ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
The Effect Of Different Anesthetic Maintanences On Postoperative Nausea And Vomiting In Children Undergoing Adenotonsillectomies
Cemile ÖZTİN ÖĞÜN*, Ateş DUMAN*, Asuman UYSALEL**
* Yrd.Doç.Dr., Selçuk Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon AD, KONYA
** Prof.Dr., Ankara Üniversitesi Tıp .Fakültesi Anesteziyoloji ve Reanimasyon AD, ANKARA
The effects of nitrous oxide (N2O) and fentanyl added to anesthetic regimen on postoperative nausea and vomiting (PONV) were studied in 64 children undergoing outpatient adenotonsillectomies (ages 4-12).
Anesthesia was induced with thiopenthal and succinylcholine. The children were divided into four groups according to maintanence of anesthesia, Group I (n=16)= 50% N2O+50% O2+halothane (1-1.5%), group II (n=16) Ş 50% N2O+50% O2+1 mg/kg/hour fentanyl+halothane (1-1.5%), group III (n=16) Ş 100% O2+1 mg/kg/hour fentanyl+halothane (1-1.5%), group IV (n=16) Ş 100% O2+halothane (1-2%). The incidence of PONV was evaluated during postoperative; first 15 minutes, 15 -60 minute periods and 60 -240 minute periods.
The incidence of PONV was found higher in group I (p*0.05). The incidence was highest of PONV in group I was highest during the 15-60 minute periods (p<0.05). Adding fentanyl to anesthetic regimen did not increase the incidence of PONV. The least PONV incidence was observed in group III (p<0.05).
We concluded that; using opioids (fentanyl) intraoperatively, may decrease incidence of PONV by causing less postoperative pain. Nitrous oxide increases the incidence of PONV in children undergoing adenotonsillectomies.Keywords: Adeno-tonsillectomy,
Postoperative nausea-vomiting,
Nitrous oxide, Fentanyl,
Pediatric anesthesiaTurkiye Klinikleri J Med Sci 2001, 21:381-385
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