Erdal GEZER, Bakiye UĞUR, Selda ŞEN, Mustafa OĞURLU, Osman Nuri AYDIN, Feray GÜRSOY

PEDİYATRİK CERRAHİDE KAUDAL ANALJEZİ ETKİNLİĞİNİN RETROSPEKTİF OLARAK DEĞERLENDİRİLMESİ

Amaç:Retrospektif olarak, hastanemizde 2006 yılının Ocak-Haziran ayları arasında, pediatrik cerrahideinguinal, ürogenital ve rektal bölgede elektif cerrahi operasyon geçirmiş 125 olguda genel anestezi indüksiyonusonrasında yapılan kaudal bloğun, intraoperatif, postoperatif dönemde analjezik etkinliğini vekomplikasyonlarını değerlendirmeyi amaçladık.Gereç ve yöntem:Retrospektif olarak pediatrik cerrahide elektif cerrahi operesyon geçirmiş kaudal blokuygulanmış hasta dosyalarında yer alan anestezi izlem, anestezi derlenme odası hasta takip ve hemşire gözlemformları incelenerek, demografik veriler, operasyon türü, indüksiyon ve idamede uygulanan anestezik ajanlar,anestezi şekli, kaudal blokta uygulanan lokal anesteziğin türü, miktarı, konsantrasyonu; intraoperatif,postoperatif dönemde uygulanan analjezik ihtiyaçları ile verilme zamanları ve komplikasyonlar kaydedilmiştir.Bulgular:Yaş ortalamaları 41.57±38.55, yaş aralığı 1-132 ay olup, cinsiyet 118 erkek (%94.4) ve 7 kız (%5.6),vücut ağırlıkları ortalama 14.60±7.81 kg olarak bulundu. Kaudal blokla %0.25 bupivakainden 1ml/kg uygulananhastaların anestezi süreleri ortalama 61.50±42.07 dak. olarak bulunmuştur. İntraoperatif dönemde herhangi biranaljezik yapılmamış olup postoperatif analjezi süreleri ortalama 412.88±163.13 dak. olarak saptanmıştır.Postoperatif dönemde herhangi bir komplikasyon bildirilmemiştir.Sonuç:Kaudal blok pediatrik cerrahide inguinal, ürogenital, rektal bölgede yapılan operasyonlarda intraoperatifve postoperatif dönemde analjezi sağlamada etkili bir yöntem olduğunu gözlemledik

Anahtar Kelimeler:

Kaudal blok, postoperatif analjezi, pediatrik anestezi

Evaluation of Efficacy of Caudal Analgesia on Pediatric Surgery

Objective: We aimed to retrospectively evaluate analgesic effect and complications in intraoperative and post operative periods of caudal block performed after induction of general anesthesia in 125 pediatric patients who underwent elective surgical operations on the inguinal, urogenital and rectal regions in 2006. Material and Methods: Data were collected from anesthesia monitoring forms, recovery room monitoring forms and nursing monitoring forms about demographics, types of operations, anesthetic agents used for induction and maintenance of anesthesia, types of anesthesia, types, doses and concentrations of local anesthetics used for caudal block, analgesics given in intraoperative and postoperative periods, time of analgesic administration and complications. Results: The patients were aged 1-132 months, with a mean of 41.57±38.55 months. Out of 125 patients, 118 (94.4%) were male and 7 (5.6%) female with a mean weight of 14.60±7.81 kg. Duration of anesthesia was 61.50±42.07 min in patients administered 0.25% bubivacain for caudal block. No analgesics were administered during operation and mean duration of analgesia in the postoperative period was 412.88±163.13 min. No complications were noted in the postoperative period. Conclusion: It can be concluded that caudal block decreases the need for general anesthesia in the intraoperative period and provides effective analgesia in the postoperative period in operations on the inguinal, urogenital and rectal regions.

Keywords:

Caudal block, postoperative analgesia, pediatric anesthesia,

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