Background/Aim: Pediatric neuroanesthesia is a special field that requires significant experience... more Background/Aim: Pediatric neuroanesthesia is a special field that requires significant experience and infrastructure because of anatomical, neurological, and pharmacological differences in the pediatric patient population. Although technological improvements provide more effective and safer neuroanesthesiological management, the principles of neuroanesthesia, neurocognitive development, and the effects of anesthetic agents on central nervous system development are well-known. The majority of pediatric neuroanesthesia articles in the literature are reviews; however, retrospective/prospective case series and controlled research are limited. In this retrospective cohort study, we aimed to contribute to the existing literature by reviewing and analyzing our single-center 10-year experiences and results addressing pediatric neuroanesthesia management. Methods: After ethical committee approval, anesthetic and surgical reports from 1165 pediatric neurosurgical cases over ten years were col...
Objectives The population of female heart transplant recipients of reproductive age is increasing... more Objectives The population of female heart transplant recipients of reproductive age is increasing and pregnancy follow-up of these patients is important. Case presentation A 30-year-old patient who had a heart transplant due to viral myocarditis became pregnant spontaneously. A close follow-up by a multidisciplinary team allowed a normal pregnancy without maternal or fetal complications and the delivery of a healthy infant. Conclusions Successful pregnancy outcomes are possible in women who had a heart transplant. Careful and close surveillance by a multidisciplinary team is mandatory.
A comparison of three different target-controlled remifentanil infusion rates during target-contr... more A comparison of three different target-controlled remifentanil infusion rates during target-controlled propofol infusion for oocyte retrieval
Turkish Journal of Obstetrics and Gynecology, 2021
Objective: Due to the recent increase in the successful pregnancies after renal transplant, the n... more Objective: Due to the recent increase in the successful pregnancies after renal transplant, the number of renal transplant recipients having vaginal or cesarean delivery possibly associated with high maternal, fetal and/or neonatal risk requiring team approach increased. We aimed to evaluate antenatal follow-up, perinatal outcomes, and anesthesia management in pregnancies with renal transplantation and to compare them with the current literature. Materials and Methods: After ethics committee approval, renal transplant recipients who gave birth in our hospital between January 2010 and December 2019 were documented in this retrospective study. Demographic characteristics, comorbidities, antenatal follow-up, anesthesia management, and maternal, fetal, and neonatal outcomes were presented. Results: A total of 20 pregnant women who underwent renal transplant were identified. The mean age of the parturients was 31±5 years. The median interval from transplantation to conception was 8.15±4....
Zellweger Syndrome (ZS) is rare peroxysome deficiency disorder and patients suffering from this s... more Zellweger Syndrome (ZS) is rare peroxysome deficiency disorder and patients suffering from this syndrome display a range of disturbances including neurological, sceletal, hepatological and oculer abnormalities. Present abnormalities may cause serious ...
Turkiye Klinikleri J Med Sci 2007, 27 883 ocukluk çağında maligniteler eri şkine oranla çok daha ... more Turkiye Klinikleri J Med Sci 2007, 27 883 ocukluk çağında maligniteler eri şkine oranla çok daha az sayıda gözlenmektedir. Kesin sayılar bilinmemekle birlikte, geli şmiş ülkelerde 16 ya şından küçük çocuklarda malignite insidansının 1/10.000.000 oldu ğ tahmin edilmektedir. Çocukluk yaş grubu malignitelerinde tanı konulmasından tedavinin sonlandırılmasına kadar harcanan sürede multidisipliner yakla şımla koordinasyon ba şarı şansını arttırmaktadır. Günümüzde eskisi kadar sık kullanılmamakla birlikte, multimodel tedavi yakla şımının bir parçası olarak radyoterapi (RT) de uygulanmaktadır. RT programı hastaya özgü olarak belirlenmektedir.
We present a case of an unexpected difficulty in ventilation following intubation for mastectomy.... more We present a case of an unexpected difficulty in ventilation following intubation for mastectomy. Difficulty in ventilation during GA was due to manufacturing defect of the endotracheal tube. Ventilation difficulty due to tube defects are rare, moreover it might be hard to detect this kind of a defect with routine evaluation. However, if the defect is not detected it would may cause catastrophic results. In our case the problem was carefully evaluated and solved uneventfully after following an algorithm.
Objective: This prospective randomized BIS controlled study was conducted to compare low-flow ane... more Objective: This prospective randomized BIS controlled study was conducted to compare low-flow anesthesia (LFA) techniques with or without nitrous oxide (N 2 O) using remifentanil and sevoflurane, with respect to ventilation parameters and sevoflurane consumption. Methodology: Forty-five, ASA I/II women younger than 65-year-old, scheduled for gynecological surgery lasting nearly two hour under general anesthesia were enrolled. Electrocardiogram (ECG), pulse oximetry, non-invasive arterial pressure, train-of-four (TOF) and bispectral index (BIS) were monitored. Anesthesia was induced by inj propofol 2 mg/kg with increments of 10 mg until BIS was under 60 and rocuronium 0.6 mg/ kg. Patients were randomized to one of three groups, 15 patients in each, to receive either N 2 O (Group-N) or N 2 O-free anesthesia (Groups RI nd RII). All groups received bolus remifentanil 0.5 µg/kg and then infusions @ 0.2 µg/kg/min (Group-R I), or 0.05 µg/kg/min (Group-R II) as maintenance. Anesthesia was m...
