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Obez Hastalarda Ketamin İnfüzyonu

Year 1992, Volume: 45 Issue: 2, 229 - 240, 30.06.1992

Abstract

This study was performed in forthy obese patients undergoing surgical procedures and whose body weights were approximately 20 % more than their ideal weights. Patients were randomly divided into two grups. Each patient re- ceived 5-7 mg/kg Thiopental at induction of anesthesia. Anesthesia was maintained with 15-30 mikrogr./kg./min. Ketamine in group I and 1-1.5 % Halothane in group IL. Pulse rates, blood pressures, response times to painful stimulus and commands, blood sugar levels at first and 24 th preoperative and postoperative hours were noted for each patient. When two groups were compared, it was found that recovery was significantly earlier in group J (p<0.01). The results of this study indicate that Ketamine infusion is an app- ropriate anesthetic tecnique for obese patients.

Ethical Statement

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Thanks

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References

  • 1. Buckley FP: Anaesthesia. Volume 1. Nimmo WS, Smith G. London, 46: 805-806, 1989.
  • 2. Cork RC Vaughan RW Bentley JB: General anesthesia for morbidly obese pa- tients an examination of postoperative outcomes. Anesthesiology. 54 310-313, 1981.
  • 3. Damia G Mascheroni D Croci M Tarenzi L: Perioperative changes in functio- nal residual capacity in morbidly obese patients. Br. J. Anaesth. 60: 574-578, 1988.
  • 4. Donlon JV: Anesthesia, Volume 3. Miller RD. New York, 52: 1882 1986.
  • 5. Drenick EJ Bale GS Seltzer F Johnson DG Excessive mortality and causes of death in morbidly obese men. JAMA 243: 443-445,1980.
  • 6. Endler GC Mariona FG Sokol RJ Stevenson LB: Anesthesia-related maternal mortality in Michigan, 1972 to 1984. Am. J. Obstet Gynecol 159 187-193, 1988.
  • 7. Fakhry SM Herbst CA Buckwalter JA Cholecystectomy in morbidly obese patients. The American Surgeon 53: 26-28, 1987.
  • 8. Huber FC Reves JC Gutierrez J Corssen G: Ketamine: Its effects on airway resistance in man, Southern Medical Journal 65 1176-1180, 1972.
  • 9. Macintosh KC Problems with ketamine anaesthesia. British Medical Journal 27: 234. 1973.
  • 10. Mc Culoch WJD Littlewood DG Influence or obesity on spinal analgesia with Isobaric 0.5% bupivacaine Br. J. Anaesth, 58: 010-614, 1986.
  • 11. Pasulka PS Bistrian BR Benotti PN, Blackburn GL The risks of surgery in obese patients. Annals of Internal Medicine, 104 540-546 1908
  • 12. Peters J Steinhoff H Erwiderung auf die vorstehenden bemerkungen von P. Schüller. Anaesthesist 33: 253-254, 1984.
  • 13. Ramasubramanian R Rawle PR Verma R: Attenuation of cardiovascular effects, of ketamine anesthesia by midazolam A dose-response study. Anest. Analg. 68: S1-S321, 1989.
  • 14. Robertson IK Eltningham RJ Anaesthetic management of the morbidly obese. Br. J. of Hospital Medicine 224-228, 1985.
  • 15. Schüller P: Anaesthesieprobleme bei extremer Fettsucht. Anaesthesist 33: 253- 254, 1984.
  • 16. Soliman MG Brindle GF Kuster G: Response to hypercapnia under ketamine anaesthesia. Canad. Anaesth. Soc. 22 486-404, 1975.
  • 17. Strong WE Rubin AS Reynolds WJ Walters WJ Kingsley CP Ketamine in- fusion: An alternative anesthetic tecnique in the morbidly patient. Anesth. Analg. 68: S1-S321, 1989.
  • 18. Tweed WA Minuck M Mymin D Circulatory responses to ketamine anesthe- sia. Anesthesiology 37: 613-619, 1972

Obez Hastalarda Ketamin Infuzyonu

Year 1992, Volume: 45 Issue: 2, 229 - 240, 30.06.1992

Abstract

Cahgma, cerrahi operasyon geciren ve agirhklari ideal kilolarin-
%
daha fazla olan 40 obez hasta tizerinde gerceklestirildi.
Hastalar rastgele iki gruba ayniarak, her iki gruptaki hastalara anes-
tezi
indiksiyonunda 5-7 mg tiopentan verildi. Idamede ise 1, gruba
15-30 mikrogram/kg/dk olacak gsekilde ketamin, 2. gruba ise % 1-15
konsantrasyonda halotan uygulandi. Tum
hastalardaki preoperatif
ve postoperatif 1. ve 24. saat kan sekerleri ile birlikte uyanma zaman,
konusma zamani, nabiz ve kan basinc1 degerleri not edildi. [ki grup
karsilastirildiginda 1. grupta uyanma ve konusma zamani 2. gruba
gore
anlamli olarak kisalmig bulundu (p<0.01). Sonucta obez has-
talarda ketamin infiizyonun uygun bir anestezik teknik oldugu kant-
sina varuld..

