RESUMO
BACKGROUND: In this study, we evaluated the efficacy of continuous intravenous infusion of flurbiprofen axetil (FA) combined with tramadol hydrochloride (TH) for postoperative pain control after laparoscopic colectomy. METHODS: Fifty patients scheduled for laparoscopic colectomy were randomly assigned to one of the following three groups : the saline group which received saline, the FA alone group which received FA 4 mg kg-1 . 24hr-1, and the FA plus TH group which received FA 4 mg kg-1 . 24 hr-1 and TH 2 mg kg-1 . 24 hr-1 intravenously after bolus injection of FA 50 mg immediately before the end of the operation. We examined the pain scores at 4 and 24 hr, and postoperative analgesic medication use during 0-4, 4-24, and 24-48 hours. RESULTS: Although no significant difference was observed among pain scores for these three groups, the FA plus TH group required the lowest dose of analgesic medication. For lower abdominal incision, the FA plus TH group required the least analgesic medication in 4-48 hr. No significant difference concerning analgesic medication was observed among the three groups for upper abdominal incision. CONCLUSIONS: Continuous intravenous injection of FA plus TH is more effective than FA alone for postoperative pain management after laparoscopic colectomy.
Assuntos
Analgésicos Opioides/administração & dosagem , Anti-Inflamatórios não Esteroides/administração & dosagem , Colectomia , Flurbiprofeno/análogos & derivados , Laparoscopia , Dor Pós-Operatória/tratamento farmacológico , Tramadol/administração & dosagem , Idoso , Anestesia Geral , Quimioterapia Combinada , Feminino , Flurbiprofeno/administração & dosagem , Humanos , Infusões Intravenosas , Masculino , Pessoa de Meia-Idade , Dor Pós-Operatória/prevenção & controleRESUMO
BACKGROUND: In endoscopic thoracic sympathectomy (ETS), it is required to perform accurate cautery of the sympathetic trunk. Monitoring of palmar skin blood flow and temperature has been used to assess the efficacy of ETS. This study investigated whether Perfusion Index (PI) is useful in assessing palmar skin blood flow and temperature in ETS. METHODS: We studied 5 patients (1 man, 4 women) with palmar hyperhidrosis who had undergone a total of 10 ETS procedures. We measured skin blood flow, temperature and PI during ETS and evaluated the results. RESULTS: Significant correlations were found between increases in skin blood flow and PI after ETS in cases with the palmar skin temperature just before ETS of below 35 degrees C. CONCLUSIONS: In these cases, we can substitute increases in PI with increases in skin blood flow during ETS.