Acute effect of spinal anesthesia on ıntraocular pressure

BOSTAN, Habib; TÜRKYILMAZ, Kemal; ÖNER, Veysi; ŞEKERYAPAN GEDİZ, BERRAK; TOMAK, Yakup; DURMUS, MUSTAFA

Acute effect of spinal anesthesia on ıntraocular pressure

BERRAK ŞEKERYAPAN GEDİZ, (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Rize, Türkiye)

Habib BOSTAN, (Adli Tıp Kurumu, Anestezi Bölümü, İstanbul, Türkiye)

Yakup TOMAK, (Sakarya Üniversitesi, Tıp Fakültesi, Anesteziyoloji, Sakarya, Türkiye)

Kemal TÜRKYILMAZ, (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Rize, Türkiye)

Veysi ÖNER, (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Rize, Türkiye)

Mustafa DURMUŞ (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Rize, Türkiye)

Glokom Katarakt

23 0

Yıl: 2013 Cilt: 8 Sayı: 3 Sayfa Aralığı: 185 - 188 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Acute effect of spinal anesthesia on ıntraocular pressure

Öz:

Amaç: Bu çalışmanın amacı, supin pozisyonda alt ekstremite cerrahisi geçiren hastalarda, spinal anestezinin göz içi basıncı (GİB) üzerine etkisinin değerlendirilmesidir. Gereç ve Yöntem: Spinal anestezi uygulamasından önce ve 20 dk sonra tüm hastaların GİB’leri Tono-pen XL ile ölçüldü. Kan ba- sıncı, periferik oksijen satürasyonu ve elektrokardiyografi monitörizasyonu, spinal anesteziden önce başlatıldı ve cerrahi boyunca her 5 dk’da bir tekrarlandı. GİB ölçümüyle eş zamanlı olarak ölçülen ortalama sistemik arteriyel basınç değerleri not edildi. GİB ve ortalama arteriyel basınçtaki değişiklikler t testi ile karşılaştırıldı. Bulgular: Çalışmaya 49 hastanın 98 gözü dahil edildi. Anestezi öncesi ortalama GİB 18.6±2.8 mmHg iken spinal anestezi uygu- lamasından 20 dk sonra 15.7±2.9 mmHg olarak ölçüldü (p<0.05). Anestezi öncesi ortalama sistemik arteriyel basınç 109.5±16.8 mmHg iken, anesteziden 20 dk sonra 91.6±15.3 mmHg olarak ölçüldü (p<0.05). Sonuç: Spinal anestezi supin pozisyonda göz içi basıncında anlamlı düşüşe neden olmaktadır. Spinal anestezinin hipotansiyon yan etkisinin bu düşüşte rolü olabilir.

Anahtar Kelime:

Konular: Göz Hastalıkları

Spinal anestezinin göz içi basinci üzerine akut etkisi

Öz:

Purpose: The aim of this study was to evaluate the acute effect of spinal anesthesia on intraocular pressure (IOP) in supine posi- tioned patients underwent lower extremity surgery. Materials and Methods: IOP was measured in all patients with Tono-Pen XL before and 20 minutes after spinal anesthesia appli- cation. Monitorization of blood pressure, peripheral oxygen saturation and electrocardiogram was initiated before spinal anesthesia and repeated at every 5 minutes during surgery and mean systemic arterial pressure measurement was recorded at the same time with IOP measurement. IOP and mean arterial pressure changes were evaluated with t test. Results: There were ninety-eight eyes of 49 patients. The mean intraocular pressure was 18.6±2.8 mmHg before anesthesia. Twenty minutes after spinal anesthesia application, the mean IOP was reduced to 15.7±2.9 mmHg (p<0.05). The mean systemic arterial pressure was 109.5±16.8 mmHg before anesthesia. Twenty minutes after, the mean systemic arterial pressure was mea- sured as 91.6±15.3 mmHg (p<0.05). Conclusion: Spinal anesthesia seems to significantly decrease intraocular pressure in patients under supine positioned. Hypoten- sion side-effect may have a role in this decrease.

