Mehmet Özhan - Academia.edu (original) (raw)
Papers by Mehmet Özhan
Turkish Journal of Medical Sciences, 2022
Background/aim: The quality of recovery-15 (QoR-15) is a patient reported outcome questionnaire t... more Background/aim: The quality of recovery-15 (QoR-15) is a patient reported outcome questionnaire that measures the quality of recovery after surgery and anesthesia. The QoR-15 has been validated in many languages; Turkish version of the QoR-15 has not yet been established. The aims of this study were to translate the QoR-15 questionnaire into Turkish and to perform a full psychometric evaluation of the Turkish version. Materials and methods: After translating the original English version of the QoR-15 scale into Turkish, the QoR-15T scale was psychometrically validated. This process included validity, reliability, responsiveness, feasibility. The QoR-15T was evaluated before the surgery and 24 h after surgery. Results: A total of 210 patients completed the pre-and postoperative questionnaires, providing a completion rate of 93.75%. The correlation coefficient between QoR-15T score and VAS score was 0.644 on postoperative day 1 (p < 0.001). Inter item Cronbach's alpha was 0.863. Global test-retest concordance coefficient was 0.98 (95% CI: 0.94-1.00). Conclusion: The QoR-15T scale is a reliable and valid instrument for evaluating postoperative quality of recovery in Turkish speaking patients. The psychometric characteristics used to assess postoperative quality of recovery were similar to those in the English version.
Current Therapeutic Research, 2010
Background: Respiratory distress is a rare complication of outpatient shoulder arthroscopy and mo... more Background: Respiratory distress is a rare complication of outpatient shoulder arthroscopy and mostly associated with general anesthesia, pneumothorax, anaphylaxis, or phrenic nerve paralysis. Objective: We report on a shoulder arthroscopy complicated by tracheal compression caused by extravasation of irrigation fluid into soft tissues of the upper airway while the patient was in the beach-chair position under general anesthesia.
Journal of Pediatric Orthopaedics, 2020
Background: Substantially increased operative time and amount of bleeding may complicate the cour... more Background: Substantially increased operative time and amount of bleeding may complicate the course of surgical treatment in neuromuscular scoliosis. A well-organized team approach is required to reduce morbidity. The aim of this study is to review our early, short-term surgical outcomes with our new integrated approach that includes a 2-attending surgeon team and modifications in the anesthesia protocol in low-tone neuromuscular scoliosis and compare with a matched cohort of our historic patients. Methods: We retrospectively reviewed our patients with (1) neuromuscular scoliosis with collapsing spine deformity, (2) low-tone neuromuscular etiology, (3) multilevel posterior column osteotomies with posterior all pedicle screw spinal fusion, and (4) more than 1-year follow-up. Patients were grouped into 2: group 1 consisted of patients managed with the integrated surgical team approach, group 2 included the matched historic patients. Results: There were 16 patients in group 1 and 17 pa...
Anaesthesist, Sep 21, 2020
In recent years, promising results were achieved with the use of ultrasound (US)-guided interfasc... more In recent years, promising results were achieved with the use of ultrasound (US)-guided interfascial plane blocks for effective postoperative analgesia in several surgeries. Erector spina plane (ESP) block and mid-transverse to pleura plane (MTP) block are the latest techniques in this area. The aim of this prospective and randomized study was to compare the postoperative analgesic efficacy of bilateral ESP and MTP blocks in patients undergoing lumbar spinal surgery under general anesthesia (GA). A total of 120 adult patients were included in the study and randomized into 3 groups: group ESP (n = 40), group MTP (n = 40) and group Control (n = 40). The patients in the group ESP received a bilateral block by injecting 20 ml of 0.25% bupivacaine at a vertebrae level in the mid-point of the incision before GA. The same LA was administrated bilaterally at the T12/L1 level in the group MTP. Postoperatively, a multimodal analgesic regimen including an intravenous tramadol patient-controlled analgesia (PCA), paracetamol and dexketoprofen was used in all groups. Postoperative pain was assessed using a visual analogue scale (VAS) during the first 48 postoperative hours. Pethidine was used as a rescue analgesic when VAS score was >3. Primary outcome measure was mean pain scores. Secondary outcome measures were consumption of rescue analgesic and the amount of tramadol delivered by PCA. A p < 0.05 was considered statistically significant. Mean VAS scores were significantly higher in the group Control than in the group MTP and group ESP at all-time points during 48 h (Control > MTP > ESP; p < 0.001). Mean VAS scores were lower in group ESP than group MTP in postoperative 12 h (p < 0.001). Rescue analgesic consumption, number of bolus demand on PCA, PCA bolus demand dose, total PCA dose, and complications related to opioid consumption were highest in control group and lowest in ESP group (Control > MTP > ESP; p < 0.001). Both ESP and MTP blocks provided effective pain relief after lumbar spinal surgery but the ESP block was superior to MTP block regarding postoperative analgesia in the first 24 h.
