Carbon dioxide insufflation during pneumoperitoneum in pediatric patients may not affect cerebral oxygenation under laparoscopic surgery.

Tramadol provides similar analgesic efficacy to fentanyl. Furthermore, tramadol may provide better respiratory stability in patients undergoing a D&C procedure.

Aim: The aim of this study was to compare ketamin-propofol and tramadol propofol combination in patients undergoing uterine dilatation and curettage. Total propofol requirement, pain scoring and recovery period of duration. Methods: One Hundred Women undergoing uterine dilatation and curettage were screened retrospectively after ethical comitee approval. Baseline anesthesia was maintained with 1 mg/kg propofol, and the patients were randomly allocated to receive 0.5 mg/kg ketamine (Group 1, n=50) or 1 mg/kg tramadol (Group 2, n=50) thereafter. Hemodynamic variables, pain, sedation, Aldrete recovery score and side effects were recorded. Results: Postoperative heart rate and systolic arterial pressure on beginning were significantly higher in Group 1 compared with Group 2 ( p<0.05). No significant difference was noticed compared other results between the groups. Conclusion: Tramadol might be a better alternative drug rather than ketamine due to better hemodynamic stability and lower respiratory depression rate were seen in patents with it.

Carbon dioxide insufflation during pneumoperitoneum in pediatric patients may not affect cerebral oxygenation under laparoscopic surgery.

Our results suggests that hybrid debranching and endovascular repair of extensive thoracoabdominal aneurysms represents a suitable therapeutic option to reduce the morbidity and mortality of TAAA repair, particularly in those typically considered at high risk for standard repair.

Objective Ilioinguinal/iliohypogastric (II/IH) nerve block added to general anesthesia is frequently used for postoperative analgesia in pediatric patients. We aimed to compare the postoperative analgesic effects of bupivacaine and levobupivacaine for II/IH nerve block for inguinal hernia repair in pediatric patients, which is not investigated previously.Materials and Methods: In this 2-year retrospective study, data were collected from the medical charts of patients that underwent unilateral inguinal hernia repair. Patients were included who received an II/IH nerve block with 0.2 mL/kg 0.5% of either bupivacaine (Group B) or levobupivacaine (Group L). Non-elective cases, age under 2 years and patients with multiple procedures were excluded. Demographic properties of the patients (age, weight, and sex), duration and side of surgery, pain scores, additional analgesic requirement and complications were documented. The chi-square test and the Mann-Whitney U test were used for statistical analysis Results: In both groups, the pain scores were not significantly different at post anesthesia care unit, 1, 2, 6 and 24th hours; nevertheless, the pain scores at 4th hour were significantly lower in Group L.Conclusion: II/IH nerve block added to general anesthesia is effective in inguinal region surgery of pediatric patients in postoperative pain control, and 0.5% levobupivacaine and bupivacaine had similar analgesic effect.