Anahtar Kelime:

Konular: Göz Hastalıkları

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

1. 2. Cunningham AJ, Barry P. Intraocular pressure physiology and implications for anaesthetic management. Can Anaesth Soc J 1986;33:195-208. Thomson MF, Brock Utne JG, Bean P, et al. Anaesthesia and intraocular pressure: a comparison of total intravenous an- aesthesia using etomidate with conventional inhalation an- aesthesia. Anaesthesia 1982;37:758-61. 3. Artru AA, Momota Y. Trabecular outflow facility and forma- tion rate of aqueous humor during anesthesia with sevoflu- rane nitrous oxide or sevoflurane-remifentanil in rabbits. Anesth Analg 1999;88:781-6. 4. Nagdeve NG, Yaddanapudi S, Pandav SS. The effect of differ- ent doses of ketamine on intraocular pressure in anesthetized children. J Pediatr Ophthalmol Strabismus 2006;43:219-23. 5. Galin MA, McIvor JW, Brock Magruden G. Influence of posi- tion on intraocular pressure. AmJ Ophthalmol 1963;55:720-3. 6. Weber AK, Price J. Pressure differential of intraocular pres- sure measured between supine and sitting position. Ann Oph- thalmol 1981;13:323-6. 7. Yamabayashi S, Aguilar RN, Hosoda M, et al. Postural change of intraocular and blood pressures in ocular hypertension and low tension glaucoma. Br J Ophthalmol 1991;75:652-5. 8. Faccenda KA, Finucane BT. Complications of regional anaes- thesia Incidence and prevention. Drug Saf 2001;24:413-42. 9. Gherezghiher T, Hey JA, Koss MC. Systemic blood pressure and intraocular pressure relationship. J Ocul Pharmacol 1988;4:291-301. 10. Reitsamer HA, Kiel JW. Relationship between ciliary blood flow and aqueous production in rabbits. Invest Ophthalmol Vis Sci 2003;44:3967-1. 11. Rosner MJ, Daughton S. Cerebral perfusion pressure man- agement in head injury. J Trauma 1990;30:933-41. 12. Rosner MJ, Rosner SD, Johnson AH. Cerebral perfusion pres- sure: management protocol and clinical results. J Neurosurg 1995;83:949-62. 13. Salman MS. Can intracranial pressure be measured non-in- vasively? Lancet 1997;350:1367. 14. Sheeran P, Bland JM, Hall GM. Intraocular pressure changes and alterations in intracranial pressure. Lancet 2000;355:899. 15. Lashutka MK, Chandra A, Murray HN, et al. The relationship of intraocular pressure to intracranial pressure. Ann Emerg Med 2004;43:585-91. 16. Olsen KS. Epidural blood patch in the treatment of post-lum- bar puncture headache. Pain 1987;30:293-301. 17. Tourtellote WW, Henderson WG, Tucker RP, Gilland et al. A randomized double-blind clinical trial comparing 22 versus the 26 gauge needle in the production of the post-lumbar punc- ture syndrome in normal individuals. Headache 1972;12:73-8. 18. Lynch J, Krings-Ernst I, Strick K, et al. Use of a 25 gauge Whitacre needle to reduce the incidence of post-dural punc- ture headache. Br J Anaesth 1991;67:692-3. 19. Wynands JF, Cromwell DF. Intraoccular tension in associa- tion with succinylcholine and endotracheal intubation: a pre- liminary report. Can Anaesth Soc J. 1960;7:39-43. 20. Lamb K, James MF, Janicki PK. The laryngeal mask airway for intraocular surgery: effects on intraocular pressure and stress responses. Br J Anaesth. 1992;69:143-7 21. Bowman R, Liu C, Sarkies N. Intraocular pressure changes after peribulbar injections with and without ocular compres- sion. Br J Ophthalmol 1996;80:394-7. 22. Almubrad TM, Ogbuehi KC. Clinical investigation of the ef- fect of topical anesthesia on intraocular pressure. Clin Oph- thalmol 2007;1:305-9. 23. Kao SF, Lichter PR, Bergstrom TJ, et al. Clinical comparison of the Oculab Tono-Pen to the Goldmann applanation tonom- eter. Ophthalmology 1987;94:1541-4. 24. Chou CY, Jordan CA, McGhee CN, et al. Comparison of In- traocular Pressure Measurement Using 4 Different Instru- ments Following Penetrating Keratoplasty. Am J Ophthalmol 2011:13. 25. International Organization for Standardization. Ophthalmic Instruments-Tonometers: ISO8612:2001. Geneva, Switzer- land: International Organization for Standardization; 2001.

