%0 Journal Article
%T Effects of ketamine or fentanyl addition to propofol on the quality of sedo-analgesia during endoscopic ultrasonography
%A Hayrettin Da£¿kaya
%J -
%D 2019
%X Aim: Endoscopic ultrasonography procedures are usually performed in prone position with sedation. In this prospective study we investigated efficacy, patient and endoscopist satisfaction of sedation with propofol + ketamin or propofol + fentanyl combinations on patients who underwent diagnostic EUS. Materials and methods: 111 patients were included in the study who were planned for EUS with sedation. All patients received 1 mg/kg Lidocaine and 0.01 mg / kg Atropine. Propofol + ketamine group (Group K) sedated with 1,5mg/kg propofol, 1 mg/kg ketamine and propofol + fentanyl group (Group F) sedated with 1,5mg/kg propofol, 1mcg/kg fentanyl. In absence of sedation an additional dose of 0,2 mg/kg Propofol was applied in both groups. During intraoperative period patients were recorded with Richmond agitation score, heart rate, systolic-diastolic-mean blood pressure, peripheric oxygen saturation 5 minutes interval. Total time of the procedure and total amount of propofol consumed during this period were recorded. Postoperative nausea, vomiting Numeric Rank Score, for pain visual pain score and aldrete score were recorded. Endoscopist and patient satisfaction scores were requested between 0-4 and recorded. Results: Each group has similar demographic data and operation time. Total amount of propofol usage was lower in group F (p<0.001). Group F has shorter Post-Anesthesia Care Unit stay (p<0.001). While endoscopist satisfaction were same, patient satisfaction were significantly different (p:001). Intraoperative heart rate and blood pressure were significantly increased in Group K while these values were more stable in Group F. Post-Anesthesia Care Unit entrance blood pressure and heart rates were higher in group K. Intraoperative SpO£¿ were not significantly different. Conclus£¿on: Considering that the majority of patients undergoing endoscopic procedures has comorbid conditions and elderly and statistically significant differences has in group K and group F; we think that combination of fentanyl and propofol is more advantageous for the sedation in endoscopic ultrasonography cases for esophagus, stomach and pancreas-biliary syste
%K endoskopik ultrasonografi
%K sedo-analjezi
%K ameliyathane d£¿£¿£¿ anestezi
%U http://dergipark.org.tr/jcm/issue/44947/578643