Comparison of haemodynamic profile and recovery characteristics of total intravenous anaesthesia and desflurane anaesthesia in paediatric outpatient surgery

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dc.authorscopusid8861779700
dc.authorscopusid6701613323
dc.authorscopusid55666804700
dc.authorscopusid7006384185
dc.authorscopusid7004621949
dc.authorscopusid8861779500
dc.authorscopusid7004486274
dc.contributor.authorÖzpolat Z.
dc.contributor.authorTo?al T.
dc.contributor.authorToprak H.I.
dc.contributor.authorÖztürk E.
dc.contributor.authorÇiçek M.
dc.contributor.authorÜlger H.
dc.contributor.authorErsoy M.O.
dc.date.accessioned2024-08-04T20:02:07Z
dc.date.available2024-08-04T20:02:07Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: We aimed to compare the intraoperative haemodynamic profile and recovery characteristics of total intravenous anaesthesia (TIVA) with remifentanilpropofol and inhalation anaesthesia with desflurane-N2O in paediatric patients. Materials and Methods: Fifty children, ASA I, aged 4-12 years undergoing tonsillectomy, adenoidectomy or insertion of ventilation tubes, were included into the study. After premedication with midazolam orally, induction was performed intravenously with lidoeaine 1 mg kg-1, remifentanil 1 ?g kg-1, propofol 3 mg kg-1 and vecuronium 0.1 mg kg-1. Patients were divided into two groups: In Group I, remifentanil 0.5 ?g kg-1 min-1 and propofol 50 ug kg-1 min-1 were given; in Group II, desflurane 8.3 % and N2O 50 % in O2 were given. The heart rate (HR), mean arterial pressure (MAP), SpO2, PETCO2 and body temperature were monitorized. Emergence and recovery times, side effects like hypoxia, laryngospasm, nausea-vomiting, pain, and agitation were recorded. Results: In Group I, MAP increased at all times except after induction when compared with baseline, and decreased at all times except after intubation and surgical incision in Group II. HR decreased at surgical incision, 10, 20 and 30 minutes after incision in Group I when compared with baseline, and at all times except after intubation and surgical incision in Group II (p<0.05). In Group II, MAP was lower and HR was higher when compared with Group I. Eve-opening time and time to reach Aldrete score >8 in Group II was longer than in Group I. The time of spontaneous ventilation and extubation, and side effects were similar between groups. The incidence of postoperative pain and agitation was high in both groups. Conclusion: We concluded that both TIVA with propofol-remifentanil and desflurane-N2O based anaesthesia are suitable methods with short postoperative recovery for outpatient paediatric cases. However haemodynamic instability, postoperative agitation and pain are serious problems with both methods that should be solved.en_US
dc.identifier.endpage60en_US
dc.identifier.issn1304-0871
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-14844311908en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage54en_US
dc.identifier.urihttps://hdl.handle.net/11616/91437
dc.identifier.volume33en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnaesthesiaen_US
dc.subjectDesfluraneen_US
dc.subjectIntravenousen_US
dc.subjectOutpatient surgeryen_US
dc.subjectPaediatricsen_US
dc.titleComparison of haemodynamic profile and recovery characteristics of total intravenous anaesthesia and desflurane anaesthesia in paediatric outpatient surgeryen_US
dc.title.alternativeGünübirlik pediyatrik olgularda total i?ntravenöz anestezi ve desfluran anestezisinin hemodinami ve derlenme ?zellikleri açisindan karşilaştirilmasien_US
dc.typeArticleen_US

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