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- Title
The Effects of Adding Opioids to Anesthesia on the Recovery of Patients with Gynecological Cancer Receiving Brachytherapy.
- Authors
Argun, Güldeniz; Gevenkiriş, Sinem; Ünver, Süheyla
- Abstract
Objective: The aim of this retrospective study was to investigate the effects of using propofol alone and in combination with fentanyl on postoperative analgesic consumption, duration of recovery and discharge for brachytherapy in patients with gynecological cancer. Method: After obtaining the study approval from the local ethics committee, 67 patients who underwent brachytherapy within 5 months were included in the study. All patients received midazolam for premedication and propofol (in case of need together with fentanyl) for induction. Patients were categorised into two groups as those using (Group I, n=37) and not using opioids (Group II, n=30). The duration of the procedure, drug doses, hemodynamic data, time to recovery and discharge were obtained from records and evaluated. Results: The duration of operation was similar in both groups. Propofol consumption was 1.865 mg kg-1 in Group I and 2.03 mg kg-1 in Group II (p>0.05). The average fentanyl consumption in the opioid group was 1.12 mg kg-1 and the average age was significantly lower in this group. No difference was detected between the groups in terms of the analgesic consumption and the time to recovery and discharge. Conclusion: Anesthetics with shorter half-life are preferred in daily interventions. This study showed that the average age of the patients who required fentanyl during anesthesia for brachytherapy was lower; and the fentanyl that is administered additionally did not lead to significant prolongation of recovery time.
- Subjects
OPIOIDS; ANESTHESIA; GYNECOLOGIC cancer; RADIOISOTOPE brachytherapy; ANALGESIA
- Publication
Journal of Anesthesia / Anestezi Dergisi (JARSS), 2019, Vol 27, Issue 4, p272
- ISSN
1300-0578
- Publication type
Article
- DOI
10.5222/jarss.2019.63308