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2021
Gulhane Medical Journal, Dec 20, 2021
Aims: As the enhanced recovery after surgery (ERAS) concept gains popularity in the surgical prac... more Aims: As the enhanced recovery after surgery (ERAS) concept gains popularity in the surgical practice, the anesthetic technique has a more important effect on the postoperative course, especially in aged population. The aim of this study was to compare general anesthesia (GA) with spinal anesthesia (SA) regarding the perioperative outcomes with respect to the ERAS protocols in open prostatectomy (OP) for benign prostate hyperplasia. Methods: This retrospective study included patients between 40 and 90 years of age who underwent elective OP between 2014 and 2020. Data were collected from hospital's database, patient files, and anesthesia charts. The exclusion criteria were malignancy, lost to followup, and missing data. Primary outcome measures were perioperative variables. Secondary outcome measures were factors influencing hospital discharge time. Results: Of 105 patients (age, mean±SD: 68.3±5.7 years) included in the study, 61 patients were administered in GA (group GA) and 44 in SA (group SA). As the primary outcome measures, when compared with group SA, deliberate hypotensive anesthesia was required in more patients [26 (42.6%) vs. 15 (34.1%); p=0.027] and transfusion rate was higher (6.5% vs. 4.5%; p=0.044) in group GA. Mean visual analogue scale score (3.6±1.1 vs. 2.8±0.4; p=0.040) and opioid consumption (32.8±4.4 vs. 26.3±4.9 mg; p=0.088) were higher, and time to first rescue analgesic use was also shorter (1.1±0.9 vs. 4.7±1.3 hours; p=0.011) in group GA when compared with group SA. Conclusions: This study showed that SA was superior to GA in maintaining hemodynamic stability, reducing blood loss, complications, postoperative analgesia requirement, and time to discharge, which are the main goals of ERAS protocols.
Nigerian Journal of Clinical Practice, 2022
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2020
Hip arthroscopy (HA) is the most recently introduced arthroscopic procedure in orthopedic surgery... more Hip arthroscopy (HA) is the most recently introduced arthroscopic procedure in orthopedic surgery. Since the first description by Burman in cadaveric studies in 1931 and the use in clinical practice in 1970's, HA gained a worldwide popularity as well as in our country as a diagnostic and
Resuscitation, May 1, 2014
After turning on the machine AED paddles were attached on a manikin (ALS trainer by Laerdal Medic... more After turning on the machine AED paddles were attached on a manikin (ALS trainer by Laerdal Medical, Norway) and the performance both for shockable and non-shockable rhythms were tested. Results: Rhythm analysis times were identical when comparing shockable and non-shockable rhythms (10.4 ± 2.5 s,) and only in 3/8 (37.5%) AEDs was less than 10 s. The mean charging time was 7.4 ± 3.4 s and only in 1/8 (12.5%) AEDs was more than 10 s. A not recommended latency of 6.2 ± 2.2 s has been found between shock delivery and the indication to resume CPR with a resulting mean paddles to CPR time of 23.9 ± 5 s and in 0/8 AEDs was less than 10 s. While all the machines correctly identified sinus rhythm, ventricular fibrillation (VF) and asystole only 6/8 (75%) and 1/8 (12.5%) AEDs classified as shockable a fast ventricular tachycardia (VT) at 225 bpm and a slow VT at 125 bpm respectively. When the rhythm was changed during the charging phase only 3/8 (37.5%) AEDs recognized the changing and did not indicate the shock. Conclusion: AED performance may really affect the quality of CPR because of interruptions often longer than ten seconds in disagreement with international guidelines. Industry leaders should focus their research in that direction.
