Tiroidektomi operasyonu sonrasi aǧri tedavisinde lornoksikam uygulamasinin zamanlamasi önemli midir?

Aim: The aim of this study is to evaluate the effects of lornoxicam given in different periods of the surgery and tramadol given preoperativcly on postoperative pain management and tramadol consumption. Material and Method: 75 ASA I-II patients undergoing thyroidectomy operations were randomly allocated to 3 groups. Lornoxicam 8 mg and 4 mg was given to Group LP and Group LL respectively and tramadol 100 mg was given to Group T. At the end of the surgery, lornoxicam 4 mg was given to Group LL and 2 mL sodium chloride was given to Group LP and Group T. Patients were evaluated in terms of headache, neck and shoulder pain (at rest, during movement and coughing) and patient satisfaction scores. The first analgesic requirement, maximum pain score and the time of maximum pain score and total amount of tramadol requirement during the first twenty-four hours and side effects were recorded. Results: Demographic data was similar in all groups. Pain scores at rest and during movement was found to be higher in Group LL in the first 10^th, 15^th and 30^th minutes. Neck pain scores during coughing was found to be higher in Group LL in the first 10^th and 15^th minutes. There was no signifcant difference between groups in terms of pain scores in the other measurement intervals. There was no significant difference in terms of patient satisfaction scores in the first sixteen hours, but patient satisfaction scores in the 20^th and 24^th hours was found to be lower in Group T. During the postoperative period, the number of patients experiencing nausea in Group T was higher than the other groups. Conclusion: Lornoxicam has the similiar efficacy with tramadol in postoperative pain management in patients undergoing tiroidectomy.