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Our General Anesthesia Experiences in Premature Patients Undergoing Laser Photocoagulation in Retinopathy Treatment: A Retrospective Evaluation

GÜLÇİN BÜYÜKBEZİRCİ,ESRA YETİŞ,ŞULE ARICAN,RESUL YILMAZ,GÜNHAL ŞATIRTAV,AYBARS TAVLAN

  • GÜLÇİN BÜYÜKBEZİRCİ: NECMETTİN ERBAKAN ÜNİVERSİTESİ
  • ŞULE ARICAN: NECMETTİN ERBAKAN ÜNİVERSİTESİ
  • GÜNHAL ŞATIRTAV: NEU
  • AYBARS TAVLAN: NECMETTİN ERBAKAN ÜNİVERSİTESİ
  •  Year : 2023
  •  Vol : 3
  •  Issue : 3
  •  Page : 109-114
Objective: While the spread of neonatal intensive care units decreased mortality in premature patients, it caused an increase in many morbidities, such as retinopathy. Retinopathy of prematurity is a clinical condition that requires special follow-up and treatment. Laser photocoagulation is the most common treatment method and there is no consensus on the anesthesia method and drugs to be selected during the procedure.

Methods: After obtaining the approval of the local ethics committee, the records of 166 patients who underwent laser photocoagulation for retinopathy between January 2010 and September 2021 were retrospectively examined.

Results: General anesthesia was applied to all 166 patients and 163 patients (98.2%) were intubated, while three patients (1.8%) had laryngeal mask airway number 1.5. Sevoflurane (100%) and propofol (32.5%) were the most commonly preferred agents for hypnotic purposes. The most commonly preferred analgesic agents were fentanyl (46.4%) and remifentanyl (53.6%). The only preferred muscle relaxant was rocuronium (98.2%). While 92 cases (55.4%) were extubated in less than one hour, only one case (0.6%) was found to have an extubation time longer than 24 hours. Intraoperative bradycardia developed in 20 cases (12%), postoperative apnea developed in eight cases (4.8%) and desaturation developed in two cases (1.2%). All cases with intraoperative and postoperative
complications had low birth weight (p=0.009, p=0.015). In all cases with intraoperative bradycardia, the duration of operation was found to be longer than one hour (p<0.001).

Conclusion: The application of general anesthesia with a multidisciplinary approach and appropriate postoperative care is a comfortable and safe method for retinopathy surgery in this specific patient group.
Cite this Article As : Büyükbezirci G, Yetiş E, Arıcan Ş, Yılmaz R, Şatırtav G, Tavlan A. Our General Anesthesia Experiences in Premature Patients Undergoing Laser Photocoagulation in Retinopathy Treatment: A Retrospective Evaluation. Mev Med Sci. 2023;3(3):109-114

Conflict of interest : The authors declare that they have no conflict of interest.

This article is published under the CC BY-NC 4.0 license.
Mevlana Tıp Bilimleri
2023, Vol3, Issue3
E-ISSN: 2757-976X
Received : , Accepted : , Published Online :

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