| Autor: |
Selvi-Kuvvetli, S., Turan, B.S., Bayrak, G.D., Noyan, A. |
| Přispěvatelé: |
Selvi-Kuvvetli, S., Turan, B.S., Bayrak, G.D., Noyan, A., Yeditepe Üniversitesi |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
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| Popis: |
Objective: To evaluate the effects of administration of 1 mg·kg-1 propofol before the end of surgery on the haemodynamic values and incidence of emergence delirium in paediatric dental patients retrospectively. Methods: Ninety-seven children aged between 2 and 12 who were treated under general anaesthesia in Yeditepe University Faculty of Dentistry were included. Midazolam for premedication and intravenous propofol for induction and isoflurane for maintenance of anaesthesia were used. One mg·kg-1 propofol was administered before extubation and 15 min before the end of surgery. The monitorized haemodynamic values including heart rate, oxygen saturation in periferic circulation, CO2 in expirium and body temperature were collected from patient files. The level of emergence delirium was measured using the Pediatric Anaesthesia Emergence Delirium Scale. Results: Thirty-nine girls and fifty-eight boys (5.21 ± 2.32) were investigated. A statistically significant increase was found in the mean heart rate during induction and end of intubation. Expired CO2 significantly increased after the end of intubation and decreased at the end of anaesthesia. According to the Pediatric Anaesthesia Emergence Delirium Scale none of the patients were scored as emergence delirium and 52,78% of the children were scored as 0. Conclusions: When administration of single dose of propofol is used for the prevention of Emergence Delirium, constant monitoring of expired CO2 values during and after the end of intubation is essential. It can be suggested that administration of a single dose of 1 mg·kg-1 propofol prevents emergence delirium in paediatric dental patients; nevertheless this finding should be confirmed with prospective clinical trials. © 2020 Japanese Society of Pediatric Dentistry The authors would like to thank all the auxiliary staff of Yeditepe University Faculty of Dentistry for their gentle and attentive care they give to our pediatric patients in the clinics of Department of Paediatric Dentistry, Operating Room and PACU. We are also thankful to Dr. Elif Gurdogan Guler for her valuable contributions in the editing of the manuscript. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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