- Anesthesiology, Anesthesia, Regional Anesthesia, ANESTESIOLOGY, Anesthesiology ,Critical Care, Pain management, Anestesi, and 12 moreUltrasound guided regional anesthesia, Anesthesia outside Operating Room, Obsetric Anesthesia, Obstetric Anesthesia, Regional Anesthesia, Ambulatory Anesthesia, Pediatric Anesthesiology, Cardiac Anesthesia, Anestesiologia, Anestesia, THORACIC SURGERY ANESTHESIA, General Anesthesia, and Anestheticsedit
- I am anesthesiology and reanimation ptofessional, I am interested in regional amesthesia, obstetric anesthesia and regional blocks.edit
Research Interests:
Amac : Hastanemizde 2017 yilinda dogum yapan Suriyeli multecilerin antenatal ve perinatal durumlarini inceleyerek Turk gebelerle karsilastirmak ve bu gebelerin riskli durumlarini saptayarak saglik kurumlarina erisimleri ve hizmet... more
Amac : Hastanemizde 2017 yilinda dogum yapan Suriyeli multecilerin antenatal ve perinatal durumlarini inceleyerek Turk gebelerle karsilastirmak ve bu gebelerin riskli durumlarini saptayarak saglik kurumlarina erisimleri ve hizmet kullanimlari icin yapilan calismalara katki saglamaktir. Araclar ve Yontem: 2017 yilinda hastanemizde dogum yapan multeci gebelerin dosyalari retrospektif olarak incelenmistir, 152 multeci gebe calisma grubunda yer almistir. Ayni yil icinde dogum yapan 196 Turk gebe kontrol grubunda yer almistir. Bu gebelerin yasi, gebelik sayisi, dogum sirasindaki hemoglobin duzeyi, HbsAg tasiyiciligi, antenatal takip sayisi, dogum sekli, sezaryen endikasyonu, dogum sirasindaki gebelik haftasi, bebek dogum agirligi, bebegin Apgar skorlari degerlendirmeye alinmistir. Bulgular: 152 multeci gebenin 71 tanesinin (%46.7) doguma kadar hic hastane kaydi yoktu. Kontrol grubundaki 196 Turk gebe arasinda takipsiz gebe yoktu. Multeci grubuyla kontrol grubu karsilastirildiginda; multe...
Research Interests: Medicine and Gynecology
OZ Amac: Hastanemiz Yogun Bakim Unitesi’ne (YBU) 1 Mayis 2017- 31 Mayis 2018 tarihleri arasinda kabul edilen ve exitus gerceklesen hastalarin demografik verilerini, YBU kabul nedeni ve kalis suresi ile exitus nedenlerini tespit etmektir.... more
OZ Amac: Hastanemiz Yogun Bakim Unitesi’ne (YBU) 1 Mayis 2017- 31 Mayis 2018 tarihleri arasinda kabul edilen ve exitus gerceklesen hastalarin demografik verilerini, YBU kabul nedeni ve kalis suresi ile exitus nedenlerini tespit etmektir. Araclar ve Yontem: Kurum izni ve etik kurul izni alindiktan sonra hastanemizin YBU’ne kabul edilmis olan ve exitus gerceklesen hastalarin tibbi kayitlari geriye donuk olarak incelenmistir. Calismada 434 hastanin verileri analiz edilmistir. Hastalarin yas ve cinsiyetleri, yogun bakima yatis saatleri ve mesai dilimi, exitus kabul edildigi saat, hangi servis adina yatis yapildigi, yatis endikasyonlari, YBU’de kalis sureleri ve primerexitus nedenleri kaydedilmistir. Bulgular: 1 Mayis 2017 – 31 Mayis 2018 arasinda YBU’ne toplam1331 hasta kabul edilmis ve bu hastalarin 434’unde (%32.6) exitus gerceklesmistir. Hastalarin yas ortalamasi 72.82 ± 15.81 idi. En sik olumler 139 hasta ile (%32) 80 – 89 yas araliginda tespit edildi. Exitus olan hastalarin 201’i ...
