Katarakt cerrahisinde lokal anestezi oncesinde iki farkli sedasyon yonteminin karsilastirilmasi

The aim of this study was; to compare two different ways of sedation for elective cataract surgery. 30 patients (in ASA I-II-III classes and 18-65 years old), undergoing to elective cataract surgery were divided in two groups, each of them consisted from 15 patients. In group I sedation was performed with 1 mg/kg propofol IV and in the second group with a combination of 0.07 mg/kg droperidol and 1 μg/kg fentanil IV. Intraocular pressure (IOP) was measured; heart rate (HR), mean arterial blood pressure (MAP), SpO₂, respiratory rate (RR) and sedation scores (SS) were noted before (T₁), 5 minutes after sedation (T₂), and at the end of the operation (T₃). Just after the operation side effects, amnesia and general agreement of the patients were asked. Between two groups the IOP and MAP values were not significantly different before sedation (p>0.05). A significant fall of both values were noted after sedation in both groups. At the end of the operation the values were higher in the second group (p<0.05). The sedation scores were not different between two groups before the application of sedative drugs. After this application significantly deeper sedation was noted in the first group (p<0.05). In the second group the sedation scores were not significantly different before, after the application and at the end of the operation (p>0.05). In the first group, the sedation scores were higher at the end of the operation if compared with values that noted after the application of propofol. The agreement of the patients to this method were better in the first group. As a result, it can be said that; sedation with the combination of droperidol and fentanyl for elective cataract surgery in also possible, but low doses of propofol are better for this purpose.