Comparison of Maintenance and Recovery Characteristics of Desflurane and Sevoflurane in Children [çocuklarda Desfluran-sevofluran Anestezisinin İdame Ve Derlenme Üzerine Olan Etkilerinin Karşilaştirilmasi]

Küçük Resim Yok

Tarih

2003

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

In this study, the characteristics of desflurane and sevoflurane were compared for maintenance of anaesthesia in short-term surgery of children. Fifty children, 4-12 years old were studied. Thirty minutes prior to the induction of anaesthesia, all patients received 0.5 mg kg-1 midazolam orally. They were randomly assigned to receive 6-7 % desfurane (group I) and 2-2.5 % sevoflurane (group II) with 60 % nitrous oxide in oxygen for maintenance of anaesthesia. For anaesthesia induction all patients were given 2-2.5 mg kg -1 propofol, 10 ?g kg-1 alfentanil and 0.1 mg kg -1 cisatracurium and after two minutes all patients were intubated. Before surgery, patients received 20 mg kg-1 paracetamol rectally for postoperative analgesia. Dexamethasone 150 ?g kg-1 was given to reduce the incidence of postoperative nausea and vomiting. Systolic arterial pressure, diastolic arterial pressure, mean arterial pressure and heat rate were measured: before induction, after induction and during intubation, 5, 10, 20 minutes after surgery and at the end of anaesthesia. At the end of the operation extubation and recovery times were determined. Agitation was evaluated by using the three -point score. Hemodynamic parameters were satisfactorily maintained within ± 30 % of baseline values in both groups. Recovery time was significantly shorter in the desflurane group than sevoflurane group (p<0.05). Extubation time and incidence of agitation were similar for both groups. Differences in the incidence of postoperative vomiting were not statistically significant between the groups. As a result, we concluded that both sevoflurane and desflurane can be used safely for the maintenance of anaesthesia after induction of propofol in children.

Açıklama

Anahtar Kelimeler

Desflurane, Pediatric anaesthesia, Sevoflurane

Kaynak

Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi

WoS Q Değeri

Scopus Q Değeri

N/A

Cilt

31

Sayı

8

Künye

Uzun, S., Tuncer, S., Tavlan, A., Reisli, R., Sarkilar, G., Ökesli S., (2003). Comparison of Maintenance and Recovery Characteristics of Desflurane and Sevoflurane in Children [çocuklarda Desfluran-sevofluran Anestezisinin İdame Ve Derlenme Üzerine Olan Etkilerinin Karşilaştirilmasi]. Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, 31(8), 415-421.