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Öğe Anesthetic management for super-super morbidly obese patient(Anaesthesia Pain & Intensive Care, 2014) Erbas, Mesut; Toman, Huseyin; Kiraz, Hasan Ali; Simsek, Tuncer; Arik, M. Kasim; Uyan, Berna; Sahin, HasanObesity leads to several changes in both airway and drug metabolism. The problems are compounded in cases of super super morbid obesity. Gastric banding surgery for weight loss was planned for a 47 year old, super-super morbidly obese female patient (164 kg and 151 cm, BMI: 72 kg/m(2)). On pre-operative examination, patient had a short thick neck and grade 4 Mallampatti class. Induction of anesthesia was done in the sitting / semi-sitting position Maintenance was provided with 6% desflurane and O-2/air mixture. Remifentanil infusion of 0.05 mu g/kg was administered during surgery. Patient had an uneventful recovery. The use of short acting drugs and appropriate monitoring provided hemodynamic stability and a fast and smooth recoveryÖğe Değişik taze gaz akım hızlarının peroperatif kas gevşetici tüketimi üzerine etkilerinin karşılaştırılması(Çanakkale Onsekiz Mart Üniversitesi, 2013) Uyan, Berna; Kiraz, Hasan AliDüşük akım anestezisinin avantajları; solunum fonksiyonlarının daha hafif düzeyde bozulması, solunum sisteminin sıcaklık ve nem durumunun daha iyi korunması ve vücut ısısı kaybının daha düşük düzeyde gerçekleşmesi olarak sıralanabilir. Bu nedenle, Düşük Akım anestezisi fizyolojik açıdan daha uygun bir yaklaşımdır ancak kas gevşetici gereksinimini arttırabilir. Amaç: Bu çalışmanın amacı, desfluranla Düşük Akım ve Yüksek Akım anestezisinin; kas gevşetici tüketimi, hemodinamik parametreler, ve vücut sıcaklığı üzerine etkilerini belirlemektir. Yöntem: Septoplasti, rinoplasti, septorinoplasti veya timpanoplasti planlanan 80 hasta (ASA I-II), desfluran Düşük Akım (n=40) ve Yüksek Akım (n=40) gruplarına ayrıldı. Anestezi indüksiyonu, propofol (2.5 mg/kg) ile gerçekleştirildi. Hasta bilinçsiz hale geldikten sonra tekli uyarılar (single twich) ile nöromüskuler monitarizasyon yapıldı. Kas gevşemesi için atrakuryumun intravenöz olarak verilmesinin ardından tekli uyarılarda kas yanıtında %95 depresyon meydana geldikten sonra entübasyon yapıldı. Endotrakeal entübasyonu takiben tekli uyarılar sonlandırıldı ve 15 saniye aralıklarla dörtlü uyarılarla nöromüsküler monitarizasyona devam edildi. Hemodinamik ve solunumsal parametreler, ve vücut sıcaklığı, anestezi indüksiyonundan önce, cerrahi sırasında ve ekstübasyondan sonra tekrarlı şekilde (20 zaman noktasına kadar) ölçüldü. Bulgular: Grupların sosyodemografik, antropometrik ve preoperatif klinik karakteristikleri arasında fark yoktu (tüm karşılaştırmalar için p>0.05). Düşük Akım grubunda kas gevşetici uygulama sayısı (p<0.042) ve idamede kullanılan kas gevşetici miktarı (p<0.042) Yüksek Akım grubundan anlamlı düzeyde yüksekti. Düşük Akım grubunun ortalama kas gevşetici uygulama doz aralığı Yüksek Akım grubundan düşüktü. (p<0.001). İki grup, kullanılan toplam kas gevşetici miktarı açısından benzerdi (p>0.05). İki grup arasında; ortalama arter basıncı, FiO2, end-tidal CO2, SpO2 periferik ve santral vücut sıcaklığı değerlerinde zamanla gözlenen değişim açısından anlamlı fark yoktu (tüm analizler için p>0.05). Düşük Akım grubunun kalp atım hızı değerlerinde zamanla gözlenen azalma Yüksek Akım grubundan daha belirgindi (p=0.006). Sonuç: Bizim sonuçlarımız, Düşük Akım desfluran anestezisinin atraküryum ile oluşturulan nöromüsküler blokajda kas gevşetici tüketimini arttırıcı etkisinin olduğunu ancak bu etkinin sınırlı bir etki olduğunu düşündürmektedir. Anahtar sözcükler: Desfluran, Düşük Akım, Yüksek Akım, Atraküryum, IsıÖğe Effects of smoking on venous cannulation pain: a randomized prospective trial(Elsevier Science Inc, 2015) Hanci, Volkan; Kiraz, Hasan Ali; Omur, Dilek; Ekin, Serpil; Uyan, Berna; Yurtlu, Derya Arslan; Yurtlu, SerhanBackground and objectives: It has been demonstrated that smoking increases pain perception; however the effect of smoking on perception of pain