Comparison of the techniques balanced anesthesia and TIVA + N2O monitoring SSEP monitorizasyonunda dengeli anestezi ile TIVA+N2O yonteminin karsilastirilmasi
Gulhane Medical Journal, cilt.41, sa.1, ss.8-13, 1999 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 41 Sayı: 1
- Basım Tarihi: 1999
- Dergi Adı: Gulhane Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.8-13
- Anahtar Kelimeler: Anaesthesia, Balanced Anaesthesia, SSEP, TIVA
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Somato-sensory evoked potantials (SSEP) monitoring was carried out in patients underwent scoliosis surgery for preventing neural damage. It is known that SSEP monitoring is effected by various factors. It was purposed to investigate whether the effects on SSEP monitoring and superiorities themselves of TIVA and balanced anaesthesia methods carried-out in two different patient groups in this study. Sixty-four ASA I-II patients, age 11- 64 were included between 1994-1997 years in the study. Following the premedication of 10 mg diazepam oral and 0.5 mg atropine i.m., patients were allocated at random in two groups. At induction 4-6 mg/kg of sodium thiopental and 2 mg/kg propofol were given in Group I and Group II respectively. For analgesia 0.05-0.1 mg of fentanyl and for facilitating the intubation 0.1 mg/kg vecuronium bromide were given in both groups. For the maintenance of anaesthesia, isoflurane 1-1.5% and i.v. propofol 9 mg/kg/hour were administered in Group I and II respectively with N2O 60%+O2 40%. Vecuronium was repeated as required. Non-invasive monitorization was performed (MAP, ECG, EtCO2, SpO2, temperature and heart rate) in all patients and SSEP monitorization was performed by using Dantec Evolution (Software 1.66 Version-1992) preoperatively, intraoperatively and postoperatively. A false and a real positive result were obtained in Group I and Group II respectively. In all the other patient right results were obtained. No significant difference between groups was detected in the monitored parameters. As a result it was concluded that there was no superiority between compared two methods and both of them will be used safely.