AI Summary & Key Takeaways
AI InsightSide effects encountered during induction and recovery periods were also noted.Aldrete recovery scores were 8.2±2.6 min, 12.7±2.8 min and 19.1±2.8 min in desflurane, sevoflurane and halothane groups respectively; and it was significantly shorter in desflurane group when compared with sevoflurane and halothane groups and it was significantly shorter in sevoflurane group when compared with halothane group (p
📌 3 Key Takeaways
Abstract
In our study, we aimed to assess recovery characteristics of desflurane compared with sevoflurane and halothane in children.After the local ethics committee approval, 90 ASA I-II status patients aged between 1-8 year scheduled for elective minor surgery, were included to the study. Patients were randomly divided into three groups each with 30 patients. Induction of anesthesia was done with sevoflurane 7 % in O2 50 %+N2O 50 %. Maintenance of anaesthesia was done with 1.3 MAC of desflurane in Group I, sevoflurane in Group II and halothane in Group III. Heart rate, systolic and diastolic arterial blood pressures, peripheral oxygen saturation and end-tidal carbon dioxide values were measured and recorded after the inhalation anaesthetics were switched off and during recovery periods. Recovery characteristics were assessed by Aldrete recovery score and pain was evaluated by pediatric objective pain scale.Time to first analgesic requirement and total dose of paracetamol required for the first 24 hours were recorded. Side effects encountered during induction and recovery periods were also noted.Aldrete recovery scores were 8.2±2.6 min, 12.7±2.8 min and 19.1±2.8 min in desflurane, sevoflurane and halothane groups respectively; and it was significantly shorter in desflurane group when compared with sevoflurane and halothane groups and it was significantly shorter in sevoflurane group when compared with halothane group (p
Özet
Çalışmamızda, çocuklarda desfluranın derlenme özelliklerini sevofluran ve halotanla karşılaştırmalı olarak değerlendirmeyi amaçladık.Fakültemiz etik kurul izni ile yaşları 1-8 arası ASA I-II sınıfına giren elektif minör cerrahi uygulanacak 90 hasta çalışma kapsamına alındı. Olgular her grupta 30 hasta olmak üzere rastgele üç gruba ayrıldı. Her üç grupta anestezi indüksiyonu % 50 O2 +% 50 N2O karışımı içinde % 7 konsantrasyonda sevofluranla gerçekleştirildi. 1.3 minimal alveoler konsantrasyonda I. grupta desfluran, II. grupta sevofluran ve III. grupta halotanla anestezi idamesi gerçekleştirildi. Kalp atım hızı, sistolik ve diyastolik arter basınçları, periferik oksijen satürasyonu ve end-tidal karbondioksit basıncı inhalasyon anestezikleri kesildikten sonra ve derlenme evresinde ölçülerek kaydedildi. Derlenme Aldrete skoru ile olguların ağrıları ise pediyatrik objektif ağrı skalası ile değerlendirildi. Postoperatif ilk parasetamol gereksinim zamanı, 24 saatlik total parasetamol gereksinim dozu ve yan etkiler not edildi.Aldrete derlenme süresinin desfluran grubunda (8.2±2.6 dk.) sevofluran (12.7± 2.8 dk.) ve halotan (19.1±2.8 dk.) gruplarına; sevofluran grubunda halotan grubuna göre anlamlı derecede kısa olduğu belirlendi (p