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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2005 / Cilt: 33 - Sayı: 2

The comparison of effects of propofol and remifentanil on sedation, movement and intraocular pressure during retrobulbar block

Retrobulber blok öncesi uygulanan propofol ve remifentanilin sedasyon, hareketlilik ve göz içi basıncı üzerine etkilerinin karşılaştırılması

Davud YAPICI
Nurcan DORUK
Şebnem ATICI
Handan BİRBİÇER
İlhan YILMAZ
Özlem YILDIRIM
Uğur ORAL
Pages
121–126
Publication Date
2022-11-05
DOI
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Sedation was assessed with the Observer's Assesment of Alertnes/Sedation Scale (OAA/S) and pain with the visual analog scale (VAS) at the same time periods.Patient movements during the block were recorded.Results: Patient movements and OAA/S two minutes after drug administration were statistically lower in group R than in Group P (p

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Objective & Hypothesis:Aim: In this study, we aimed to investigate the effects of propofol and remifentanil on analgesia, sedation, patient movements and intraocular pressure when given prior to retrobulbar block during cataract surgery under local anaesthesia.Materials nad Methods: Forty ASA I-III patients, undergoing cataract surgery with retrobulbar block, were randomized to receive either propofol 0.5 mg kg-1 Group P, or remifentanil 0.3 mg kg-1 Group R, intravenously.
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Key Findings & Data:Blood pressure, heart rate, respiratory rate, SpO2 and intraocular pressure (IOP) values were recorded before injection of the study drugs, two minutes fallowing injection of drug but before retrobulber block ,one and ten minutes after completion of the retrobulbar block.
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Conclusion & Impact:Sedation was assessed with the Observer's Assesment of Alertnes/Sedation Scale (OAA/S) and pain with the visual analog scale (VAS) at the same time periods.Patient movements during the block were recorded.Results: Patient movements and OAA/S two minutes after drug administration were statistically lower in group R than in Group P (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: In this study, we aimed to investigate the effects of propofol and remifentanil on analgesia, sedation, patient movements and intraocular pressure when given prior to retrobulbar block during cataract surgery under local anaesthesia.Materials nad Methods: Forty ASA I-III patients, undergoing cataract surgery with retrobulbar block, were randomized to receive either propofol 0.5 mg kg-1 Group P, or remifentanil 0.3 mg kg-1 Group R, intravenously. Blood pressure, heart rate, respiratory rate, SpO2 and intraocular pressure (IOP) values were recorded before injection of the study drugs, two minutes fallowing injection of drug but before retrobulber block ,one and ten minutes after completion of the retrobulbar block. Sedation was assessed with the Observer's Assesment of Alertnes/Sedation Scale (OAA/S) and pain with the visual analog scale (VAS) at the same time periods.Patient movements during the block were recorded.Results: Patient movements and OAA/S two minutes after drug administration were statistically lower in group R than in Group P (p

Özet

Amaç: Çalışmamızda lokal anestezi ile gerçekleştirilen katarakt cerrahisinde retrobulber blok öncesi uygulanan propofol ve remifentanilin ağrı, sedasyon, hasta hareketliliği ve göz içi basıncı üzerine etkileri karşılaştırıldı.Gereç ve Yöntem: Katarakt cerrahisi planlanan 40 hasta (ASA I-III) rastgele iki gruba ayrıldı. Blok öncesi Grup P'ye 0.5mg kg-1 propofol, Grup R'ye 0.3 mg kg-1 remifentanil iv bolus olarak uygulandı. İki dakika sonra retrobulber blok uygulanmasına izin verildi. İlaç uygulanmasından önce ve 2 dk. sonra ve blok uygulanması sonrası 1. ve 10. dk.'larda göz içi basıncı (GİB), nabız, kan basıncı, solunum sayısı ve SpO2 değerleri kaydedildi. Aynı dönemlerde sedasyon Observer's Assesment of Alertness/Sedation Scale (OAA/S) ve ağrı Visual Analog Skala (VAS) ile değerlendirildi. Blok uygulaması sırasında hasta hareketliliği kaydedildi.Bulgular: Hasta hareketliliği ve ilaç uygulaması sonrası 2. dk.'da OAA/S değerleri Grup R'de Grup P'ye göre istatistiksel olarak düşük bulundu (p

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Cite This Article

YAPICI, D., DORUK, N., ATICI, Ş., BİRBİÇER, H., YILMAZ, İ., YILDIRIM, Ö., ORAL, U. (2022). The comparison of effects of propofol and remifentanil on sedation, movement and intraocular pressure during retrobulbar block. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 33 - Sayı: 2, 121–126. https://ajindex.com/articles/620155

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