Pediatrik olgularda uygulanan rijit bronkoskopi işleminde anestezi derlemesinde sugammadeks ve neostigminin etkinliğininin karşılaştırılması

Yıl 2022, Cilt: 8 Sayı: 2, 136 - 141, 30.08.2022

Mehmet Duran , Mehmet Tepe , Mehmet Şirin Mağaç , Öğünç Apaydın , Mevlüt Doğukan , Çiğdem Demirci

https://doi.org/10.30569/adiyamansaglik.997055

Cited By: 2

Öz

Amaç: Trakeobronşiyal yabancı cisim aspirasyonu nedeniyle rijit bronkoskopi yapılan çocuklarda roküronyumun neden olduğu nöromüsküler blokajın tersine çevrilmesinde kullanılan sugammadeks ve neostigminin etkinliğininin karşılaştırılması amaçlanmıştır.
Gereç ve Yöntem: Hastanemizde 2013-2018 tarihleri arasında 0-18 yaş grubu çocuklarda, yabancı cisim aspirasyonu şüphesi ile rijit bronkoskopi yapılan 54 hastanın verileri geriye dönük olarak incelendi.
Bulgular: Olguların 30’u erkek, 24’ü kızdı. Nöromüsküler blokajın tersine çevrilmesi amacıyla, 23 olguya atropin- neostigmin ve 31 olguya da sugammadeks uygulanmıştı. 41 olguda komplikasyon saptanmazken 6 olguda bronkospazm, 5 olguda hipoksi, 2 olguda laringospazm saptandı. Derlenme süresi sugammadeks uygulanan olgularda daha kısa tespit edilmiştir (p<0,001).
Sonuç: Pediyatrik rijit bronkoskopi anestezi uygulamasında roküronyumun neden olduğu nöromüsküler blokajın tersine çevrilmesinde, sugammadeks uygulanması sonrası derlenme süresi daha kısadır. 

Anahtar Kelimeler

Pediyatrik rijit bronkoskopi, Sugammadeks, Roküronyum, Neostigmin

Destekleyen Kurum

yok

Proje Numarası

yok

Comparison of the effects of sugammadex and neostigmine on recovery of anesthesia in rigid bronchoscopy in pediatric cases

Öz

Aim: To compare the efficacy of sugammadex and neostigmine, which are used to reverse rocuronium- neuromuscular blockade in children who underwent rigid bronchoscopy due to tracheobronchial foreign body aspiration.
Materials and Methods: The data of 54 patients who underwent rigid bronchoscopy with the suspicion of foreign body aspiration in children aged 0-18 in our hospital between 2013 and 2018 were retrospectively analyzed.
Results: Thirty of the cases were male and 24 were female. Atropine-neostigmine was administered to 23 patients and sugammadex was administered to 31 patients to reverse neuromuscular blockade. While no complications were found in 41 cases, bronchospasm was found in 6 cases, hypoxia in 5 cases, and laryngospasm in 2 cases. Recovery time was shorter in patients who received sugammadex (p<0.001).
Conclusion: Recovery time is shorter after sugammadex administration in reversing rocuronium-induced neuromuscular blockade in pediatric rigid bronchoscopy anesthesia.

Anahtar Kelimeler

Pediatric Rigid Bronchoscopy, Sugammadex, Rocuronium, Neostigmine

Proje Numarası

yok

Kaynakça

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