Görüntüleme
5
İndirme
1
Çalışmanın amacı kolonoskopi yapılan pediatrik hastalarda sedasyon uygulamalarının değerlendirilmesidir. Gereç ve Yöntemler: 2012-2017 yılları arasında sedasyon altında gerçekleştirilen gastrointestinal endoskopi olguları retrospektif olarak tarandı. Hastaların yaş, cinsiyet, endokopik girişim endikasyonları, kullanılan anestetik ajanlar, toplam işlem süresi ve görülen komplikasyonlar kaydedildi. Hastalar yaşlarına göre gruplara [grup 1: 0-2 yaş (süt çocuğu), grup 2: 2-6 yaş (oyun çocuğu), grup 3: 6-11 yaş (büyük çocuk), grup 4: 11-17 yaş (ergen)] ayrıldı. Bulgular: Çalışmaya 0-17 yaş arası 273 hasta dosyası dahil edildi. 122 hastaya gastroskopi + kolonoskopi, 151’ne kolonoskopi uygulandığı tespit edildi. Kolonoskopi yapılan hasta sayıları grup 1: 18 hasta, grup 2: 30, grup 3: 32, grup 4: 71’di. Endokopik girişimlerin rektal kanama, kronik ishal, polip, ülseratif kolit, Ailevi Akdeniz Ateşi (AAA), kron ve çöliyak hastalığı nedeniyle yapıldığı tespit edildi. Ortalama kolonoskopi süresi grup 1: 40.9±16.9 dk, grup 2: 41.3±13.3 dk. grup 3: 45.6±13 dk., grup 4: 47±14.6 dk.’dı. Grup 1’deki hastaların %65’de propofol, %70’de midazolam ile sedasyon sağlandığı ve bu yaş grubunda herhangi bir komplikasyonla karşılaşılmadığı gözlendi. Grup 2’deki hastaların tamamında propofol, %80’de midazolam ile sedasyon uygulandığı tespit edildi. Komplikasyon olarak 1 hastada bronkospazm görüldü. Grup 3’te hastaların tamamında propofol kullanıldığı, %76’ında midazolam kullanıldığı ve bu hasta grubunda 1 hastada bronkospazm 1 hastada bradikardi gözlendi. Grup 4’teki hastaların tamamında propofol, %77’de midazolam kullanıldığı ve 1 hastada bradikardi, 2 hastada bronkospazm olmak üzere toplam 3 hastada komplikasyon tespit edildi. Sonuç: Günümüzde pediatrik hastalarda Gİ endoskopik işlemler, ağrılı ve hoş olmayan girişimler olduğundan sedasyon uygulaması rutin hale gelmekle birlikte uygulamada standartlar oluşturulamamıştır. Bu nedenle daha fazla çalışmaya ihtiyaç olduğunu düşünüyoruz.
The aim of the study is to evaluate sedation applications in pediatric patients performed colonoscopy. Tools and Methods: Gastrointestinal endoscopy events performed under sedation between 2012 and 2017 were scaned retrospectively. The patient’s age, gender, endocopic initiative indications, used anesthetic agents, total treatment time and observed complications were recorded. Patients were divided into groups by age [group 1: 0-2 years (milk child), group 2: 2-6 years (game child), group 3: 6-11 years (big child), group 4: 11-17 years (adolescent)]. The study included 273 patients aged 0-17 years. 122 patients were diagnosed with gastroscopy + colonoscopy, 151 were diagnosed with colonoscopy. The number of patients performed in the colonoscopy was group 1: 18 patients, group 2: 30, group 3: 32, group 4: 71. Endocopic trials were detected due to rectal bleeding, chronic diarrhea, polyps, ulcerative colitis, family Mediterranean Fever (AAA), chronic and thyroid disease. The average time of colonoscopy is group 1: 40.9±16.9 min, group 2: 41.3±13.3 min. Group 3: 45.6 ± 13 minutes, group 4: 47 ± 14.6 minutes. 65% of patients in group 1 received propofol and 70% received sedation with midazolam, and no complications were observed in this age group. All patients in group 2 were diagnosed with propofol, and 80% were given sedation with midazolam. One patient was diagnosed with bronchospasm. All patients in group 3 were using propofol, 76% were using midazolam, and 1 patient in this group was diagnosed with bronchospasm and 1 patient was diagnosed with bradykardi. In all patients in group 4, propofol, midazolam were used in 77% and complications were detected in a total of 3 patients, including bradikardi in 1 patient and bronchospasm in 2 patients. The result is that today in pediatric patients there are endoscopic processes, painful and unpleasant attempts, while the application of sedation becomes routine, standards have not been established in the application. So we think we need more work.
longer. The aim of the study is to evaluate the applications of sedation in pediatric patients who underwent colonoscopy. Material and Methods: Between 2012-2017, Gastrointestinal (GI) endoscopy cases under sedation were retrospectively screened. Patients’ age, gender, indications, anesthetic drugs, procedure times and complications were recorded. Patients were divided according to age groups. (Group 1:0-2 years, Group 2:2-6 years, Group 3:6-11 years, Group 4:11-17 years) Results: 273 patient files between 0-17 years of age were included in the study. gastroscopy + colonoscopy was performed in 122 of the patients and colonoscopy was performed in 151 patients. 18 patients in group 1, 30 patients in group 2, 32 patients in group 3, 4 patients in 71 patients underwent colonoscopy. Colonoscopy indications of patients were rectal bleeding, chronic diarrhea, polyps, ülcerative colitis, Familial Mediterranean fever (FMF) crohn’s disease and Celiac sprue. The mean duration of colonoscopy in Group 1: 40.9±16.9 min. Group 2: 41.3±13.3 min, Group 3:45.6±13 min, Group 4: 47±14.6 min. Sedation was administered with propofol in 65% and midazolam in 70% Ketamin in %13 of patients in Group 1. There were no complications in this age group. Propofol was used in all patients in group 2 and midazolam was used in 80% of the patients. 1 patient had developed bronchospasm. Propofol was used in all patients in group 3 and midazolam was used in 76% of patients. 1 patient had bronchospasm and 1 patient had bradycardia. Propofol was used in all of the patients in group 4 and midazolam was used in 77% of the patients. Complications were seen in 3 patients, including bradycardia in 1 patient and bronchospasm in 2 patients. Conclusion: Consequently, while the GI endoscopy procedures might cause pain and mild discomfort for most patients there are still no guidelines for standard methods for application of anesthesiology and further study is needed.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
