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Öğe Colostomy with transversus abdominis plane block(Aves, 2015) Tekelioğlu, Ümit Yaşar; Demirhan, Abdullah; Şit, Mustafa; Kurt, Adem Deniz; Bilgi, Murat; Koçoğlu, HasanTransversus 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.Öğe Effect of pregabalin and dexamethasone addition to multimodal analgesia on postoperative analgesia following rhinoplasty surgery(Springer, 2013) Demirhan, Abdullah; Tekelioğlu, Ümit Yaşar; Akkaya, Akcan; Bilgi, Murat; Apuhan, Tayfun; Karabekmez, Furkan Erol; Bayır, Hakan; Kurt, Adem Deniz; Koçoğlu, HasanWe investigated the effect of a combination of pregabalin and dexamethasone, when used as part of a multimodal analgesic regimen, on pain control after rhinoplasty operations. Sixty patients were enrolled in this study. They were randomly assigned into three groups: Group C (placebo + placebo), Group P (pregabalin + placebo), and Group PD (pregabalin + dexamethasone). Patients received either pregabalin 300 mg orally 1 h before surgery, dexamethasone 8 mg intravenously during induction, or placebo according to their allocation. Postoperative pain was treated with intravenous patient-controlled analgesia (tramadol, 20-mg bolus dose, 45-min lockout time). The numeric rating scale (NRS), side effects, and consumption of tramadol, pethidine, and ondansetron were assessed. The median NRS scores at 0, 1, and 6 h after surgery were significantly higher in Group C than in Group PD (p < 0.001 for all). The 24-h consumption of tramadol and pethidine was significantly reduced in Groups P and PD compared to Group C (p < 0.01 and p < 0.01). The total tramadol consumption was decreased by 54.5 % in Group P and 81.9 % in Group PD compared to Group C (p < 0.001 for both). The incidence of nausea was higher in Group C than in Groups P and PD between the postoperative 0-2 and 0-24-h periods (p < 0.05 for both). The frequency of blurred vision was significantly higher in Groups P and PD than in Group C within the 0-24-h period (p < 0.05 for both). We found that the addition of a single dose of pregabalin and dexamethasone to multimodal analgesia in rhinoplasty surgeries provided efficient analgesia and thus decreased opioid consumption. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Öğe Evaluation of olfactory memory after sevoflurane anesthesia: is really short-term memory influenced?(Scientific Publishers India, 2016) Bayır, Hakan; Yıldız, İsa; Yoldaş, Hamit; Karagöz, İbrahim; Kurt, Adem Deniz; Şereflican, MuratObjective: Olfactory disorders can negatively effect the quality of life. Few clinical studies and case reports have investigated the relationship between anesthesia and olfactory dysfunction. The aim of this study was to investigate the effect of sevoflurane on olfactory memory with Brief-Smell Identification Test (TM) in patients used sevoflurane. Patients and Methods: This, prospective, clinical study was performed on 60 ASA physical status I-II patients, between 18-65 years of age who were scheduled for expected surgery duration of 40-120 minutes. All patients were preoperatively informed about Brief-Smell Identification Test. For induction 2 mg.kg(-1)propofol, 0.5 mg.kg(-1) rocuronium and 1 mu g.kg(-1) iv fentanyl were administered. Anesthesia was maintained with the inhalational of anesthetic sevoflurane (2%). Brief-Smell Identification Test scores are recorded 30 minutes before the surgery and when the Aldrate Recovery Score reached 10 in the postoperative period. Preoperative and postoperative results were compared and p-values<0.05 were considered statistically significant. Results: The patients mean age were 47.1 +/- 13.8. There was no statistically significant difference between the mean preoperative and intraoperative HR and MAP values. Preoperative total correct answer rate to odorous substances was 85.4%, and postoperative rate was 84.5%. Percentage of the odor identification by the patients revealed no statistically significant difference when pre and post-operative rates were compared (P>0.05).Öğe Evaluation of olfactory memory after sevoflurane anesthesia: Is really short-term memory influenced?