Our General Anesthesia Experiences in Premature Patients Undergoing Laser Photocoagulation in Retinopathy Treatment: A Retrospective Evaluation
Our General Anesthesia Experiences in Premature Patients Undergoing Laser Photocoagulation in Retinopathy Treatment: A Retrospective Evaluation
ISSN: 2757-976X ;
E-ISSN: 2757-976X ;
- Year : 2023
- Vol : 3
- No : 3
- Page : 109-114
ÖZ
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.
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.
Correspondence Address :
NECMETTİN ERBAKAN ÜNİVERSİTESİ ANESTEZİYOLOJİ VE REANİMASYON
Email : [email protected]
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
Description : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler. None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Email : [email protected]
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
Description : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler. None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Our General Anesthesia Experiences in Premature Patients Undergoing Laser Photocoagulation in Retinopathy Treatment: A Retrospective Evaluation, strArastirmaMakalesi,
2023, Vol. 3 (3)
2023, Vol. 3 (3)
Received :06.03.2023,
Accepted : 03.08.2023,
Published Online : 12.12.2023
Mevlana Medical Sciences Journal
ISSN: 2757-976X ;
E-ISSN: 2757-976X ;
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Keywords
ınfant, retinopathy of prematurity, general anesthesia