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

  • 1. Buckley FP: Anaesthesia. Volume 1. Nimmo WS, Smith G. London, 46: 805-806, 1989.
  • 2. Cork RC Vaughan RW Bentley JB: General anesthesia for morbidly obese pa- tients an examination of postoperative outcomes. Anesthesiology. 54 310-313, 1981.
  • 3. Damia G Mascheroni D Croci M Tarenzi L: Perioperative changes in functio- nal residual capacity in morbidly obese patients. Br. J. Anaesth. 60: 574-578, 1988.
  • 4. Donlon JV: Anesthesia, Volume 3. Miller RD. New York, 52: 1882 1986.
  • 5. Drenick EJ Bale GS Seltzer F Johnson DG Excessive mortality and causes of death in morbidly obese men. JAMA 243: 443-445,1980.
  • 6. Endler GC Mariona FG Sokol RJ Stevenson LB: Anesthesia-related maternal mortality in Michigan, 1972 to 1984. Am. J. Obstet Gynecol 159 187-193, 1988.
  • 7. Fakhry SM Herbst CA Buckwalter JA Cholecystectomy in morbidly obese patients. The American Surgeon 53: 26-28, 1987.
  • 8. Huber FC Reves JC Gutierrez J Corssen G: Ketamine: Its effects on airway resistance in man, Southern Medical Journal 65 1176-1180, 1972.
  • 9. Macintosh KC Problems with ketamine anaesthesia. British Medical Journal 27: 234. 1973.
  • 10. Mc Culoch WJD Littlewood DG Influence or obesity on spinal analgesia with Isobaric 0.5% bupivacaine Br. J. Anaesth, 58: 010-614, 1986.
  • 11. Pasulka PS Bistrian BR Benotti PN, Blackburn GL The risks of surgery in obese patients. Annals of Internal Medicine, 104 540-546 1908
  • 12. Peters J Steinhoff H Erwiderung auf die vorstehenden bemerkungen von P. Schüller. Anaesthesist 33: 253-254, 1984.
  • 13. Ramasubramanian R Rawle PR Verma R: Attenuation of cardiovascular effects, of ketamine anesthesia by midazolam A dose-response study. Anest. Analg. 68: S1-S321, 1989.
  • 14. Robertson IK Eltningham RJ Anaesthetic management of the morbidly obese. Br. J. of Hospital Medicine 224-228, 1985.
  • 15. Schüller P: Anaesthesieprobleme bei extremer Fettsucht. Anaesthesist 33: 253- 254, 1984.
  • 16. Soliman MG Brindle GF Kuster G: Response to hypercapnia under ketamine anaesthesia. Canad. Anaesth. Soc. 22 486-404, 1975.
  • 17. Strong WE Rubin AS Reynolds WJ Walters WJ Kingsley CP Ketamine in- fusion: An alternative anesthetic tecnique in the morbidly patient. Anesth. Analg. 68: S1-S321, 1989.
  • 18. Tweed WA Minuck M Mymin D Circulatory responses to ketamine anesthe- sia. Anesthesiology 37: 613-619, 1972
There are 18 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Research Article
Authors

Sacide Demiralp

Project Number -
Publication Date June 30, 1992
Published in Issue Year 1992 Volume: 45 Issue: 2

Cite

APA Demiralp, S. (1992). Obez Hastalarda Ketamin İnfüzyonu. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 45(2), 229-240.
AMA Demiralp S. Obez Hastalarda Ketamin İnfüzyonu. Ankara Üniversitesi Tıp Fakültesi Mecmuası. June 1992;45(2):229-240.
Chicago Demiralp, Sacide. “Obez Hastalarda Ketamin İnfüzyonu”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 45, no. 2 (June 1992): 229-40.
EndNote Demiralp S (June 1, 1992) Obez Hastalarda Ketamin İnfüzyonu. Ankara Üniversitesi Tıp Fakültesi Mecmuası 45 2 229–240.
IEEE S. Demiralp, “Obez Hastalarda Ketamin İnfüzyonu”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 45, no. 2, pp. 229–240, 1992.
ISNAD Demiralp, Sacide. “Obez Hastalarda Ketamin İnfüzyonu”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 45/2 (June1992), 229-240.
JAMA Demiralp S. Obez Hastalarda Ketamin İnfüzyonu. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1992;45:229–240.
MLA Demiralp, Sacide. “Obez Hastalarda Ketamin İnfüzyonu”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 45, no. 2, 1992, pp. 229-40.
Vancouver Demiralp S. Obez Hastalarda Ketamin İnfüzyonu. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1992;45(2):229-40.