Türk anestezi ve reanimasyon dergisi, 2011
... Mehmet Anıl Süzer*, Mehmet Özgür Özhan*, Mehmet Burak Eşkin**, Bülent Atik***, Ceyda Çaparlar... more ... Mehmet Anıl Süzer*, Mehmet Özgür Özhan*, Mehmet Burak Eşkin**, Bülent Atik***, Ceyda Çaparlar**** *Tdv Özel 29 Mayıs Hastanesi, Anesteziyoloji ve ... 20&#x27;lik formülasyonda-ki lipid emülsiyonları % 20 oranında soya yağı, yumurta fosfolipidleri (% 1,2), gli-serin (% 2,25) ve su ...
Turkish Journal of Medical Sciences, 2010
Journal of health sciences and medicine, Mar 15, 2022
Aim: Factor analysis is a statistical approach used mainly in social science scale development sy... more Aim: Factor analysis is a statistical approach used mainly in social science scale development systems. The aim of this study was to evaluate the performance of factorial structures formed by laboratory values in predicting mortality in severe COVID-19 patients. Material and Method: The study included 281 patients diagnosed with ''severe coronavirus infection'' according to the WHO COVID-19 clinical management guideline who were treated in a 13-bed adult tertiary-level critical care unit of a tertiary level hospital.
Brazilian Journal of Anesthesiology (English Edition), 2021
BACKGROUND AND OBJECTIVE This retrospective and observational study aimed to retrospectively eval... more BACKGROUND AND OBJECTIVE This retrospective and observational study aimed to retrospectively evaluate the use of the Endotracheal Tube (ETT) and the Laryngeal Mask Airway (LMA) for the airway management with respect to airway safety, hemodynamic stability, adverse respiratory events, and recovery characteristics in patients who underwent endovascular treatment for cerebrovascular arteriovenous malformation under general anesthesia between 2011 and 2018. METHODS The study included data from the patient's electronic medical records and anesthesia files. The primary outcome measure was the incidence of hemodynamic disturbances and respiratory adverse events during airway management. The secondary outcome measure was the comparison of recovery characteristics. RESULTS The airway was secured using ETT in 41 patients and LMA in 39 patients. Airway safety was established in all patients without a complication throughout the procedure. Mean arterial blood pressure levels and heart rate were increased to > 20% of baseline levels at intubation and extubation periods in more patients in the ETT group than the LMA group (27 vs. 3; p = 0.07, and 11 vs. 2; p = 0.021). Respiratory adverse events including straining and coughing were observed in ten patients in the ETT group but only in one patient in the LMA group (p = 0.013). Time to extubation, to neurological assessment, and to discharge from the angiography unit were similar (p > 0.05). CONCLUSION It was concluded that LMA provided sufficient airway safety as with ETT and may be used as an alternative to ETT for EVTs under general anesthesia.
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2020
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2008
The airway management of acromegalic patients becomes difficult because of the pressure caused by... more The airway management of acromegalic patients becomes difficult because of the pressure caused by the excessive growth of thryoid gland and the soft tissue on the trachea. The difficulties of intubation and ventilation must be considered. A fiftyeight years old male patient who had tracheal obstruction due to excessive growth of thyroid gland because of acromegaly is presented. A successful intubation after the induction was performed. Anesthesia was continued with O2/air mixture and sevoflourane. The perioperative vital signs and haemodynamic parameters were stabil. After the surgical intervention, the paitent was followed in the intensive care unit. He was intubate and under mechanical ventilation. In the second postoperative day, he was extubated without a complication. We believe that when a difficult intubation is expected, a complete preoperative evaluation, anesthesia management, preoperative determination of the equipment and excessive monitorisation is mandatory.
