Abstract:

Purpose: In the Fast-track (Fast-track) cardiovascular anesthesia protocol, we planned to investigate the effect of the intracal morphine application in a dose of 10 μgkg-1 on postoperative analgesia and early aggregation. Material and Method: The elective coronary bypass grafting (KABG) operation was planned to divide 42 patients from the ASA I-III group into two groups as intratekal morphine (ITM) and control (K) in the closed cover procedure. Morphine from the 10 μgkg-1 dose was intracal before induction to the ITM group. The same method of anesthesia and anesthesia was used in both groups. In intensive care, both groups began tramadol with patient-controlled analgesia (HKA). Intraoperative hemodynamic parameters, extubation time, sedation score, VAS score, postoperative lung capacity, VAS score, intensive care and hospital stay were recorded. Results: There was no difference between the demographic data and intraoperative data of both groups (p>005). Exhibition time was 192±42.4 minutes in the ITM group and 254.3±88.4 minutes in the control group (p<0.05). Postoperative pain scores, tramadol consumption, lung volumes and intensive care stay time were better found in the ITM group (p<0.05). The time in the hospital was similar. The result: the application of intratekal morphine in a dose of 10 μgkg-1 provided very good analgesia after cardiovascular surgery, earlier accumulation in lung volumes and shorter intensive care stay time.

Keywords:

Abstract:

Background: We aimed to investigate the effect of 10 µg/kg intrathecal morphine administration in the fast-track cardiac anesthesia protocol on postoperative analgesia and fast-tracking. Materials and Methods: 42 patients from ASA I-III group undergoing elective coronary bypass grafting (CABG) were divided into two groups as intrathecal morphine (ITM) and control (K) groups by closed envelope method. Morphine at a dose of 10 µg/kg was intrathecally administered to the ITM group before induction. The same method of anesthesia induction and maintenance was used in both groups. Patient controlled analgesia (PCA) and tramadol were started in both groups in the intensive care unit. Intraoperative hemodynamic parameters, extubation time, sedation score, VAS score, capacity of lung, analgesia, time of intensive care and hospital stay were recorded. Results: There was no difference between demographic data and intraoperative data of both groups (p> 005). The extubation time was 192 ± 42.4 minutes in the ITM group and 254.3 ± 88.4 minutes in the control group (p <0.05). Postoperative pain scores, tramadol consumption, lung volumes and length of stay in intensive care were better in the ITM group (p<0.05). Length of stay in the hospital was similar. Conclusion: Intrathecal morphine administration at a dose of 10 µg/kg provided very good analgesia after cardiac surgery, earlier recovery in lung volumes and shorter intensive care stay. Key Words: Cardiac anesthesia, Fast-track, Intrathecal morphine, Desflurane, Remifentanil