(Scientific Publishers of India, 2016) Bayir, Hakan; Yildiz, Isa; Yoldas, Hamit; Karagöz, İbrahim; Kurt, Adem Deniz; Kocoglu, Hasan; Sereflican, MuratObjective: Olfactory disorders can negatively effect the quality of life. Few clinical studies and case reports have investigated the relationship between anesthesia and olfactory dysfunction. The aim of this study was to investigate the effect of sevoflurane on olfactory memory with Brief-Smell Identification Test™ in patients used sevoflurane. Patients and Methods: This, prospective, clinical study was performed on 60 ASA physical status I-II patients, between 18-65 years of age who were scheduled for expected surgery duration of 40-120 minutes. All patients were preoperatively informed about Brief-Smell Identification Test. For induction 2 mg.kg-1propofol, 0.5 mg.kg-1 rocuronium and 1 ?g.kg-1 iv fentanyl were administered. Anesthesia was maintained with the inhalational of anesthetic sevoflurane (2%). Brief-Smell Identification Test scores are recorded 30 minutes before the surgery and when the Aldrate Recovery Score reached 10 in the postoperative period. Preoperative and postoperative results were compared and p-values<0.05 were considered statistically significant. Results: The patients mean age were 47.1 ± 13.8. There was no statistically significant difference between the mean preoperative and intraoperative HR and MAP values. Preoperative total correct answer rate to odorous substances was 85.4%, and postoperative rate was 84.5%. Percentage of the odor identification by the patients revealed no statistically significant difference when pre and post-operative rates were compared (P>0.05). © 2016, Scientific Publishers of India. All rights reserved.Öğe Kalp cerrahisi hastalarında BURP manevrasının hemodinami ve EKG' de QT ve P dispersiyonları üzerine etkileri(Turkish Anaesthesiology and Intensive Care Society, 2014) Demirhan, Abdullah; Bilgi, Murat; Tekelioğlu, Ümit Yaşar; Akkaya, Akcan; Erdem, Kemalettin; Öztürk, Serkan; Kurt, Adem Deniz; Koçoğlu, HasanObjective: In this study, we aimed to investigate the possible effects of "backward-upward right-sided pressure" (BURP) maneuver applied during tracheal intubation (TI) in patients who will undergo coronary artery baypas surgery on hemodynamic response and QT dispersion (QTd) and P wave dispersion (Pd). Material and Methods: 40 patients undergoing elective coronary artery bypas graft surgery were included in this study. Patients were divided into 2 groups as Group C (control group, n=20) and Group B (BURP group, n=20). Standard 12-lead electrocardiogram (ECG) was performed before induction. This ECG was recorded and accepted as the baseline (EKG0). BURP maneuver was performed only on patients in group B, during laryngoscopy. 12-lead ECG recordings of the patients were also performed at 1 min (EKG1) and 3 min (EKG3) after intubation. The two groups were compared in terms of hemodynamic parameters, QTd and Pd. Results: Demographic data were similar between groups (p>0.05). Duration of intubation was similar in groups C and B (p>0.05). There was no statistically significant difference between groups in terms of heart rate (HR) and mean arterial pressures (MAP), QTd and Pd dispersions during the follow-up time (p> 0.05). Conclusion: We did not observe any effect of BURP maneuver on QTd or Pd in ECG or on hemodynamic parameters such as HR and MAP in patients undergoing coronary artery bypass surgery.Öğe Seroprevalence of Hepatitis B, Hepatitis C and HIV in intensive care unit patients(Galenos Yayıncılık, 2015) Bayır, Hakan; Yıldız, İsa; Koçoğlu, Esra Mücahide; Kurt, Adem Deniz; Koçoğlu, HasanObjective: Intensive care unit (ICU) personnel are at high risk for infectious agents during interventional procedures, surgical procedures, and processes such as injection. Hepatitis B (HBV), Hepatitis C (HCV) and human immunodeficiency virus (HIV) are the most common agents. In this study, we aimed to investigate the seroprevalence of HBsAg, anti-HCV and antiHIV in ICU patients. Material and Method: HBsAg, antiHCV and antiHIV test results and demographical data of the patients admitted to Anesthesiology Reanimation ICU between January 2012 and December 2014 were evaluated retrospectively. HBsAg, antiHCVand antiHIV tests were assayed with a macro ELISA method (Axsym Abbott, Architect i2000; Abbott, USA). Statistical analysis was performed with the Mann-Whitney U test and Chi-square test. Results: The records of 426 patients admitted to our ICU were reviewed. Among 426 patients, 169 (39.7%) were females and 257 (60.3%) were males. HBsAg was positive in nine (2.1%) patients; all of these nine were males. AntiHCV was positive in four (0.9%) patients; among these patients, three were males and one was female. No patients were positive for anti-HIV. Conclusion: Incidence of HBV, HCV, and HIV in our study is similar to results of studies carried in different patient populations and has similar contamination risk rate.