- Genel Tıp Dergisi
- Vol: 33 Issue: 1
- The Effects of Different End Tidal CO2 Values on Hemodynamics and Surgery in Endoscopic Endonasal Tr...
The Effects of Different End Tidal CO2 Values on Hemodynamics and Surgery in Endoscopic Endonasal Transsphenoidal Pituitary Surgery
Authors : Nihal GÖKBULUT ÖZASLAN, Filiz Banu ÇETİNKAYA ETHEMOĞLU
Pages : 72-75
Doi:10.54005/geneltip.1215781
View : 6 | Download : 4
Publication Date : 2023-02-28
Article Type : Research
Abstract :Objective : We aimed to examine the effect of different intervals of end tidal CO2 ( etCO2 ) values on hemodynamics and surgery in endoscopic endonasal transsphenoidal pituitary surgery. Material and Methods: Two groups were evaluated retrospectively according to the maximum etCO2 values at the time of sellar resection. Group 1: 21 patients, etCO 2 =25-37 mmHg and Group 2: 21 patients, etCO 2=38-50 mmHg. The demographic characteristics, mean arterial pressure (MAP), heart rate (HR), etCO2 , pCO2 at the time of anesthesia induction, sellar excision moment and pre-extubation periods , total amount of bleeding, ease of surgery (good-moderate-bad) obtained from computer records, anesthesia receipts and surgical reports. Results: There was no difference between the two groups in terms of demographic data, complications or bleeding. A relationship was found between arterial pCO2 at the time of sellar excision. Surgical satisfaction was evaluated as \"good\" in 9 patients in Group 1 and 12 patients in Group 2. Conclusion: High etCO 2 values (38-50 mmHg) facilitated surgical excision of the mass and did not affect hemodynamics. Surgery has increased satisfaction. Keeping EtCO2 slightly higher than normal may be a good choice in these cases. Well-designed prospective studies are needed.Keywords : hipofiz cerrahisi, anestezi, etCO2, pCO2