Umit Tekelioglu - Academia.edu (original) (raw)

Papers by Umit Tekelioglu

Research paper thumbnail of Colostomy with Transversus Abdominis Plane Block

Turkish journal of anaesthesiology and reanimation, 2015

Transversus abdominis plane (TAP) block is one of the abdominal field block. The TAP block is use... more Transversus abdominis plane (TAP) block is one of the abdominal field block. The TAP block is used for both anaesthetic management and post-operative pain therapy in lower abdominal surgery. TAP block is a procedure in which local anaesthetic agents are applied to the anatomic neurofacial space between the internal oblique and the transversus abdominis muscle. TAP block is a good method for post-operative pain control as well as allows for short operations involving the abdominal area. In this article, a case of colostomy under TAP block is presented.

Research paper thumbnail of Pseudo-subarachnoid hemorrhage and death after a bee sting

Medicinski glasnik

We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid ... more We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid hemorrhage (SAH) at 36-hour follow-up after successful cardiopulmonary resuscitation for anaphylactic shock as a result of a bee sting. The patient died on the sixth day of the follow-up due to multiple organ failure and brain herniation. Our case suggests that the SAH-like findings on computed tomography scanning were not a new complication ("real" SAH) arising from the bee sting; rather, it was a pseudo-SAH related to prolonged cardiopulmonary resuscitation).

Research paper thumbnail of The prolonged effect of pneumoperitoneum on cardiac autonomic functions during laparoscopic surgery; are we aware?

European review for medical and pharmacological sciences

The gynecological laparoscopic surgery requires pneumoperitoneum (PP) with CO2 gas insufflation. ... more The gynecological laparoscopic surgery requires pneumoperitoneum (PP) with CO2 gas insufflation. CO2 PP may influence cardiac automic function (CAF). This study was conducted to assess its significance and the prolonged effects of CO2 PP on the activity of the cardiac autonomic function 24 hours after the operation by heart rate turbulence (HRT) and heart rate variability (HRV), first time in the literature. Fifty patients scheduled for elective gynecologic laparoscopy were evaluated. The patients had no preexisting lung or heart disease or pathologic lung function. Conventional general anesthesia with midazolam, propofol, fentanyl, rocuronium, and sevoflurane was administered. ECG recordings were carried out between before 4 h from surgery and the beginning of anesthesia (T1), induction of PP and CO2 evacuation (T2) and a 24-h period postoperatively (T3). The Holter recordings of all patients were analyzed by HRT and HRV. There were significant reductions in in HRV and HRT paramete...

Research paper thumbnail of A comparison of the effects of lidocaine or magnesium sulfate on hemodynamic response and QT dispersion related with intubation in patients with hypertension

Acta anaesthesiologica Belgica, 2014

The aim of this study was to investigate the effect of magnesium administered before induction on... more The aim of this study was to investigate the effect of magnesium administered before induction on the hemodynamic response and QT dispersion (QTd) related with intubation in hypertensive patients and to compare it with lidocaine. Patients with essential hypertension who were under ≤ 65 years old, scheduled for elective surgery with a Mallampati score of I-II were included in the study. Patients were randomly divided into three groups; group M (n = 20) received magnesium sulfate, group L was prescribed lidocaine, and group C (control group) received saline. Standard 12-lead ECG readings were taken before the induction of anesthesia and at the first and fifth minutes following intubation. There were no statistically significant differences between the groups in terms of age, sex and demographic characteristics. There was no significant difference in the QT interval values before induction and 5 minutes after intubation in all groups. In group M, QTd values were significantly lower at ...

Research paper thumbnail of Torsades de Pointes due to ischemic stroke

Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2013

Cardiac and cerebrovascular illnesses are among the leading causes of mortality and morbidity tod... more Cardiac and cerebrovascular illnesses are among the leading causes of mortality and morbidity today. Thromboembolic cases, which are the result of cardiac arrhythmia, are one of the important causes of cerebral stroke. However, various abnormalities, especially ST-T wave changes on electrocardiography can be seen in patients who do not have any heart disease history but had ischemic cerebral stroke. In this study, we have presented an interesting case of Torsades de Pointes due to ischemic cerebral stroke.