Bratislavské lekárske listy, 2011
The aim of this study is to compare the efficiency of propofol+remifentanil to propofol+alfentani... more The aim of this study is to compare the efficiency of propofol+remifentanil to propofol+alfentanil in reducing pain in patients with urinary system stones undergoing outpatient Extracorporeal Shock Wave Lithotripsy (ESWL). In this prospective study, 30 patients, ASA (American Society of Anesthesiologist) I-II, who are 18-60 years old and undergoing Extracorporeal Shock Wave Lithotripsy for urinary system stones were included. Patients were randomly selected for either propofol+remifentanil (Group PR) or propofol+alfentanil treatment (Group PA). Propofol was given at a dose 1 mg/kg, and then 5mg doses were given to maintain a BIS (Bispectral Index) level 60-70. Remifentanil (0.2 microg/kg (-1) bolus dose and later 0.02 microgkg(-1) min(-1) infusions) was given to the group PR and alfentanil (bolus dose 7 microgkg(-1) and later with 0.7 microgkg(-1) min(-1) infusions) was given to the group PA. If needed, the patients might use 10 ig remifentanil and 50 ig alfentanil bolus doses in gr...
Journal of the Turkish Anaesthesiology and Intensive Care Society, 2011
Goldenhar sendromu 1. ve 2. Brankiyal ark anomalisiyle karakterize ender bir sendromdur. Bu sendr... more Goldenhar sendromu 1. ve 2. Brankiyal ark anomalisiyle karakterize ender bir sendromdur. Bu sendromla ilişkili anomaliler fasiyal hipoplazi, mikrognati, hipoplastik zigomatik ark, eksternal kulak anomalileri, işitme kaybı, oral kavite anomalileri ve servikal vertebral anomalilerdir. Goldenhar sendromu tanısı almış hastalar zor hava yolu ile karşımıza çıkar. Trakeal entübasyon hava yolu ve servikal vertebral anomalilere ve maske ile ventilasyon asimetrik yüz yapısına bağlı olarak güç olabilir. Biz güç entübasyonla karşılaştığımız iki Goldenhar sendromlu olguyu sunmak istedik. İlk olguda cerrahi için hastayı güçlükle entübe ettik daha sonra aynı hastaya MR görüntülemesi sırasında larengeal maske kullandık. Diğer olguda entübasyon için fiberoptik bronkoskop kullandık.
Turkish Journal of Medical Sciences, 2022
Background/aim: The quality of recovery-15 (QoR-15) is a patient reported outcome questionnaire t... more Background/aim: The quality of recovery-15 (QoR-15) is a patient reported outcome questionnaire that measures the quality of recovery after surgery and anesthesia. The QoR-15 has been validated in many languages; Turkish version of the QoR-15 has not yet been established. The aims of this study were to translate the QoR-15 questionnaire into Turkish and to perform a full psychometric evaluation of the Turkish version. Materials and methods: After translating the original English version of the QoR-15 scale into Turkish, the QoR-15T scale was psychometrically validated. This process included validity, reliability, responsiveness, feasibility. The QoR-15T was evaluated before the surgery and 24 h after surgery. Results: A total of 210 patients completed the pre-and postoperative questionnaires, providing a completion rate of 93.75%. The correlation coefficient between QoR-15T score and VAS score was 0.644 on postoperative day 1 (p < 0.001). Inter item Cronbach's alpha was 0.863. Global test-retest concordance coefficient was 0.98 (95% CI: 0.94-1.00). Conclusion: The QoR-15T scale is a reliable and valid instrument for evaluating postoperative quality of recovery in Turkish speaking patients. The psychometric characteristics used to assess postoperative quality of recovery were similar to those in the English version.
Current Therapeutic Research, 2010
Background: Respiratory distress is a rare complication of outpatient shoulder arthroscopy and mo... more Background: Respiratory distress is a rare complication of outpatient shoulder arthroscopy and mostly associated with general anesthesia, pneumothorax, anaphylaxis, or phrenic nerve paralysis. Objective: We report on a shoulder arthroscopy complicated by tracheal compression caused by extravasation of irrigation fluid into soft tissues of the upper airway while the patient was in the beach-chair position under general anesthesia.
