The importance of obstructive sleep apnea score and end-tidal CO2 level in adolescent children who underwent oropharyngeal surgery

dc.contributor.authorOzer, Hayel
dc.contributor.authorYıldırım, Ilker
dc.contributor.authorErsozlu, Tolga
dc.date.accessioned2024-10-29T17:55:15Z
dc.date.available2024-10-29T17:55:15Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractAim: Children with obstructive sleep apnea have an increased postoperative risk of adverse respiratory events. In our study, we calculated Obstructive Sleep Apnea Scores using the modified STOP-Bang questionnaire in children undergoing oropharyngeal surgery. The groups determined according to this score were compared in terms of mask ventilation levels in the intraoperative period, postoperative complications and postoperative ETCO2 levels. Materials and Methods: A total of 90 patients, aged 7-15 years, who will undergo oropharyngeal surgery, classified as ASA I-II, and who have undergone a modified STOPBang questionnaire at the preoperative examination, were included in the study. Obstructive sleep apnea score (OSAs) was determined according to the modified STOP-Bang questionnaire, and the patients were divided into 3 groups as low, medium, and high-risk. Difficult mask ventilation level was noted in the intraoperative period. At the end of the operation, end-tidal carbon dioxide concentration (ETCO2) values at 0, 3, 5, 10, and 15 minutes after the patient was extubated and whether the patient had spasms were recorded. Results: Among the 8 parameters in the modified STOP-Bang questionnaire, it was found that there was a significant difference between the groups for the other 6 parameters except for snoring and learning disability. Diffucult mask ventilation increased significantly from Group I to Group III. There is a significant difference between Group I and II, Group II and III, and Group I and Group III (p= 0.001). Although there were small differences within the groups and between the measurements of ETCO2 at different minutes, these differences were not statistically significant (p?0.05). Conclusion: In conclusion, associations between the results of the modified STOP-Bang questionnaire and the level of intervention required for difficult mask ventilation, this information could serve as a useful indicator for a higher level of care in the perioperative period for future patients.
dc.identifier.doi10.5455/annalsmedres.2023.09.240
dc.identifier.endpage1329
dc.identifier.issn2636-7688
dc.identifier.issue10en_US
dc.identifier.startpage1323
dc.identifier.trdizinid1204566
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2023.09.240
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1204566
dc.identifier.urihttps://hdl.handle.net/20.500.11776/13912
dc.identifier.volume30
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofAnnals of Medical Research
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectObstructive sleep apnea syndrome
dc.subjectModified STOP-Bang questionnaire
dc.subjectDifficult mask ventilation level
dc.subjectEnd-tidal CO2
dc.subjectPediatric oropharyngeal surgery
dc.titleThe importance of obstructive sleep apnea score and end-tidal CO2 level in adolescent children who underwent oropharyngeal surgery
dc.typeArticle

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