THE EFFECTS OF INCISSIONAL INFILTRATION OF BUPIVACAINE HYDROCHLORIDE UPON PULMONARY FUNCTIONS, ATELECTASIS AND ANALGEZIC NEED
ABDULLAH İĞCİ1, MAHMUT MÜSLÜMANOĞLU1, ZEYNEP ŞAHİN2, YAVUZ BOZFAKİOĞLU1
1İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Genel Cerrahi A.B.D./İSTANBUL
2İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Göğüs Hastalıkları A.B.D./İSTANBUL
Abstract
40 patients with upper abdominal incision were divided in two groups. AH layers of the incision were infiltrated with saline solution in the first group (n: 20) and bupivacaine hydrochloride (%0.25) in the second group (n: 20).
Preoperative and postoperative chest x-ray, blood gases, forced vital capacity, forced expiratory volume was obtained and postoperative pulmonary complications, analgesic requirements were assessed. Student t-test was used for statistical analyses.
In the SF group, postoperative forced vital capacity and forced expiratory volume values were 48 percent of the preoperative levels, while in the BH group, forced vital capacity value was 74 per cent and forced expiratory volume was 73 per cent. Roentgenographic evidence of atelectasis occurred postoperatively in 8patients of the SF group and 3 patients of the BH group. Analgezic requirements were average 10.5 doses for SF and 2.2 doses for BH group.