Background/Aim: Pediatric neuroanesthesia is a special field that requires significant experience... more Background/Aim: Pediatric neuroanesthesia is a special field that requires significant experience and infrastructure because of anatomical, neurological, and pharmacological differences in the pediatric patient population. Although technological improvements provide more effective and safer neuroanesthesiological management, the principles of neuroanesthesia, neurocognitive development, and the effects of anesthetic agents on central nervous system development are well-known. The majority of pediatric neuroanesthesia articles in the literature are reviews; however, retrospective/prospective case series and controlled research are limited. In this retrospective cohort study, we aimed to contribute to the existing literature by reviewing and analyzing our single-center 10-year experiences and results addressing pediatric neuroanesthesia management. Methods: After ethical committee approval, anesthetic and surgical reports from 1165 pediatric neurosurgical cases over ten years were col...
Objectives The population of female heart transplant recipients of reproductive age is increasing... more Objectives The population of female heart transplant recipients of reproductive age is increasing and pregnancy follow-up of these patients is important. Case presentation A 30-year-old patient who had a heart transplant due to viral myocarditis became pregnant spontaneously. A close follow-up by a multidisciplinary team allowed a normal pregnancy without maternal or fetal complications and the delivery of a healthy infant. Conclusions Successful pregnancy outcomes are possible in women who had a heart transplant. Careful and close surveillance by a multidisciplinary team is mandatory.
A comparison of three different target-controlled remifentanil infusion rates during target-contr... more A comparison of three different target-controlled remifentanil infusion rates during target-controlled propofol infusion for oocyte retrieval
Turkish Journal of Obstetrics and Gynecology, 2021
Objective: Due to the recent increase in the successful pregnancies after renal transplant, the n... more Objective: Due to the recent increase in the successful pregnancies after renal transplant, the number of renal transplant recipients having vaginal or cesarean delivery possibly associated with high maternal, fetal and/or neonatal risk requiring team approach increased. We aimed to evaluate antenatal follow-up, perinatal outcomes, and anesthesia management in pregnancies with renal transplantation and to compare them with the current literature. Materials and Methods: After ethics committee approval, renal transplant recipients who gave birth in our hospital between January 2010 and December 2019 were documented in this retrospective study. Demographic characteristics, comorbidities, antenatal follow-up, anesthesia management, and maternal, fetal, and neonatal outcomes were presented. Results: A total of 20 pregnant women who underwent renal transplant were identified. The mean age of the parturients was 31±5 years. The median interval from transplantation to conception was 8.15±4....
Zellweger Syndrome (ZS) is rare peroxysome deficiency disorder and patients suffering from this s... more Zellweger Syndrome (ZS) is rare peroxysome deficiency disorder and patients suffering from this syndrome display a range of disturbances including neurological, sceletal, hepatological and oculer abnormalities. Present abnormalities may cause serious ...
Turkiye Klinikleri J Med Sci 2007, 27 883 ocukluk çağında maligniteler eri şkine oranla çok daha ... more Turkiye Klinikleri J Med Sci 2007, 27 883 ocukluk çağında maligniteler eri şkine oranla çok daha az sayıda gözlenmektedir. Kesin sayılar bilinmemekle birlikte, geli şmiş ülkelerde 16 ya şından küçük çocuklarda malignite insidansının 1/10.000.000 oldu ğ tahmin edilmektedir. Çocukluk yaş grubu malignitelerinde tanı konulmasından tedavinin sonlandırılmasına kadar harcanan sürede multidisipliner yakla şımla koordinasyon ba şarı şansını arttırmaktadır. Günümüzde eskisi kadar sık kullanılmamakla birlikte, multimodel tedavi yakla şımının bir parçası olarak radyoterapi (RT) de uygulanmaktadır. RT programı hastaya özgü olarak belirlenmektedir.
We present a case of an unexpected difficulty in ventilation following intubation for mastectomy.... more We present a case of an unexpected difficulty in ventilation following intubation for mastectomy. Difficulty in ventilation during GA was due to manufacturing defect of the endotracheal tube. Ventilation difficulty due to tube defects are rare, moreover it might be hard to detect this kind of a defect with routine evaluation. However, if the defect is not detected it would may cause catastrophic results. In our case the problem was carefully evaluated and solved uneventfully after following an algorithm.
Objective: This prospective randomized BIS controlled study was conducted to compare low-flow ane... more Objective: This prospective randomized BIS controlled study was conducted to compare low-flow anesthesia (LFA) techniques with or without nitrous oxide (N 2 O) using remifentanil and sevoflurane, with respect to ventilation parameters and sevoflurane consumption. Methodology: Forty-five, ASA I/II women younger than 65-year-old, scheduled for gynecological surgery lasting nearly two hour under general anesthesia were enrolled. Electrocardiogram (ECG), pulse oximetry, non-invasive arterial pressure, train-of-four (TOF) and bispectral index (BIS) were monitored. Anesthesia was induced by inj propofol 2 mg/kg with increments of 10 mg until BIS was under 60 and rocuronium 0.6 mg/ kg. Patients were randomized to one of three groups, 15 patients in each, to receive either N 2 O (Group-N) or N 2 O-free anesthesia (Groups RI nd RII). All groups received bolus remifentanil 0.5 µg/kg and then infusions @ 0.2 µg/kg/min (Group-R I), or 0.05 µg/kg/min (Group-R II) as maintenance. Anesthesia was m...
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