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 |
Effects Of Low Dose Mivacurium On Laryngeal Mask Placementand Postoperative Complaints
Türker ŞEN*, Tülin AKILLI**, Gülçin ÖZALP***, Gonca TUNCEL*, Nihal KADIOĞULLARI****
* Uz.Dr., Ankara Onkoloji Hastanesi Anesteziyoloji ve Reanimasyon Kliniği,** Dr., Ankara Onkoloji Hastanesi Anesteziyoloji ve Reanimasyon Kliniği Asist.,*** Uz.Dr., Ankara Onkoloji Hastanesi Anesteziyoloji ve Reanimasyon Kliniği Şef Yrd.,**** Uz.Dr., Ankara Onkoloji Hastanesi Anesteziyoloji ve Reanimasyon Kliniği Klinik Şefi, ANKARA
In this study, we evaluated the effects of low-dose mivacurium on laryngeal mask (LMA) insertion and postoperative laryngopharyngeal complaints while using in addition to alfentanil-propofol induction.ASA I-II, 44 female patients with gynecologic cancer scheduled for intracavitary radiotherapy were assigned into the study. Two minutes after injection of alfentanil 10 mg/kg iv, patients received mivacurium 0.04 mg/kg in mivacurium group (n=22) and normal saline in placebo group (n=22) followed by administration of propofol 2.5 mg/kg to each group. Condition during LMA insertion, duration of apnea, duration for LMA to remain in place, blood on LMA after removal were recorded. The patients were reviewed one day after intracavitary radiotherapy for laryngopharyngeal complaints. The ratio of successful insertion of LMA during the first attempt was found to be 54.5% in placebo group and 95.5% in mivacurium group (p<0.05). In mivacurium group, while providing better jaw relaxation, incidences of swallowing, bucking and laryngospasm were also been decreased (p<0.05). There was no difference between the groups in duration of apnoea and the detection of blood on LMA was more frequent in placebo group (p<0.05). In mivacurium group, postoperative sore throat was 32%, difficulty in swallowing was 18%. However, in placebo group, these results were 60% and 50% respectively (p<0.05).As a result, using low dose mivacurium during alfentanil-propofol induction provided better conditions for LMA insertion and incidences of postoperative sore throat and difficulty in swallowing were significantly reduced.Keywords: Laryngeal Masks, Muscle Relaxants, MivacuriumTurkiye Klinikleri J Med Sci 2002, 22:281-286
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