Journal of Pediatric Orthopaedics, 2020
Background: Substantially increased operative time and amount of bleeding may complicate the cour... more Background: Substantially increased operative time and amount of bleeding may complicate the course of surgical treatment in neuromuscular scoliosis. A well-organized team approach is required to reduce morbidity. The aim of this study is to review our early, short-term surgical outcomes with our new integrated approach that includes a 2-attending surgeon team and modifications in the anesthesia protocol in low-tone neuromuscular scoliosis and compare with a matched cohort of our historic patients. Methods: We retrospectively reviewed our patients with (1) neuromuscular scoliosis with collapsing spine deformity, (2) low-tone neuromuscular etiology, (3) multilevel posterior column osteotomies with posterior all pedicle screw spinal fusion, and (4) more than 1-year follow-up. Patients were grouped into 2: group 1 consisted of patients managed with the integrated surgical team approach, group 2 included the matched historic patients. Results: There were 16 patients in group 1 and 17 pa...
Anaesthesist, Sep 21, 2020
In recent years, promising results were achieved with the use of ultrasound (US)-guided interfasc... more In recent years, promising results were achieved with the use of ultrasound (US)-guided interfascial plane blocks for effective postoperative analgesia in several surgeries. Erector spina plane (ESP) block and mid-transverse to pleura plane (MTP) block are the latest techniques in this area. The aim of this prospective and randomized study was to compare the postoperative analgesic efficacy of bilateral ESP and MTP blocks in patients undergoing lumbar spinal surgery under general anesthesia (GA). A total of 120 adult patients were included in the study and randomized into 3 groups: group ESP (n = 40), group MTP (n = 40) and group Control (n = 40). The patients in the group ESP received a bilateral block by injecting 20 ml of 0.25% bupivacaine at a vertebrae level in the mid-point of the incision before GA. The same LA was administrated bilaterally at the T12/L1 level in the group MTP. Postoperatively, a multimodal analgesic regimen including an intravenous tramadol patient-controlled analgesia (PCA), paracetamol and dexketoprofen was used in all groups. Postoperative pain was assessed using a visual analogue scale (VAS) during the first 48 postoperative hours. Pethidine was used as a rescue analgesic when VAS score was >3. Primary outcome measure was mean pain scores. Secondary outcome measures were consumption of rescue analgesic and the amount of tramadol delivered by PCA. A p < 0.05 was considered statistically significant. Mean VAS scores were significantly higher in the group Control than in the group MTP and group ESP at all-time points during 48 h (Control > MTP > ESP; p < 0.001). Mean VAS scores were lower in group ESP than group MTP in postoperative 12 h (p < 0.001). Rescue analgesic consumption, number of bolus demand on PCA, PCA bolus demand dose, total PCA dose, and complications related to opioid consumption were highest in control group and lowest in ESP group (Control > MTP > ESP; p < 0.001). Both ESP and MTP blocks provided effective pain relief after lumbar spinal surgery but the ESP block was superior to MTP block regarding postoperative analgesia in the first 24 h.
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2021
Gulhane Medical Journal, Dec 20, 2021
Aims: As the enhanced recovery after surgery (ERAS) concept gains popularity in the surgical prac... more Aims: As the enhanced recovery after surgery (ERAS) concept gains popularity in the surgical practice, the anesthetic technique has a more important effect on the postoperative course, especially in aged population. The aim of this study was to compare general anesthesia (GA) with spinal anesthesia (SA) regarding the perioperative outcomes with respect to the ERAS protocols in open prostatectomy (OP) for benign prostate hyperplasia. Methods: This retrospective study included patients between 40 and 90 years of age who underwent elective OP between 2014 and 2020. Data were collected from hospital's database, patient files, and anesthesia charts. The exclusion criteria were malignancy, lost to followup, and missing data. Primary outcome measures were perioperative variables. Secondary outcome measures were factors influencing hospital discharge time. Results: Of 105 patients (age, mean±SD: 68.3±5.7 years) included in the study, 61 patients were administered in GA (group GA) and 44 in SA (group SA). As the primary outcome measures, when compared with group SA, deliberate hypotensive anesthesia was required in more patients [26 (42.6%) vs. 15 (34.1%); p=0.027] and transfusion rate was higher (6.5% vs. 4.5%; p=0.044) in group GA. Mean visual analogue scale score (3.6±1.1 vs. 2.8±0.4; p=0.040) and opioid consumption (32.8±4.4 vs. 26.3±4.9 mg; p=0.088) were higher, and time to first rescue analgesic use was also shorter (1.1±0.9 vs. 4.7±1.3 hours; p=0.011) in group GA when compared with group SA. Conclusions: This study showed that SA was superior to GA in maintaining hemodynamic stability, reducing blood loss, complications, postoperative analgesia requirement, and time to discharge, which are the main goals of ERAS protocols.
