Total Diz Artroplastisi Ameliyatlarında Uygulanan Anestezi Yöntemlerinin Retrospektif Olarak İncelenmesi

Yıl 2021, , 633 - 639, 24.09.2021

Musa Zengin , Güvenç Doğan , Onur Karaca , Derya Gokcinar , Necati Erdoğmuş Özgür Aldemir Mustafa Baydar

https://doi.org/10.20515/otd.942350

Öz

Total diz artroplastisi ameliyatı geçiren hastalarda uygulanan anestezi metodlarının perioperatif ve postoperatif etkilerinin retrospektif değerlendirilmesi üzerine Türkiye’de yapılan çalışmalar az sayıdadır. Bu çalışmada amacımız total diz protezi ameliyatı geçiren hastalarda uygulanan rejyonel anestezi tekniklerinin genel anesteziye göre daha iyi sonuçlar sağladığı hipotezini test etmektir. Ankara Numune Eğitim ve Araştırma Hastanesi Bilimsel Araştırma Değerlendirme Komisyonu onayı alındı. 01 Ocak 2012 ile 31 Aralık 2012 tarihleri arasında total diz artroplasti ameliyatı geçiren 247 hastanın tıbbi arşivleri ve anestezi kayıtları geriye dönük olarak incelendi. Hastaların preoperatif, intraoperatif ve postoperatif kayıtlar tutuldu. Çalışılan gruplar arasında cinsiyet, yaş, sigara içme durumu, ASA düzeyi, ameliyat şekli, eşlik eden hastalıklar, ortalama arteriyel kan basıncı, kan verilme durumu, komplikasyonlar, postoperatif yoğun bakım ihtiyacı, ameliyat ve taburculuk süreleri, peroperatif morbidite ve mortalite açısından istatistiksel olarak anlamlı bir fark olmadığı bulundu (p> 0.05). Çalışılan gruplar arasında verilen kan miktarı, verilen sıvı miktarı ve kalp hızı açısından istatistiksel olarak anlamlı fark vardı (p <0.05). Çalışmamızda total diz artroplastisi operasyonu geçiren 247 hastanın verileri retrospektif olarak incelendi. Benzer yaş grupları ve yandaş hastalıklara sahip hastalarda rejyonel anestezi uygulamaları ve genel anestezi uygulamaları arasında peroperatif morbidite ve mortalite açısından anlamlı bir fark olmadığını gözlemledik. Bu konuda daha kapsamlı meta analizlere ve çalışmalara ihtiyaç olduğu kanısındayız.

Anahtar Kelimeler

Total diz protezi, Total diz artroplastisi, Rejyonel anestezi, Genel anestezi

Teşekkür

Değerli hocalarımız Prof. Dr. Nermin GÖĞÜŞ ve Prof. Dr. Işıl ÖZKOÇAK TURAN'a desteklerinden ötürü çok teşekkür ederiz.

Retrospective Review of Anesthesia Methods in Total Knee Arthroplasty Surgeries

Öz

In Turkey, there are few studies conducted on the retrospective evaluation of the perioperative and postoperative effects of anesthesia methods applied in patients undergoing total knee arthroplasty surgery. In this study, our aim is to test the hypothesis that regional anesthesia techniques applied in patients undergoing total knee replacement surgery provide better results than general anesthesia. Ankara Numune Training and Research Hospital Scientific Research Evaluation Commission approved this study. Medical archives and anesthesia records of 247 patients who underwent total knee arthroplasty surgery between January 01, 2012 and December 31, 2012 were retrospectively analyzed. Preoperative, intraoperative and postoperative records were kept. In terms of gender, age, smoking status, ASA level, surgery type, accompanying diseases, mean arterial blood pressure, blood donation status, complications, postoperative intensive care need, operation and discharge times, perioperative morbidity and mortality, it was found that there is no statistically significant difference between the groups studied (p> 0.05). There was a statistically significant difference between groups in terms of the amount of blood given, amount of fluid administered and heart rate (p <0.05). In our study, 247 patients who underwent total knee arthroplasty were analyzed retrospectively. We concluded that there was no significant difference in terms of perioperative morbidity and mortality between regional anesthesia applications and general anesthesia applications in patients with similar age groups and concomitant diseases. We think that more comprehensive meta-analyzes and studies are needed on this subject.

Anahtar Kelimeler

Total knee prosthesis, total knee arthroplasty, Regional anesthesia, General anesthesia

Kaynakça

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