@article{article_581681, title={Effect of Different Anesthetic Agents Management on Electrocardiographic Changes of Patients Operated under Regional Intravenous Anesthesia}, journal={Online Turkish Journal of Health Sciences}, volume={5}, pages={210–220}, year={2020}, DOI={10.26453/otjhs.581681}, author={Yorulmaz, İlknur Suidiye and Akman Köse, Gökçe and Demiraran, Yavuz and Cangür, Şengül}, keywords={Electrocardiogram,IVRA,ketamine,lidocaine}, abstract={<p> </p> <div style="text-align:justify;"> <span style="font-size:14px;">Objective: We compared cardiac effects, electrocardiographic changes by intravenous regional anesthesia (IVRA) with lidocaine and lidocaine + ketamine. </span> </div> <div style="text-align:justify;"> <span style="font-size:14px;">Materials and Methods: Prospective, randomised, double blind study was performed in the operating room of Düzce University Hospital. Seventy patients between 18-60 years, ASA I-II and who were undergo IVRA for arm and forearm operations. Patients were divided into two groups randomly. Group 1: 0.5% Lidocaine+Ketamine 0.8 mg/kg; 40 ml. Group 2: 0.5% Lidocaine 40 ml. 20 minutes after injection the distal cuff was inflated, and the proximal cuff deflated with a rate of 50 mmHg in every 3 minutes. Time periods of the recordings were 0, 5, 10, 15, 30, 45, 60th minutes after the beginning of deflation and 10 minutes after the deflation. Non-invasive blood pressure values, heart rate, pulse oximetry values ​​were recorded. Electrocardiographic changes on PR, RR intervals, QT, QTc were recorded. </span> </div> <div style="text-align:justify;"> <span style="font-size:14px;">Results: QT basal value measured in Group Lidocaine+Ketamine is significantly lower than QT5th min, QT10th min, QT15th min, QT30th min, QT45th min, QT60th min and QTtur10. QTcbasal values measured in Group Lidocaine+Ketamine were significantly lower than QTc tur10 values (p <0.001).  </span> </div> <div style="text-align:justify;"> <span style="font-size:14px;">Conclusions: In Group Lidocaine, no significant differences was observed. After the deflation of tourniquet was completed, QT and QTc values and noninvasive blood pressures were significantly higher in Group Lidocaine+Ketamine. </span> </div>}, number={2}, publisher={Oğuz KARABAY}, organization={Destekleyen kurum bulunmamaktadır}