Serkan DOĞRU, Serkan KARAMAN, Mustafa SÜREN, Mürsel KAHVECİ, Ziya KAYA, Semih ARICI

Girişimsel nöroradyoloji olgularında anestezi uygulamalarının değerlendirilmesi

Amaç: Bu çalışmada, genel anestezi altında invaziv girişimsel nöroradyoloji uygulanan hastaların incelenmesiamaçlanmıştır.Gereç ve yöntem: Temmuz 2004 ve Kasım 2011 tarihleri arasında acil ya da elektif şartlarda radyoloji ünitesinde genel anestezi altında girişim yapılan toplam 152 erişkin hasta retrospektif olarak değerlendirildi. Hastalara ait bilgiler tutulan anestezi fişlerinden, radyoloji notlarından veüniversitemiz bilgi sisteminden elde edildi. Hastalar yaş, cinsiyet, Amerikan Anestezistler Birliği skoru, girişim endikasyonu, ek hastalık olup olmadığı, kullanılan anestezi tekniği, anestezik ilaçlar ve yoğun bakım ünitesine yatırılanlar olarak incelenip değerlendirildi.Bulgular: Hastaların %55,3’ü (n=84) kadın ve %44,7’si de (n=68) erkeklerden oluşmaktaydı. Olguların tamamına genel anestezi uygulanmış olup indüksiyonda en fazla propofol, idamede ise sevofluran tercih edilmiştir. Hastaların %81,6’sı elektif, %18,4’ü acil alınmış olup olguların tanıları serebral anevrizma (%63,8), arteriovenöz malformasyon (%19,7), Trombolitik tedavi (%8), tümör embolizasyonu (5,3) ve karotis stenti (%3,2) şeklindeydi. Toplam58 hasta yoğun bakım ünitesine yatırılmış olup altı tanesikaybedilmiştir.Sonuç: Güvenli ve etkili hasta bakımının sağlanabilmesi için; altta yatan nöropatolojinin iyi bilinmesi, operasyonodasının fiziki şartları, nöroradyolog, hasta ve anestezistarasındaki yakın ilişki kadar kalıcı anestezi ekiplerinin de gerekli olduğunu düşünmekteyiz.

Evaluation of anesthesia applications in interventional neuroradiology cases

Objectives: In this study, we aimed to evaluate anesthesia applications of the patients underwent invasive interventional neuroradiology applications. Materials and methods: Between June 2004 and October 2004, 152 emergency or elective adult patients who were undergone general anesthesia were evaluated retrospectively. Information about the patients was taken from radiology, anesthesia notes and university’s informationsystem. Patients were evaluated in terms of age, gender, American Society of Anesthesiologists score, indication of application, the existence of concomitant diseases, anesthesia technique, anesthetic medications and the possibility of whether patient were in intensive care unit. Results: Of all, 55.3% of the patients (n=84) were female and 44,7% (n=68) were male. General anesthesia was applied in all cases and propofol was preferred mostly in induction and sevoflurane was preferred in maintenance. Surgically, 81,6% of the patients was elective and 18,4% was emergency patients. Diagnoses of patients were as follow: Cerebral aneurysm 63,8%, arteriovenous malformation 19,7%, thrombolytic therapy 8%, tumor embolization 5,3% and carotid stenting 3,2%. Totally 58 patients were taken into intensive care unit and 6 of these died. Conclusions: In order to provide a safe and efficient patient care, we think that permanent anesthesia equipment is necessary together with good physical conditions of the operation room, proficiency of neuroradiologist, the close relationship between the patient and anesthetist and a good knowledge of underlying neuropathology.

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