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Anesthesia and Analgesia Methods that We Used on Pediatric Patients

Year 2018, , 1 - 5, 01.04.2018
https://doi.org/10.5505/kjms.2018.83435

Abstract

Aim: Physiologic, anatomicaland pharmacologic
characteristics of children are different than adults and each others
according to their growing. For this reason all these differences should
be taken into consideration in anesthesia applications on pediatric
patients. This study aim to assess anesthesia and analgesia methods that
we used on pediatric patients in our clinic.
Material and Method:
Between Jan. 2011-Feb. 2012 records of pediatric patients that were
operated in anesthesia clinic of Ankara Numune Education and Research
Hosital were evaluated retrospectively. Demographical datas, operations,
premedication, anesthesic-analgesic agents and devices were recorded.
Results:
In this period 967 pediatric patients were operated. 20.1% of them were
circumcision. Avarage duration of operation was 60.4%. Inhalation agent
were used in 96.1% of general anesthesia, muscle relaxan agent before
intubation were used in 55.1%, benzodiazepins for sedation in operation
room were used in 63.5%, opioid analgesics for preoperative analgesia
were used in 78.1%.
Conclusion: Anesthesia methods that we used on
pediatric patients in our clinic is similar to literature. Premedication
application and regional applications for postoperative analgesia
should be increase.

References

  • 1. MillerRD, Eriksson LI, Fleisher LA, Wiener-Kronish LP, Young WL. Miller’s Anesthesia, 8 thedition, Churchill livingstone Elsevier Ltd, 2009.
  • 2. Maxwell LG, Yaster M. Perioperative management issues in pediatric patients. Anesthesiol Clin North America 2000;18(3):601–32.
  • 3. Von Ungern-Sternberg BS, Habre W. Pediatric anesthesia potential risks and their assessment: part I. Paediatr Anaesth 2007;17(3):206–15.
  • 4. Von Ungern-Sternberg BS, Habre W. Pediatric anesthesia potential risks and their assessment: part II. Paediatr Anaesth 2007;17(4):311–20.
  • 5. Keçik Y, Alkış N, Yörükoğlu D, Alanoğlu Z. Bölüm 32: Pediatrik Anestezi. Temel Anestezi 1. Baskı, Ankara: Güneş Tıp Kitapevi 2012:305–316.
  • 6. Lee JH1, Jung HK2, Lee GG2, Kim HY2, Park SG2, Woo SC2. Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients. Korean J Anesthesiol 2013;65(6):508–18.
  • 7. Wang SS, Zhang MZ, Sun Y, Wu C, Xu WY, Bai J, et al. The sedative effects and the attenuation of cardiovascular and arousal responses during anesthesia induction and intubation in pediatric patients: a randomized comparison between two different doses of preoperative intranasal dexmedetomidine. Paediatr Anaesth 2014;24(3):275–81.
  • 8. Srinivasan M, Carlson DW. Procedural sedation by pediatric hospitalists: analysis of the nature and incidence of complications during ketamine and nitrous oxide sedation. Hosp Pediatr 2013;3(4):342–7.
  • 9. Hannam JA, Anderson BJ, Mahadevan M, Holford NH. Postoperative analgesia using diclofenacand acetaminophenin children. Paediatr Anaesth 2014:24(9): 953–961.
  • 10. Schultz-Machata AM, Weiss M, Becke K. What’s new in pediatric acute pain therapy?Curr Opin Anaesthesiol 2014;27(3):316–22.
  • 11. Gupta A, Saha U. Spinal anesthesia in children: A review. J Anaesthesiol Clin Pharmacol 2014;30(1):10–18.
  • 12. Duchicela S, Lim A. Pediatric nerve blocks: an evidence-based approach. Pediatr Emerg Med Pract 2013;10(10):1–19.
  • 13. Gurnaney H, Kraemer FW, Maxwell L, Muhly WT, Schleelein L, Ganesh A. Ambulatory Continuous Peripheral Nerve Blocks in Children and Adolescents: A Longitudinal 8-Year Single Center Study. Anesth Analg 2014;118(3):621–7.

Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri

Year 2018, , 1 - 5, 01.04.2018
https://doi.org/10.5505/kjms.2018.83435

Abstract

Amaç: Çocukların fizyolojik, anatomik ve
farmakolojik özellikleri erişkinden ve gelişim durumlarına göre
birbirlerinden farklıdır. Bu nedenle pediatrik hastalarda anestezi
uygulamaları sırasında bu farklı-lıklar göz önünde bulundurulmalıdır. Bu
çalışmada kliniğimizde pediatrik hastalardaki cerrahilerde uygulanan
anestezi ve analjezi yöntemlerini tespit etmek amacıyla yapıldı.
Materyal
ve Metot: Ankara Numune Eğitim ve Araştırma Hastanesi Anestezi ve
Reanimasyon Kliniğinde Ocak 2011-Şubat 2012 döneminde ameliyat olan
pediatrik hastaların kayıtları geriye dönük olarak değerlendirildi.
Hastalarla ilgili demografik veriler, uygulanan ameliyat, premedikasyon,
kullanılan anestezik ve analjezik ajanlar, aletler kaydedildi.
Bulgular:
Bu dönemde 967 hastanın operasyona alındığı, %2,1 ile en fazla alınan
vaka grubunu sünnetlerin oluşturduğu bulundu. Operasyon süreleri
ortalama 60,4 dakikaydı. Genel anestezi uygulanan hastaların %96,1’ine
anestezi idamesinde inhalasyon ajanı, %55,1’ine de entübasyon öncesi kas
gevşetici ajan kullanılmıştır. Hastalara %63,5 oranında sedasyon ve
anksiyolitik amaçlı benzodiazepinlerin operasyon odasında uygulandığı,
peroperatif analjezik olarak opioid analjeziklerin %78,1 oranında
kullanıldığı bulunmuştur.
Sonuç: Kliniğimizde pediatrik hastalara
uygulanann anestezi yöntemlerinin literatürle benzer olduğunu,
premedikasyon uygulamalarının ve postoperatif analjezi için rejyonel
yöntem uygulamalarının artması gerektiği sonucuna varıldı.

References

  • 1. MillerRD, Eriksson LI, Fleisher LA, Wiener-Kronish LP, Young WL. Miller’s Anesthesia, 8 thedition, Churchill livingstone Elsevier Ltd, 2009.
  • 2. Maxwell LG, Yaster M. Perioperative management issues in pediatric patients. Anesthesiol Clin North America 2000;18(3):601–32.
  • 3. Von Ungern-Sternberg BS, Habre W. Pediatric anesthesia potential risks and their assessment: part I. Paediatr Anaesth 2007;17(3):206–15.
  • 4. Von Ungern-Sternberg BS, Habre W. Pediatric anesthesia potential risks and their assessment: part II. Paediatr Anaesth 2007;17(4):311–20.
  • 5. Keçik Y, Alkış N, Yörükoğlu D, Alanoğlu Z. Bölüm 32: Pediatrik Anestezi. Temel Anestezi 1. Baskı, Ankara: Güneş Tıp Kitapevi 2012:305–316.
  • 6. Lee JH1, Jung HK2, Lee GG2, Kim HY2, Park SG2, Woo SC2. Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients. Korean J Anesthesiol 2013;65(6):508–18.
  • 7. Wang SS, Zhang MZ, Sun Y, Wu C, Xu WY, Bai J, et al. The sedative effects and the attenuation of cardiovascular and arousal responses during anesthesia induction and intubation in pediatric patients: a randomized comparison between two different doses of preoperative intranasal dexmedetomidine. Paediatr Anaesth 2014;24(3):275–81.
  • 8. Srinivasan M, Carlson DW. Procedural sedation by pediatric hospitalists: analysis of the nature and incidence of complications during ketamine and nitrous oxide sedation. Hosp Pediatr 2013;3(4):342–7.
  • 9. Hannam JA, Anderson BJ, Mahadevan M, Holford NH. Postoperative analgesia using diclofenacand acetaminophenin children. Paediatr Anaesth 2014:24(9): 953–961.
  • 10. Schultz-Machata AM, Weiss M, Becke K. What’s new in pediatric acute pain therapy?Curr Opin Anaesthesiol 2014;27(3):316–22.
  • 11. Gupta A, Saha U. Spinal anesthesia in children: A review. J Anaesthesiol Clin Pharmacol 2014;30(1):10–18.
  • 12. Duchicela S, Lim A. Pediatric nerve blocks: an evidence-based approach. Pediatr Emerg Med Pract 2013;10(10):1–19.
  • 13. Gurnaney H, Kraemer FW, Maxwell L, Muhly WT, Schleelein L, Ganesh A. Ambulatory Continuous Peripheral Nerve Blocks in Children and Adolescents: A Longitudinal 8-Year Single Center Study. Anesth Analg 2014;118(3):621–7.
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Article
Authors

