Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries
Yıl: 2020 Cilt: 12 Sayı: 3 Sayfa Aralığı: 525 - 533 Metin Dili: İngilizce DOI: 10.18521/ktd.785571 İndeks Tarihi: 28-05-2021
Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries
Öz: Objective: Trigeminocardiac reflex is a reflex characterized by hypotension, bradycardia,gastric hypermotility or asystole that develops as a result of stimulation of the trigeminalnerve. In our retrospective study, in septorhinoplasty operations performed under generalanesthesia, trigeminocardiac reflex development was investigated primarily during theperiods where the reflex was surgically stimulated. Secondly, the effect of different inhalationanesthetic agents on the emergence of this reflex was investigated.Methods: Anesthesia notes and Datex Ohmeda icentral central monitor records ofseptorhinoplasty cases operated between 01 / January / 2016 - 30 / November / 2016 wereretrospectively examined and detected through the Hospital Information Management Systemsoftware. Induction, application of local anesthesia, surgical incision, initiation of incisionsuturing and 5 minutes after extubation were recorded from the records. It was determinedthat two different inhalation anesthetics were administered in 60 patients who met the criteria,and analyzes were performed in 2 separate groups as group sevoflurane and group desflurane,and the development of QT, QTc and Trigeminocardiac reflex was investigated.Results: Although there was no difference between the groups, when the basal values werecompared with the other periods, it was found that the development of TKR and QT and QTcexperts were mostly observed in the periods of local anesthesia, surgical incision and incisionsuturing. (p <0.001).Conclusions: We think that the inhalation anesthetic agents used mostly in the sevofluranegroup play a facilitating role in the development of TKR, especially by creating a cumulativeeffect during periods when the trigeminal nerve is maximally stimulated
Anahtar Kelime: Septorinoplasti Ameliyatlarında Trigeminokardiyak Refleks, QT, QTc ve Anestezi İlişkisi
Öz: bradikardi, gastrik hipermotilite veya asistoli ile karakterize bir refleksdir. Genel ve lokal anestezi altında yapılan septorinoplasti operasyonları sırasında trigeminokardiyak refleks gelişebildiği gözlenmiştir. Retrospektif çalışmamızda genel anestezi altında yapılan septorinoplasti operasyonlarında birincil olarak cerrahi olarak refleksin uyarıldığı düşünülen periyodlarda trigeminokardiyak refleks gelişimi araştırılmıştır. İkincil olarak da farklı inhalasyon anestezik ajanların bu refleksin ortaya çıkışında etkisi araştırılmıştır. Gereç ve Yöntem: 01/ Ocak/2016- 30/Kasım/2016 tarihleri arasında opere edilmiş septorinoplasti vakalarının anestezi notları ve Datex Ohmeda icentral merkezi monitör kayıtları ve MİA-MED Hastane Bilgi Yönetim Sistemi yazılımı üzerinden retrospektif olarak incelenerek saptandı. İndüksiyon, sınırlı uyuşturma uygulaması, cerrahi insizyon, insizyon sütürasyonu başlangıcı ve ekstübasyondan 5 dakika sonra değerleri kayıtlardan saptandı. Kriterlere uyan 60 hastada 2 farklı inhalasyon anestezik madde uygulandığı tespit edilerek grup sevofluran ve grup desfluran olarak 2 ayrı grupta analizler yapıldı ve QT, QTc ve Trigeminokardiyak refleks gelişimi araştırıldı. Bulgular: Gruplar arasında fark olmamasına rağmen bazal değerler ile diğer periyodlar karşılaştırıldığında TKR gelişiminin ve QT, QTc uzmanlarının en fazla lokal anestezi uygulaması, cerrahi insizyon, insizyon sütürasyonu periyotlarında izlendiği saptandı. (p<0,001). Sonuç: En fazla sevofluran grubunda olmak üzere kullanılan inhalasyon anestezik ajanların özellikle trigeminal sinirin maksimal uyarıldığı periyodlarda kümülatif etki yaratarak TKR gelişiminde kolaylaştırıcı bir rol oynadığını düşünmekteyiz.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Konuk İ, Yorulmaz İ, Özlü O, Özçelik d, akcan f, Çetin P (2020). Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. , 525 - 533. 10.18521/ktd.785571 |
| Chicago | Konuk İsmail Doğan,Yorulmaz İlknur Suidiye,Özlü Onur,Özçelik derya,akcan fatih,Çetin Pelin Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. (2020): 525 - 533. 10.18521/ktd.785571 |
| MLA | Konuk İsmail Doğan,Yorulmaz İlknur Suidiye,Özlü Onur,Özçelik derya,akcan fatih,Çetin Pelin Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. , 2020, ss.525 - 533. 10.18521/ktd.785571 |
| AMA | Konuk İ,Yorulmaz İ,Özlü O,Özçelik d,akcan f,Çetin P Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. . 2020; 525 - 533. 10.18521/ktd.785571 |
| Vancouver | Konuk İ,Yorulmaz İ,Özlü O,Özçelik d,akcan f,Çetin P Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. . 2020; 525 - 533. 10.18521/ktd.785571 |
| IEEE | Konuk İ,Yorulmaz İ,Özlü O,Özçelik d,akcan f,Çetin P "Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries." , ss.525 - 533, 2020. 10.18521/ktd.785571 |
| ISNAD | Konuk, İsmail Doğan vd. "Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries". (2020), 525-533. https://doi.org/10.18521/ktd.785571 |
| APA | Konuk İ, Yorulmaz İ, Özlü O, Özçelik d, akcan f, Çetin P (2020). Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. KONURALP TIP DERGİSİ, 12(3), 525 - 533. 10.18521/ktd.785571 |
| Chicago | Konuk İsmail Doğan,Yorulmaz İlknur Suidiye,Özlü Onur,Özçelik derya,akcan fatih,Çetin Pelin Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. KONURALP TIP DERGİSİ 12, no.3 (2020): 525 - 533. 10.18521/ktd.785571 |
| MLA | Konuk İsmail Doğan,Yorulmaz İlknur Suidiye,Özlü Onur,Özçelik derya,akcan fatih,Çetin Pelin Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. KONURALP TIP DERGİSİ, vol.12, no.3, 2020, ss.525 - 533. 10.18521/ktd.785571 |
| AMA | Konuk İ,Yorulmaz İ,Özlü O,Özçelik d,akcan f,Çetin P Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. KONURALP TIP DERGİSİ. 2020; 12(3): 525 - 533. 10.18521/ktd.785571 |
| Vancouver | Konuk İ,Yorulmaz İ,Özlü O,Özçelik d,akcan f,Çetin P Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries. KONURALP TIP DERGİSİ. 2020; 12(3): 525 - 533. 10.18521/ktd.785571 |
| IEEE | Konuk İ,Yorulmaz İ,Özlü O,Özçelik d,akcan f,Çetin P "Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries." KONURALP TIP DERGİSİ, 12, ss.525 - 533, 2020. 10.18521/ktd.785571 |
| ISNAD | Konuk, İsmail Doğan vd. "Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries". KONURALP TIP DERGİSİ 12/3 (2020), 525-533. https://doi.org/10.18521/ktd.785571 |
