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ABS TRACT Objective: We aimed to compare applying caudal block and i.v. tramadol about their effects on bispectral index (BIS), emergence agitation (EA) and recovery in children under desflurane anesthesia. Material and Methods: 60 children, aged between 2-10 years old, ASA I-II groups, undergoing elective lower abdominal surgery enrolled in the study and randomly divided into two groups. Anesthesia was induced with 6-8% sevoflurane in nitrous oxide/oxygen (50%, 50%) and desflurane was used in the maintenance. Group 1 patients had a caudal block by applying 0.25% bupivacaine in a dose of 0.5 mL kg-1. Group 2 patients received i.v. tramadol 1 mg kg-1. BIS monitoring was applied in each group. Haemodynamic parameters, the concentrations of sevoflurane, desflurane, end tidal sevoflurane, end tidal desflurane and BIS values were recorded. Cases were assessed about EA, recovery and pain. Results: Systolic and diastolic blood pressures, heart rates were decreased in Group 1 after caudal block application. Desflurane and end tidal desflurane concentrations were lower in Group 1 than Group 2 at 15, 30, 45, 60th min after incision and at the end of surgery (p<0.05). BIS values and EA scores were similar between groups (p>0.05). There was statistically no difference between groups about recovery and pain (p>0.05). Conclusion: It was concluded that in children under desflurane anesthesia; similar anesthesia depth and well recovery could be achieved by applying both caudal block and i.v. tramadol and the level of EA were similar in both of these methods.

türkiye klinikleri anesteziyoloji-reanimasyon

Searching the Effects of Applying Caudal Block or I.V. Tramadol on Bispectral Index, Emergence Agitation and Recovery in Children Under Desflurane Anesthesia