Obez Hastalarda Ketamin İnfüzyonu

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.

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..