Yıl 2015, Cilt 45, Sayı 6, Sayfalar 1292 - 1299 2015-12-04

Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia
Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia

AYŞE ÜLGEY [1] , IŞIN GÜNEŞ [2] , ADNAN BAYRAM [3] , RECEP AKSU [4] , CİHANGİR BİÇER [5] , FATİH UĞUR [6] , ÇAĞATAY KARACA [7] , ADEM BOYACI [8]

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Background/aim: Premature infants experience more respiratory problems after surgical procedures. We aimed to compare general anesthesia with sedation regarding the need for postoperative mechanical ventilation in infants undergoing retinopathy of prematurity (ROP) surgery. Materials and methods: Sixty patients who underwent laser surgery for ROP were included in this study. This study was performed between October 2010 and December 2012. The sedation group (Group S, n = 30) received 1 mg/kg ketamine and 1 mg/kg propofol as a bolus for induction. The patients then received an infusion of 100-150 μg kg-1 min-1 propofol and 0.25 mg kg-1 h-1 ketamine for maintenance. In the general anesthesia group (Group G, n = 30), anesthesia was induced using 8% sevoflurane by inhalation with 50% nitrous oxide in oxygen. Anesthesia was maintained with sevoflurane (2%) and 50% nitrous oxide in oxygen. Results: There was no difference in gestational age, birth weight, current age, or current body weight between the two groups. Preoperative medical histories of the groups were similar. Two patients in Group S and 11 patients in Group G required postoperative mechanical ventilation (P = 0.010). Blood pressures and heart rates were similar. Conclusion: In premature infants, sedoanalgesia administration reduced the need for postoperative mechanical ventilation after surgery for ROP.
Background/aim: Premature infants experience more respiratory problems after surgical procedures. We aimed to compare general anesthesia with sedation regarding the need for postoperative mechanical ventilation in infants undergoing retinopathy of prematurity (ROP) surgery. Materials and methods: Sixty patients who underwent laser surgery for ROP were included in this study. This study was performed between October 2010 and December 2012. The sedation group (Group S, n = 30) received 1 mg/kg ketamine and 1 mg/kg propofol as a bolus for induction. The patients then received an infusion of 100-150 μg kg-1 min-1 propofol and 0.25 mg kg-1 h-1 ketamine for maintenance. In the general anesthesia group (Group G, n = 30), anesthesia was induced using 8% sevoflurane by inhalation with 50% nitrous oxide in oxygen. Anesthesia was maintained with sevoflurane (2%) and 50% nitrous oxide in oxygen. Results: There was no difference in gestational age, birth weight, current age, or current body weight between the two groups. Preoperative medical histories of the groups were similar. Two patients in Group S and 11 patients in Group G required postoperative mechanical ventilation (P = 0.010). Blood pressures and heart rates were similar. Conclusion: In premature infants, sedoanalgesia administration reduced the need for postoperative mechanical ventilation after surgery for ROP.
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Yazar: AYŞE ÜLGEY

Yazar: IŞIN GÜNEŞ

Yazar: ADNAN BAYRAM

Yazar: RECEP AKSU

Yazar: CİHANGİR BİÇER

Yazar: FATİH UĞUR

Yazar: ÇAĞATAY KARACA

Yazar: ADEM BOYACI

Bibtex @ { tbtkmedical149014, journal = {Turkish Journal of Medical Sciences}, issn = {1300-0144}, eissn = {1303-6165}, address = {TÜBİTAK}, year = {2015}, volume = {45}, pages = {1292 - 1299}, doi = {}, title = {Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia}, key = {cite}, author = {KARACA, ÇAĞATAY and AKSU, RECEP and GÜNEŞ, IŞIN and UĞUR, FATİH and BİÇER, CİHANGİR and ÜLGEY, AYŞE and BAYRAM, ADNAN and BOYACI, ADEM} }
APA ÜLGEY, A , GÜNEŞ, I , BAYRAM, A , AKSU, R , BİÇER, C , UĞUR, F , KARACA, Ç , BOYACI, A . (2015). Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia. Turkish Journal of Medical Sciences, 45 (6), 1292-1299. Retrieved from http://dergipark.gov.tr/tbtkmedical/issue/12391/149014
MLA ÜLGEY, A , GÜNEŞ, I , BAYRAM, A , AKSU, R , BİÇER, C , UĞUR, F , KARACA, Ç , BOYACI, A . "Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia". Turkish Journal of Medical Sciences 45 (2015): 1292-1299 <http://dergipark.gov.tr/tbtkmedical/issue/12391/149014>
Chicago ÜLGEY, A , GÜNEŞ, I , BAYRAM, A , AKSU, R , BİÇER, C , UĞUR, F , KARACA, Ç , BOYACI, A . "Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia". Turkish Journal of Medical Sciences 45 (2015): 1292-1299
RIS TY - JOUR T1 - Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia AU - AYŞE ÜLGEY , IŞIN GÜNEŞ , ADNAN BAYRAM , RECEP AKSU , CİHANGİR BİÇER , FATİH UĞUR , ÇAĞATAY KARACA , ADEM BOYACI Y1 - 2015 PY - 2015 N1 - DO - T2 - Turkish Journal of Medical Sciences JF - Journal JO - JOR SP - 1292 EP - 1299 VL - 45 IS - 6 SN - 1300-0144-1303-6165 M3 - UR - Y2 - 2018 ER -
EndNote %0 Turkish Journal of Medical Sciences Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia %A AYŞE ÜLGEY , IŞIN GÜNEŞ , ADNAN BAYRAM , RECEP AKSU , CİHANGİR BİÇER , FATİH UĞUR , ÇAĞATAY KARACA , ADEM BOYACI %T Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia %D 2015 %J Turkish Journal of Medical Sciences %P 1300-0144-1303-6165 %V 45 %N 6 %R %U
ISNAD ÜLGEY, AYŞE , GÜNEŞ, IŞIN , BAYRAM, ADNAN , AKSU, RECEP , BİÇER, CİHANGİR , UĞUR, FATİH , KARACA, ÇAĞATAY , BOYACI, ADEM . "Decreasing the need for mechanical ventilation after surgery forretinopathy of prematurity: sedoanalgesia vs. general anesthesia". Turkish Journal of Medical Sciences 45 / 6 (Aralık 2015): 1292-1299.