during venous cannulation is not known. The purpose of this study is to determine whether or not smoking has an effect on pain perception due to peripheral venous cannulation. Methods: 220 patients scheduled to have elective surgery were enrolled in the study and were divided into two groups (Group S and C, n=110 for each) according to their smoking habits. Numerical rating scale was introduced to the patients and then peripheral venous cannulation at the dorsum of the hand was made with a 20 G intracath. Pain perception of the patients was scored by subsequent numerical rating scale questioning. Results: The demographic characteristics of the groups were identical. Numerical rating scale scores in Group S and C were 3.31 +/- 1.56 and 1.65 +/- 1.23, respectively (p < 0.001). Conclusion: Pain perception due to peripheral venous cannulation is higher in smokers. Future studies on pain treatment should consider the smoking habits of patients. (C) 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.Öğe Evaluation of precipitation characteristics of commonly used non-steroidal anti-inflammatory analgesic drugs(Colegio de Farmaceuticos de la Provincia de Buenos Aires, 2015) Kiraz, Hasan Ali; Ömür, Dilek; Ekin, Serpil; Toman, Hüseyin; Uyan, Berna; Yurtlu, Bülent Serhan; Hanci, VolkanPostoperative pain is a major problem in clinical practice. Non-steroidal anti-inflammatory drugs have traditionally been used to relieve postoperative pain. Administration of intravenous products together can result incompatibility problems and this is clinically hazardous. Reference texts, published reports can provide information about drugs’ incompatibility characteristics but there have been limited data for new drugs such as lornoxicam, tenoxicam and dexketoprofen, commonly used non-steroidal antiinflammatory drugs. In this study, it was aimed to investigate whether there is precipitation between lornoxicam, tenoxicam and dexketoprofen with other commonly used drugs in anesthesiology practice © 2015, Latin American Journal of Pharmacy. All rights reserved.Öğe Evaluation of Precipitation Characteristics of Commonly Used Non-Steroidal Anti-Inflammatory Analgesic Drugs(Colegio Farmaceuticos Provincia De Buenos Aires, 2015) Kiraz, Hasan Ali; Omur, Dilek; Ekin, Serpil; Toman, Huseyin; Uyan, Berna; Yurtlu, Bulent Serhan; Hanci, VolkanPostoperative pain is a major problem in clinical practice. Non-steroidal anti-inflammatory drugs have traditionally been used to relieve postoperative pain. Administration of intravenous products together can result incompatibility problems and this is clinically hazardous. Reference texts, published reports can provide information about drugs' incompatibility characteristics but there have been limited data for new drugs such as lornoxicam, tenoxicam and dexketoprofen, commonly used non-steroidal anti-inflammatory drugs. In this study, it was aimed to investigate whether there is precipitation between lornoxicam, tenoxicam and dexketoprofen with other commonly used drugs in anesthesiology practice.Öğe Precipitation in Gallipoli: Sugammadex / Amiodarone & Sugammadex / Dobutamine & Sugammadex / Protamine(2013) Hanci, Volkan; Ali Kiraz, Hasan; ömür, Dilek; Ekin, Serpil; Uyan, Berna; Yurtlu, Bulent Serhan[No abstract available]Öğe Precipitation in Gallipoli: Sugammadex/Amiodarone & Sugammadex/Dobutamine & Sugammadex/Protamine(Elsevier Science Inc, 2013) Hanci, Volkan; Kiraz, Hasan Ali; Omur, Dilek; Ekin, Serpil; Uyan, Berna; Yurtlu, Bulent Serhan[Anstract Not Available]Öğe Propofol induced seizure like activity(2011) Ömür, Dilek; O?uzalp, Hüseyin; Uyan, Berna; Örs, Ceyda Hayretda?; Karaman, Handan ÖzïşïkSince propofol is a short acting anesthetic drug with fewer side effects, it is a commonly used as an anesthetic agent especially in day care surgery. Abnormal patient movements and seizure like activity after administration of propofol have been reported from several countries. İn this case report, we disscused prolonged myoclonic movements in a 27 year- old woman 10 min after the completion of elective histeroscopy. in the postoperative care (PACU) unit.