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Fırat Tıp Dergisi
2010, Cilt 15, Sayı 2, Sayfa(lar) 083-086
[ Turkish ] [ Tam Metin ] [ PDF ]
The Effect of Anesthetic Technique on Hemodynamic Parametres in Total Knee Surgery
Kerem İNANOĞLU, Çağla Buket ÖZBAKIŞ AKKURT, Murat KARCIOĞLU, Selim TURHANOĞLU
Mustafa Kemal Üniversitesi Tıp Fakültesi, Anesteziyoloji, HATAY, Türkiye

Objective: To compare the effects of spinal and general anaesthesia on hemodynamic variations during tourniquet application and cementation in patients undergoing total knee surgery.

Materials and Methods: 38 ASA physical status I/II patients undergoing total knee surgery were randomized into two groups as spinal anesthesia group (n=18) where 3 mL of 0.5% levobupivacaine injected intrathecally and sevoflurane based general anesthesia group (n=20). Radial artery catheterization was performed in all of the patients and cardiac output, invasive arterial pressure and heart rate were measured and recorded before anesthesia indication or spinal blockade, at 5 th, 10 th, and 15 th min following endotracheal intubation or spinal blockade, just before and after tourniquet inflation, just before and at 1 st, 3 rd, 5 th, and 10 th min following bone cement placement, and at 1st min after tourniquet deflation.

Results: Tourniquet application caused a significant increase in the blood pressure and cardiac output when compared to the values recorded before anesthesia in both groups. Sementation and deflation of the tourniquet caused decrease in blood pressure in both groups, but there was no significant difference between two groups.

Conclusion: We concluded that total knee surgery with sementation and tourniquet application did not affect hemodynamic parameters in both spinal and general anesthesia groups.


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