Nigerian Journal of Clinical Practice, 2022
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2020
Hip arthroscopy (HA) is the most recently introduced arthroscopic procedure in orthopedic surgery... more Hip arthroscopy (HA) is the most recently introduced arthroscopic procedure in orthopedic surgery. Since the first description by Burman in cadaveric studies in 1931 and the use in clinical practice in 1970's, HA gained a worldwide popularity as well as in our country as a diagnostic and
Resuscitation, May 1, 2014
After turning on the machine AED paddles were attached on a manikin (ALS trainer by Laerdal Medic... more After turning on the machine AED paddles were attached on a manikin (ALS trainer by Laerdal Medical, Norway) and the performance both for shockable and non-shockable rhythms were tested. Results: Rhythm analysis times were identical when comparing shockable and non-shockable rhythms (10.4 ± 2.5 s,) and only in 3/8 (37.5%) AEDs was less than 10 s. The mean charging time was 7.4 ± 3.4 s and only in 1/8 (12.5%) AEDs was more than 10 s. A not recommended latency of 6.2 ± 2.2 s has been found between shock delivery and the indication to resume CPR with a resulting mean paddles to CPR time of 23.9 ± 5 s and in 0/8 AEDs was less than 10 s. While all the machines correctly identified sinus rhythm, ventricular fibrillation (VF) and asystole only 6/8 (75%) and 1/8 (12.5%) AEDs classified as shockable a fast ventricular tachycardia (VT) at 225 bpm and a slow VT at 125 bpm respectively. When the rhythm was changed during the charging phase only 3/8 (37.5%) AEDs recognized the changing and did not indicate the shock. Conclusion: AED performance may really affect the quality of CPR because of interruptions often longer than ten seconds in disagreement with international guidelines. Industry leaders should focus their research in that direction.
Türk anestezi ve reanimasyon dergisi, 2011
... Mehmet Anıl Süzer*, Mehmet Özgür Özhan*, Mehmet Burak Eşkin**, Bülent Atik***, Ceyda Çaparlar... more ... Mehmet Anıl Süzer*, Mehmet Özgür Özhan*, Mehmet Burak Eşkin**, Bülent Atik***, Ceyda Çaparlar**** *Tdv Özel 29 Mayıs Hastanesi, Anesteziyoloji ve ... 20&#x27;lik formülasyonda-ki lipid emülsiyonları % 20 oranında soya yağı, yumurta fosfolipidleri (% 1,2), gli-serin (% 2,25) ve su ...
Turkish Journal of Medical Sciences, 2010
Journal of health sciences and medicine, Mar 15, 2022
Aim: Factor analysis is a statistical approach used mainly in social science scale development sy... more Aim: Factor analysis is a statistical approach used mainly in social science scale development systems. The aim of this study was to evaluate the performance of factorial structures formed by laboratory values in predicting mortality in severe COVID-19 patients. Material and Method: The study included 281 patients diagnosed with ''severe coronavirus infection'' according to the WHO COVID-19 clinical management guideline who were treated in a 13-bed adult tertiary-level critical care unit of a tertiary level hospital.