Research paper thumbnail of Pseudo-subarachnoid hemorrhage and death after a bee sting

Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2013

We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid ... more We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid hemorrhage (SAH) at 36-hour follow-up after successful cardiopulmonary resuscitation for anaphylactic shock as a result of a bee sting. The patient died on the sixth day of the follow-up due to multiple organ failure and brain herniation. Our case suggests that the SAH-like findings on computed tomography scanning were not a new complication ("real" SAH) arising from the bee sting; rather, it was a pseudo-SAH related to prolonged cardiopulmonary resuscitation).

Research paper thumbnail of Dexamethasone added to levobupivacaine in ultrasound-guided tranversus abdominis plain block increased the duration of postoperative analgesia after caesarean section: a randomized, double blind, controlled trial

European review for medical and pharmacological sciences

When added to local anaesthetics, dexamethasone can prolong the duration of peripheral blocks. De... more When added to local anaesthetics, dexamethasone can prolong the duration of peripheral blocks. Dexamethasone has a long and efficient glucocorticoid structure and presents anti-inflammatory properties. The aim of this study was to determine the effect of dexamethasone on the block duration added to levobupivacaine used for transversus abdominis block (TAP) applied to patients who underwent caesarean section. Forty-two patients with spinal anaesthesia in an American Society of Anesthesiologists (ASA) I-II risk group were included in the study and divided into two groups. Bilateral 30 ml 0.25% levobupivacaine and 2 ml 0.9% NaCl for the levobupivacaine group and bilateral 30 ml 0.25% levobupivacaine and 2 ml dexamethasone (8 mg) for the dexamethasone group were administered in a TAP block performed with ultrasonography. The time need for the first analgesic in the postoperative period was recorded. The numeric evaluation scale, and the total additional analgesic amounts were recorded. ...

Research paper thumbnail of Evaluation of the olfactory memory after spinal anesthesia: a pilot study

European review for medical and pharmacological sciences

The aim of this study was to investigate the effect of spinal anesthesia (SA) on olfactory memory... more The aim of this study was to investigate the effect of spinal anesthesia (SA) on olfactory memory using Brief-Smell Identification TestTM (B-SIT). This, prospective, clinical study was performed on 40 ASA physical status I-III patients, between 18-65 years of age undergoing a planned elective minor surgery under SA. All participants were preoperatively informed about B-SIT and the mode of application of the test according to the information in the book. B-SIT was applied to each patient preoperatively and the scores were recorded. B-SIT was reapplied to all patients on the 1st and 2nd postoperative days and the scores were recorded. Moreover, development of postdural puncture headache (PDPH) and/or neurological symptoms (such as hearing loss, diplopia) were checked. Postoperative headache was observed in 7 of the participants and 3 of them was diagnosed to have PDPH. No statistically significant difference was observed in the olfactory memory evaluation of the patients suffering fro...

Research paper thumbnail of The diagnostic significance of NT-proBNP and troponin I in emergency department patients presenting with palpitations

Clinics (São Paulo, Brazil), 2013

This prospective study investigated the diagnostic significance of the N-terminal pro-brain natri... more This prospective study investigated the diagnostic significance of the N-terminal pro-brain natriuretic (NT-proBNP) and troponin I peptides in emergency department patients presenting with palpitations. Two groups of patients with palpitations but without documented supraventricular tachycardia were compared: a group with supraventricular tachycardia (n = 49) and a control group (n = 47). Both groups were diagnosed using electrophysiological studies during the study period. Blood samples were obtained from all of the patients to determine the NT-proBNP and troponin I levels within the first hour following arrival in the emergency department. The mean NT-proBNP levels were 207.74±197.11 in supraventricular tachyarrhythmia group and 39.99±32.83 pg/mL in control group (p<0.001). To predict supraventricular tachycardia, the optimum NT-proBNP threshold was 61.15 pg/mL, as defined by the receiver operating characteristic (ROC) curve, with a non-significant area under the ROC curve of 0...