Öğe Propofolün neden olduğu nöbet benzeri aktivite(2011) Ömür, Dilek; Oğuzalp, Hüseyin; Uyan, Berna; Hayretdağ, Ceyda Örs; Özışık, Handan KaramanKısa etki süresi ve ender yan etkileri nedeniyle propofol özellikle günübirlik cerrahide yaygın kullanılan bir anesteziktir. Propofol uygulaması sonrası gelişen anormal hasta hareketleri ve nöbet benzeri aktiviteler yurtdışından çeşitli kaynaklarda bildirilmiştir. Biz bu olgu sunumunda propofol ile indüksiyonu yapılan elektif histeroskopi planlanmış 27 yaşındaki kadın hastada operasyon bitiminden 10 dk. sonra uyanma odasında gelişen uzamış miyoklonik hareketleri tartışmak istedik.Öğe The effect of anaesthesia technique on maternal and cord blood ischaemia-modified albumin levels during caesarean section: A randomized controlled study(Sage Publications Ltd, 2013) Omur, Dilek; Hacivelioglu, Servet Ozden; Oguzalp, Huseyin; Uyan, Berna; Kiraz, Hasan Ali; Duman, Can; Tutunculer, Funda KirtayObjective: Ischaemia-modified albumin (IMA) is an early marker for various ischaemic events, including cardiac ischaemia. This study determined variations in IMA levels during caesarean section, performed under general anaesthesia or with combined spinal epidural anaesthesia. Methods: Full-term, healthy pregnant women were allocated to undergo caesarean section, using either general anaesthesia or combined spinal epidural anaesthesia. IMA and albumin levels were measured in maternal serum samples taken immediately prior to caesarean section and 30min into the procedure, as well as from serum taken from cord blood after double clamping. Results: At total of 51 healthy pregnant women underwent either general anaesthesia (n=28) or combined spinal epidural anaesthesia (n=23). Within-group analysis of the general anaesthesia group showed that both IMA levels and IMA/albumin ratios were significantly higher at 30min of surgery compared with the immediate preoperative period. Conclusions: Lower IMA levels in the combined spinal epidural anaesthesia group may have been due to improved balancing of oxidative stress during caesarean section. Further research on IMA levels during caesarean section should take into account the method of anaesthesia used.Öğe Use of Succinylcholine by Anaesthetists in Turkey: A National Survey(Aves, 2015) Omur, Dilek; Kiraz, Hasan Ali; Sahin, Hasan; Toman, Huseyin; Uyan, Berna; Ekin, Serpil; Hanci, VolkanObjective: Although succinylcholine (SCh) has side effects, it is among the most commonly used muscle relaxants for rapid induction because of the faster onset of its effects and short effect duration. However, there is no information regarding the frequency of use of SCh by anaesthetists in Turkey. This study aims to investigate the use of SCh by anaesthetists working in Turkey. Methods: A web-based survey form was sent by e-mail to anaesthetists working in Turkey. The form comprised a total of 24 questions. Results: E-mails were sent to a total of 1882 addresses at two separate times. E-mail replies were received from 433 (23%) anaesthetists. Based on those who responded to the survey, 54.27% anaesthetists routinely used SCh for adult elective cases, 29.33% for paediatric elective cases and 74.13% for emergency cases. In adult elective cases, SCh was most frequently chosen for caesarean section (20.5%), and in paediatric elective and emergency cases, SCh was chosen most frequently because difficult intubation was expected (31.3 and 21.4%, respectively). Conclusion: Our study reveals that SCh is still widely used by anaesthetists in Turkey. Majority of physicians who participated our survey were aware of the side effects; however, they reported using SCh in certain special situations. It is evident that creation of a standard care guide for departments is essential. The first stage of creating a standard care guide is to analyse and document the current application. With this aim, more wide-ranging advanced studies should be completed.
