Journals / Glokom Katarakt / 2013 / Cilt: 8 - Sayı: 1

Laparoskopik kolesistektomi operasyonu geçiren anestezi altındaki hastalarda sevoflora’nın göz içi basıncı üzerine etkisi

The effect of sevolurane on the ıntraocular pressure in anesthetized patients undergoing laparoscopic cholecystectomy

Pages
27–30
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: IOP changes were in normal limits in elderly patients during laparoscopic cholecystectomy operation with sevofluran anesthesia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: To assess the potential impact of sevoflurane anesthesia on intraocular pressure (IOP) in patients undergoing laparoscopic cholecystectomy.
📊
Key Findings & Data:Materials and Methods: The study included 34 elderly patients 60 and over who were to undergo a laparoscopic cholecys- tectomy for cholelithiazis.
💡
Conclusion & Impact:Conclusion: IOP changes were in normal limits in elderly patients during laparoscopic cholecystectomy operation with sevofluran anesthesia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: To assess the potential impact of sevoflurane anesthesia on intraocular pressure (IOP) in patients undergoing laparoscopic cholecystectomy. Materials and Methods: The study included 34 elderly patients 60 and over who were to undergo a laparoscopic cholecys- tectomy for cholelithiazis. Mean arterial blood pressures (MBPs) and mean IOPs of both eyes were measured on five occa- sions: before anaesthetic induction (MBP1, IOP1), after anaesthetic induction and during mechanical ventilation (MBP2, IOP2), after pneumoperitoneum (MBP3, IOP3), after evacuation of pneumoperitoneum (MBP4, IOP4), and 1 hour after tracheal extubation (MBP5, IOP5). Results: The mean age of patients was 63.24±6.61. MBPs were 114.51±22.05 (MBP1), 106.16±19.46 (MBP2), 101.07±16.32 (MBP3), 98.88±11.95 (MBP4), and 110.88±10.69 (MBP5). IOPs were 18.75±2.49 (IOP1), 16.47±3.2 (IOP 2), 17.09±3.52 (IOP3), 16.5±3.72 (IOP4), and 18.85±2.3 (IOP5). The effect of pneumoperitoneum on MBP and IOP was found to be statisti- cally insignificant (p=0.135 and p=0.094, respectively). Conclusion: IOP changes were in normal limits in elderly patients during laparoscopic cholecystectomy operation with sevofluran anesthesia.

Özet

Amaç: Sevofloran anestezisinin laparoskopik kolesistektomi geçiren hastalarda göz içi basıncı (GİB) üzerine potansiyel etkisini değerlendirmek. Gereç ve Yöntem: Çalışmaya kolelithiazis nedeniyle laparoskopik kolesistektomi operasyonu geçirecek olan 60 yaş ve üzeri 34 hasta alındı. Ortalama arteriyel kan basınçları (OAKB) ve her iki gözün GİB’ları anestezi indüksiyonu öncesinde (OAKB1, GİB1) indüksiyonundan sonra ve mekanik ventilasyon sırasında (OAKB2, GİB2), pnömoperiton sonrası (OAKB3, GİB3), pnömoperitonun boşaltılmasından sonra (OAKB4, GİB4) ve ekstübasyonda 1 saat sonra (OAKB5, GİB5) olmak üze- re beş kez ölçüldü. Bulgular: Hastaların yaş ortalaması 63.24±6.61 idi. OAKB’ları 114.51±22.05 (OAKB1), 106,16±19.46 (OAKB2), 101.07±16.32 (OAKB3), 98.88±11.95 (OAKB4), ve 110.88±10.69 (OAKB5). GİB’ları 18.75±2.49 (GİB1), 16.47±3.2 (GİB2), 17.09±3.52 (GİB3), 16.5±3.72 (GİB4) ve 18.85 idi±2.3 (GİB5). OAKB ve GİB üzerine pnömoperiton etkisi istatistiksel olarak anlamlı bulunmamıştır (sırasıyla p=0.135, p=0.094). Sonuç: GİB değişiklikleri sevofloran genel anestezisi ile laparoskopik kolesistektomi operasyonu sırasında yaşlı hastalarda normal sınırlar içinde seyretmiştir.

🔖

Cite This Article

TÜRKYILMAZ, K., BOSTAN, H., TÜRK, A., KURT, A., YÜCEL, A. F., TOMAK, Y., ÖNER, V., GEDİZ, B. Ş. (2013). Laparoskopik kolesistektomi operasyonu geçiren anestezi altındaki hastalarda sevoflora’nın göz içi basıncı üzerine etkisi. Glokom Katarakt, Cilt: 8 - Sayı: 1, 27–30. https://ajindex.com/articles/214229

References (16)

  1. Olsen J, Berdeaux G, Skov J. Glaucoma costs in Denmark in treatment naive patients. Acta Ophthalmol 2011;11. doi: 10.1111/j.1755-3768.2011.02212.x
  2. Anraku A, Jin YP, Butty Z, et al. The Toronto epidemiol- ogy glaucoma survey: a pilot study. Can J Ophthalmol 2011;46:352-7
  3. Song W, Shan L, Cheng F, et al. Prevalence of glaucoma in a rural northern china adult population: a population-based survey in kailu county, inner mongolia. Ophthalmology 2011;118:1982-8
  4. Chen J, Runyan SA, Robinson MR. Novel ocular antihy- pertensive compounds in clinical trials. Clin Ophthalmol 2011;5:667-77
  5. Gupta SK, Niranjan DG, Agrawal SS, et al. Recent advanc- es in pharmacotherapy of glaucoma. Indian J Pharmacol 2008;40:197-208
  6. Garudadri C, Senthil S, Khanna RC, et al. Prevalence and risk factors for primary glaucomas in adult urban and rural populations in the Andhra Pradesh Eye Disease Study. Oph- thalmology 2010;117:1352-9
  7. Lau KN, Sindram D, Agee N, et al. Bile duct injury after single incision laparoscopic cholecystectomy. JSLS 2010;14:587-91
  8. Mowafi HA, Al-Ghamdi A, Rushood A. Intraocular pressure changes during laparoscopy in patients anesthetized with pro- pofol total intravenous anesthesia versus isoflurane inhaled anesthesia. Anesth Analg 2003;97:471-4
  9. Lentschener C, Benhamou D, Niessen F, et al. Intra-ocular pressure changes during gynaecological laparoscopy. Anaes- thesia 1996;51:1106-8
  10. Alon E, Robert YC, Dekker PW. Continuous monitoring of intraocular pressure is helpful in testing hemodynamic re- sponse to anesthesia and to changes in body position. J Clin Monit Comput 1998;14:77
  11. Robert YC, Dekker PW, Battig U, et al. Measurement of in- traocular pressure during laparoscopy and its relationship to central venous pressure. J Am Assoc Gynecol Laparosc 1998;5:125-8
  12. Astuto M, Minardi C, Uva MG, et al. Intraocular pressure during laparoscopic surgery in paediatric patients. Br J Oph- thalmol 2011;95:294-5
  13. World Medical Association (WMA). Declaration of Helsinki. 1964. As amended by the WMA 52nd General assembly, Edin- burgh, Scotland, October 2000
  14. Chawda PM, Pareek MK, Mehta KD. Effect of nalbuphine on haemodynamic response to orotracheal intubation. J Anaes- thesiol Clin Pharmacol 2010;26:458-60
  15. Lauretti GR, Lauretti CR, Lauretti-Filho A. Propofol decreas- es ocular pressure in outpatients undergoing trabeculectomy. J Clin Anesth 1997;9:289-92
  16. Schäfer R, Klett J, Auffarth G, et al. Intraocular pressure more