Research paper thumbnail of Ultrasound-guided femoral and sciatic nerve blocks combined with sedoanalgesia versus spinal anesthesia in total knee arthroplasty

Korean Journal of Anesthesiology, 2014

Background: Although regional anesthesia is the first choice for patients undergoing total knee a... more Background: Although regional anesthesia is the first choice for patients undergoing total knee arthroplasty (TKA), it may not be effective and the risk of complications is greater in patients who are obese or who have spinal deformities. We compared the success of ultrasound-guided femoral and sciatic nerve blocks with sedoanalgesia versus spinal anesthesia in unilateral TKA patients in whom spinal anesthesia was difficult. Methods: We enrolled 30 patients; 15 for whom spinal anesthesia was expected to be difficult were classified as the block group, and 15 received spinal anesthesia. Regional anesthesia was achieved with bupivacaine 62.5 mg and prilocaine 250 mg to the sciatic nerve, and bupivacaine 37.5 mg and prilocaine 150 mg to the femoral nerve. Bupivacaine 20 mg was administered to induce spinal anesthesia. Hemodynamic parameters, pain and sedation scores, and surgical and patient satisfaction were compared. Results: A sufficient block could not be obtained in three patients in the block group. The arterial pressure was significantly lower in the spinal group (P < 0.001), and the incidence of nausea was higher (P = 0.017) in this group. Saturation and patient satisfaction were lower in the block group (P < 0.028), while the numerical pain score (P < 0.046) and the Ramsay sedation score were higher (P = 0.007). Conclusions: Ultrasound-guided sciatic and femoral nerve blocks combined with sedoanalgesia were an alternative anesthesia method in selected TKA patients. (Korean J Anesthesiol 2014; 67: 90-95)

Research paper thumbnail of At Open Heart Surgery; is the Side Graft Axillary Artery Canulation Technique Safe?

Erciyes Tıp Dergisi/Erciyes Medical Journal, 2013

Research paper thumbnail of Woven Coronary Artery Anomaly Associated with Acute Coronary Syndrome

International Journal of Angiology, 2013

The woven coronary artery anomaly is a rare congenital anomaly in which a coronary artery is divi... more The woven coronary artery anomaly is a rare congenital anomaly in which a coronary artery is divided into thin channels that merge again into the distal lumen. Only a few cases of woven coronary artery have been reported in the literature. This anomaly is accepted as a benign condition. We describe a case of acute coronary syndrome in a patient with woven coronary artery anomaly.

Research paper thumbnail of Submental Orotracheal Intubation in Maxillofacial Fracture Surgery: Report of Two Cases

Turkish Journal of Anesthesia and Reanimation, 2013

Maksillofasyal travmalar, üst solunum yolunu etkileyen ve anatomik yapıların değişmesine neden ol... more Maksillofasyal travmalar, üst solunum yolunu etkileyen ve anatomik yapıların değişmesine neden olan ciddi yaralanmalardır. Bu durum, planlanan cerrahi ve anestezi uygulamalarının konforunu ve havayolu güvenliğini etkilemektedir. Bu tür girişimlerde orotrakeal entübasyon, intermaksiller fiksasyon yapılmasına engel oluşturur (1). Çok parçalı orta yüz kırıkları ve nazo-orbito-etmoidal kırıkları da, nazotrakeal tüpün yerleştirilmesine engel oluşturmaktadır (2). Çoklu yüz travması travma veya hipoplastik burun nedeniyle nazal yerleştirilemeyen endotrakeal tüp, submental orotrakeal entübasyon (SOE) yöntemiyle yerleştirilebilir (1).

