Research Article
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Year 2019, Volume: 2 Issue: 1, 23 - 27, 15.10.2019

Abstract

References

  • 1. Auroy Y, Benhamou D, Bargues L, et al. Major Complications of Regional Anesthesia in France. Anaesthesiology 2002;97:1274-80. 2. Nielsen KC, Steele SM. Outcome after regional anaesthesia in the ambulatory setting- is it really worth it? Best Pract Res Clin Anaesthesiol 2001;16:145-57. 3. Mordecai MM, Brull SJ. Spinal anesthesia. Curr Opin Anaesthesiol 2005;18(5):527-33. 4. Chin KJ, Perlas A, Chan V, et al. Ultrasound Imaging Facilities Spinal Anesthesia in Adults with Difficult Surface Anatomic Landmarks. Anaesthesiology 2011;115:94-101. 5. Watson MJ, Evans S, Thorp JM. Colud ultrasonography be used by an anaesthetist to identify a specified lumbar interspace before spinal anaesthesia. Br J Anaesth 2003; 90: 509 11. 6. Hartmann B,Junger A, Klasen J, et al. The Incidence and Risk Factors for Hypotension After Spinal Anaesthesia Induction: An Analysis with Automated Data Collection. Anesth Analg 2002;94:1521-9. 7. Jackson R, Reid JA, Thorburn J. Volume preloading is not essential to prevent spinal-induced hypotension at Caesarean section. Br J Anaesth 1995;75:262-5. 8. Erk G. Rejyonal Anestezi ve Nörolojik Komplikasyonlar. Turkiye Klinikleri J Anest Reanim 2007;5:87-97. Derleme. 9. Baldini G, Bagry H, Aprikian A, et al. Postoperative Urinary Retention: anesthetic and perioperative considerations. Anaesthesiology 2009;110:1139-57. 10. Lee A, Ngan Kee WD, Gin T. Prophylactic ephedrine prevents hypotension during spinalanesthesia for Caesarean delivery but does not improve neonatal outcome: a quantitative systemic review. Can J Anesth 2002;49:588-99. Review. 11. Chinachoti T, Tritrakarn T. Prospective Study of Hypotension and Bradycardia during Spinal Anesthesia with Bupivacaine: Incıdence and Risk Factors. J Med Assoc Thai 2007;90:492-501. 12. Visalyaputra S. Maternal mortality related to anesthesia: can it be prevented? Siriraj Hosp Gaz 2002;54:533-9. 13. Max GF, Rabin JM. Anesthesia for cesarean section and neonatal welfare. In: Raynols F, editor. The effects on the baby of maternal analgesia and anesthesia. London: WB Saunders; 1993: 237-51. 14. Lamonerie L, Marret E, Deleuze A, et al. Prevalence of postoperative bladder distention and urinary retention detected by ultrasound measurement. Br J Anaesth 2004;92:544-6.15. Tobias JD. Spinal anaesthesia in infants and children.Paediatr Anaesth 2000;10:5-16.16. Kokki H, Hendolin H. Comparison of spinal anaesthesia with epidural anaesthesia in pae-diatric surgery. Acta Anaesthesiol Scand1995;39: 896-900.17. Calışkan E, Sener M, Koçum A, Bozdoğan N,Arıboğan A. [Our experiences with spinal anesthesia in pediatric patients]. Agri 2011; 23:100-6. 18. Apiliogulları S, Gök F, Duman A.[Spinal aanesthesia in children: a single-center experience of 371 cases.] Türk Anest Rean Der Dergisi 2010;38:339-47.19. Gupta A, Saha U. Spinal anesthesia in children: A rewiew. J Anaesthesiol Clin Pharmacol 2014;30:10-8.20. Ecoffey C, Lacroix F, Giaufré, Orliaguet G, Courrèges P; Association des Anesthésistes Réanimateurs Pédiatriques d'Expression Française (ADARPEF). Epidemilogy and morbidity of regional anesthesia in children: A follow-up one year prospective survey of the French-Language Society of Pediatric Anesthesiologists (ADARPEF). Paediatr Anaesth 2010;20:1061-9.21. Kokki H. Spinal blocks. Paediatr Anaesth 2012; 22:56-64.22. Kokki H, Hendolin H. Comparison of 25 G and 29 G Quincke spinal needles in pediatrics day case surgery. A prospective randomized study of puncture characteristics, success rate and postoperative complaints. Paediatr Anaesth 1996; 6:115-9. 23. Oberlander TF, Berde CB, Lam KH, Rappaport LA, Saul JP. Infants tolerate spinal anesthesia with minimal overall autonomic changes: analysis of heart rate variability informer premature infants undergoing hernia repair. Anesth Analg 1995;80:20-7.24. Imbelloni LE, Vieira EM, Sperni F, Guizellini RH, Tolentino AP. Spinal anesthesia in children with isobaric local anesthetics: Report on 307 patients under 13 years of age. PaediatrAnaesth 2006;16:43-8.25. Puncuh F, Lampugnani E, Kokki H. Use ospinal anaesthesia in paediatric patients: a single centre experience with 1132 cases Paediatric Anaesth 2004;14:564-7.

