Özet:

Purpose: In this study, it is intended to investigate the effectiveness of tramadol applied by the patient-controlled analgesic method in the treatment of pain after supratentory craniotomy. Tools and Methods: Elective supratentory kraniotomy operation planned, 150 patients from the ASA I-II group, between the ages of 18-70 were included in the study, standard general anesthesia with propofol and remifentanil was applied. Scalp infiltration was applied to nail headpoints with Bupivakain and epinephrine and to the surgical insection. Patients were evaluated by using postoperative pain scores, visual analog scale (VAS) scores, extuved after they woke up. When the VAS score is >3, tramadol is 1-1. It was intravenously administered with a vibration of 5 mg/kg and began to be administered with an intravenous patient-controlled analgesic method with tramadol (20 mg bolus and a locked stay period of 8 minutes). Postoperative 48 hours followed VAS, Glasgow coma, sedation, comfort, nausea and vomiting scores. Results: In the postoperative 48 hours, 46% of patients needed analgesics, and these patients provided sufficient analgesics with tramadol applied by the intravenous patient-controlled analgesic method. It was found that the need for analgesics was higher in the first 2 hours of postoperative (p<0.05). The result: the endpoint has been found that the tramadol applied with the intravenous patient-controlled analgesic method is effective in the pain treatment after the craniotomy surgery. Keywords: Tramadol, Pain, Kraniotomy

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