Research paper thumbnail of Fiberoptic awake intubation in a patient with Cervico-Oksiptal fixator

Turkish Journal of Anesthesia and Reanimation, 2013

ABSTRACT

Research paper thumbnail of Sugammadex associate persistant bradycardia

International Journal of Medical Science and Public Health, 2014

Research paper thumbnail of Hypereosinophilic Syndrome with Pulmonary Involvement As a Rare Cause of ARDS

Journal of Academic Emergency Medicine, 2013

Research paper thumbnail of Comparación de los efectos de sulfato de magnesio y dexmedetomidina sobre la calidad de la visibilidad en cirugía endoscópica sinusal: estudio clínico aleatorizado

Brazilian Journal of Anesthesiology (Edicion en Espanol), 2014

Cómo citar este artículo: Akkaya A, et al. Comparación de los efectos de sulfato de magnesio y de... more Cómo citar este artículo: Akkaya A, et al. Comparación de los efectos de sulfato de magnesio y dexmedetomidina sobre la calidad de la visibilidad en cirugía endoscópica sinusal: estudio clínico aleatorizado. Rev Bras Anestesiol. 2014. http://dx.

Research paper thumbnail of Comparação dos efeitos de sulfato de magnésio e da dexmedetomidina sobre a qualidade da visibilidade em cirurgia endoscópica sinusal: estudo clínico randomizado

Brazilian Journal of Anesthesiology, 2014

Como citar este artigo: Akkaya A, et al. Comparação dos efeitos de sulfato de magnésio e da dexme... more Como citar este artigo: Akkaya A, et al. Comparação dos efeitos de sulfato de magnésio e da dexmedetomidina sobre a qualidade da visibilidade em cirurgia endoscópica sinusal: estudo clínico randomizado. Rev Bras Anestesiol. 2014. http://dx.Como citar este artigo: Akkaya A, et al. Comparação dos efeitos de sulfato de magnésio e da dexmedetomidina sobre a qualidade da visibilidade em cirurgia endoscópica sinusal: estudo clínico randomizado. Rev Bras Anestesiol. 2014. http://dx. No. of Pages 7 2 A. Akkaya et al. Conclusão: por causa da redução da taxa de sangramento e da frequência cardíaca em cirurgia endoscópica e dos impactos positivos sobre a duração da cirurgia, consideramos dexmedetomidina como melhor opção que o sulfato de magnésio.

Research paper thumbnail of Effect of Pregabalin and Dexamethasone on Postoperative Analgesia after Septoplasty

Pain Research and Treatment, 2014

Objectives. The aim of this study was to explore effect of a combination of pregabalin and dexame... more Objectives. The aim of this study was to explore effect of a combination of pregabalin and dexamethasone on pain control after septoplasty operations. Methods. In this study, 90 patients who were scheduled for septoplasty under general anesthesia were randomly assigned into groups that received either placebo (Group C), pregabalin (Group P), or pregabalin and dexamethasone (Group PD). Preoperatively, patients received either pregabalin 300 mg one hour before surgery, dexamethasone 8 mg intravenously during induction, or placebo according to their allocation. Postoperative pain treatment included tramadol and diclofenac sodium 30 minutes before the end of the operation. Numeric rating scale (NRS) for pain assessment, side effects, and consumption of tramadol, pethidine, and ondansetron were recorded. Results. The median NRS score at the postoperative 0 and the 2nd h was significantly higher in Group C than in Group P and Group PD (P ≤ 0.004 for both). The 24 h tramadol and pethidine, consumptions were significantly reduced in Groups P and PD compared to Group C (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001 and P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The incidence of blurred vision was significantly higher in Group PD compared to Group C within both 0-2 h and 0-24 h periods (P = 0.002 and P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001, resp.). Conclusions. We conclude that administration of 300 mg pregabalin preoperatively may be an adequate choice for pain control after septoplasty. Addition of dexamethasone does not significantly reduce pain in these patients.

Research paper thumbnail of Our Experience in Percutaneous Endoscopic Gastrostomy

Journal of Academic Research in Medicine, 2013

ÖZET Amaç: Kritik hastaların bakım ve tedavisi sırasında enteral beslenme, enerji ihtiyacının kar... more ÖZET Amaç: Kritik hastaların bakım ve tedavisi sırasında enteral beslenme, enerji ihtiyacının karşılanması, vücut direncinin korunması, gastrointestinal sistem (GİS) florasının korunması ve translokasyonların önlenmesi açısından çok önemlidir. Bu çalışmadaki amacımız; hastanemizde PEG takılması planlanan hastaların PEG takılma endikasyonlarını, işlem sonrası komplikasyonlarını ve takipleri ile ilgili verileri sunmaktır.

