Comparison of intravenous sufentanil and bupivacaine administration for preventing haemodynamic responses to Mayfield Holder in craniotomies Kraniyotomilerde çivili başliǧa hemodinamik yanitin önlenmesinde i̇ntravenöz sufentanil i̇le bupivakain i̇nfiltrasyonunun karşilaştirilmasi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.33, sa.3, ss.241-245, 2005 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 3
- Basım Tarihi: 2005
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.241-245
- Anahtar Kelimeler: Bupivacaine, Sufentanil
- Trakya Üniversitesi Adresli: Evet
Özet
Aim: Our aim was to compere intravenous sufentanil and scalp infiltration with bupivacaine on the haemodynamic response to placement of the Mayfield head Holder used for neurosurgery. Materials and Methods: Fifty-nine ASA I/II patients aged 20-58 years undergoing craniotomy were randomized into 3 groups. Group S (n=20) received intravenous sufentanil (10 μg) and scalp infilitration with 0.9% NaCl, Group B (n=20) received intravenous 0.9% NaCl + scalp infilitration with % 0.5 bupivacaine (10 mg); Group K (n=19) received intravenous and scalp infilitration with 0.9% NaCl. Systolic, diastolic and mean arterial pressures and heart rate were recorded before and after induction; infiltration and Mayfield frame application. Results: Sufentanil significantly decreased arterial pressures and heart rate in Group S (p<0.01; p<0.001). No significant haemodynamic differences were recorded after infiltration in Groups B and K (p>0.05). Following application of the Mayfield frame arterial pressures and heart rate increased in Group K (p<0.001) and remained high after 5 minutes (p<0.01, p<0.001). In Group B, frame application was associated with increased diastolic (p<0.05) and mean (p<0.01) arterial pressures and heart rate (p<0.05). Diastolic and mean arterial pressures remained elevated after 5 minutes (p<0.05). In Group S, pin insertion did not increase haemodynamic parameters rather the lower haemodynamic values observed following sufentanil administration persisted throughout the study period. Conclusion: Intravenous sufentanil (10 μg) and local administration of % 0.5 bupivacaine (10 mg) blunted the haemodynamic responses to pin insertion during Mayfield frame application. Following sufentanil administration, blood pressure and heart rate was decreased throughout the period of study.