A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY

CARDAKOZU, TULAY; SEZER, HÜSEYİN FATİH; eliçora, aykut

doi:10.53446/actamednicomedia.1213589

A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY

Hüseyin Fatih SEZER, (Kocaeli Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Kocaeli, Türkiye)

Tülay ÇARDAKÖZÜ, (Kocaeli Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Kocaeli, Türkiye)

Aykut ELİÇORA (Kocaeli Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Kocaeli, Türkiye)

Acta Medica Nicomedia

2 0

Yıl: 2023 Cilt: 6 Sayı: 1 Sayfa Aralığı: 23 - 33 Metin Dili: İngilizce DOI: 10.53446/actamednicomedia.1213589 İndeks Tarihi: 16-06-2023

A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY

Öz:

Objective: In our study, we aimed to reveal the advantages and disadvantages of inhalation and intravenous anesthesia techniques in the maintenance of anesthesia in pediatric patients whose tracheobronchial foreign body was removed by rigid bronchoscopy under general anesthesia. Methods: The patients were divided into two groups with 34 individuals in each group, whose anaesthesia was maintained with sevoflurane inhalation or propofol infusion. Demographic characteristics of the patients, symptoms at presentation, radiological examinations, anaesthesia and surgical procedures, complications were analyzed. In addition, surgical difficulty and surgical comfort scales created from the experiences of our institution were used. The results obtained and the effects of inhalation and intravenous anaesthetics used in maintenance on the duration of the procedure, clinical, hemodynamic and surgical comfort were compared. Results: Vital signs during the procedure were similar in both groups. The duration of bronchoscopy was shorter in the intravenous anaesthesia group (p=0.014), and secondarily, the duration of anaesthesia was longer in the inhalation anaesthesia group (p=0.027). While the surgical difficulty scale was similar in both groups, the surgical comfort scale was higher in the intravenous anesthesia group (p=0.017). Conclusion: Anaesthesia maintenance with sevoflurane prolongs the duration of bronchoscopy and accordingly the duration of anaesthesia, and also reduces surgical satisfaction independent of processing time. For these reasons, we think that while rigid bronchoscopy is performed for the removal of childhood foreign body aspirations, propofol can be preferred for anaesthesia maintenance, resulting in a shorter procedure time and higher surgical satisfaction.

Anahtar Kelime: Surgical comfort scale surgical difficulty scale rigid bronchoscopy

ÇOCUK YAŞ GRUBU YABANCI CİSİM ASPİRASYONU TEDAVİSİNDE KULLANILAN RİJİT BRONKOSKOPİ ESNASINDA UYGULANAN İKİ ANESTEZİ TEKNİĞİNE CERRAHİ BİR BAKIŞ

Öz:

Amaç: Çalışmamızda genel anestezi altında rijit bronkoskopi ile trakeabronşiyal yabancı cisim çıkarılan çocuk hastalarda anestezi idamesinde inhalasyon ve intravenöz anestezi tekniğinin birbirlerine olan avantaj ve dezavantajlarını ortaya koymayı amaçladık. Yöntem: Hastaların anestezi idamesi sevofluran inhalasyonu ile veya propofol infüzyonuyla yapılanlar olmak üzere 34’er kişiden oluşan iki grup oluşturuldu. Hastalara ait demografik özellikler, başvuru semptomları, radyolojik incelemeler, anestezi ve cerrahi işlemler bağlı özellikler, komplikasyonlar analiz edildi. Ayrıca kurumumuz tecrübelerinden oluşturulan cerrahi zorluk ve cerrahi konfor skalaları kullanıldı. Elde edilen sonuçlarla idamede kullanılan inhalasyon ve intravenöz anesteziklerinin işlem süresi, klinik, hemodinami, cerrahi konfor üzerine etkileri karşılaştırıldı. Bulgular: İşlem esnasında vital bulgular her iki grupta benzerdi. Bronkoskopi süresi intravenöz anestezi grubunda daha kısaydı (p=0,014) buna sekonder olarak anestezi süresi inhalasyon anestezisi grubunda daha uzundu (p=0,027). Cerrahi zorluk skalası her iki grupta benzer iken, cerrahi konfor skalası intravenöz anestezi grubunda daha yüksekti (p=0,017). Sonuç: Sevofluranla idame anestezisi bronkoskopi süresini uzatmakta ve buna sekonder olarak anestezi süresi uzamaktadır ayrıca işlem süresinden bağımsız olarak cerrahi memnuniyet azaltmaktadır. Bu nedenlerle çocukluk çağı yabancı cisim aspirasyonlarının çıkartılmasında rijit bronkoskopi yapılırken anestezi idamesinde propofolün tercih edilebilerek daha kısa işlem süresi ve daha yüksek cerrahi memnuniyet elde edileceğini düşünüyoruz.

Anahtar Kelime: Rijit Bronkoskopi cerrahi konfor skalası cerrahi zorluk skalası

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	SEZER H, CARDAKOZU T, eliçora a (2023). A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. , 23 - 33. 10.53446/actamednicomedia.1213589
Chicago	SEZER HÜSEYİN FATİH,CARDAKOZU TULAY,eliçora aykut A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. (2023): 23 - 33. 10.53446/actamednicomedia.1213589
MLA	SEZER HÜSEYİN FATİH,CARDAKOZU TULAY,eliçora aykut A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. , 2023, ss.23 - 33. 10.53446/actamednicomedia.1213589
AMA	SEZER H,CARDAKOZU T,eliçora a A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. . 2023; 23 - 33. 10.53446/actamednicomedia.1213589
Vancouver	SEZER H,CARDAKOZU T,eliçora a A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. . 2023; 23 - 33. 10.53446/actamednicomedia.1213589
IEEE	SEZER H,CARDAKOZU T,eliçora a "A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY." , ss.23 - 33, 2023. 10.53446/actamednicomedia.1213589
ISNAD	SEZER, HÜSEYİN FATİH vd. "A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY". (2023), 23-33. https://doi.org/10.53446/actamednicomedia.1213589

APA	SEZER H, CARDAKOZU T, eliçora a (2023). A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. Acta Medica Nicomedia, 6(1), 23 - 33. 10.53446/actamednicomedia.1213589
Chicago	SEZER HÜSEYİN FATİH,CARDAKOZU TULAY,eliçora aykut A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. Acta Medica Nicomedia 6, no.1 (2023): 23 - 33. 10.53446/actamednicomedia.1213589
MLA	SEZER HÜSEYİN FATİH,CARDAKOZU TULAY,eliçora aykut A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. Acta Medica Nicomedia, vol.6, no.1, 2023, ss.23 - 33. 10.53446/actamednicomedia.1213589
AMA	SEZER H,CARDAKOZU T,eliçora a A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. Acta Medica Nicomedia. 2023; 6(1): 23 - 33. 10.53446/actamednicomedia.1213589
Vancouver	SEZER H,CARDAKOZU T,eliçora a A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY. Acta Medica Nicomedia. 2023; 6(1): 23 - 33. 10.53446/actamednicomedia.1213589
IEEE	SEZER H,CARDAKOZU T,eliçora a "A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY." Acta Medica Nicomedia, 6, ss.23 - 33, 2023. 10.53446/actamednicomedia.1213589
ISNAD	SEZER, HÜSEYİN FATİH vd. "A SURGICAL PERSPECTIVE ON TWO ANESTHESIA TECHNIQUES USED IN CHILD AGE GROUP FOREIGN BODY ASPIRATION TREATMENT DURING RIGID BRONCHOSCOPY". Acta Medica Nicomedia 6/1 (2023), 23-33. https://doi.org/10.53446/actamednicomedia.1213589