Elektif Sezeryan Operasyonlarında Spinal Anestezi Uygulama Sırasında Propofol Sedasyonunun Anne ve Yenidoğan Üzerindeki Etkilerinin Karşılaştırılması

Öz

Regional anestezi, bilinç açıklığı sağlaması, spontan solunumun devamı, havayolu reflekslerinin korunması, aspirasyon riskinin olmaması, yeni doğanda solunum depresyonu olmaması, uterusta atoni olmaması nedeniyle sezaryen operasyonlar ında tercih edilir. 30 hastaya herhangi bir sedasyon olmadan (Grup K), 30 hastalık başka bir gruba da (Grup P) 0.5 mg/kg propofol spinal anestezi başlangıcında bolus tarzında verildi. Oksijen satürasyonu, Ramsey Sedasyon Skalası ve yüze yansıyan ağrı skalası 0, 1, 5, 7, 10, 15, 20nci dakikalarda ve operasyon sona erene kadar beşer dakika arayla ölçüldü ve kaydedildi.

Sonuç olarak; propofol her ne kadar sezaryen operasyonlarında güvenilir ve geçerli bir anestezik ajan olarak kabul edilse de propofolün yeni doğan üzerindeki nörolojik, davranışsal ve ağrı etkisini değerlendirmek için gelecekte daha kapsamlı çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Ağrı,Propofol

Comparison of The Effects of Propofol Sedation on Mother and Newborn During Spinal Anesthesia for Elective Cesarean Section

Abstract

Regional anesthesia is preferred in cesarean sections, since it provides consciousness, continuation of spontaneous respiration, protection of airway reflexes, and causes no risk of aspiration, no respiratory depression in the newborn, and no uterine atony. Spinal anesthesia was administered to 30 patients without the application of any sedation (Group K) and in the other 30 cases, a single dose of 0.5 mg/kg propofol (Group P) was administered as an i.v. bolus at the beginning of the anesthesia. SaO2, Ramsey Sedation Scale and facial expression pain scale were measured and recorded at 0, 1, 5, 7, 10, 15, and 20 minutes and at five-minute intervals until the end of the operation following propofol administration.

In conclusion although propofol is considered as a safe and reliable anesthetic agent in cesarian sections we sug gest that more comprehensive studies to determine the neurologic, behavioral and pain effects of propofol on newborns are needed in the future.

Keywords

• Pain,Propofol

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