgery.   Materials and methods: This retrospective study included 40 patients who had received elective single artery bypass surgery. After general anesthesia, one group was given patient-controlled thoracic epidural analgesia and the other group was given patient-controlled intravenous meperidine analgesia. Patient assessments were performed during the postoperative period and included the duration of hospital stay, pain and sedation scores, ambulation score, atrial fibrillation incidence, and organ morbidities.   Results: No differences were detected between the groups in the demographic or intraoperative data. However, a statistically significant difference was detected in favor of thoracic epidural analgesia for the duration of extubation and hospital stay, pain control, sedation grade, mobilization, and quality of recovery scores.  Conclusion: After single coronary artery surgery, thoracic epidural analgesia was more effective than intravenous analgesia; it also enabled earlier tracheal extubation and a shorter hospitalization period.

Article Details

Comparison between intravenous and thoracic epidural analgesia in single coronary artery bypass graft surgery

Authors:

Nevriye SALMAN | Fatih Tanzer SERTER | Halil İbrahim UÇAR | Serdar GÜNAYDIN | Ali Cem YORGANCIOĞLU

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue 4, pp.581-589

Document Type:

Article

Publication Date:

3/2012

Document Language:

Turkish

Document ID (Org No.):

2000754078

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Coronary artery bypass grafting

analgesia

epidural

quality of recovery

Issues

Article Details

Comparison between intravenous and thoracic epidural analgesia in single coronary artery bypass graft surgery

Authors: Nevriye SALMAN | Fatih Tanzer SERTER | Halil İbrahim UÇAR | Serdar GÜNAYDIN | Ali Cem YORGANCIOĞLU

Publisher: TUBITAK

Journal: Turkish Journal of Medical Sciences 2012 Vol.42 Issue 4, pp.581-589

Document Type: Article

Publication Date: 3/2012

Document Language: Turkish

Document ID (Org No.): 2000754078

Frequency: Bimonthly

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Coronary artery bypass grafting

analgesia

epidural

quality of recovery

Issues

Authors:

Nevriye SALMAN | Fatih Tanzer SERTER | Halil İbrahim UÇAR | Serdar GÜNAYDIN | Ali Cem YORGANCIOĞLU

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2012 Vol.42 Issue 4, pp.581-589

Document Type:

Article

Publication Date:

3/2012

Document Language:

Turkish

Document ID (Org No.):

2000754078

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144