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Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

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Original Article
The assessment of patient-controlled analgesia with tramadol in adult tonsillectomy
Abstract
Aims: To investigate the effects of patient-controlled analgesia with tramadol (PCA-T) applicated in the postoperative inpatient period for adult tonsillectomies (TT). Methods: The records of adult TTies were retrospectively scanned. The indications, surgical technique, postoperative complaints, length of stay (LOS) and re-admissions have been recorded in both groups treated with PCA-T and conventional analgesics during inpatient period. The data was analyzed with SPSS Statistics 23 program. Results: Totally 242 patients (n=242) met the inclusion criteria with a mean age of 28.47±8.44 years. PCA-T (n = 70) was mostly preferred in patients with the indications of tonsillar hypertrophy (TH) and recurrent tonsillitis (RH) + TH indications (p<0.05). In patients operated with a Plasma blade (PB), the PCA-T application rate (50.9%) was significantly higher than those operated with bipolar radiofrequency clamp (BRC) (22.1%) or cold dissection (CD) (23.0%) (p<0,001). No significant effects of PCA-T were observed on postoperative complications, LOS, and re-admission rates (p>0.05). Conclusions: Although PCA-T is more preferred for the adult TTies with an indication of TH and TTies performed with PB, it does not provide an advantage over conventional analgesic methods.

Keywords : Patient controlled analgesia, adult tonsillectomy, postoperative pain, tramadol

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Article available in :
Volume 3, Issue 3, 2023
Page : 170-174
https://doi.org/10.51271/KMJ-0120
Article Information
Received : 08 Aug 2023
Accepted : 14 Sep 2023
Published : 22 Sep 2023
Corresponding Author :

Ayşe Çeçen: Samsun University School of Medicine, Department of Otolaryngology, Samsun, Turkey.

[email protected]
Citation : Ünal A, Sancaktar ME, Çeçen A, Ünal M. The assessment of patient-controlled analgesia with tramadol in adult tonsillectomy. Kastamonu Med J. 2023;3(3):170-174.

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