Özet:

Aim: We aimed to compare the effects of preincisional intravenous dexketoprofen trometamol and acetaminophen on postoperative pain, analgesic requirement, hemodynamic parameters, postoperative tramadol consumption and patient satisfaction in patients undergoing elective septorhinoplasty. Methods: Sixty patients scheduled for elective septorhinoplasty under general anaesthesia were divided into three groups. Group D (n=20) received 50 mg iv dexketoprofen trometamol, Group A (n=20) received 1 gr iv acetaminophen before surgical incision. Group K (n=20) received no analgesic. Postoperative analgesia was maintained with intravenous tramadol infusion, with the aid of a patient controlled analgesia pump. The visual analogue scale (VAS), total tramadol consumption and patient satisfaction were recorded at 15, 30. minutes and 1, 2, 6, 12, 24. hours postoperatively. Results: The groups were similar with respect to gender, mean age, body weight, mean surgery and anaesthesia durations (p>0.05). VAS values were the highest in Group K and lowest in Group D (p<0.001). There was no difference regarding the tramadol consumption between group K and group A, but both two groups consumed higher doses of tramadol than group D (p=0.649 and p<0.05, respectively). First analgesic requirement time and side effects were similar in all groups. Conclusion: We observed that preemptive iv. dexketoprofen trometamol or acetaminophen were both effective for postoperative analgesia in early postoperative period in elective septorhinoplasty under general anaesthesia. We found that preemptive dexketoprofen trometamol was more effective than acetaminophen for postoperative analgesia.

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