Research paper thumbnail of Colostomy with Transversus Abdominis Plane Block

Turkish journal of anaesthesiology and reanimation, 2015

Transversus abdominis plane (TAP) block is one of the abdominal field block. The TAP block is use... more Transversus abdominis plane (TAP) block is one of the abdominal field block. The TAP block is used for both anaesthetic management and post-operative pain therapy in lower abdominal surgery. TAP block is a procedure in which local anaesthetic agents are applied to the anatomic neurofacial space between the internal oblique and the transversus abdominis muscle. TAP block is a good method for post-operative pain control as well as allows for short operations involving the abdominal area. In this article, a case of colostomy under TAP block is presented.

Research paper thumbnail of Pseudo-subarachnoid hemorrhage and death after a bee sting

Medicinski glasnik

We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid ... more We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid hemorrhage (SAH) at 36-hour follow-up after successful cardiopulmonary resuscitation for anaphylactic shock as a result of a bee sting. The patient died on the sixth day of the follow-up due to multiple organ failure and brain herniation. Our case suggests that the SAH-like findings on computed tomography scanning were not a new complication (&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;real&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; SAH) arising from the bee sting; rather, it was a pseudo-SAH related to prolonged cardiopulmonary resuscitation).

Research paper thumbnail of The prolonged effect of pneumoperitoneum on cardiac autonomic functions during laparoscopic surgery; are we aware?

European review for medical and pharmacological sciences

The gynecological laparoscopic surgery requires pneumoperitoneum (PP) with CO2 gas insufflation. ... more The gynecological laparoscopic surgery requires pneumoperitoneum (PP) with CO2 gas insufflation. CO2 PP may influence cardiac automic function (CAF). This study was conducted to assess its significance and the prolonged effects of CO2 PP on the activity of the cardiac autonomic function 24 hours after the operation by heart rate turbulence (HRT) and heart rate variability (HRV), first time in the literature. Fifty patients scheduled for elective gynecologic laparoscopy were evaluated. The patients had no preexisting lung or heart disease or pathologic lung function. Conventional general anesthesia with midazolam, propofol, fentanyl, rocuronium, and sevoflurane was administered. ECG recordings were carried out between before 4 h from surgery and the beginning of anesthesia (T1), induction of PP and CO2 evacuation (T2) and a 24-h period postoperatively (T3). The Holter recordings of all patients were analyzed by HRT and HRV. There were significant reductions in in HRV and HRT paramete...

Research paper thumbnail of A comparison of the effects of lidocaine or magnesium sulfate on hemodynamic response and QT dispersion related with intubation in patients with hypertension

Acta anaesthesiologica Belgica, 2014

The aim of this study was to investigate the effect of magnesium administered before induction on... more The aim of this study was to investigate the effect of magnesium administered before induction on the hemodynamic response and QT dispersion (QTd) related with intubation in hypertensive patients and to compare it with lidocaine. Patients with essential hypertension who were under ≤ 65 years old, scheduled for elective surgery with a Mallampati score of I-II were included in the study. Patients were randomly divided into three groups; group M (n = 20) received magnesium sulfate, group L was prescribed lidocaine, and group C (control group) received saline. Standard 12-lead ECG readings were taken before the induction of anesthesia and at the first and fifth minutes following intubation. There were no statistically significant differences between the groups in terms of age, sex and demographic characteristics. There was no significant difference in the QT interval values before induction and 5 minutes after intubation in all groups. In group M, QTd values were significantly lower at ...

Research paper thumbnail of Torsades de Pointes due to ischemic stroke

Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2013

Cardiac and cerebrovascular illnesses are among the leading causes of mortality and morbidity tod... more Cardiac and cerebrovascular illnesses are among the leading causes of mortality and morbidity today. Thromboembolic cases, which are the result of cardiac arrhythmia, are one of the important causes of cerebral stroke. However, various abnormalities, especially ST-T wave changes on electrocardiography can be seen in patients who do not have any heart disease history but had ischemic cerebral stroke. In this study, we have presented an interesting case of Torsades de Pointes due to ischemic cerebral stroke.

