Yazar "Erbesler, Zeynel Abidin" seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Achalasia case detected during endoscopy application accompanied by anaesthesia(Termedia Publishing House Ltd, 2016) Dağlı, Recai; Bayır, Hakan; Ergül, Bilal; Kocaoğlu, Nazan; Erbesler, Zeynel AbidinAchalasia is an uncommon dysfunctional neuromuscular disease of the oesophagus. General anaesthesia might be required for its diagnosis and treatment. During the anaesthesia, complications such as oesophagus dilatation-perforation and tracheal aspiration in oesophagus content might be seen. In order to ensure the security of the respiratory tract, rapid intubation might be required [1]. When anaesthesia is required in endoscopy units for diagnosis, equipment and devices standardised for outpatient anaesthesia applications by American Society of Anaesthesiologists (ASA) should immediately be ready [2]. A 41-year-old male patient, who applied to the Gastroenterology Polyclinic due to gastric complaints and had lymphadenopathy detected in his abdomen ultrasonography, was scheduled for conscious endoscopy. He was unable to tolerate the endoscopy which was applied following twelve-hour fasting, and he vomited. Endoscopy with anaesthesia was then planned, rescheduled with two weeks of strict liquid food diet and pineapple juice application. The patient was taken to the endoscopy unit following 24 h of fasting, and was monitored with ECG and pulse oximeter. Intubation was then planned. Anaesthesia induction was conducted with 50 mg of remifentanil and 100 mg of propofol. While O2 was provided with a mask, the intraoral and oropharyngeal area was filled with liquid. Despite rapid aspiration, the contents continuously flowed to intraoral area, and the patient’s saturation dropped. He was immediately intubated. In the meantime, the amount of aspired liquid content was 900 ml. Having reached normal levels of saturation and haemodynamic values in the patient, endoscopy operation began with propofol addition. Significant achalasia and duodenal ulcers were detected. When the patient’s respiration was sufficient, he was extubated. The patient, who did not have respiratory problems and whose haemodynamics were stable, was sent to the service without a problem upon observation at the patient recovery room.Öğe Frequency of sonography use among anesthesiology and reanimation specialists(Anestezi Dergisi, 2016) Erbesler, Zeynel Abidin; Dağlı, Recai; Bayır, HakanObjective: Sonography (USG) has widely been used as a non-invasive diagnostic modality for years. Today, it is increasingly used for the purposes of anesthesia and reanimation interventions. Method: After the approval of Ethics Committee of Erciyes University on Clinical Trials, we sent a questionnaire via email to 2409 anesthesiology and reanimation specialists who are members of Turkish Anesthesiology and Reanimation Foundation. Results: Sonography is used to improve success rate and to reduce complications in regional anesthesia and invasive intervention by anesthesia and reanimation specialists in Turkey as similar to other regions of world. Although participants frequently performing invasive interventions such as central vein catheterization or peripheral nerve blocks encountered complications in varying rates, 13 of the participants don't need to use sonography. Twenty-four participants reported that it requires longer preparation period. Conclusion: We think that preparation period of sonography can be accelerated by frequent use and completed in tolerable time period. We think that sonography should be present as standard equipment in anesthesia and pain interventions as well as intensive care units. Further studies with larger sample size are needed to identify trends towards sonography use among anesthesiology and reanimation specialists. Deficiencies should be addressed by providing training and supplying equipment. Training can be provided by radiology rotation during residency.