Öğe Technology and Information Tool Preferences of Academics in the Field of Anaesthesiology(Aves, 2014) Akkaya, Akcan; Bilgi, Murat; Demirhan, Abdullah; Kurt, Adem Deniz; Tekelioglu, Umit Yasar; Akkaya, Kadir; Kocoglu, HasanObjective: Researchers use a large number of information technology tools from the beginning until the publication of a scientific study. The aim of the study is to investigate the technology and data processing tool usage preferences of academics who produce scientific publications in the field of anaesthesiology. Methods: A multiple-choice survey, including 18 questions regarding the use of technology to assess the preferences of academicians, was performed. Results: PubMed has been the most preferred article search portal, and the second is Google Academic. Medscape has become the most preferred medical innovation tracking website. Only 12% of academicians obtain a clinical trial registration number for their randomized clinical research. In total, 28% of respondents used the Consolidated Standards of Reporting Trials checklist in their clinical trials. Of all participants, 21% was using Dropbox and 9% was using Google-Drive for sharing files. Google Chrome was the most preferred internet browser (32.25%) for academic purposes. English language editing service was obtained from the Scribendi (21%) and Textcheck (12%) websites. Half of the academics were getting help from their specialist with a personal relationship, 27% was doing it themselves, and 24% was obtaining professional assistance for statistical requirements. Sixty percent of the participants were not using a reference editing program, and 21% was using EndNote. Nine percent of the academics were spending money for article writing, and the mean cost was 1287 Turkish Liras/ year. Conclusion: Academics in the field of anaesthesiology significantly benefit from technology and informatics tools to produce scientific publications.Öğe Total diz artroplastisi olacak hastalarda postoperatif analjezi amaçlı bupivakain, lidokain ve bupivakain+lidokain karışımıyla ultrasonografi eşliğinde yapılan femoral sinir bloğunun analjezik etkilerinin karşılaştırılması(Bolu Abant İzzet Baysal Üniversitesi, 2015) Kurt, Adem Deniz; Demirhan, AbdullahÇalışmamızda genel anestezi altında total diz artroplastisi (TDA) yapılacak olgularda erken postoperatif ağrı tedavisi için Ultrasonografi (US) eşliğinde lidokain, bupivakain ve lidokain+bupivakain karışımıyla yapılan femoral sinir bloğunun analjezik etkinliklerini araştırmayı ve karşılaştırılmayı amaçladık. Genel anestezi altında total diz artroplastisi planlanan, 40-80 yaş arası, ASA I-III fiziksel statüsü olan 66 hasta çalışmaya dahil edildi. Hastalar Grup B (Bupivakain Grubu), Grup L (Lidokain Grubu) ve Grup B+L (Bupivakain+ Lidokain Grubu) olarak rastgele 3 gruba (her grupta 22 hasta) ayrıldı. Hastalar monitorizasyonu takiben, standart olarak anestezi indüksiyonu 2 mg/ kg Propofol, 1 mcg/kg Fentanil ve kas gevşemesi 0,6 mg/kg Rokuronyum verilerek yeterli bilinç kaybı ve kas gevşemesi sağlandıktan sonra entübe edilerek end-tidal CO2 değerleri 34 ile 38 mmHg arasında olacak şekilde mekanik ventilatöre bağlandı. Anestezi idamesinde 3 lt/dk taze gaz akımı içinde %50 N2O/O2 karışımı ve % 1.5-2.0 sevofluran kullanıldı. Grup B'deki hastalar için 15 mL %0,5'lik Bupivakain HCI, Grup L'dekiler için 15 mL %2'lik Lidokain HCI ve Grup B+L için ise 7,5 mL %0,5'lik Bupivakain ve 7,5 mL %2'lik Lidokain karışımı hazırlanarak US eşliğinde femoral sinir bloğu yapıldı. Femoral sinir bloğu hasta ekstübe edilmeden önce genel anestezi altında, yüksek çözünürlüklü US cihazının lineer probuyla femoral sinir tespit edilip 22-gauge iğne kullanılarak gerçekleştirildi. Ekstübe edilen hastalar postanestezik bakım ünitesine alınarak 1 saat boyunca takip edildi. Tüm hastalara günde 4 defa 1 gr parasetamol iv verildi. VAS değeri 4 ve üstünde olan hastalara 4 mcg/mL tramadol konsantrasyonuyla hazırlanan HKA cihazı intravenöz yolla başlandı. HKA yöntemine rağmen ağrı kontrol edilemediğinde (VAS 5 cm ve üzerinde ise) Petidin HCl 0.5 mg/kg iv uygulanarak yeterli