Research paper thumbnail of Pseudo-subarachnoid hemorrhage and death after a bee sting

Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2013

We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid ... more We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid hemorrhage (SAH) at 36-hour follow-up after successful cardiopulmonary resuscitation for anaphylactic shock as a result of a bee sting. The patient died on the sixth day of the follow-up due to multiple organ failure and brain herniation. Our case suggests that the SAH-like findings on computed tomography scanning were not a new complication ("real" SAH) arising from the bee sting; rather, it was a pseudo-SAH related to prolonged cardiopulmonary resuscitation).

Research paper thumbnail of Dexamethasone added to levobupivacaine in ultrasound-guided tranversus abdominis plain block increased the duration of postoperative analgesia after caesarean section: a randomized, double blind, controlled trial

European review for medical and pharmacological sciences

When added to local anaesthetics, dexamethasone can prolong the duration of peripheral blocks. De... more When added to local anaesthetics, dexamethasone can prolong the duration of peripheral blocks. Dexamethasone has a long and efficient glucocorticoid structure and presents anti-inflammatory properties. The aim of this study was to determine the effect of dexamethasone on the block duration added to levobupivacaine used for transversus abdominis block (TAP) applied to patients who underwent caesarean section. Forty-two patients with spinal anaesthesia in an American Society of Anesthesiologists (ASA) I-II risk group were included in the study and divided into two groups. Bilateral 30 ml 0.25% levobupivacaine and 2 ml 0.9% NaCl for the levobupivacaine group and bilateral 30 ml 0.25% levobupivacaine and 2 ml dexamethasone (8 mg) for the dexamethasone group were administered in a TAP block performed with ultrasonography. The time need for the first analgesic in the postoperative period was recorded. The numeric evaluation scale, and the total additional analgesic amounts were recorded. ...

Research paper thumbnail of Evaluation of the olfactory memory after spinal anesthesia: a pilot study

European review for medical and pharmacological sciences

The aim of this study was to investigate the effect of spinal anesthesia (SA) on olfactory memory... more The aim of this study was to investigate the effect of spinal anesthesia (SA) on olfactory memory using Brief-Smell Identification TestTM (B-SIT). This, prospective, clinical study was performed on 40 ASA physical status I-III patients, between 18-65 years of age undergoing a planned elective minor surgery under SA. All participants were preoperatively informed about B-SIT and the mode of application of the test according to the information in the book. B-SIT was applied to each patient preoperatively and the scores were recorded. B-SIT was reapplied to all patients on the 1st and 2nd postoperative days and the scores were recorded. Moreover, development of postdural puncture headache (PDPH) and/or neurological symptoms (such as hearing loss, diplopia) were checked. Postoperative headache was observed in 7 of the participants and 3 of them was diagnosed to have PDPH. No statistically significant difference was observed in the olfactory memory evaluation of the patients suffering fro...

Research paper thumbnail of The diagnostic significance of NT-proBNP and troponin I in emergency department patients presenting with palpitations

Clinics (São Paulo, Brazil), 2013

This prospective study investigated the diagnostic significance of the N-terminal pro-brain natri... more This prospective study investigated the diagnostic significance of the N-terminal pro-brain natriuretic (NT-proBNP) and troponin I peptides in emergency department patients presenting with palpitations. Two groups of patients with palpitations but without documented supraventricular tachycardia were compared: a group with supraventricular tachycardia (n = 49) and a control group (n = 47). Both groups were diagnosed using electrophysiological studies during the study period. Blood samples were obtained from all of the patients to determine the NT-proBNP and troponin I levels within the first hour following arrival in the emergency department. The mean NT-proBNP levels were 207.74±197.11 in supraventricular tachyarrhythmia group and 39.99±32.83 pg/mL in control group (p<0.001). To predict supraventricular tachycardia, the optimum NT-proBNP threshold was 61.15 pg/mL, as defined by the receiver operating characteristic (ROC) curve, with a non-significant area under the ROC curve of 0...

