Our Anesthesia Experience in Pediatric Gastrointestinal Endoscopy Application: Retrosepective Study

Öz

Background: In the practice of pediatric gastrointestinal endoscopy, which has increased in recent years, deep sedation is needed for patient comfort and easier application of the procedure. Our aim in this study is to investigate the efficacy of ketamine and propofol combination in pediatric gastrointestinal endoscopy. Materials and Methods: Patients who was applied sedoanalgesia with a combination of ketamine and propofol for pediatric gastrointestinal endoscopy between December 2017 and March 2019, were screened. The patients' age, gender, need for additional medication, comorbid conditions, indications of the procedure, complications, duration of the procedure, recovery time and waiting period after the procedure were recorded. Results: A total of 397 patients, 202 male and 195 female, were included in the study. Their mean age was 9.22±4.72 years. When the endoscopic prediagnoses of the cases were examined, the highest rate (53.4%) was abdominal pain and the second prediagnosis of celiac disease (15.3%) was found. The duration of the procedure was 19.77±8.48, the recovery period was 10.3±3.83 and the waiting time after the procedure was 17.41±4.19. Additional propofol was needed in 20.7% of the patients. Complications were seen in 3.3% (13 cases) of cases. Conclusion: In our retrospective review, sedation was successfully achieved with the combination of propofol and ketamine in 397 patients, and low complication rates were detected. Therefore, we think that the combination of propofol and ketamine can be safely applied in pediatric gastrointestinal endoscopy applications.

Anahtar Kelimeler

• Pediatric gastrointestinal endoscopy
• Sedation
• Propofol
• Ketamine

Pediatrik Gastrointestinal Endoskopi Uygulamasında Anestezi Deneyimlerimiz: Retrospektif Çalışma

Öz

Amaç: Son yıllarda artan pediatrik gastrointestinal endoskopi uygulamasında hasta konforu ve işlemin daha kolay uygulanabilmesi açısından derin sedasyona ihtiyaç duyulmaktadır. Bu çalışmadaki amacımız ketamin ve propofol kombinasyonun pediatrik gastrointestinal endoskopide etkinliğini araştırmaktır. Materyal ve metod: Aralık 2017 ve Mart 2019 tarihleri arasında ketamin ve propofol kombinasyonu ile sedoanaljezi yapılan pediatrik gastrointestinal endoskopi yapılan hastalar tarandı. Hastaların yaşı, cinsiyeti, ek ilaç ihtiyacı, komorbit durumlar, işlemin endikasyonları, meydana gelen komplikasyonlar, işlem süresi, derlenme süresi ve işlem sonrası bekleme süresi kaydedildi. Bulgular: Çalışmaya 202 erkek, 195 kadın toplam 397 hasta dahil edildi. Ortalama yaşları 9.22±4.72 idi. Vakaların endoskopik ön tanıları incelendiğinde, en yüksek oranda (%53.4) karın ağrısı, ikinci olarak çölyak hastalığı ön tanısı (%15,3) ile alındığı dosya taramasından anlaşıldı. Vakaların işlem süresi 19.77±8.48, derlenme süresi 10.3±3.83 ve işlem sonrası bekleme süresi 17.41±4.19 olarak tespit edildi. Hastaların %20.7’sinda ek propofol ihtiyacı olmuştur. Vakaların,%3.3’nde (13 vaka) komplikasyon görülmüştür Sonuç: Yaptığımız retrospektif incelemede, 397 hastada propofol ve ketamin kombinasyonu ile başarılı bir şekilde sedasyon sağlanmış olup düşük komplikasyon oranları tespit edilmiştir. Bu nedenle pediatrik gastrointestinal endoskopi uygulamalarında propofol ve ketamin kombinasyonun güvenle uygulanabileceğini düşünmekteyiz

Anahtar Kelimeler

• Pediyatrik gastrointestinal endoskopi
• sedasyon
• propofol
• ketamin

Kaynakça

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