Özet:

In pediatric events in which caudal epidural block is applied along with general anesthesia, we aimed at examining the effects of Bispectural Index Score (BIS) use on hemodynamic changes, time of compilation and cost of use. The events were divided into two groups. According to the BIS monitoring for group I (n = 26), group II (n = 26) cases were subjected to general anesthesia according to hemodynamic responses. Both groups were given 3 mg kg-1 propofol, 2 μg kg-1 fentanyl and 0.2 mg kg-1 mivakurium iv. After endotrakeal entubation, anesthesia was provided with a fixed stream of 40% oxygen (2 L dk-1), 60% N2O (4 L dk-1) and desfluran. In Group I, FiDes was vibrated in such a way that the BIS value would be between 40-60. In Group II, FiDes was vibrated according to hemodynamic responses. In Group II, BIS records were recorded by another anesthesiologist unknown of the applicant anesthesia. Calculating the amounts of medications used during anesthesia, the costs were recorded. There is no statistical difference between the demographic data of the two groups. There were no differences between the groups in all the variables measured after entubation. There was no difference between the time passed until the anesthesia was terminated and the time of compilation in the compilation room. However, the drug consumption in the group with anesthetic titration was lower. In Group I, the cost of anesthesia was found higher than in Group II. Among those not applied BIS monitoring and the events not applied, hemodynamics does not distinguish between the time of compilation, while BIS monitoring has found that the amount of medication used in the events applied has decreased, but the cost of BIS sensors has increased. Therefore, in pediatric cases, the conclusion was that in short-term surgical trials in the presence of caudal block and general anesthesia, BIS monitoring would not benefit.

Anahtar Kelimeler: