Pancreatic surgery is generally a high-risk and difficult to manage perioperatively. surgery. In pancreatic surgery, in addition to general anaesthesia, central blocks for analgesia and peripheral blocks are also preferred. In this study, in patients undergoing whipple surgery epidural and erector spina plan block (ESP) may cause intraoperative and postoperative pain, renal functions and haemodynamic variables.
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Intraoperative remifentayl consumption (microgram)
Timeframe: peroperatively
Postoperative visual analog scale(1-10)
Timeframe: at the postoperative 1. hour
Rate of heart beat (beat/min)
Timeframe: During the anesthesia, It will be evaluated at 1 hour intervals.
Value of systolic blood pressure (mmHg)
Timeframe: During the anesthesia, It will be evaluated at 1 hour intervals.
Rate of systemic inflammation index: SII (Systemic immune inflammatory index) is the formulation of the values of platelets, neutrophils and lymphocytes in peripheral blood as P X N / L = SII.
Timeframe: At the preoperative and postoperative time points