Effects of sevoflurane and TIVA with propofol on middle ear pressure

Öztürk, Özcan; Demiraran, Yavuz; İlçe, Zekeriya; Kocaman, Buket; Güçlü, Ender; Karaman, Emin

doi:10.1016/j.ijporl.2005.12.020

Cited by 18 publications

(27 citation statements)

References 14 publications

(21 reference statements)

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“…Changes in MEP due to inhalation anesthetics or intravenous anesthetics have been observed in different studies conducted by various researchers [2,5,6]. It is important to be aware of the changes in MEP during operation.…”

Section: Discussionmentioning

confidence: 99%

“…Effects of inhalation anesthetics and intravenous anesthetics on MEP have been compared before, and it has been found that inhalation anesthetics cause an undesired increase in MEP during middle ear operations [2]. While there are several studies comparing various inhalation anesthetics, in our review of the literature we found no study comparing the effects of the two most commonly used inhalation anesthetics sevoflurane and desflurane.…”

Section: Introductionmentioning

confidence: 92%

“…Anesthetic agents have varying degrees of effects on different parts of the body [1,2,3,4]. These effects change based on some variables such as the medication used, the patient's characteristics and environmental factors.…”

Section: Introductionmentioning

confidence: 99%

“…The type, amount and administration method of the drug are the main variables related to anesthetic agents. Both inhalation anesthetics and intravenous anesthetics have various effects on the body [2]. The middle ear area is one of the most important areas affected by inhalation anesthetics.…”

Section: Introductionmentioning

confidence: 99%

“…The middle ear area is one of the most important areas affected by inhalation anesthetics. Inhalation anesthetics generally cause changes in middle ear pressure (MEP) [2,5]. The importance of the effect of anesthetic agents on MEP is observed especially during middle ear operations, and it has been shown that increased MEP may cause serious complications [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Effects of Desflurane and Sevoflurane on Middle Ear Pressure: A Randomized Controlled Clinical Trial

Düğer¹,

Doğan

İşbir³

et al. 2013

ORL

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Objective: The aim of the present study was to compare the effects of two inhalation anesthetics, desflurane and sevoflurane, on middle ear pressure. Methods: After we obtained written consent from the patients and the approval from our institutional ethical committee, we included 56 ASA I-II patients aged between 18 and 60 years in this study. They were randomly divided into two groups of 28 patients each. Desflurane 4-6% (Group D) or sevoflurane 1-2% (Group S) were used for anesthesia management in patients. Baseline tympanometry was carried out and recorded before the induction of anesthesia on both ears, and 3 more measurements were done and recorded 5, 15 and 30 min after induction. Results: In both groups, middle ear pressure values were found to be significantly elevated when compared to baseline measurements (p < 0.05). When middle ear pressure was compared between the groups, no difference was found between the values obtained at baseline and at 5 min in Group S, while especially the values obtained at 15 min revealed significantly higher middle ear pressures in Group D. Conclusion: It was observed that the increase in middle ear pressure caused by sevoflurane was significantly lower than that caused by desflurane.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%