Spinal anestezide topikal lokal anestezik olarak lidokain-prilokain kremin (Emla Krem) kullanılması, süre çalışması
[ X ]
Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Çalışmamızda elektif cerrahiye hazırlanan erişkin hastalarda spinal iğne bağlı ağrıyı azaltmada lidokainin-prilokain formülasyonun (EMLA KREM)® lokal analjezik etkileri araştırıldı. Doksan erişkin hastada EMLA Krem 30, 60, 90 dakika süresince uygulandı. Visual analjezi skalası (VAS) 60 ve 90 dakika EMLA grubunda 30 dakikaya göre anlamlı derecede düşük bulundu (P<0.0001). 30 dakika krem uygulanması ile de analjezi meydana geldiği saptandı. Sürenin uzaması ile analjezi derinliğinin artığı gözlendi. Kremin uygulandığı bölgede soluluklu ve kızarılık yan etki olarak meydana geldi. Hiçbir hasta krem uygulamasından rahatsız olmayıp EMLA krem uygulanan hastalar analjezi yönünden uygulamandan memnun kaldılar. Uygun formulasyonu, kulanım kolaylığı ve her yaş gurubuna uygulanabilmesi ile EMLA Kremin, spinal anestezide minimum 60 dakika uygulanarak yeterli bir analjezi oluşturacağı görüldü.
In this study, the local analgesic effects of lidocaine-prilocaine formulation (EMLA CREAM) in reducing pain being due to spinal needle was investigated in adult patients prepared for elective surgery. EMLA Cream was administered to ninety adult patients with intervals of 30, 60, 90 minutes. Visual Analgesia Scale (VAS) of 60 and 90 minutes’ groups was significantly lower than 30 minutes’ group of EMLA (P ? 0.0001). And with the administration of the cream for 30 minutes, analgesia was found to occur. Analgesia was observed to increase in depth due to the prolonged duration. Paleness and redness occurred as a side effect in the region where the cream was administered. No patient was bothered with EMLA Cream application and patients treated with cream application were satisfied in terms of analgesia. With its proper formulation, ease of use and implementation of all age groups, EMLA cream was observed to constitute enough analgesia, being applied at least 60 minutes in the spinal anesthesia.
In this study, the local analgesic effects of lidocaine-prilocaine formulation (EMLA CREAM) in reducing pain being due to spinal needle was investigated in adult patients prepared for elective surgery. EMLA Cream was administered to ninety adult patients with intervals of 30, 60, 90 minutes. Visual Analgesia Scale (VAS) of 60 and 90 minutes’ groups was significantly lower than 30 minutes’ group of EMLA (P ? 0.0001). And with the administration of the cream for 30 minutes, analgesia was found to occur. Analgesia was observed to increase in depth due to the prolonged duration. Paleness and redness occurred as a side effect in the region where the cream was administered. No patient was bothered with EMLA Cream application and patients treated with cream application were satisfied in terms of analgesia. With its proper formulation, ease of use and implementation of all age groups, EMLA cream was observed to constitute enough analgesia, being applied at least 60 minutes in the spinal anesthesia.
Açıklama
Anahtar Kelimeler
Anestezi, Anesthesia, Lidocaine, Lidocaine, Prilokain, Prilocaine, Spinal anestezi, Spinal anesthesia, Lokal anestezi, Local anesthesia
