Özet:

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.

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