Spinal Anestezi İle Appendektomi Yapılan Çocuk Hastalarda Tek Merkez Deneyimlerinin Değerlendirilmesi

Year 2019, Volume: 2 Issue: 1, 23 - 27, 15.10.2019

Abstract

Giriş:



Spinal
anestezinin çocukluk çağı apendektomilerinde yeterli cerrahi anestezi ve
analjezi sağladığı bilinmekle birlikte nadiren kullanılmaktadır. Bu çalışmada
spinal anestezi ile apendektomi uygulanan çocuk hastalarda, uygulamanın
etkinliği ve sonuçlarının değerlendirilmesi amaçlanmıştır.



Materyal ve Metod:



 Bu çalışmada; Şubat 2014-Eylül 2014 tarihleri
arasında komplike olmayan apandisit tanısı ile spinal rejyonel blok anestezisi
altında apendektomi operasyonu yapılan hastaların kayıtları geriye dönük olarak
tarandı. Hastaların dosyaları, anestezi öncesi muayene sonuçları, spinal
anestezi girişine ait veriler, blok oluşma süreleri, beraberinde genel anestezi
ihtiyacının olup olmaması, ameliyat süreleri, ek ilaç dozu gerekliliği,
ameliyat sırasındaki ve sonrasındaki komplikasyonlar değerlendirildi.



Bulgular:



Toplam
50 hasta çalışmaya dahil edildi, bu hastaların 29’u erkek, 21’i kızdı.
Hastaların 47’sinde ilk, 3’ünde ikinci denemede başarıyla spinal anestezi
uygulandı. Spinal anestezi sonrası tam blok gelişme süresi ortalama 8,3 ± 1,2
dk olarak hesaplandı. Ortalama ameliyat süresi 43,6 ± 4,8 dk bulundu. Sadece 2
hastada spinal anesteziye bağlı gelişen ve medikal tedavi ile 24 saatte
gerileyen hipotansiyon, baş dönmesi ve kusma şikayeti görüldü.



Tartışma ve Sonuç:



Sonuç olarak
apendektomi cerrahisinde hiperbarik bupivakain ile yapılan spinal rejyonel
anestezinin duyusal ve motor blok özelliklerinin yeterli, yan etki oranının
düşük olduğu gözlenmiştir. Apandisit cerrahisindeki spinal anestezi
uygulamalarında etkin, güvenli ve konforlu bir anestezi sağladığı sonucuna
varılmıştır.

