2.3. Anesthesia
postoperative pain, pain
INFILTRATED, POSTOPERATIVE COMPLICATIONS
The perioperative management of patients in our study involved several components. Prior to the operation, patients were premedicated with midazolam in a peroral dose ranging from 4 to 7.5 mg. During the procedure, standard monitoring was conducted, including electrocardiography, monitoring of oxygen saturation, and noninvasive blood pressure measurements.During the procedures, the patients were positioned in the prone position. We employed the propofol-remifentanil target-controlled infusion sedation technique. Throughout the sedation process, the patients maintained consciousness and were responsive to our inquiries. They breathed spontaneously with the assistance of oxygen masks. The target-controlled infusion sedation technique was maintained by administering a continuous infusion of remifentanil at a rate ranging from 0.05 to 2 µg/kg/min. Additionally, propofol was administered with dosages varying from 0.5 to 4.0 μg/ml, depending on the specific needs of the surgical procedure.During the operation, the surgical operator infiltrated the wound and operating canal with a mixture of local anesthetics. This combination consisted of 0.5% levobupivacaine and 1% trimecaine, with a total volume of up to 20 ml.After the operation, patients were transferred to the recovery room where they were observed for up to 3 hours. During this time, standard monitoring was performed based on the patient’s clinical situation. This included continuous monitoring of vital signs such as heart rate, blood pressure, respiratory rate, and oxygen saturation. Additionally, any specific postoperative complications or concerns were addressed and managed accordingly.To manage postoperative pain, patients received intravenous paracetamol at a dose of 1 g. For at-home medication, patients were prescribed tramadol at a dosage of 100 mg every 12 hours, diclofenac at a dosage of 75 mg per day, and paracetamol at a dosage of 500 mg every 8 hours.These medications and interventions were part of our standardized protocol for perioperative management in our study. They were designed to ensure adequate pain control and patient comfort during the postoperative period.