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J Coll Physicians Surg Pak · Nov 2022
Comparative Sedation with Sevoflurane and Thiopental in Children Undergoing MR Imaging.
- Nurettin Kurt, Duygu Karakose Caliskan, and Haci Yusuf Gunes.
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey.
- J Coll Physicians Surg Pak. 2022 Nov 1; 32 (11): 1381-1385.
ObjectiveTo compare the use of propofol and thiopental in children undergoing MRI.Study DesignDescriptive, comparative study.Place And Duration Of StudyUniversity of Health Sciences, Van Training and Research Hospital, Van, Turkey, between January 01 and December 31, 2019.MethodologyOne thousand two hundred and twenty two paediatric patients having MRI were included and divided into two groups. Patients aged 2-18 years who were administered Propofol were classified as Group I, and the patients under the age of 2 years who were administered Thiopental were classified as group II. All patients received Sevoflurane insufflation via face mask after induction agent. Patient's demographic data, ASA scores, anaesthesia-procedure-recovery times, comorbidities, type of MRI examination and complications were recorded.ResultsAge, body weight and ASA score of the patients in Group I were higher than Group II (p<0.05). Epilepsy, cerebral palsy, mental retardation, speech retardation and autism were more prevalent in Group I than in Group II (p<0.05). Neuromuscular growth retardation, hydrocephalus, and metabolic disease were less common in Group I than in Group II (p<0.05). With this Apnea and desaturation was higher in Group I, and bradycardia was higher in Group II.ConclusionSevoflurane insufflation with a face mask can be safely used in children after induction of anaesthesia with propofol or thiopental.Key WordsSedation, Paediatric patients, Propofol, Thiopental, Sevoflurane.
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