APA	ŞEKERYAPAN GEDİZ B, BOSTAN H, TOMAK Y, TÜRKYILMAZ K, ÖNER V, DURMUS M (2013). Acute effect of spinal anesthesia on ıntraocular pressure. , 185 - 188.
Chicago	ŞEKERYAPAN GEDİZ BERRAK,BOSTAN Habib,TOMAK Yakup,TÜRKYILMAZ Kemal,ÖNER Veysi,DURMUS MUSTAFA Acute effect of spinal anesthesia on ıntraocular pressure. (2013): 185 - 188.
MLA	ŞEKERYAPAN GEDİZ BERRAK,BOSTAN Habib,TOMAK Yakup,TÜRKYILMAZ Kemal,ÖNER Veysi,DURMUS MUSTAFA Acute effect of spinal anesthesia on ıntraocular pressure. , 2013, ss.185 - 188.
AMA	ŞEKERYAPAN GEDİZ B,BOSTAN H,TOMAK Y,TÜRKYILMAZ K,ÖNER V,DURMUS M Acute effect of spinal anesthesia on ıntraocular pressure. . 2013; 185 - 188.
Vancouver	ŞEKERYAPAN GEDİZ B,BOSTAN H,TOMAK Y,TÜRKYILMAZ K,ÖNER V,DURMUS M Acute effect of spinal anesthesia on ıntraocular pressure. . 2013; 185 - 188.
IEEE	ŞEKERYAPAN GEDİZ B,BOSTAN H,TOMAK Y,TÜRKYILMAZ K,ÖNER V,DURMUS M "Acute effect of spinal anesthesia on ıntraocular pressure." , ss.185 - 188, 2013.
ISNAD	ŞEKERYAPAN GEDİZ, BERRAK vd. "Acute effect of spinal anesthesia on ıntraocular pressure". (2013), 185-188.

APA	ŞEKERYAPAN GEDİZ B, BOSTAN H, TOMAK Y, TÜRKYILMAZ K, ÖNER V, DURMUS M (2013). Acute effect of spinal anesthesia on ıntraocular pressure. Glokom Katarakt, 8(3), 185 - 188.
Chicago	ŞEKERYAPAN GEDİZ BERRAK,BOSTAN Habib,TOMAK Yakup,TÜRKYILMAZ Kemal,ÖNER Veysi,DURMUS MUSTAFA Acute effect of spinal anesthesia on ıntraocular pressure. Glokom Katarakt 8, no.3 (2013): 185 - 188.
MLA	ŞEKERYAPAN GEDİZ BERRAK,BOSTAN Habib,TOMAK Yakup,TÜRKYILMAZ Kemal,ÖNER Veysi,DURMUS MUSTAFA Acute effect of spinal anesthesia on ıntraocular pressure. Glokom Katarakt, vol.8, no.3, 2013, ss.185 - 188.
AMA	ŞEKERYAPAN GEDİZ B,BOSTAN H,TOMAK Y,TÜRKYILMAZ K,ÖNER V,DURMUS M Acute effect of spinal anesthesia on ıntraocular pressure. Glokom Katarakt. 2013; 8(3): 185 - 188.
Vancouver	ŞEKERYAPAN GEDİZ B,BOSTAN H,TOMAK Y,TÜRKYILMAZ K,ÖNER V,DURMUS M Acute effect of spinal anesthesia on ıntraocular pressure. Glokom Katarakt. 2013; 8(3): 185 - 188.
IEEE	ŞEKERYAPAN GEDİZ B,BOSTAN H,TOMAK Y,TÜRKYILMAZ K,ÖNER V,DURMUS M "Acute effect of spinal anesthesia on ıntraocular pressure." Glokom Katarakt, 8, ss.185 - 188, 2013.
ISNAD	ŞEKERYAPAN GEDİZ, BERRAK vd. "Acute effect of spinal anesthesia on ıntraocular pressure". Glokom Katarakt 8/3 (2013), 185-188.