Pediatrik Ambulatuar Cerrahi Hastaların Sünnet Operasyonlarında Remifentanil-Propofole karşı Fentanil Propofol

Abstract

Circumcision is the most frequent surgical procedure performed worldwide. The present study aimed to compare the efficacy and safety of fentanyl vs. remifentanil in pediatric patients undergoing circumcision procedure. A total of 120 boys, who were ASA (American Society of Anesthesiologists) I-II and underwent circumcision procedure, were retrospectively evaluated. Induction for anesthesia was provided using propofol that using 0,5-1 μg kg-1 (n=60) in Group F and using remifentanil 0,5-1 μg kg-1 (n=60) in Group R. After monitoring the patients and recording hemodynamic parameters and complications the findings every 30 minutes in peroperative and the recovery room, the patients were then followed for 6 hours. A total of 120 boys at the age of 0-2 years old who were underwent circumcision procedure, were retrospectively evaluated. The groups were comparable in terms of age, body weight, height, ASA physical status and duration of surgery that was not statistically significant.Recovery time from anesthesia was statistically significantly shorter in the remifentanil-propofol (Group R) as compared to the fentanyl-propofol (Group F). While vomiting was the most common complication in Group F, bradycardia was the most common complication in Group R. Comparison of the frequencies of complications between the groups revealed no difference in terms of bradycardia, bronchospasm, respiratory depression and allergic reaction. In conclusion, based on the results of the present study, we recommend using remifentanil-propofol in this pediatric age group but also underline the necessity of close monitoring of these patients for the potential side effects.