PROBE KÜRETAJLARDA KETOFOL ORANLARININ KARŞILAŞTIRILMASI

Amaç: Probe küretaj hastalarında sedoanaljezi sağlamak amacıyla kullandığımız farklı oranlardaki ketamin-propofolkombinasyonlarının vital bulgulara, anestezi ve derlenme süresine, ek ilaç kullanımına, komplikasyonlara ve hasta memnuniyetineetkisini karşılaştırmayı amaçladık. Yöntem: Çalışma 2015 yılı içinde probe küretaj için Ketofol kullanılmış hastaların incelenmesi ile gerçekleştirildi. Çalışmaya18-65 yaş arası ASA I-III olan 84 kadın hasta çalışmaya alındı. Çalışmaya dahil edilen hastalar kullanılan ketofol oranlarınagöre 4 gruba ayrıldı. Hastaların yaş, boy, kilo, ASA fiziksel skoru, demografik verileri, cerrahi işlem süresi, anestezi işlem süresi,derlenme zamanı ve derlenme odasında kalış süresi ve ek propofol tüketimi, kalp atım hızı (KAH), ortalama kan basıncı (OAB),periferik oksijen satürasyonu (SpO2) 0, 5, 10, 15, 20. dakikalarda kaydedildi. İşlem süresince gelişen komplikasyonlar (bradikardi,hipotansiyon, hipertansiyon, kusma, solunum depresyonu, ajitasyon, halüsinasyon) işlem sonrası komplikasyonlar ve hastamemnuniyetleri sorgulandı. Bulgular: Dört grubun yaş, kilo, boy ve ASA skorları One Way ANOVA yönteminde Tukey testi ile kıyaslandığında istatistikselolarak anlamlı bir fark görülmedi (p>0.05). Grup içi karşılaştırmada OAB açısından Grup PK41 giriş değeri hariç 5.,10.,15.,20.dakikalarda diğer 3 gruba göre istatistiksel olarak anlamlı düzeyde düşük bulunurken (p0.05). Derleme süresi karşılaştırıldığında PK41'in derleme süresi PK11 grubagöre istatistiksel olarak daha uzun olduğu saptandı (p < 0.05). Hasta memnuniyeti dört grupta benzer bulundu. Sonuç: Çalışmamızda probe küretaj için kullanılan Ketofol oranları içerisinde 1:4 ketamin-propofol karışımında derlenmenindaha uzun olduğu ve aynı grupta ortalama kan basıncının daha düşük olduğu ve tüm Ketofol oranlarında effektif, konforlu vegüvenli sedoanaljezi oluşturulabileceği sonucuna varıldı.

COMPARISON OF KETOFOL RATES IN PROBE CURETTAGE

Objective: We aimed to compare the vital signs, anesthesia and recovery duration, the use of additional medication, complicationsand the impact on patient satisfaction of the ketamine-propofol combination in different proportions which we order sedoanalgesiafor probe curettage patients. Method: The study was carried out by examining the patients which were used KETOFOL for the probe curettage in 2015.ASA I-II-III, eighty four women between ages of 18-65 years were enrolled. The patients were divided, as to be used the ketofolrate into four groups. The patients demographic datas, surgery time, anesthesia processing time, recovery time and length of stayin the recovery room and using the additional propofol consumption, heart rate, mean arterial blood pressure, peripheral oxygensaturation were recorded at 0, 5, 10, 15, 20 minutes. Complications during the operation, post-procedure complications andsatisfaction with the anesthetic procedure were recorded. Results: Demographic datas showed no statistically significant difference when compared with One Way ANOVA method inthe Tukey test. OAB 0. minutes values except, PK41 5, 10, 15, 20. minutes values according to statistically significantly lower(p <0.05) in the intergroup comparison. When compared PK41 recovery time by PK11 group's recovery time they were statisticallysignificantly longer (p <0.05). Patient satisfaction was similar between the groups (p> 0.05). Conclusion: In this study, 1: 4 ketamine-propofol mixture group has a longer recovery time and lower mean blood pressurethan the other groups for probe curettage. We conclude that in all groups we can create effective, comfortable and safe sedoanalgesia.

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