analjezi sağlandı. Gruplar arası demografik ve klinik özellikler açısından istatistiksel olarak anlamlı fark bulunmadı (p>0,05). Grup B'de, Grup L ve Grup B+L'ye göre 8. ve 12. saatteki VAS istirahat ve hareket medyan değerleri istatistiksel olarak anlamlı derecede daha düşük bulundu (p<0,001). Grup B'de, Grup L ve Grup B+L'ye göre; 0-12. saat, 12-24. saat ve total tramadol tüketim miktarı istatistiksel olarak anlamlı derecede daha düşük bulundu (p<0,05). Grup B'de, Grup L ve Grup B+L'ye göre hasta memnuniyeti istatistiksel olarak anlamlı derecede daha yüksek bulundu (p<0,05). Genel anestezi altında total diz artroplastisi yapılan hastalarda postoperatif analjezi amacıyla ultrasonografi eşliğinde yapılan femoral sinir bloğunun postoperatif erken dönemde etkin analjezi sağladığı, opioid tüketimini azalttığı, genel anestezi sonrasında oluşan cerrahiye bağlı şiddetli ağrıyı önlediği ve hasta memnuniyetini artırdığı ayrıca bupivakainle yapılan femoral sinir bloğunun ise TDA'ya bağlı postoperatif ağrı kontrolünde ve opioid tüketimini azaltmada lidokain ve bupivakain+lidokain'den daha faydalı olacağı kanısındayız.Öğe Transversus abdominis plan bloğu eşliğinde yapılan kolostomi(2015) Tekelioğlu, Ümit Yaşar; Demirhan, Abdullah; Şit, Mustafa; Kurt, Adem Deniz; Bilgi, Murat; Koçoğlu, HasanTransversus abdominis plan (TAP) blok, alt abdominal bölgeyi il- gilendiren cerrahilerde hem anestezi hem de postoperatif akut ağrı tedavisinde kullanılan abdominal saha bloklarından birisidir. Kar- nın antero-lateral bölgesinde yer alan internal oblik ve transver- sus abdominis kas arasındaki anatomik nörofasiyal boşluğa lokal anestezi ajanlarının uygulanması işlemidir. TAP blok, postoperatif ağrı kontrolünde iyi bir yöntem olduğu gibi, abdominal bölgeyi il- gilendiren kısa girişimlere de olanak sağlamaktadır. Bu yazıda TAP blok eşliğinde yapılan kolostomi işlemi sunulmuşturÖğe Yoğun Bakım ünitesi Hastalarında Hepatit B, Hepatit C ve HıV Seroprevalansı(2015) Bayir, Hakan; Yildiz, Isa; Koçoğlu, Mücahide Esra; Kurt, Adem Deniz; Koçoğlu, HasanAmaç: Yoğun bakım ünitesi (YBÜ)çalışanları girişimsel işlemler, cerrahimüdahaleler, enjeksiyon gibi işlemleresnasında enfeksiyöz etkenlere maruziyetaçısından yüksek risk altındadır. Hepatit B(HBV), hepatit C (HCV) ve insan immünyetmezlik virüsü (human immunodeficiencyvirüs-HIV) en sık görülen etkenlerdir. Buçalışmada YBÜde yatan hastalarda HBsAg,anti-HCV ve anti-HIV seroprevalansınınaraştırılması amaçlanmıştır. Gereç ve Yöntem: Anesteziyoloji veReanimasyon YBÜde Ocak 2012-Aralık2014 tarihleri arasında yatan hastalarınkayıtları hasta dosyaları üzerinden HBsAg,anti-HCV ve anti-HIV açısından retrospektifolarak değerlendirildi. HBsAg, anti-HCV veanti-HIV testleri makroELISA yöntemiyle(Axsym-Abbott; Architect i2000-Abbott,ABD) çalışıldı. İstatistiksel değerlendirmeMann-Whitney U testi ve Ki-Kare testi ileyapıldı. Bulgular: YBÜye yatan 426 hastanınverilerine ulaşılabildi. Hastaların 169u(%39,7) kadın, 257si (%60,3) erkek idi.Hastaların dokuzunda (%2,1) HBsAg pozitifolarak bulundu ve hastaların hepsi erkekti.Anti-HCV pozitif 4 hasta (%0,9) tespit edildi.Bu hastaların da üçü erkek ve biri kadındı.Anti-HCV pozitifliği sadece bir kadın hastadarastlandı. Anti-HIV pozitifliğine rastlanmadı. Sonuç: Çalışmamızdaki HBV, HCV ve HIVsıklığı farklı branşlarda yapılan çalışmalardakisonuçlarla benzerlik göstermektedir vebenzer oranlarda bulaşma riski taşımaktadır.Öğe Yoğun bakım ünitesinde ultrasonografi eşliğinde yapılan radiyal arter kanülasyonu: olgu serisi(Turkish Anaesthesiology and Intensive Care Society, 2014) Tekelioğlu, Ümit Yaşar; Demirhan, Abdullah; Ocak, Tarık; Yıldız, İsa; Bayır, Hakan; Kurt, Adem Deniz; Koçoğlu, HakanIntra-arterial catheterization is used for continuous pressure monitoring and blood gas analysis in intensive care units. Especially it is used routinely in patients that take inotropic agents. Radial artery is frequently preferred because of adequate collateral circulation and easy cannulation. During this procedure, risks of complication and failure are high. Catheterization may lead to complications such as peripheral neuropathy and cerebral embolization which can increase morbidity and mortality. Ultrasonography [USG]-guided arterial cannulation can prevent potential complications with an increased success. In this report, we aimed to present the USG-guided catheterization of radial artery in intensive care patients.
