ABSTRACT İnter nal ka ro tis ar ter dar lı ğı olan has ta lar da ka ro tis en dar te rek to mi cer ra hi uy gu la ma sı bu has ta lı ğın te da vi sin de kul la nı lan gi ri şim sel bir te da vi yön te mi dir. Bu cer ra hi te da vi sı ra... more
ABSTRACT İnter nal ka ro tis ar ter dar lı ğı olan has ta lar da ka ro tis en dar te rek to mi cer ra hi uy gu la ma sı bu has ta lı ğın te da vi sin de kul la nı lan gi ri şim sel bir te da vi yön te mi dir. Bu cer ra hi te da vi sı ra sın da anestezi yön te mi ola rak ge nel anes te zi, böl ge sel anes te zi ve in tra ve nöz se das yon ile lo kal anes te zi kombinas yo nu kul la nı la rak anes te zi ger çek leş ti ri le bi lir. An cak son za man lar da bu ope ras yon lar da ser vi kal blok ile lo kal anes te zi uy gu lan ma sı po pü ler bir yön tem ha li ne gel miş ve mor ta li te yi, morbi di te yi azalt tı ğı gös te ril miş tir. Ay rı ca bu cer ra hi yi ola cak has ta lar da lo kal anes te zik yön tem ler le bir lik te bir çok se da tif hip no tik ilaç da kul la nıl mış tır. Deks me de to mi din de böl ge sel anes te zi al tın - da ka ro tis en dar te rek to mi ya pı lan has ta lar da, tit re edi le bi lir bir se das yon aja nı ve sem pa tik ak ti vi - te yi mo dü las yo nu ne de niy le uy gun bir ajan ola rak de ğer len di ril miş tir. Biz ser vi kal blok uy gu la dı ğı mız kro nik obs trük tif ak ci ğer has ta lı ğı olan üç ol gu muz da, deks me de to mi din se das yo nu al tın da ka ro tis en dar te rek to mi tec rü be mi zi tar tış ma yı amaç la dık.
we evaluated the effects of magnesium sulphate infusion on anesthetic requirement, early recovery and postoperative analgesia in desflurane-remifentanil-based, balanced anaesthesia. 60, ASA (American Society of Anesthesiologists) group... more
we evaluated the effects of magnesium sulphate infusion on anesthetic requirement, early recovery and postoperative analgesia in desflurane-remifentanil-based, balanced anaesthesia. 60, ASA (American Society of Anesthesiologists) group 1-2 patients who were scheduled for laparoscopic cholecystectomy were randomly divided into two groups. Before anesthesia, the magnesium-treated group (n = 30) received a 15 min infusion of 40 mg/kg of magnesium sulphate followed by 10 mg/kg/h by continuous i.v. infusion during the operation. The same volume of isotonic saline was administered to the control group (n = 30). Anesthesia was induced with propofol, remifentanil and vecuronium, and maintained with desflurane 3-6%, O(2)/air and remifentanil infusion. Desflurane was titrated to maintain BIS (bispectral index) values of 40-60. The times from cessation of anesthesia to spontaneous breathing, eye opening, extubation, reaching BIS 70, and Aldrete scores were recorded. After surgery, patients rec...
Objective: Sedoanalgesia is an anesthesia method that is preferred mostly in outside the operating room interventions and some short-term surgeries, allowing the procedure to be performed by using sedative and dissociative agents alone or... more
Objective: Sedoanalgesia is an anesthesia method that is preferred mostly in outside the operating room interventions and some short-term surgeries, allowing the procedure to be performed by using sedative and dissociative agents alone or together. Closed technique septoplasty operation is also an operation that can be performed with sedoanalgesia. The aim of this study is to compare the sedative and analgesic effects of ketamine and propofol combination and midazolam and fentanyl combination, surgical satisfaction and patient satisfaction in patients who underwent closed technique septoplasty operation. Methods: After ethics committee approval, 60 ASA I and II patients were included in the study by dividing into 2 groups. Patients who used ketamine and propofol for sedoanalgesia were named Group 1 (ketofol), and patients who used midazolam and fentanyl were named Group 2 (midafenta). The data of the patients were recorded from the intraoperative anesthesia forms and the postoperati...
Backgrounds: Erector spinae plane block (ESPB) has become very popular for post-operative and chronic pain management. ESPB applications sacral area procedures have been named 'sacral ESPB’. This study is aimed to conduct a cadaveric... more
Backgrounds: Erector spinae plane block (ESPB) has become very popular for post-operative and chronic pain management. ESPB applications sacral area procedures have been named 'sacral ESPB’. This study is aimed to conduct a cadaveric study to determine how local anesthesia was distributed at median and intermediate approaches of the sacral region ESPB procedures. Materials and Methods: Four cadavers were grouped into two groups; median and intermediate approaches. An ultrasound-guided ESPB was performed with a mixture of radiocontrast and dye. After the distribution of the solution was observed by computed tomography, cadavers were dissected in order to observe the dye spread in the groups. Results: CT Images of the median group demonstrated subcutaneous pooling of contrast agents between S1 and S5 horizontal planes. Contrast agent passing from the sacral foramina to the anterior of the sacrum via spinal nerves was also observed between S2-S5. In the intermediate group contrast ...
Objective: Postoperative sore throat (POST) is the most common discomfort after endotracheal intubation. Damage to the tracheal mucosa caused by inappropriate endotracheal tube (ETT) cuff pressure has been shown as the major factor.... more
Objective: Postoperative sore throat (POST) is the most common discomfort after endotracheal intubation. Damage to the tracheal mucosa caused by inappropriate endotracheal tube (ETT) cuff pressure has been shown as the major factor. Monitoring the ETT cuff pressure at a certain value reduces this damage. Benzydamine hydrochloride (BH) has proven to be effective on sore throat and studies have shown that it is also effective on POST. In this study, the efficacy of BH and ETT cuff pressure monitoring on POST was evaluated. Materials and methods: After ethics committee approval 210 patients in the ASA (American Society of Anesthesiologists) I-III risk group undergoing elective surgery were included in the study. Routine anesthesia monitoring, induction, and maintenance were provided. Patients were randomly divided into three groups. Thirty minutes before surgery, the posterior pharyngeal wall was sprayed with BH in group 1 and distilled water in groups 2 and 3. Intraoperatively, the first and second groups were monitored to keep the ETT cuff pressure between 22 and 26 cmH 2 O, while no intervention was performed in the third group. The incidence and severity of postoperative dysphagia, hoarseness, and POST were questioned. Results: There was no difference between demographic data, and gender was not associated with POST. There was a statistically significant difference between the first and second groups and the third group in terms of all three symptoms questioned (p<0.01). No difference was observed between the first and second groups. Side effect rates were similar. Smoking was not found to be associated with symptoms. Conclusion: The incidence and severity of POST, dysphagia, and hoarseness are reduced when the ETT cuff is inflated with a pressure of 22-26 cmH 2 O after intubation with a manometer and maintained at this pressure range throughout the operation. There was no beneficial effect of BH.