Research paper thumbnail of Ultrasound-guided femoral and sciatic nerve blocks combined with sedoanalgesia versus spinal anesthesia in total knee arthroplasty

Korean Journal of Anesthesiology, 2014

Background: Although regional anesthesia is the first choice for patients undergoing total knee a... more Background: Although regional anesthesia is the first choice for patients undergoing total knee arthroplasty (TKA), it may not be effective and the risk of complications is greater in patients who are obese or who have spinal deformities. We compared the success of ultrasound-guided femoral and sciatic nerve blocks with sedoanalgesia versus spinal anesthesia in unilateral TKA patients in whom spinal anesthesia was difficult. Methods: We enrolled 30 patients; 15 for whom spinal anesthesia was expected to be difficult were classified as the block group, and 15 received spinal anesthesia. Regional anesthesia was achieved with bupivacaine 62.5 mg and prilocaine 250 mg to the sciatic nerve, and bupivacaine 37.5 mg and prilocaine 150 mg to the femoral nerve. Bupivacaine 20 mg was administered to induce spinal anesthesia. Hemodynamic parameters, pain and sedation scores, and surgical and patient satisfaction were compared. Results: A sufficient block could not be obtained in three patients in the block group. The arterial pressure was significantly lower in the spinal group (P < 0.001), and the incidence of nausea was higher (P = 0.017) in this group. Saturation and patient satisfaction were lower in the block group (P < 0.028), while the numerical pain score (P < 0.046) and the Ramsay sedation score were higher (P = 0.007). Conclusions: Ultrasound-guided sciatic and femoral nerve blocks combined with sedoanalgesia were an alternative anesthesia method in selected TKA patients. (Korean J Anesthesiol 2014; 67: 90-95)

Research paper thumbnail of At Open Heart Surgery; is the Side Graft Axillary Artery Canulation Technique Safe?

Erciyes Tıp Dergisi/Erciyes Medical Journal, 2013

Research paper thumbnail of Woven Coronary Artery Anomaly Associated with Acute Coronary Syndrome

International Journal of Angiology, 2013

The woven coronary artery anomaly is a rare congenital anomaly in which a coronary artery is divi... more The woven coronary artery anomaly is a rare congenital anomaly in which a coronary artery is divided into thin channels that merge again into the distal lumen. Only a few cases of woven coronary artery have been reported in the literature. This anomaly is accepted as a benign condition. We describe a case of acute coronary syndrome in a patient with woven coronary artery anomaly.

Research paper thumbnail of Submental Orotracheal Intubation in Maxillofacial Fracture Surgery: Report of Two Cases

Turkish Journal of Anesthesia and Reanimation, 2013

Maksillofasyal travmalar, üst solunum yolunu etkileyen ve anatomik yapıların değişmesine neden ol... more Maksillofasyal travmalar, üst solunum yolunu etkileyen ve anatomik yapıların değişmesine neden olan ciddi yaralanmalardır. Bu durum, planlanan cerrahi ve anestezi uygulamalarının konforunu ve havayolu güvenliğini etkilemektedir. Bu tür girişimlerde orotrakeal entübasyon, intermaksiller fiksasyon yapılmasına engel oluşturur (1). Çok parçalı orta yüz kırıkları ve nazo-orbito-etmoidal kırıkları da, nazotrakeal tüpün yerleştirilmesine engel oluşturmaktadır (2). Çoklu yüz travması travma veya hipoplastik burun nedeniyle nazal yerleştirilemeyen endotrakeal tüp, submental orotrakeal entübasyon (SOE) yöntemiyle yerleştirilebilir (1).

Research paper thumbnail of Fiberoptic awake intubation in a patient with Cervico-Oksiptal fixator

Turkish Journal of Anesthesia and Reanimation, 2013

ABSTRACT

Research paper thumbnail of Sugammadex associate persistant bradycardia

International Journal of Medical Science and Public Health, 2014

Research paper thumbnail of Hypereosinophilic Syndrome with Pulmonary Involvement As a Rare Cause of ARDS

Journal of Academic Emergency Medicine, 2013

Research paper thumbnail of Comparación de los efectos de sulfato de magnesio y dexmedetomidina sobre la calidad de la visibilidad en cirugía endoscópica sinusal: estudio clínico aleatorizado

Brazilian Journal of Anesthesiology (Edicion en Espanol), 2014

Cómo citar este artículo: Akkaya A, et al. Comparación de los efectos de sulfato de magnesio y de... more Cómo citar este artículo: Akkaya A, et al. Comparación de los efectos de sulfato de magnesio y dexmedetomidina sobre la calidad de la visibilidad en cirugía endoscópica sinusal: estudio clínico aleatorizado. Rev Bras Anestesiol. 2014. http://dx.

