Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.30, sa.4, ss.240-244, 2022 (Scopus, TRDizin)
© 2022 Anestezi Dergisi. All rights reserved.Objective: Postoperative pain intensity is one of the decisive factors in patient satisfaction following surgery. Therefore, we aimed to investigate the efficacy of sodium bicarbonate addition to local anesthetic infiltration over pain levels after rhinoplasty operations which were performed under general anesthesia. Methods: Following ethics committee approval, medical records of patients who underwent rhinoplasty surgery were retrospectively reviewed to evaluate postoperative pain levels. Forty concomitant patients who received standard local anesthetic infiltration without bicarbonate were randomised as Control group (Group 1). The patients in whom bicarbonate was added to local anesthetic solution were selected as interventional group (Group 2). Initial pain time and pain levels at the 1st, 2nd and 6th hours were obtained from anesthesia, recovery unit and ward follow-up forms. Pain levels were evaluated with Visual Analog Scale (VAS) of 0 to 10. Results: This retrospective study included 80 (64 female and 16 male) endonasal rhinoplasty patients. There was no statistically significant difference found in the postoperative first analgesic requirement time. However, VAS at the postoperative 1st, 2nd and 6th hours of Group 2 were significantly lower than Group 1 (p<0.05). Conclusion: Although it does not delay the beginning of postoperative pain, buffering the local anesthetic infiltration with addition of sodium bicarbonate significantly decreases pain levels at the postoperative period. It is a safe and an inexpensive method, which can efficiently increase patient satisfaction. Thus we recommend more widespread use.