Yıl: 2018 Cilt: 7 Sayı: 1 Sayfa Aralığı: 65 - 68 Metin Dili: İngilizce DOI: 10.5455/medscience.2017.06.8674 İndeks Tarihi: 03-10-2019

General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study

Öz:
Anesthesia management of preterm infants is challenging for the anesthesiologist. Because of the rudimentary build of the infants, many medical and physical problems have been observed in the treatment of the disease such as complications, airway problems, temperature disregulation and deficient drug metabolism. This retrospective study evaluates the perioperative management and postoperative course in premature infants undergoing diode laser photocoagulation (DLP) for retinopathy of prematurity (ROP). We analyzed the preoperative data, anesthesia chart, and postoperative course of 15 preterm infants for general anesthesia exposures for ROP surgery. Minimum weight and gestational age at birth were 480 g and 23 weeks, respectively. Mean value of weight at birth was less than 1000 g (886,3g) differently from other studies. The mean anesthesia and surgery duration were 80,9 and 60,4 min, respectively. Paracetamol was implemented for postoperative analgesia through rectal route in 5 infants and intravenous route in 10 infants at the start of surgery. Eleven patients were extubated in the operating room and 4 infants were extubated in the following days. Birth weights of infants were between 480 and 1240 g. Supraglottic airway such as I-gel was applied in 5 infants, laryngeal mask airway (LMA) in 5 infants and endotracheal intubation (ETI) was applied in 4 infants. In the present study, we found that intraoperative complications, duration of anesthesia and surgery were acceptable and similar to those of other studies. However, the value of apnea in current study was less significant when compared to other studies,which can be correlated with intubation without muscle relaxant or post-conceptual age over 35 weeks.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Sinha R, Talawar P, Ramachandran R, Azad R1, Mohan VK. Perioperative management and post-operative course in preterm infants undergoing vitreoretinal surgery for retinopathy of prematurity: A retrospective study. J Anaesth Clin Pharma. 2014;30(2):258-62.
  • Simons BD, Flyn JT. Retinopathy of prematurity and associated factors. Int Ophtalmol Clin. 1999;39(2):29-48.
  • Jalali S, Azad R, Trehan HS, Dogra MR, Gopal L, Narendran V. Technical aspects of laser treatment for acute retinopathy of prematurity under local anesthesia. Indian J Ophthalmol. 2010;58(6):509-15.
  • Keenan RL, Boyan CP. Decreasing frequency of anesthetic cardiac arrests. J Clin Anesth. 1991;3(5):354-7.
  • Billard V, Servin F, Guignard B, Junke E, Bouverne MN, Hédouin M, Chauvin M. Desflurane- remifentanil-nitrous oxide anaesthesia for abdominal surgery: optimal concentrations and recovery features. Acta Anaesthesiol Scand. 2004;48(3):355-64.
  • Nesargi SV, Nithyanandam S, Rao S, Nimbalkar S, Bhat S. Topical anesthesia or oral dextrose for the relief of pain in screening for retinopathy of prematurity: a randomized controlled double-blinded trial. J Trop. Pediatr 2015;61(1):20-4.
  • SatoY, OshiroM, TakemotoK, HosonoH, SaitoA, KondoT, Aizu K6, Matsusawa M7, Futamura Y8, Asami T8, Terasaki H8, Hayakawa M. Multicenter observational study comparing sedation/analgesia protocols for laser photocoagulation treatment of retinopathy of prematurity. J Perinatology. 2015;35(11):965-9.
  • Ulgey A, Günes I, Bayram A, Aksu R, Bicer C, Ugur F, Karaca C, Boyaci A. Decreasing the need for mechanical ventilation after surgery for retinopathy of prematurity: sedoanalgesia vs. general anesthesia. Turk J Med Sci. 2015;45(6):1292-9.
  • But A, Arikan M, Aslan B, Ozturk L, Tabuk M, Horasanli E. Comprasion of anesthesia with sevoflurane-N2O and midazolam-remifentanyl in low-birthweight prematüre infants undergoing diode laser photocoagulation. Turk J Med Sci. 2012;42(4):573-9.
  • Gunenc F, Kuvaki B, Iyilikci L, Gokmen N, Yaman A, Gokel E. Use of laryngeal mask airway in anesthesia for treatment of retinopathy of prematurity. Saudi Med J. 2011; 32(11):1127-32.
  • Litman RS, Soin K, Salam A. Chloral hydrate sedation in term and preterm infants: an analysis of efficacy and complications. Anesth Analg. 2010;110(3):739-46.
  • Attachoo A, Horatanaruang D, Chongarunngamsang W, Lauhsattana S. The incidence and risk factors of apnea in premature infants underwent general anesthesia for cryotherapy or laser photocoagulation for treatment of retinopathy of prematurity at Queen Sirikit National Institute of Child Health. J Med Assoc Thai. 2014;97(6):26-32.
  • Cote CJ, Zavslaysky A, Dwones JJ, Kurth CD, Welborn LG, Warner Lo, Malviya SV. Postoperative apnea in former preterm infants after inguinal herniorrhaphy. Anesthesiology. 1995;82(4):809-22.
APA ÖZKAN A, Akbas S, POLAT N (2018). General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. , 65 - 68. 10.5455/medscience.2017.06.8674
Chicago ÖZKAN Ahmet Selim,Akbas Sedat,POLAT Nihat General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. (2018): 65 - 68. 10.5455/medscience.2017.06.8674
MLA ÖZKAN Ahmet Selim,Akbas Sedat,POLAT Nihat General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. , 2018, ss.65 - 68. 10.5455/medscience.2017.06.8674
AMA ÖZKAN A,Akbas S,POLAT N General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. . 2018; 65 - 68. 10.5455/medscience.2017.06.8674
Vancouver ÖZKAN A,Akbas S,POLAT N General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. . 2018; 65 - 68. 10.5455/medscience.2017.06.8674
IEEE ÖZKAN A,Akbas S,POLAT N "General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study." , ss.65 - 68, 2018. 10.5455/medscience.2017.06.8674
ISNAD ÖZKAN, Ahmet Selim vd. "General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study". (2018), 65-68. https://doi.org/10.5455/medscience.2017.06.8674
APA ÖZKAN A, Akbas S, POLAT N (2018). General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. Medicine Science, 7(1), 65 - 68. 10.5455/medscience.2017.06.8674
Chicago ÖZKAN Ahmet Selim,Akbas Sedat,POLAT Nihat General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. Medicine Science 7, no.1 (2018): 65 - 68. 10.5455/medscience.2017.06.8674
MLA ÖZKAN Ahmet Selim,Akbas Sedat,POLAT Nihat General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. Medicine Science, vol.7, no.1, 2018, ss.65 - 68. 10.5455/medscience.2017.06.8674
AMA ÖZKAN A,Akbas S,POLAT N General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. Medicine Science. 2018; 7(1): 65 - 68. 10.5455/medscience.2017.06.8674
Vancouver ÖZKAN A,Akbas S,POLAT N General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study. Medicine Science. 2018; 7(1): 65 - 68. 10.5455/medscience.2017.06.8674
IEEE ÖZKAN A,Akbas S,POLAT N "General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study." Medicine Science, 7, ss.65 - 68, 2018. 10.5455/medscience.2017.06.8674
ISNAD ÖZKAN, Ahmet Selim vd. "General anesthesia management in 15 preterm infant undergoing diode laser photocoagulation for retinopathy of prematurity: a retrospective study". Medicine Science 7/1 (2018), 65-68. https://doi.org/10.5455/medscience.2017.06.8674