Zehra HATİPOGLU, Beyza TEKİN, Mediha TÜRKTAN, Ersel GÜLEÇ, Dilek ÖZCENGİZ

Deksmedetomidinin çocuklarda laringeal maske airway ve kobra perilarengeal airway kullanımına etkileri

Amaç: Bu çalışmanın amacı çocuklarda deksmedetomidinin laringeal maske hava yolu ve kobra perilarengeal hava yolu kullanımına etkilerini değerlendirmektir.Gereç ve Yöntem: LMA veya CobraPLA ile elektif inguinal bölge cerrahisi sırasında tek başına sevofluran ve sevofluran + deksmedetomidin (yükleme dozu 1 µg/kg + infüzyon 0.5 µg/kg/sa) alan 112 çocuğun tıbbi kayıtları retrospektif olarak incelendi: Grup LMA, Grup CobraPLA, Grup Dex + LMA ve Grup Dex + CobraPLA. Hastaların demografik verileri, hemodinamik parametreleri, etkin bir havayolu elde etmek için deneme sayısı ve zamanı, end-tidal sevofluran (ETSevo) konsantrasyonu, plato basıncı (P plato), pik inspirasyon basıncı (PIP), end-tidal karbondioksit (ETCO2) değerleri ve komplikasyonlar kaydedildi.Bulgular: Demografik ve anestezik veriler, hemodinamik parametreler ve komplikasyonlar gruplar arasında benzerdi. Deneme sayısı, yerleştirme zamanı, P plato ve PIP sayısı, LMA grubunda diğer gruplara göre istatistiksel olarak daha yüksekti. ETSevo konsantrasyonları Dex + CobraPLA grubunda LMA ve CobraPLA gruplarına göre daha düşüktü. ETCO2 ölçümleri CobraPLA ve Dex + CobraPLA gruplarında diğer gruplara göre daha yüksekti.Sonuç: Bu çalışmada, supraglottik havayolu cihazları kullanılan çocuklarda deksmedetomidinin havayolu basınçlarını ve ETSevo konsantrasyonlarını yan etki olmaksızın azalttığı saptanmıştır.

Anahtar Kelimeler:

Deksmedetomidin, Pediyatri

Effects of dexmedetomidine on the use of laryngeal mask airway and the cobra perilaryngeal airway in children

Purpose: The aim of this study was to evaluate the effects of dexmedetomidine on the use of laryngeal mask airway and the cobra perilaryngeal airway in children.Materials and Methods: The medical records of 112 children who received sevoflurane alone and sevoflurane plus dexmedetomidine (loading dose 1 µg/kg + infusion 0.5 µg/kg/h) during elective inguinal region surgery with LMA or CobraPLA were retrospectively reviewed: Group LMA, Group CobraPLA, Group Dex+LMA and Group Dex+CobraPLA. Patients’ demographic data, hemodynamic parameters, the number of trials and time to achieve an effective airway, the end-tidal sevoflurane (ETSevo) concentration, plateau pressure (P plateau), peak inspiratory pressure (PIP), end-tidal carbondioxide (ETCO2) values, and complications were noted.Results: Demographic and anesthetic data, hemodynamic parameters, and complications were similar between the groups. The number of attempts, the time for insertions, P plateau, and PIP were statistically higher in the LMA group compared to other groups. ETSevo concentrations were lower in the Dex+CobraPLA group compared to LMA and CobraPLA group. The ETCO2 measurements were higher in the CobraPLA and Dex+CobraPLA groups compared to other groups. Conclusion: Dexmedetomidine reduced airway pressures and ETSevo concentrations without side effects in the children with SADs.

Keywords:

Dexmedetomidine, Pediatric,

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