Pediyatrik hastalarda propofol ile yapılan intravenöz anestezi ile inhalasyon anestezisinin karşılaştırılması
The Comparison of intravenous with inhalational anesthesia in pediatric patients at magnetic resonance imaging
- Tez No: 59434
- Danışmanlar: DOÇ. DR. SAFFET KARACA
- Tez Türü: Tıpta Uzmanlık
- Konular: Anestezi ve Reanimasyon, Anesthesiology and Reanimation
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 1997
- Dil: Türkçe
- Üniversite: İstanbul Üniversitesi
- Enstitü: Cerrahpaşa Tıp Fakültesi
- Ana Bilim Dalı: Anesteziyoloji Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 58
Özet
SUMMARY In our study, it was intended to compare propofol intravenous anaesthesia with halothane inhalation anaesthesia which we used in the management of pediatric patients during magnetic resonance imaging (MRI) scans for obtaining motionless to get good quality images. A total of randomly selected 40 patients between 1 to 108 months of age were studied in two groups each consisting of 20 patients, which are namely halothane and propofol. In the halothane group, an intravenous catheter was placed after the anaesthesia was induced with halothane which we continiously infused untill the globes centralized and the pupils became miotic and stopped at the start of MRI scan. In the propofol group, similarly the intravenous catheter was placed after the anaesthesia was induced with halotan and stopped to give an intravenous bolus of 0.5 mg/kg of propofol which was continiously being infused at a dose of 10 mg/kg/hour and stopped 2 minutes before the end of MRI scan. No oxygen was given to any of the patients during the scan; all breathed spontaneously in the room air. In both groups, the induction, scan, total anaesthesia and recovery times, the heart and the ventilatory rates, oxygen saturation, end tidal C02 at the 5th, 10th, 15th minutes and the end of the scan, the time of the patient's first motion, if any, were recorded. We found that the induction time was significantly shorter in propofol group (p0.05). 02 saturation values at the 10th, 15th minutes and the end of the scan in the propofol group were significantly lower than the halothane group (p
Özet (Çeviri)
SUMMARY In our study, it was intended to compare propofol intravenous anaesthesia with halothane inhalation anaesthesia which we used in the management of pediatric patients during magnetic resonance imaging (MRI) scans for obtaining motionless to get good quality images. A total of randomly selected 40 patients between 1 to 108 months of age were studied in two groups each consisting of 20 patients, which are namely halothane and propofol. In the halothane group, an intravenous catheter was placed after the anaesthesia was induced with halothane which we continiously infused untill the globes centralized and the pupils became miotic and stopped at the start of MRI scan. In the propofol group, similarly the intravenous catheter was placed after the anaesthesia was induced with halotan and stopped to give an intravenous bolus of 0.5 mg/kg of propofol which was continiously being infused at a dose of 10 mg/kg/hour and stopped 2 minutes before the end of MRI scan. No oxygen was given to any of the patients during the scan; all breathed spontaneously in the room air. In both groups, the induction, scan, total anaesthesia and recovery times, the heart and the ventilatory rates, oxygen saturation, end tidal C02 at the 5th, 10th, 15th minutes and the end of the scan, the time of the patient's first motion, if any, were recorded. We found that the induction time was significantly shorter in propofol group (p 0.05). O2 saturation values at the 10*, 15* minutes and the end of the scan in the propofol group were significantiy lower than the halothane group (p
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