Muharrem KOÇYİĞİT, Özgen Ilgaz KOÇYİĞİT, Meltem Güner CAN, Oya KUTLAY

Pediatrik Adenotonsillektomi Operasyonlarında Desfluran ile Sevofluran Etkilerinin Karşılaştırılması

Amaç: Adenoidektomi ve adenotonsillektomi operasyonları çocukluk çağında sıklıkla yapılan günübirlik cerrahi işlemlerdendir. Kan,doku ve yağda düşük çözünürlüğe sahip inhalasyon anestezikleri, hızlı indüksiyon ve derlenme sağlaması ile günübirlik cerrahi için iyi bir seçenektir.Bu çalışmamızda desfluran ve sevofluran inhalasyon anestezik ilaçlarının çocuk olgularda hemodinamik etkileri ve derlenme kalitelerinin karşılaştırılması amaçlanmıştır. Hastalar ve Yöntemler: Adenoidektomi ve adenotonsillektomi operasyonu uygulanacak ASA I grubuna dahil, 3-10 yaşlarında, 52 olgu çalışmaya alındı. Tüm olgular rastgele iki gruba ayrıldı: Grup D ve Grup S. Standard anestezi indüksiyonu uygulandıktan sonra anestezi idamesi için %40 Oksijen O2 - %60 Azot protoksit N2O ile birlikte Grup D’de %4 desfluran uygulanırken Grup S’de %2 sevofluran uygulandı. İndüksiyon zamanı, entübasyon zamanı, operasyonun 1., 5., 15. ve 30. dakikalarında, cerrahi bitiş ve ekstübasyon zamanında kalp atım hızı KAH , ortalma arteryel basınç OAB ve periferik oksijen satürasyon SpO2 değerleri kaydedildi. Olguların cerrahi, anestezi ve ekstübasyon süreleri kaydedildi. Olgular Derlenme Ünitesinde 20 dakika gözlendi. Modifiye Aldrete skalası ve Ağrı-konfor skalası ile anesteziden derlenmenin kalitesi değerlendirildi. Bulgular: Her iki grupta demografik özellikler ve hemodinamik etkiler benzer bulundu. Ekstübasyon zamanı Grup D’de daha kısa bulundu p

A Comparison of The Effects of Desflurane and Sevoflurane In Pediatric Adenotonsillectomy Operations

Objectives: Adenoidectomy and adenotonsillectomy operations are ambulatory Outpatient surgeries that are common in pediatric patients. The anesthetics agents which have low blood-tissue-lipid solubility is a good choice for the ambulatory surgery due to rapid induction and emergence. The purpose of this study was to compare the hemodynamic effects and the quality of recovery from desflurane and sevoflurane anesthesia in pediatric patients. Patients and Methods: Fifty-two ASA physical status I patients, aged between 3-10 that underwent adenoidectomy and adenotonsillectomy were studied. Patients were randomly assigned into two groups: Group D and Group S. After the standard anesthesia induction, 4% desflurane in Group D and 2% sevoflurane in Group S were administered with 40% oxygen – 60% nitrous oxide for maintenance of anesthesia. Heart rate, Mean arterial pressure and oxygen saturation were recorded before induction, after induction, at intubation, 1., 5., 15., 30. minutes and at the end of the operation and after the extubation. Operation time, anesthesia time and the extubation time were recorded. Patients have stayed in the post-anesthesia care unit for 20 minutes. Modified Aldrete score and the pain-discomfort scale were used to evaluate the quality of emergence from anesthesia. Results: The demographic data and hemodynamic parameters were similar between the two groups. Extubation time was shorter in the desflurane group p

Keywords:

Desflurane, Sevoflurane, agitation, adenoidectomy,

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