Effect of sevoflurane anaesthesia on nasal mask in endoscopic retrograde  cholangiopancreatography: is it a preferred alternative?

Bülent BALTACI; Hülya BAŞAR; Murat KEKİLLİ; Mert NAKİP; Fatih KARAAHMET; Mehmet ÇAKIRCA; Melis ENGİN; Meltem BEKTAŞ

doi:https://doi.org/10.3906/sag-1910-60

Makale detayları

Effect of sevoflurane anaesthesia on nasal mask in endoscopic retrograde cholangiopancreatography: is it a preferred alternative?

Yazarlar:

Bülent BALTACI | Hülya BAŞAR | Murat KEKİLLİ | Mert NAKİP | Fatih KARAAHMET | Mehmet ÇAKIRCA | Melis ENGİN | Meltem BEKTAŞ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2020 Vol.50 Issue 2, pp.346-353

Belge Tipi:

Makale

Yayın Tarihi:

2/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000749582

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

DOI:

https://doi.org/10.3906/sag-1910-60

Özet:

 

Background/aim: Endoscopic retrograde cholangiopancreatography  ERCP  often requires deep sedation. Propofol provides adequate  sedation and amnesia at subhypnotic doses, but safe guarding the patient's airway is important for preventing respiratory depression or  hypoxic events. This study compared sedation levels, operator satisfaction, intraoperative and recovery characteristics using sevoflurane  with nasal mask and propofol in ERCP.  Material and methods: Sixty-one patients underwent ERCP  Group I: propofol, n = 31; Group II, sevoflurane, n = 30 , with sedation  controlled by the Ramsay sedation scale  RSS . The patients' demographic data, procedure length, overall drug dose, hemodynamic  changes, duration of recovery and Aldrete scores during recovery were evaluated. In addition, satisfaction of the gastroenterologist was  evaluated.  Results: The mean sphincterotomy satisfaction scores were statistically significant  P= 0.043 . The Aldrete scores and RSS of the groups  were similar; there was a significant difference between groups at the beginning of the procedure regarding peripheric oxygen saturations  and Group II's saturation levels increased during sedation.  Conclusion: In ERCP, propofol infusion provides shorter recovery duration and adequate sedation levels. Sevoflurane and oxygen  with a nasal mask can be chosen to generate specific anaesthesia in patients, especially for strong airway support and safety treating  hypoxemic patients.

Makale detayları

Effect of sevoflurane anaesthesia on nasal mask in endoscopic retrograde cholangiopancreatography: is it a preferred alternative?

Yazarlar: Bülent BALTACI | Hülya BAŞAR | Murat KEKİLLİ | Mert NAKİP | Fatih KARAAHMET | Mehmet ÇAKIRCA | Melis ENGİN | Meltem BEKTAŞ

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2020 Vol.50 Issue 2, pp.346-353

Belge Tipi: Makale

Yayın Tarihi: 2/2020

Belge Dili: İngilizce

Document ID (Org No.): 2000749582

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

DOI: https://doi.org/10.3906/sag-1910-60

Sayı

Yazarlar:

Bülent BALTACI | Hülya BAŞAR | Murat KEKİLLİ | Mert NAKİP | Fatih KARAAHMET | Mehmet ÇAKIRCA | Melis ENGİN | Meltem BEKTAŞ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2020 Vol.50 Issue 2, pp.346-353

Belge Tipi:

Makale

Yayın Tarihi:

2/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000749582

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

DOI:

https://doi.org/10.3906/sag-1910-60