TY  - JOUR
TI  - Relationship between Trigeminocardiac Reflex, QT, QTc and Anesthesia in Septorhinoplasty Surgeries
AB  - 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
AU  - Konuk, İsmail Doğan
AU  - Yorulmaz, İlknur Suidiye
AU  - akcan, fatih
AU  - Özlü, Onur
AU  - Özçelik, derya
AU  - Çetin, Pelin
DO  - 10.18521/ktd.785571
PY  - 2020
JO  - KONURALP TIP DERGİSİ
VL  - 12
IS  - 3
SN  - 1309-3878
SP  - 525
EP  - 533
DB  - TRDizin
UR  - http://search/yayin/detay/415966
ER  -