Özet:

One of the regional anesthesia methods commonly used in the acute treatment of toracotomy pain today is the application of the toracular paravertebral block (TPVB). This clinical study aimed at investigating the effects of "preemptive" TPVB accompanied by ultrasound in the thorax surgery on opioid drug consumption during surgery, postoperative pain, complications and patient satisfaction. Tools and Methods: 25 patients between the ages of 18 and 65 who will undergo elective thorax surgery were taken to study and 14 patients were tailored to toracotomy (TKT group), 11 patients were tailored to toracoscopy (TKS group). During the periods of operation and during the operation, additional opioid medication needs were recorded.  During the postoperative period the pain is 0-1-2-6-12-24. The "Visual Analog Scale" (VAS) values in hours were recorded, discomfort, hypotension, and other complications within 24 hours. In addition, the patient was given the "Patient Satisfaction Scale" (HMO) in the postoperative period. The findings: The study found that there was no significant difference in the quantity of opioid drug use, VAS score, HMO score, the type of postoperative complication between patients with toracotomy and video-toracoscopy. However, the time of operation in the TKS group was shorter. On the other hand, a negative correlation between all VAS score values and HMÖ results was also detected. Results: At the end of the study, the TPVB process was considered to be a very good option in the reduction of postoperative pain in patients with toracotomy or video-toracoscopy, providing the patient's comfort and reducing complications.

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