ISSN: 2577-4301
Authors: B Yaşasın, M Cakırca*, D Ornek and N Gogus
Objectives: There are many studies investigating the effects of acute postoperative pain and smoking addiction levels. However, there is no study in the literature comparing these effects of smoking addiction in general or regional anesthesia. The aim of this study is to demonstrate the effects of smoking addiction levels on postoperative pain in patients. Methods: 120 patients with ASA scores of 1-2 and between the ages of 18-65 who underwent lower extremity fracture surgery were included. Patients separated 6 groups; general and regional anesthesia control groups (n=20, n=20), general anesthesia heavy and light smokers (n=20, n=20), spinal anesthesia heavy and light smokers (n=20, n=20). Age, gender, ASA scores, anesthesia type, weight, height and BMI, Fagerstrom scores, VAS scores, Bromage scores were recorded. Results: VAS scores were founded higher in heavy smokers on postoperative hours in both anesthesia types. There was no difference between the regional anesthesia heavy and light smoker groups in tramadol consumption, but that were found high in heavy smoker group compared with light smoker group in general anesthesia patients. Also there was no difference between general and regional anesthesia in the use of additional analgesics but it was found higher in heavy smoker groups than light smoker groups. Discussion: PCA provided adequate analgesia in postoperative period both general and regional anesthesia groups but VAS levels started to increase after 4 hours. We suppose that lower VAS levels can be achieved by choosing epidural PCA instead of intravenous, and further studies are required on this subject.
Keywords: Smoking; Postoperative Pain; Patient Controlled Analgesia (PCA); Visual Analog Scale (VAS)
