Comparison of methods used in general anesthesia without muscle relaxants and rocuronium bromide and vecuronium bromide use in cases of pediatric adeno-tonsillectomy
YazarIsbir, Ahmet Cemil
Orhan, Emin M.
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Objectives and aim: In this study a total of 60 patients in paediatric age group scheduled for adeno-tonsillectomy the induction of general anaesthesia, without muscle relaxants intubation, the intubation by applying rocuronium bromide and vecuronium bromide, as well as each of three methods were investigated in terms of the row of operation of each three methods and differences in recovery or superiority to each other. Materials and methods: 60 patients who were in ASA I-II class between the ages of 5-16 were included in the study. Patients were randomly divided into three groups. Propofol were used with 2.5-3 mg / kg doses and fentanyl were used 1.5 mu gr/kg in the induction of all patients. Group A: was stimu 5% sevoflurane and in 50/50% O-2/N2O mixture (total: 6lt / min) induction, Group B: 0.6 mg/kg rocuronium bromide I. V, 50/50% O-2/N2O mixture (total: 6lt / min) induction, Group C: 0.1 mg/kg vecuronium bromide I. V, 50/50% O-2/N2O mixture (total: 6lt / min) induction was performed; and also in all patients, prior to intubation, 10% topical lidocaine spray was applied around the oro pharyngeal and vocal cord. Sevoflurane 2% concentration and 50/50% O-2/N2O mixture (total: 6lt / min) were performed during anesthesia maintenance. After the patients were waken up, they were subjected to modified Aldrete scoring system in the recovery room, patients scored 9 and above according to the scoring system were sent to the service. Results and conclusions: As a result, Group A (the group muscle relaxant not applied to) was concluded to be a good alternative as Modified Aldrete scoring system's adequate score 9 and above have been achieved more quickly when compared to other group to which non-depolarizing muscle relaxant was applied and muscle relaxant free intubation especially in cases of paediatric adeno-ton-sillectomy, the early post-operative recovery and dispatch service, in preverntion of adverse effects and complications of muscle relaxants dependent on general anesthesia.