Adem YILMAZ, Neşe AYDIN, Mustafa Muhlis ALPARSLAN

Comparison of general anesthesia with spinal application in arthroscopic knee surgery regarding hemodynamic parame- ters

Amaç: Günübirlik artroskopik diz cerrahisi uygulanan hastalarda spinal anestezi ile genelanestezinin hemodinamik parametreler ve taburculuk kriterleri açısından karşılaştırılmasınıamaçladık.Yöntem: Olgular randomize olarak iki gruba ayrıldı. Grup 1 (n: 20) genel anestezi grubu, Grup 2(n:20) spinal anestezi grubu olarak belirlendi. Grup 1 hastalarına propofol-desfluran ile genelanestezi, Grup 2 hastalarına ise 10 mg %0,5 hiperbarik bupivakain ile spinal anesteziuygulanmıştır.Bulgular: Grup 2deki hastaların devam eden motor blok nedeniyle Modifiye Aldrete Skorları,Grup 1deki hastalardan istatistiksel olarak anlamlı derecede düşüktü. PADSS ve Emezis Skorlarıise her iki grupta benzerdi. Grup 2deki hastalarda devam eden duyusal blok nedeniyle Grup1deki hastalara göre ağrı başlama zamanları istatistiksel olarak ileri derecede uzundu. İki gruparasındaki hemodinamik parametrelerdeki farklılıklar uygulanan anestezi şekliyle uyumluydu.Sonuç: Günübirlik artroskopik diz cerrahisi uygulanan hastalarda düşük doz %0,5 hiperbarikbupivakainin intratekal enjeksiyonu ile sağlanan tek taraflı spinal anestezi uygulamasının özelliklepostoperatif dönemdeki analjeziye olan önemli katkısı göz önünde tutulunca propofol-desfluran ilesağlanan genel anestezi uygulamasına iyi bir alternatif olabileceği kanaatine varıldı.

Diz artroskopisinde spinal anestezi ile genel anestezinin hemodinamik parametreler açısından karşılaştırılması

Objective: We aimed to compare general anesthesia applied with the combination of propofol- desfluran and single-sided spinal anesthesia with regards to hemodynamic parameters anddischarge criteria. in patients undergoing daily arthroscopic knee surgeryMethods: Cases were divided randomly into two groups. Group 1 (n: 20) is specified as generalanesthesia group and Group 2 (n: 20) is specified as spinal anesthesia group. General anesthesiawith propofol-desfluran has been applied to patients of Group 1 and spinal anesthesia with 10 mg0.5% hyperbaric bupivacaine has been applied to the patients of Group 2.Results: Modified Aldrete Scores related to the patients of Group 2 were statically significantlylower than Group 1 because of the ongoing motor block. PADSS and Emesis Scores were similarin both groups. Starting of pain was statistically within a longer period in patients with Group 2when compared to group 1 due to the ongoing organoleptic block. The differences inhemodynamic parameters between two groups were in concordance with the anesthesia methodapplied.Conclusion: It is concluded that one-sided spinal anesthesia provided with low dosed 0.5%hyperbaric bupivacaine intrathecal injection may be a good alternative to general anesthesia withpropfol-desfluran. in patients undergoing daily arthroscopic knee surgery when its significantcontribution to analgesia in postoperative period is considered.

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