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Kronik Sigara İçicilerde Anestezi Sırasında ve Derlenme Odasındaki PO2 ve ETCO2 Değişiklikleri

PO2 and ETCO2 changes in chronic smokers during anaesthesia and in the recovery room

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
We compared the changes in ventilation parameters during anaesthesia and recovery room in chronic smokers and non smokers (15 chronic smokers and 15 non smokers). All patients were nomal clinically and paraclinically. The induction of anaesthesia was provided by 7 mg/kg Na thiopenthal and 0.8 mg/kg atracrium. Anaesthesia maintained 40% O2, 60% N2O and 1-1.5% isoflurane. ETCO2 (end tidal CO2) and SaO2 were measured for every 5 minutes during the operation. Hypoxia and avakening scores were measured in the recovery room. The only difference that observed between two group was SaO2 at the time of extubation and this result was statistically insignificant. A 13% decrease in ETCO2 was observed in chronic smokers. Chronic smokers avakened later than non smokers, and their secretions were also more than non smokers. Non smokers did not cough at the recovery room but chronic smokes coughed at a percentage of 20%. Morbidity was 41% in the chronic smokers group. We concluded that smoking must be avoided for the chronic smokers at least a few days before operation. [Journal of Turgut Özal Medical Center 1997;4(4):413-417]
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Abstract (Original Language): 
Günümüzde sigara içici sayısının çok fazla olması nedeniyle çalışmamızda sigara içmeyen ve içen sağlıklı yetişkinlerde anestezi esnasında ve derlenme odasında solunum parametreler indeki değişiklikleri inceleyip karşılaştırdık. Çalışmaya sigara içen 15, içmeyen 15 olmak üzere 30 hasta alındı. Bütün vakaların gerek klinik, gerek laboratuar bulguları tamamen normaldi. Bütün vakalara 7 mg/kg tiyopental ve 0.8 mg/kg atraküryum verilerek indüksiyon sağlandı. İdame anesteziye % 40 02 ,% 60 N2O ve % 1-1,5 Isofluranla devam edildi. Operasyon esnasında her 5 dakikada ETC02 (end tidal CO2), SaO2 (oksijen satürasyonu), ölçülüp kaydedildi. Derlenme odasında hipoksi ve uyanma skorları ölçülüp kaydedildi. Sa02 da iki grup arasında sadece ekstübasyon sırasında farklılık gözlendi. Bu fark istatistiksel olarak anlamsız (p>0.05) idi. Sigara içen grupta ETCO2 daha geç uyandığı ve sekresyon artışının daha fazla olduğu tespit edildi. Sigara içmeyen grupta derlenme odasında öksürük gözlenmezken, içen grupta % 20 oranında öksürük gözlendi. Sigara içen grupta derlenme odasındaki toplam morbidite % 41 idi. Sonuç olarak operasyona alınacak hastalar sigara içiyorlarsa operasyondan bir kaç gün önce bir aktır ılmasının uygun olacağı kanısına vardık [Turgut Özal Tıp Merkezi Dergisi 1997;4(4):413-417]
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  • 4
413-417
  • Turkish

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