Comparison of the effects of nicardipine and remifentanil on surgical visual field and hemodynamic parameters in tympanomastoidectomy cases
Küçük Resim Yok
Tarih
2024
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
In this study; We aimed to compare the surgical visual field and hemodynamic effects of Nicardipine and Remifentanil in microscopic tympanomastoidectomy patients. The study was planned as a prospective, double-blind, and randomized clinical trial. A total of 64 patients aged between 18 and 65 were included in the study and the patients were randomized into 2 groups: Group N (Nicardipine=32) and Group R (Remifentanil=32). The input data were measured at pre-induction (T0), 5 minutes post-incision (T1), 20 minutes post-incision (T2), mastoidectomy during the tour (T3), cholesteatoma clearance (T4), grafting (T5), extubation (T6), 10 minutes post-extubation (T7), at the time of admission to the post-anesthesia care unit (PACU) (T8) and the 15th minute (T9) in PACU along with hemodynamic parameters values. In the evaluation of the visibility of the surgical field, the Boezaart Scale was used. There was no significant difference in demographic data in both groups. Considering the hemodynamic parameters between the groups, HR values were higher in Group N during the whole period (T1-T9) (p<0.05). T1, T6, T7, and T8, while DAB and MAP were lower in Group N. No difference was observed between the groups in terms of Boezaart Scoring, nausea-vomiting and pain scoring. Remifentanil and Nicardipine provided similar surgical field visual quality in CH application in tympanomastoidectomy cases. We think that nicardipine may be preferred in cases with sensitivity to the pathological effects of bradycardia because it does not have a bradycardia-producing effect.
Açıklama
Anahtar Kelimeler
Anestezi, Kulak, Burun, Boğaz
Kaynak
Medicine Science
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
4
