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Sedasyon Uygulanan Gastroskopik Girişimlerde Aneminin Integrated Pulmonary Index (IPI ) Skoruna Etkisi

Yıl 2020, Cilt: 19 Sayı: 3, 109 - 115, 30.12.2020
https://doi.org/10.17941/agd.742752

Öz

Amaç: Endoskopik prosedürlerde sedasyon uygulamalarında çeşitli komplikasyonlar morbiditenin önde gelen nedenidir ve kılavuzlar dolaşım, solunum fonksiyonu ve ventilasyonun sürekli izlenmesini önerir. Bu izlemede kullanılabilen yöntemler den biri olan Integrated Pulmonary Index (IPI), Oksijen satürasyonu, End-tidal karbondioksit konsantrasyonu, solunum sayısı ve kalp hızı değerlerinin sürekli ve eş zamanlı ortak matematiksel analiziyle elde edilen, tek bir rakamsal değer verir ve bu girişimlerde iyi bir monitorizasyon ve takip sağlar.
Bu çalışmada gastroskopi girişimlerinde sedasyon uygulanan anemik hastalarda IPI’nın solunumsal komplikasyonların tanı ve takibindeki yerini belirlemeyi amaçladık.
Gereç ve Yöntem: Gastroskopi girişimi için sedasyon uygulanan hastalar çalışma için iki gruba ayrıldı. Anemisi bulunan hastalar 1. Grup (n:155 ) olarak, anemisi bulunmayan hastalar 2. Grup (n:158- kontrol grubu ) belirlendi. Hastaların yaş, cinsiyet, BMI, ASA fiziksel durum sınıflaması, yandaş hastalıkları, kullanılan ilaç dozları ile işlem öncesi bazal(0) ve 5. ,10. dakika ortalama arteryal kan basıncı(OAB), kalp hızı, SpO2, solunum sayısı, EtCO2, IPI değerleri tespit edildi. Takip edilen bu parametreler üzerinden solunumsal komplikasyonlar belirlenerek iki grup karşılaştırıldı.
Bulgular: Çalışmaya alınan 313 hastanın % 49’u erkek olup yaş ortalaması 53±16.5 idi. İki grup arasında 0,5 ve 10. dk’lar için IPI skoru, IPI skorunu oluşturan diğer bileşenler ( SpO2, solunum hızı ve EtCO2) ve OAB açısından anlamlı fark yoktu (p>0.05).Ancak 2. Grup hastaların, kalp hızı tüm ölçüm zamanları için 1.gruptan daha yüksek bulundu (p<0.001). Ayrıca iki grup arasında, IPI ve alt monitorizasyon parametreleri üzerinden tanımlanan solunum komplikasyonları açısından anlamlı fark bulunmadı (p>0.05).
Sonuç: Gastroskopik girişimlerde sedasyon uygulamalarında anemi, solunumsal komplikasyonların ortaya çıkması açısından bir risk oluşturmamaktadır. IPI monitorizasyonu, Gastroskopi girişimlerinde sedasyon uygulanan anemik hastalarda, anemisi olmayan diğer hastalar gibi doğru ve güvenli bir monitorizasyonla hastaların takibini sağlamaktadır.

Kaynakça

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Toplam 42 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hizir Kazdal

Şule Batçık 0000-0003-1110-6786

Leyla Kazancıoğlu 0000-0002-3833-0692

İlkay Bahçeci 0000-0003-3662-1629

Remzi Akdoğan Bu kişi benim 0000-0002-4151-3238

Yayımlanma Tarihi 30 Aralık 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 19 Sayı: 3

Kaynak Göster

APA Kazdal, H., Batçık, Ş., Kazancıoğlu, L., Bahçeci, İ., vd. (2020). Sedasyon Uygulanan Gastroskopik Girişimlerde Aneminin Integrated Pulmonary Index (IPI ) Skoruna Etkisi. Akademik Gastroenteroloji Dergisi, 19(3), 109-115. https://doi.org/10.17941/agd.742752

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