Semih Başkan

Duygu Kayar This is me

Mehmet Gamlı This is me

Eda Macit This is me

Dilşen Örnek This is me

Oya Kılcı This is me

Canan Ün This is me

Özgür Aldemir This is me

Publication Date April 1, 2018
Published in Issue Year 2018

Cite

APA Başkan, S., Kayar, D., Gamlı, M., Macit, E., et al. (2018). Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri. Kafkas Journal of Medical Sciences, 8(1), 1-5. https://doi.org/10.5505/kjms.2018.83435
AMA Başkan S, Kayar D, Gamlı M, Macit E, Örnek D, Kılcı O, Ün C, Aldemir Ö. Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri. Kafkas Journal of Medical Sciences. April 2018;8(1):1-5. doi:10.5505/kjms.2018.83435
Chicago Başkan, Semih, Duygu Kayar, Mehmet Gamlı, Eda Macit, Dilşen Örnek, Oya Kılcı, Canan Ün, and Özgür Aldemir. “Pediatrik Hastalarda Uyguladığımız Anestezi Ve Analjezi Yöntemleri”. Kafkas Journal of Medical Sciences 8, no. 1 (April 2018): 1-5. https://doi.org/10.5505/kjms.2018.83435.
EndNote Başkan S, Kayar D, Gamlı M, Macit E, Örnek D, Kılcı O, Ün C, Aldemir Ö (April 1, 2018) Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri. Kafkas Journal of Medical Sciences 8 1 1–5.
IEEE S. Başkan, D. Kayar, M. Gamlı, E. Macit, D. Örnek, O. Kılcı, C. Ün, and Ö. Aldemir, “Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri”, Kafkas Journal of Medical Sciences, vol. 8, no. 1, pp. 1–5, 2018, doi: 10.5505/kjms.2018.83435.
ISNAD Başkan, Semih et al. “Pediatrik Hastalarda Uyguladığımız Anestezi Ve Analjezi Yöntemleri”. Kafkas Journal of Medical Sciences 8/1 (April 2018), 1-5. https://doi.org/10.5505/kjms.2018.83435.
JAMA Başkan S, Kayar D, Gamlı M, Macit E, Örnek D, Kılcı O, Ün C, Aldemir Ö. Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri. Kafkas Journal of Medical Sciences. 2018;8:1–5.
MLA Başkan, Semih et al. “Pediatrik Hastalarda Uyguladığımız Anestezi Ve Analjezi Yöntemleri”. Kafkas Journal of Medical Sciences, vol. 8, no. 1, 2018, pp. 1-5, doi:10.5505/kjms.2018.83435.
Vancouver Başkan S, Kayar D, Gamlı M, Macit E, Örnek D, Kılcı O, Ün C, Aldemir Ö. Pediatrik Hastalarda Uyguladığımız Anestezi ve Analjezi Yöntemleri. Kafkas Journal of Medical Sciences. 2018;8(1):1-5.