Brazilian Journal of Anesthesiology (English Edition), 2021
BACKGROUND AND OBJECTIVE This retrospective and observational study aimed to retrospectively eval... more BACKGROUND AND OBJECTIVE This retrospective and observational study aimed to retrospectively evaluate the use of the Endotracheal Tube (ETT) and the Laryngeal Mask Airway (LMA) for the airway management with respect to airway safety, hemodynamic stability, adverse respiratory events, and recovery characteristics in patients who underwent endovascular treatment for cerebrovascular arteriovenous malformation under general anesthesia between 2011 and 2018. METHODS The study included data from the patient's electronic medical records and anesthesia files. The primary outcome measure was the incidence of hemodynamic disturbances and respiratory adverse events during airway management. The secondary outcome measure was the comparison of recovery characteristics. RESULTS The airway was secured using ETT in 41 patients and LMA in 39 patients. Airway safety was established in all patients without a complication throughout the procedure. Mean arterial blood pressure levels and heart rate were increased to > 20% of baseline levels at intubation and extubation periods in more patients in the ETT group than the LMA group (27 vs. 3; p = 0.07, and 11 vs. 2; p = 0.021). Respiratory adverse events including straining and coughing were observed in ten patients in the ETT group but only in one patient in the LMA group (p = 0.013). Time to extubation, to neurological assessment, and to discharge from the angiography unit were similar (p > 0.05). CONCLUSION It was concluded that LMA provided sufficient airway safety as with ETT and may be used as an alternative to ETT for EVTs under general anesthesia.
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2020
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2008
The airway management of acromegalic patients becomes difficult because of the pressure caused by... more The airway management of acromegalic patients becomes difficult because of the pressure caused by the excessive growth of thryoid gland and the soft tissue on the trachea. The difficulties of intubation and ventilation must be considered. A fiftyeight years old male patient who had tracheal obstruction due to excessive growth of thyroid gland because of acromegaly is presented. A successful intubation after the induction was performed. Anesthesia was continued with O2/air mixture and sevoflourane. The perioperative vital signs and haemodynamic parameters were stabil. After the surgical intervention, the paitent was followed in the intensive care unit. He was intubate and under mechanical ventilation. In the second postoperative day, he was extubated without a complication. We believe that when a difficult intubation is expected, a complete preoperative evaluation, anesthesia management, preoperative determination of the equipment and excessive monitorisation is mandatory.
Bratislavské lekárske listy, 2011
The aim of this study is to compare the efficiency of propofol+remifentanil to propofol+alfentani... more The aim of this study is to compare the efficiency of propofol+remifentanil to propofol+alfentanil in reducing pain in patients with urinary system stones undergoing outpatient Extracorporeal Shock Wave Lithotripsy (ESWL). In this prospective study, 30 patients, ASA (American Society of Anesthesiologist) I-II, who are 18-60 years old and undergoing Extracorporeal Shock Wave Lithotripsy for urinary system stones were included. Patients were randomly selected for either propofol+remifentanil (Group PR) or propofol+alfentanil treatment (Group PA). Propofol was given at a dose 1 mg/kg, and then 5mg doses were given to maintain a BIS (Bispectral Index) level 60-70. Remifentanil (0.2 microg/kg (-1) bolus dose and later 0.02 microgkg(-1) min(-1) infusions) was given to the group PR and alfentanil (bolus dose 7 microgkg(-1) and later with 0.7 microgkg(-1) min(-1) infusions) was given to the group PA. If needed, the patients might use 10 ig remifentanil and 50 ig alfentanil bolus doses in gr...
Journal of the Turkish Anaesthesiology and Intensive Care Society, 2011
Goldenhar sendromu 1. ve 2. Brankiyal ark anomalisiyle karakterize ender bir sendromdur. Bu sendr... more Goldenhar sendromu 1. ve 2. Brankiyal ark anomalisiyle karakterize ender bir sendromdur. Bu sendromla ilişkili anomaliler fasiyal hipoplazi, mikrognati, hipoplastik zigomatik ark, eksternal kulak anomalileri, işitme kaybı, oral kavite anomalileri ve servikal vertebral anomalilerdir. Goldenhar sendromu tanısı almış hastalar zor hava yolu ile karşımıza çıkar. Trakeal entübasyon hava yolu ve servikal vertebral anomalilere ve maske ile ventilasyon asimetrik yüz yapısına bağlı olarak güç olabilir. Biz güç entübasyonla karşılaştığımız iki Goldenhar sendromlu olguyu sunmak istedik. İlk olguda cerrahi için hastayı güçlükle entübe ettik daha sonra aynı hastaya MR görüntülemesi sırasında larengeal maske kullandık. Diğer olguda entübasyon için fiberoptik bronkoskop kullandık.