A comparıson of recovery characterıstıcs of sevoflurane and propofol–remıfentanıl anesthesıa ın gerıatrıc patıents
Küçük Resim Yok
Tarih
2011
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Dergi ISSN
Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Bu çalışmada ürolojik cerrahi girişim geçirecek 100 ileri yaş hastada propofol-remifentanil kullanılarak uygulanan total intravenöz anestezi ile sevofluran-remifentanil anestezisinin derlenme özelliklerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Hastalar propofol-remifentanil (grup P) veya sevofluran-remifentanil (grup S) anestezisi verilmek üzere rasgele ayrıldı. Derlenme özellikleri, anestezi sonrası gönderme skor sistemi (PADSS) ve Aldrete derlenme skorunu 9 olma zamanı, Digit Symbol Substitution Test (DSST), Trieger Dot Test sonuçları kaydedildi. Bulgular: Ekstubasyon zamanı grup P'de grup S'e göre belirgin olarak kısa bulundu (5.32.9 dk ve 7.83.8dk, p0.038). İlk göz açma, verbal uyarılara cevap ve oryantasyon gruplar arasında benzerdi. Aldrete skorunun 9 olma zamanı (Grup P: 14.23.6 dk, Grup S: 16.34.5 dk)ve PADSS'in 9 olma zamanı (Grup P: 19.35.7 dk, Grup S: 22.14.2 dk) iki grupta benzer bulundu (p0.05). DSST'in normale dönmesi grup P'de grup S ile karşılaştırıldığınd belirgin olarak hızlı idi (p0.05) ve TDT iki grupta benzerdi (p0.05). Bulantı/kusma, titreme, göğüs duvarında sertlik ve VAS ağrı skoru değerlerinde belirgin fark yoktu (p0.05).
Introduction: In this study we aimed to compare the recovery characteristics of propofol/remifentanil and sevofluran/remifentanil anesthesia in 100 geriatric patients undergoing urological procedures. Materials and Method: The patients were randomized to receive either propofol-remifentanil (group P) or sevoflurane-remifentanil (Group S) anesthesia. Recovery characteristics, the time to post-anesthetic discharge scoring system (PADSS) score and Aldrete score of 9 point, Digit Symbol Substitution Test (DSST) and Trieger Dot Test (TDT)values were compared between two groups. Results: Extubation time was significantly shorter in group P than in group S (5.3±2.9 min vs 7.8±3.8 min, p0.038). The times of first eye opening, response to verbal commands and orientation were similar in both groups. The time of Aldrete score of 9 points (grup P: 14.2±3.6 min, group S: 16.3±4.5 min) and PADSS of 9 points (group P: 19.3±5.7 min, group S: 22.1±4.2 min) were also similar (p>0.05). Time to return to the normal value of DSST was significantly shorter in Group P compared with Group S, and TDT was similar in both groups (p>0.05). No significant differences were observed in the incidence of postoperative complications and VAS score (p>0.05).
Introduction: In this study we aimed to compare the recovery characteristics of propofol/remifentanil and sevofluran/remifentanil anesthesia in 100 geriatric patients undergoing urological procedures. Materials and Method: The patients were randomized to receive either propofol-remifentanil (group P) or sevoflurane-remifentanil (Group S) anesthesia. Recovery characteristics, the time to post-anesthetic discharge scoring system (PADSS) score and Aldrete score of 9 point, Digit Symbol Substitution Test (DSST) and Trieger Dot Test (TDT)values were compared between two groups. Results: Extubation time was significantly shorter in group P than in group S (5.3±2.9 min vs 7.8±3.8 min, p0.038). The times of first eye opening, response to verbal commands and orientation were similar in both groups. The time of Aldrete score of 9 points (grup P: 14.2±3.6 min, group S: 16.3±4.5 min) and PADSS of 9 points (group P: 19.3±5.7 min, group S: 22.1±4.2 min) were also similar (p>0.05). Time to return to the normal value of DSST was significantly shorter in Group P compared with Group S, and TDT was similar in both groups (p>0.05). No significant differences were observed in the incidence of postoperative complications and VAS score (p>0.05).
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Türk Geriatri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
