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 Effects Of 6% Hes, Gelofusine And 0.9%naci On Haemodynamic Changes And Plasma Electrolite During Transurethral Resection Procedures
Bilge KARSLI*, Nurten KAYACAN**, Zekiye BİGAT***, Meliha ERMAN****
* Doç.Dr., Akdeniz Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD,
** Yrd.Doç.Dr., Akdeniz Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD,
*** Uz.Dr., Akdeniz Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD,
**** Prof.Dr., Akdeniz Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD, ANTALYA
Introduction: In our study, we compared the effects of 6% HES, Gelofusine and 0.9% NaCI on haemodynamics, plasma electrolite and osmolality changes during transuretral resection of prostate or bladder in 45 patients under epidural anesthesia.
Material and Method: After approval of faculty ethical committe, patients were randomly divided into three groups. Epidural anesthesia with 0.5% bupivacaine 1mg.kg-1 were applied to all patients. HES 6% (Group I, n:15), Gelofusine (Group II, n:15) and 0.9% NaCI (Group III, n:15) were administered with 4 ml.kg-1. 30min-1 infusion rate in study groups. pH, pO2,pCO2, Na+, K+, CI+, Ca+, HCO-3, glucose and osmolality were calculated in arterial blood samples after epidural anes-thesia, infusion of study fluid and end of the operation.
Results: In control group (Group III), there were significant decreases in systolic and diastolic blood pressure after epidural anesthesia, 0.9% NaCI infusion and end of the operation. These decreases were statistically significant than other two groups (p<0.0001). There was a signifi-cant decrease in Na+ value at end of the surgery in the control group. But this decrease did not observe as hypo-natremia clinically.
Conclusion: In conclusion, we suggest that 6% HES and Gelofusine can be used as a safe in patients undergoing epidural anesthesia for transuretral resections in main-taining stability haemodynamia, plasma electrolites and osmolalityKeywords: Epidural anesthesia, Prostate Transurethral ResectionTurkiye Klinikleri J Med Sci 2003, 23:278-284
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