The effect of anesthesia depth on the oculocardiac reflex in strabismus surgery
Yazarlar (9)
Prof. Dr. Tuğba KARAMAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Selim Demir Gaziosmanpaşa Üniversitesi, Türkiye
Serkan Doğru
Gaziosmanpaşa Üniversitesi, Türkiye
Öğr. Gör. Aynur Şahin Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Hakan TAPAR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Serkan KARAMAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ziya Kaya
Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Mustafa Süren Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Semih Arıcı Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı JOURNAL OF CLINICAL MONITORING AND COMPUTING
Dergi ISSN 1387-1307 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 12-2016
Cilt / Sayı / Sayfa 30 / 6 / 889–893 DOI 10.1007/s10877-015-9789-1
Makale Linki http://link.springer.com/10.1007/s10877-015-9789-1
UAK Araştırma Alanları
Anesteziyoloji ve Reanimasyon
Özet
The aim of this study was to investigate the effect of the bispectral index (BIS) guided depth of anesthesia to inhibition of the oculocardiac reflex (OCR) during pediatric strabismus surgery. Patients between the ages of 3 and 16 years who were scheduled for elective strabismus surgery were randomly assigned to two groups. In Group 1 (n: 32), the BIS values of the patients were maintained at <50; in Group 2 (n: 28), the BIS values of the patients were maintained at levels greater than or equal to 50 with 4-7 % desflurane in a 50 % O-air mixture by titrating the concentration during the surgery. The heart rates, presence of dysrhythmia, anticholinergic drug usage and the type of the operated extra ocular muscle were recorded. The incidence of OCR was 25 % in Groups 1 and 64.3 % in Group 2, (p < 0.05). Moreover, the incidence of OCR in group 2 was higher in medial rectus (MR) traction (78.9 %) than in lateral rectus (LR) traction (33.3 %) (p = 0.035), with no significant difference in Group 1 between MR (21.1 %) and LR (26.7 %) tractions (p = 0.83). We found that the lower BIS values are associated with the lower incidence of OCR in pediatric patients undergoing strabismus surgery. And our findings confirmed that the deeper anesthesia has a protective effect against the OCR.
Anahtar Kelimeler
Anesthesia | General | Strabismus | Consciousness monitors | Pediatrics
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Web of Science 23
The effect of anesthesia depth on the oculocardiac reflex in strabismus surgery

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