Feyza SEVER, Hüseyin Tuğrul TİRYAKİ, Sengül ÖZMERT

Rektal Midazolam Sedasyonunun Çocuklarda Sistometrik Parametrelere Etkisi

Amaç: Çalışmamızda retrospektif olarak sistometri uygulamasından önce sedasyon verilen ve verilmeyen olgular karşılaştırılarak rektal midazolam sedasyon uygulamasının ürodinamik sistometri uygulaması üzerine etkilerinin incelenmesi amaçlandı.Gereç ve Yöntemler: Hastane kayıtlarından 01 Ocak 2014 ile 31 Aralık 2016 tarihleri arasında midazolam uygulaması yapılan ve yapılmadan sistometri gerçekleştirlen 20 olgu geriye doğru değerlendirilerek incelemeye alındı. Bu hastalarda sedasyonlu ve sedasyonsuz sistometri ölçümleri karşılaştırıldı.Bulgular: Çalışmamızda 20 olgu (15 kız, 5 erkek) değerlendirmeye alındı. Ortalama yaş 8.65±2.56 yaşdı. Bu hastalarda sedasyon yapılarak ve yapılmadan gerçekleştirilen sistometri sonuçları karşılaştırıldığında tüm parametrelerde anlamlı bir fark bulunmadı (p>0.01). Hasta ebeveynlerinin sedasyon uygulamasından memnuniyeti sorgulandığında gruplar arasında istatistiksel olarak anlamlı fark olduğu görüldü (p>0.01).Sonuç: Sistometri esnasında özellikle küçük yaş grubunda rektal midazolam uygulamasının güvenli, etkili ve uygun bir seçenek olduğuna inanmaktayız. Çalışmamızda midazolamın sistometri verilerin üzerinde herhangi bir etkisi bulunmamıştır.

Anahtar Kelimeler:

Çocuk, Sistometri, Midazolam, Rektal

Effects of Rectal Midazolam Sedation on Cystometric Parameters in Children

Objective: We aimed to investigate the effects of rectal midazolam sedation on the cystometry urodynamic procedure in this study by retrospectively comparing the cases that had received and not received sedation before the cystometry procedure.Material and Methods: Twenty children who underwent cystometric evaluation with and without midazolam administration were retrospectively investigated from the hospital records between 01 January 2014 and 31 December 2016. We compared cystometry measurement values of patients with and without sedation.Results: 20 cases (15 female, 5 male) were evaluated in our study. The mean age was 8.65±2.56 years. Comparison of the cystometry results with or without sedation in this patient group revealed no significant difference between the parameters (p>0.01). The parents of the patients were asked about their satisfaction and a statistically significant difference was found between the groups (p>0.01). Conclusion: We believe that sedation with rectal midazolam is a safe, effective and convenient option during cystometry, especially in the young age group. We did not find midazolam to cause any effect on cystometry data in this study

Keywords:

Child, Cystometry, Midazolam, Rectal,

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