Effect of alfentanil and remifentanil infusions on hemodynamic and postoperative parameters in isoflurane anesthesia Isofluran anestezisinde alfentanil ve remifentanil infuzyonunun hemodinamik ve postoperatif parametreler uzerine etkileri
Turk Anesteziyoloji ve Reanimasyon, cilt.25, sa.10, ss.461-466, 1997 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 10
- Basım Tarihi: 1997
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.461-466
- Anahtar Kelimeler: Alfentanil, Hemodynamic parameters, Isoflurane, Postoperative early recovery criterias, Postoperative pain control, Remifentanil
- Trakya Üniversitesi Adresli: Evet
Özet
In our study, effects of alfentanil or remifentanil infusations on pre, per and postoperative hemodynamic parameters, early postoperative recovery criterias and on pain control was evaluated in patients undergoing TAH+BSO. Study was performed in patients with ASA I-III classification of 40 patients. Patients were divided into two groups: alfentanil (Group A) and remifentanil (Group R). In group A, anaesthesia was induced with alfentanil 20 μg/kg continued with, 0.5 μg/kg/min infusion, in Group R patients anaesthesia was induced with 1 μg/kg remifentanil, continued with 0.1 μg/kg/min infusion in isoflurane anaesthesia. SAP, DAP and HR were noted before induction and 1 min later, just after intubation, and 3 min later, when skin closure was beginned, at extubation, 15, 30, 45, 60, 90, 120 minutes after extubation. Recovery criterias were determined postoperatively, intensity of pain was determined by 'verbal pain score', sedation was evaluated with sedation scale. SAP, DAP and HR decreased 1 min. after induction of anesthesia, difference was not significant in other times (p>0.05). Spontan eye opening was earlier in Group R (p>0.05), postoperative pain management was better in Group A (p<0.05), there was no significant difference in sedation scores (p>0.05). As a result, alfentanil and remifentanil had similar hemodynamic stability, in postoperative pain management alfentanil, in early recovery criteria and side effects remifentanil was more advantageous when compared.