Yazar "Özer Z." seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim Yok
    Yayın
    The comparison of the effects of proseal laryngeal mask and endotracheal intubation on cuff pressure and airway in laparoscopic cholecystectomy patients
    (Anestezi Dergisi, 2018) Doruk N.; Bulbul S.; Birbicer H.; Özer Z.; Turkmenoglu O.; Tasdelen B.
    Objective: It's aimed to compare the effects of endotracheal intubation (ETT) and proseal laryngeal mask (PLMA) on cuff pressure and airway in the patients planned laparoscopic cholecystectomy. Method: The study was performed in total 41 patients that ASA score I-II, aged between 20-70 years and planned laparoscopic cholecystectomy under general anesthesia. In group ETT (n=19), ETT, in group PLMA (n=22) PLMA was placed to the patients. The gastric content was aspirated by a nasogastric tube in both of the groups. Demographic data, and attempt numbers were recorded. Hemodynamic and respiratory parameters, cuff pressures at preoperative and peroperative 5., 10., 15., 30., 45., 60., 75. minutes were recorded. Before and after carboperitoneum peak airway pressures and complications (bleeding, sore throat, difficulty in swallowing, laryngospasm, bronchospasm) at postoperative period were recorded. Results: The demographic data, number of attempts to provide safe airway, cuff pressures, hemodynamic and respiratory parameters were similar in each groups. The incidence of postoperative complications as sore throat and difficulty in swallowing was significantly statistically high in ETT group (p<0.001). No difference was found in terms of laryngospasm and bronchospasm between groups. In point of peak airway pressure the difference between before and after carboperitoneum was found significant in each groups (p<0.001). But significant difference was not found between groups. Conclusion: In conclusion, we convinced that, because of preventing gastric distension, not to cause sore throat and difficulty in swallowing the PLMA that contributing the entrance of nasogastric tube can be aan alternative of ETT in laparascopic interventions. © 2018 Anestezi Dergisi. All rights reserved.
  • Küçük Resim Yok
    Yayın
    Does Flumazenil effect the anesthetic agents other than benzodiazepines?: Case report [Flumazenil benzodiazepinler dişindaki anestezik ajanlari da etkiler mi?: Olgu sunumu]
    (Anestezi Dergisi, 2015) Şentürk Ö.; Selvi O.; Özer Z.
    Flumazenil is an imidazobenzodiazepine which is used to reverse sedative and hypnotic effects of benzodiazepines. Although reversing effect of Flumazenil on other anesthetic drugs has been published in the recent studies the mechanism is still unknown. In this case report we present our experience in two patients who unexpectedly recovered from anesthesia following Flumazenil administration. Two male patients respectively at the age of 18 and 19 evaluated as ASA I in preoperative examination, were operated for tonsillectomy, adenoidectomy and septorhinoplasty. One of them was given Midazolam (1 mg iv) as premedication 30 minutes before the operation. Both patients received the same anesthesia induction method (Propofol, Fentanyl) and agents used for maintanence of anesthesia (Sevoflurane, Remifentanil) were identically same. At the end of the operation Atropine and Neostigmine were aplied to the patients to reverse neuromuscular blockers. Signs of recovery from anesthesia were not observed even after more than half an hour period. Flumazenil (0,5 mg iv) were used since there were no any possible reasons to explain this clinical manifestation. In both patients spontaneous eye opening and recovery of respiration were recorded after about a few minutes following Flumazenil administration. Our experience related to these two patients puts forward Flumazenil administration as an unignorable option in delayed recovery from anesthesia and the mechanism behind this phenomenon is worth to proceed further studies.
  • Küçük Resim Yok
    Yayın
    Use of quips survey for the assessment of quality in postoperative pain management [Postoperatif agri yönetn kaütesinin degerlendirilmesinde quips anketi yönteminin kullanimi]
    (Anestezi Dergisi, 2016) Ozütemiz M.; Selvi O.; Tulgar S.; Özer Z.
    Objective: Although there are guidelines and advanced pain management techniques, quality of postoperative pain management can not still be measured with a standard method considering safety issues. Many factors like nausea, vomiting, functional disability and immobility have an effect on the achivement of postoperative pain therapy. QUIPS is a survey which takes all these factors into account. In this study we tried to evaluate the quality of postoperative pain management by using QUIPS. Method: This study was conducted on 400 volunteers who were planned for surgical operation between 07.2014 - 01.2015 at Maltepe University Medical Faculty Hospital. QUIPS was applied to these patients the day after the surgery Results: Fifty-four percent (n:216) of the patients were women and 46% (n:184) of them were men. These patients were asked about their pain level in questions 3 and 4. The highest scores for pain were recorded in neurosurgery and orthopedics. In the fifth question patients were asked to answer whether they had immobility problems due to pain and the highest scores were in neurosurgery patients (p<0.01). The most satisfied patients with their pain theraphy were in ENT group. Conclusion: The fact that focusing on only pain revealing therapies are not adequate while approaching towards postoperative pain was the main motivation in preaparation of QUIPS. Beacuse of this fact QUIPS can be used as a useful tool to evaluate pain, pain related symptoms and quality of postoperative pain management.