Research paper thumbnail of Comparação dos efeitos de sulfato de magnésio e da dexmedetomidina sobre a qualidade da visibilidade em cirurgia endoscópica sinusal: estudo clínico randomizado

Brazilian Journal of Anesthesiology, 2014

Como citar este artigo: Akkaya A, et al. Comparação dos efeitos de sulfato de magnésio e da dexme... more Como citar este artigo: Akkaya A, et al. Comparação dos efeitos de sulfato de magnésio e da dexmedetomidina sobre a qualidade da visibilidade em cirurgia endoscópica sinusal: estudo clínico randomizado. Rev Bras Anestesiol. 2014. http://dx.Como citar este artigo: Akkaya A, et al. Comparação dos efeitos de sulfato de magnésio e da dexmedetomidina sobre a qualidade da visibilidade em cirurgia endoscópica sinusal: estudo clínico randomizado. Rev Bras Anestesiol. 2014. http://dx. No. of Pages 7 2 A. Akkaya et al. Conclusão: por causa da redução da taxa de sangramento e da frequência cardíaca em cirurgia endoscópica e dos impactos positivos sobre a duração da cirurgia, consideramos dexmedetomidina como melhor opção que o sulfato de magnésio.

Research paper thumbnail of Effect of Pregabalin and Dexamethasone on Postoperative Analgesia after Septoplasty

Pain Research and Treatment, 2014

Objectives. The aim of this study was to explore effect of a combination of pregabalin and dexame... more Objectives. The aim of this study was to explore effect of a combination of pregabalin and dexamethasone on pain control after septoplasty operations. Methods. In this study, 90 patients who were scheduled for septoplasty under general anesthesia were randomly assigned into groups that received either placebo (Group C), pregabalin (Group P), or pregabalin and dexamethasone (Group PD). Preoperatively, patients received either pregabalin 300 mg one hour before surgery, dexamethasone 8 mg intravenously during induction, or placebo according to their allocation. Postoperative pain treatment included tramadol and diclofenac sodium 30 minutes before the end of the operation. Numeric rating scale (NRS) for pain assessment, side effects, and consumption of tramadol, pethidine, and ondansetron were recorded. Results. The median NRS score at the postoperative 0 and the 2nd h was significantly higher in Group C than in Group P and Group PD (P ≤ 0.004 for both). The 24 h tramadol and pethidine, consumptions were significantly reduced in Groups P and PD compared to Group C (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001 and P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The incidence of blurred vision was significantly higher in Group PD compared to Group C within both 0-2 h and 0-24 h periods (P = 0.002 and P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001, resp.). Conclusions. We conclude that administration of 300 mg pregabalin preoperatively may be an adequate choice for pain control after septoplasty. Addition of dexamethasone does not significantly reduce pain in these patients.

Research paper thumbnail of Our Experience in Percutaneous Endoscopic Gastrostomy

Journal of Academic Research in Medicine, 2013

ÖZET Amaç: Kritik hastaların bakım ve tedavisi sırasında enteral beslenme, enerji ihtiyacının kar... more ÖZET Amaç: Kritik hastaların bakım ve tedavisi sırasında enteral beslenme, enerji ihtiyacının karşılanması, vücut direncinin korunması, gastrointestinal sistem (GİS) florasının korunması ve translokasyonların önlenmesi açısından çok önemlidir. Bu çalışmadaki amacımız; hastanemizde PEG takılması planlanan hastaların PEG takılma endikasyonlarını, işlem sonrası komplikasyonlarını ve takipleri ile ilgili verileri sunmaktır.