Meziyet Saraç AHRAZOĞLU, Mediha TÜRKTAN, Hayri ÖZBEK, Yasemin GÜNEŞ

Çocuklarda Şaşılık Cerrahisinde Sevofluran ve Desfluran Anestezisinin Derlenme ve Ajitasyon Üzerine Etkileri

Amaç: Çalışmamızda şaşılık cerrahisi uygulanan çocuklarda sevofluran ve desfluran anestezisinin derlenme ve erken ajitasyon üzerine etkilerini karşılaştırmayı amaçladık. Yöntem: Çalışmaya elektif şaşılık cerrahisi uygulanacak ASA I-II grubu, 2-10 yaşları arasında 42 hasta (kız=21, erkek=21) alındı. Hastalar rastgele 2 gruba ayrıldı. Anestezi indüksiyonu her iki grupta % 6-8 sevofluran, % 50 azot protoksit ve % 50 oksijen ile sağlandı. Anestezi idamesi I. Grupta % 1-2 sevofluran, II. Grupta ise % 4-6 desfluran ile idame ettirildi. Operasyon süresi, ekstübasyon, göz açma, uyarılara riayet ve oryantasyon süreleri ile laringospazm, bulantı kusma ve diğer yan etkiler kaydedildi. Her iki grubun postoperatif derlenme (Modifiye Aldrete Derlenme Skoru) ve ajitasyon durumu (Pediatrik Anestezi Deliryum Skalası ve Watcha Davranış Skalası) kaydedildi. Bulgular: Grupların demografik verileri ve hemodinamik parametreleri birbirine benzerdi. Desfluran grubunda ekstübasyon, göz açma, uyarılara riayet ve oryantasyon süreleri sevofluran grubundan daha kısa bulundu (p

Anahtar Kelimeler:

Sevofluran, desfluran, derlenme, erken ajitasyon.

Effects of Sevoflurane and Desflurane Anesthesia on Recovery and Agitation in Children Undergoing Strabismus Surgery

Purpose: We aimed to compared the effects of sevoflurane and desflurane anesthesia on recovery and early agitation in children undergoing strabismus surgery in our study. Method: Totally 42 patients undergoing elective strabismus surgery who between the ages of 2-10, ASA I-II were included this study. The patients were classified into two groups randomly. Induction of anesthesia was provided with 50% nitrous oxide, 50% oxygen and 6-8% sevoflurane in both groups. Maintenance of anesthesia was provided with sevoflurane 1-2% in Group I and desflurane 4-6% in Group II. The operation time, extubation, eye opening, obeying the verbal commands and orientation times and nausea-vomiting, laryngospasm and other adverse affects were recorded. Postoperative recovery (Modified Aldrete Emergence Score) and agitation (Pediatric Anesthesia Delirium Scale and Watcha Behaviour Scale) situation were recorded. Results: Patient"s demographic data and hemodynamic parameters were similar between the groups. Extubation, eye opening, obeying the verbal commands, orientation times were shorter in desflurane group than sevoflurane group(p< 0.05). Postoperative recovery and agitation scores were similar in two groups. Conclusion: In children, it was concluded that desflurane anesthesia may be preferred to sevoflurane because of shorter extubation, eye-opening, obeying the verbal commands and orientation times, but it did not reduce postoperative agitation.

Keywords:

Sevoflurane, desflurane, recovery, early agitation.,

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