Öğe Is the Atraumatic Spinal Needle a Better Choice in Younger Patients? A Comparison of 25G Spinal Needles in a Group of General Surgical Patients Below 40 Years of Age(2016) Bayır, Hakan; Dağlı, Recai; Erbesler, Zeynel Abidin; Kocaoğlu, Nazan; Yıldız, İsa; Ateş, HakanIntroduction: One of the important spinal anesthesia complications is the occurrence of postdural puncture headache (PDPH). The incidence of PDPH is related to the age, the size and tip shape of the spinal needle used and the type of surgery. Incidence may vary depending on the type and size of needle. This study was conducted to compare the frequency of PDPH using different kind of spinal needles.Methods: Data of 81 patients undergoing spinal anesthesia for lower abdominal surgery were collected for the study. Patients were divided into three groups as Group Q (n = 27), Group P (n=27) and Group A (n = 27) according to the spinal needle used for spinal anesthesia. Headache incidences during five days period postoperatively were noted.Results: The overall incidence of PDPH in this young adult population was 13.6% (11 patients of 81). PDPB was encountered in 14.8%, 11.1% and 14.8% of patients in Groups A, Q and P, respectively.Conclusion: All spinal needles used in our study have the potential to lead to PDPH in young patients undergoing spinal anesthesia for lower abdominal surgery. We did not see any advantage of using 25G Atraumatic spinal needle in young patients.Öğe Role of ultrasonography in detecting the localisation of the nasoenteric tube(2017) Dağlı, Recai; Bayır, Hakan; Dadalı, Yeliz; Tokmak, Turgut Tursem; Erbesler, Zeynel AbidinAmaç: Bu çalışmada; nasoenterik tüpün (NET) postpilorik alana geçtiğinin tespitinde ultrasonografinin (USG) başarı oranını sap- tamak ve bu yöntemi tüpün lokalizasyonu için yaygın kullanılan direkt batın grafisi ile karşılaştırmayı amaçladık. Yöntemler: NET bir anestezist tarafından yerleştirildi. İki radyo- log tarafından USG ile görüntülendi. Tüm hastalarda tüpün loka- lizasyonu abdominal grafi ile doğrulandı. Bulgular: Otuz dört hastaya NET yerleştirmek için yatakbaşı kör yöntem kullanıldı. NET'lerin 11'inin USG ile postpilorik alana geçtiği USG ile tespit edildi. Bir hastada NET lokalizasyonunun ultrasonografi ile postpilorik görülemedi, fakat kontrol batın gra- fisinde postpilorik alanda olduğu tespit edildi. Yirmiiki hastada, NET'lerin kontrol batın grafilerinde midede oldukları saptandı. USG ile postpilorik görüntüleyebilme oranımız %91,6 olarak saptandı. Tüm vakalar düşünüldüğünde, USG ile katater lokali- zasyonunu doğrulama oranı %97 olarak saptandı (34 hastada 33). Sonuç: USG; nasogastrik tüp ve NET lokalizasyonu için kullanı- lan radyografiye, güvenilir, pratik bir alternatif yöntemdir.Öğe Role of Ultrasonography in Detecting the Localisation of theNasoenteric Tube(2017) Dağli, Recai; Bayir, Hakan; Dadali, Yeliz; Tokmak, Turgut Tursem; Erbesler, Zeynel AbidinAmaç: Bu çalışmada; nasoenterik tüpün (NET) postpilorik alana geçtiğinin tespitinde ultrasonografinin (USG) başarı oranını sap- tamak ve bu yöntemi tüpün lokalizasyonu için yaygın kullanılan direkt batın grafisi ile karşılaştırmayı amaçladık. Yöntemler: NET bir anestezist tarafından yerleştirildi. İki radyo- log tarafından USG ile görüntülendi. Tüm hastalarda tüpün loka- lizasyonu abdominal grafi ile doğrulandı. Bulgular: Otuz dört hastaya NET yerleştirmek için yatakbaşı kör yöntem kullanıldı. NET'lerin 11'inin USG ile postpilorik alana geçtiği USG ile tespit edildi. Bir hastada NET lokalizasyonunun ultrasonografi ile postpilorik görülemedi, fakat kontrol batın gra- fisinde postpilorik alanda olduğu tespit edildi. Yirmiiki hastada, NET'lerin kontrol batın grafilerinde midede oldukları saptandı. USG ile postpilorik görüntüleyebilme oranımız %91,6 olarak saptandı. Tüm vakalar düşünüldüğünde, USG ile katater lokali- zasyonunu doğrulama oranı %97 olarak saptandı (34 hastada 33). Sonuç: USG; nasogastrik tüp ve NET lokalizasyonu için kullanı- lan radyografiye, güvenilir, pratik bir alternatif yöntemdir
