1. Comparison of surgical conditions in 2 different anesthesia techniques of esmolol-induced controlled hypotension in breast reduction surgery
- Author
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Ahmet Besir, Dilek Kutanis, Bahanur Cekic, Murat Livaoğlu, and Ali Akdogan
- Subjects
Adult ,Methyl Ethers ,medicine.medical_specialty ,breast reduction surgery ,medicine.medical_treatment ,Mammaplasty ,Remifentanil ,Blood Loss, Surgical ,Hypotension, Controlled ,Sevoflurane ,law.invention ,Propanolamines ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Piperidines ,030202 anesthesiology ,law ,Medicine ,Humans ,Propofol ,Reduction (orthopedic surgery) ,business.industry ,controlled hypotension ,General Medicine ,Clinical Trial/Experimental Study ,anesthesia technique ,Middle Aged ,Esmolol ,Adrenergic beta-1 Receptor Antagonists ,Surgery ,030220 oncology & carcinogenesis ,Anesthesia ,Anesthetics, Inhalation ,Anesthesia, Intravenous ,Female ,Breast reduction ,business ,Anesthetics, Intravenous ,medicine.drug ,Research Article - Abstract
Background: Breast reduction surgery is a common cosmetic surgery with a high incidence of blood loss and transfusion. In this surgery, the reduction of blood loss related to surgical manipulation and the volume of resected tissue is a target. In the present study, we compared the effects of esmolol-induced controlled hypotension on surgical visibility, surgical bleeding, and the duration of surgery in patients anesthetized with propofol/remifentanil (PR) or sevoflurane/remifentanil (SR). Methods: Patients in the American Society of Anesthesiologists I/II risk group undergoing breast reduction surgery were prospectively randomized into PR (n = 25) and SR (n = 25) groups. Controlled hypotension was induced with esmolol in both groups. During the intraoperative period, the heart rate (HR), mean arterial pressure (MAP), operation duration, volume of intraoperative blood loss, volume of blood received through postoperative drains, volume of resected tissues, and surgical area bleeding score were recorded. Results: The duration of operation in the incisional period was shorter in group PR compared to group SR (P = 0.04). The change in HR was lower in incision and hemostasis periods in the group PR compared to the group SR (P
- Published
- 2017