References

  • 1. Auroy Y, Benhamou D, Bargues L, et al. Major Complications of Regional Anesthesia in France. Anaesthesiology 2002;97:1274-80. 2. Nielsen KC, Steele SM. Outcome after regional anaesthesia in the ambulatory setting- is it really worth it? Best Pract Res Clin Anaesthesiol 2001;16:145-57. 3. Mordecai MM, Brull SJ. Spinal anesthesia. Curr Opin Anaesthesiol 2005;18(5):527-33. 4. Chin KJ, Perlas A, Chan V, et al. Ultrasound Imaging Facilities Spinal Anesthesia in Adults with Difficult Surface Anatomic Landmarks. Anaesthesiology 2011;115:94-101. 5. Watson MJ, Evans S, Thorp JM. Colud ultrasonography be used by an anaesthetist to identify a specified lumbar interspace before spinal anaesthesia. Br J Anaesth 2003; 90: 509 11. 6. Hartmann B,Junger A, Klasen J, et al. The Incidence and Risk Factors for Hypotension After Spinal Anaesthesia Induction: An Analysis with Automated Data Collection. Anesth Analg 2002;94:1521-9. 7. Jackson R, Reid JA, Thorburn J. Volume preloading is not essential to prevent spinal-induced hypotension at Caesarean section. Br J Anaesth 1995;75:262-5. 8. Erk G. Rejyonal Anestezi ve Nörolojik Komplikasyonlar. Turkiye Klinikleri J Anest Reanim 2007;5:87-97. Derleme. 9. Baldini G, Bagry H, Aprikian A, et al. Postoperative Urinary Retention: anesthetic and perioperative considerations. Anaesthesiology 2009;110:1139-57. 10. Lee A, Ngan Kee WD, Gin T. Prophylactic ephedrine prevents hypotension during spinalanesthesia for Caesarean delivery but does not improve neonatal outcome: a quantitative systemic review. Can J Anesth 2002;49:588-99. Review. 11. Chinachoti T, Tritrakarn T. Prospective Study of Hypotension and Bradycardia during Spinal Anesthesia with Bupivacaine: Incıdence and Risk Factors. J Med Assoc Thai 2007;90:492-501. 12. Visalyaputra S. Maternal mortality related to anesthesia: can it be prevented? Siriraj Hosp Gaz 2002;54:533-9. 13. Max GF, Rabin JM. Anesthesia for cesarean section and neonatal welfare. In: Raynols F, editor. The effects on the baby of maternal analgesia and anesthesia. London: WB Saunders; 1993: 237-51. 14. Lamonerie L, Marret E, Deleuze A, et al. Prevalence of postoperative bladder distention and urinary retention detected by ultrasound measurement. Br J Anaesth 2004;92:544-6.15. Tobias JD. Spinal anaesthesia in infants and children.Paediatr Anaesth 2000;10:5-16.16. Kokki H, Hendolin H. Comparison of spinal anaesthesia with epidural anaesthesia in pae-diatric surgery. Acta Anaesthesiol Scand1995;39: 896-900.17. Calışkan E, Sener M, Koçum A, Bozdoğan N,Arıboğan A. [Our experiences with spinal anesthesia in pediatric patients]. Agri 2011; 23:100-6. 18. Apiliogulları S, Gök F, Duman A.[Spinal aanesthesia in children: a single-center experience of 371 cases.] Türk Anest Rean Der Dergisi 2010;38:339-47.19. Gupta A, Saha U. Spinal anesthesia in children: A rewiew. J Anaesthesiol Clin Pharmacol 2014;30:10-8.20. Ecoffey C, Lacroix F, Giaufré, Orliaguet G, Courrèges P; Association des Anesthésistes Réanimateurs Pédiatriques d'Expression Française (ADARPEF). Epidemilogy and morbidity of regional anesthesia in children: A follow-up one year prospective survey of the French-Language Society of Pediatric Anesthesiologists (ADARPEF). Paediatr Anaesth 2010;20:1061-9.21. Kokki H. Spinal blocks. Paediatr Anaesth 2012; 22:56-64.22. Kokki H, Hendolin H. Comparison of 25 G and 29 G Quincke spinal needles in pediatrics day case surgery. A prospective randomized study of puncture characteristics, success rate and postoperative complaints. Paediatr Anaesth 1996; 6:115-9. 23. Oberlander TF, Berde CB, Lam KH, Rappaport LA, Saul JP. Infants tolerate spinal anesthesia with minimal overall autonomic changes: analysis of heart rate variability informer premature infants undergoing hernia repair. Anesth Analg 1995;80:20-7.24. Imbelloni LE, Vieira EM, Sperni F, Guizellini RH, Tolentino AP. Spinal anesthesia in children with isobaric local anesthetics: Report on 307 patients under 13 years of age. PaediatrAnaesth 2006;16:43-8.25. Puncuh F, Lampugnani E, Kokki H. Use ospinal anaesthesia in paediatric patients: a single centre experience with 1132 cases Paediatric Anaesth 2004;14:564-7.
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Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Yusuf Baltrak 0000-0001-8457-5108

Celalettin Soyalp This is me

Publication Date October 15, 2019
Submission Date February 6, 2019
Published in Issue Year 2019 Volume: 2 Issue: 1

Cite

Vancouver Baltrak Y, Soyalp C. Spinal Anestezi İle Appendektomi Yapılan Çocuk Hastalarda Tek Merkez Deneyimlerinin Değerlendirilmesi. MRR. 2019;2(1):23-7.