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Laparoskopik kolesistektomide iki farklı anestezi yöntemi

Two Dıfferent anesthetic techruques on laparoscopıc cholecystectomy

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
The aim of our study was to evaluate two different anesthetic techniques in 60 patients, who had undergone elective laparoscopic cholecystectomy. Systolic and diastolic arterial pressures (SAP, DAP), heart rate (HR), peripheral oxygen saturation (Sp02), end-tidal carbondioxide (ETCO2) were monitored in all patients. Blood gas analysis was also performed and comparisons were made between the groups. Patients in group P (n: 30) were given total intraveonous anesthesia (TIVA), and anesthesia was induced with propofol + fentanyl + iv atracurium and maintained with propofol infusion. Patients in group S (n: 30) were given inhalation anesthesia, induced with thiopentone + fentanyl + iv atracurium, maintained with sevoflurane. All patients received fentanyl infusion 1 |ig/kg during anesthesia. Hemodynamic parameters were in acceptable clinical ranges in all patients. Recovery was significantly better in group S (p<0.05). In conclusion, we consider that anesthesia protocols we used were both successful, and sevoflurane had more advantages considering recovery in laparoscopic cholecystectomy.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı elektif laparoskopik kolesistektomi planlanan 60 olguda iki farklı anestezi yönteminin etkinliğini araştırmaktır. Hastaların hepsinin Sistolik ve Diyastolik Arter Basıncı (SAB, DAB); Kalp Atım Hızı (KAH), periferik oksijen satürasyonu (Sp02), End-Tidal CO2 (ETCO2) monitörize edildi. Kan gazı analizleri yapılarak gruplar arasında karşılaştırıldı. Grup P olgulara (n: 30) Total İntravenöz Anestezi (TİVA) uygulandı; anestezi indüksiyonu propofol + fentanil + atrakuryum ile, idame propofol infüzyonu ile sağlandı. Grup S olgulara (n: 30) inhalasyon anestezisi uygulandı; anestezi indüksiyonu tiyopenton + fentanil + atrakuryum ile, idame sevofluran ile sağlandı. Tüm olgulara anestezi süresince 1 |ig/kg fentanil infüzyonu yapıldı. Hemodinamik bulgular tüm olgularda kabul edilebilir klinik sınırlarda gerçekleşti. Derlenme grup S'de anlamlı derecede daha iyi saptandı (p<0.05). Laparoskopik kolesistektomide uyguladığımız anestezi protokollerinin başarılı olduğunu, ancak sevofluran kullanılan olgularda derlenmenin daha hızlı olması nedeniyle avantaj oluşturduğunu düşünüyoruz.
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  • 1
42-46
  • Turkish

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