Research Interests: Medicine and Gynecology
Objective: This study aims to determine the effect of age, height, weight, BMI, hip/shoulder width ratio, and vertebral column length on the spread of spinal anesthesia in term parturient. In pregnant patients with a larger hip width and... more
Objective: This study aims to determine the effect of age, height, weight, BMI, hip/shoulder width ratio, and vertebral column length on the spread of spinal anesthesia in term parturient. In pregnant patients with a larger hip width and a relative narrow shoulder width, more cephalad spread of spinal anesthesia is observed with a fixed dose of hyperbaric bupivacaine. We hypothesized that the increase in cephalad spread of spinal anesthesia may be correlated with the increased hip/shoulder width ratio. Methods: Age, weight, height, body mass index, hip width, shoulder width, hip/shoulder width ratio, and vertebral column length were recorded for 75 term parturient. The L4-L5 interspace was introduced and 2 ml 0.5% hyperbaric bupivacaine was injected subarachnoid in 10 seconds without barbotage. Pearson and Sperman’s Rho Correlation Tests were used for the analysis of correlation between patient characteristics and the cephalad spread of spinal anesthesia. Results: Hip/shoulder width...
Research Interests:
Research Interests:
Lymphangiomas, or cystic hygromas, are relatively uncommon congenital malformations of the lymphatic system that usually present during the first years of childhood. They are rare in adults. A search of the literature on MedLine revealed... more
Lymphangiomas, or cystic hygromas, are relatively uncommon congenital malformations of the lymphatic system that usually present during the first years of childhood. They are rare in adults. A search of the literature on MedLine revealed only few reports about lymphangioma as a cause of difficult airway management after the neonatal period. Herein, we present a case of difficult intubation due to protruding macroglossia in a 5-year-old girl diagnosed with recurrent lesions of lymphangioma. We also discuss possible problems in airway protection, drug choice, and post-operative follow-up associated with surgical excision of these lesions.
Research Interests:
Research Interests:
Purpose? Isothermic irrigation decreases the reduction in core temperature and shivering in patients undergoing transurethral resection of prostate gland but this effect has not been studied in patients undergoing endoscopic urethral... more
Purpose? Isothermic irrigation decreases the reduction in core temperature and shivering in patients undergoing transurethral resection of prostate gland but this effect has not been studied in patients undergoing endoscopic urethral stone treatment surgery. The current study is designed to study the effect of isothermic hydration on core temperature in patients scheduled for endoscopic urethral stone treatment surgery under spinal anesthesia. Materials and Methods? Sixty patients allocated randomly into two groups. In GroupW (n = 30) irrigation fluid at 37°C was used whereas at room temperature in GroupRT (n = 30). Spinal anesthesia was performed at L3-L4 interspace with 15mg of hyperbaric bupivacaine. Core temperature, shivering, and hemodynamic parameters were measured every minute until 10th minute and five minute intervals until the end of operation. Shivering and surgeon comfort was also recorded. The primary outcome was the core temperature at the end of surgery. Frequencies,...
Research Interests:
Purpose: In this prospective, cross-sectional, observational study, the accuracy and precision of actual epidural depth (ND) with ultrasound estimates of epidural depth (ED) in the paramedian sagittal oblique plane (PSO) and transverse... more
Purpose: In this prospective, cross-sectional, observational study, the accuracy and precision of actual epidural depth (ND) with ultrasound estimates of epidural depth (ED) in the paramedian sagittal oblique plane (PSO) and transverse median plane (TM) in parturients was assessed. Methods: Ninety parturients scheduled for cesarean section asking for combined spinal epidural anesthesia were recruited. ED was assessed in PSO and TM planes with a 5-2 MHz curved array probe. The least possible pressure was applied on the probe during ultrasound examination. All epidurals were located by a midline approach at L3-4 level by an anesthesiologist blinded to ED but informed about the insertion point. ND was marked on the needle with a sterile marker. Precision between the measurements were assessed by Pearson correlation coefficient and Lin’s concordance correlation coefficient (CCC). Bland-Altman test was used to assess the 95% limits of agreement (LOA) between measurements. Results: The me...
Amac: Sepsis; dunya uzerinde en sik karsilasilan ve mortalite orani en yuksek hastaliktir. Yillik olum nedenleri siralamasinda ilk sirada yer almaktadir. Maliyeti son derece yuksektir ve her yil yaklasik %12 oraninda artmaktadir. Sepsis... more
Amac: Sepsis; dunya uzerinde en sik karsilasilan ve mortalite orani en yuksek hastaliktir. Yillik olum nedenleri siralamasinda ilk sirada yer almaktadir. Maliyeti son derece yuksektir ve her yil yaklasik %12 oraninda artmaktadir. Sepsis tedavisinin maliyeti, toplam saglik harcamalarinin onemli bir kismini olusturmaktadir. Erken tani, etken patojene yonelik erken antibiyotik baslanmasi tedavinin basarisini etkileyen en onemli faktorlerdir. Biz bu calismamizda, yogun bakimdaki sepsis hastalarinda kaynaklarina gore maliyet farklarini arastirmayi amacladik. Gerec ve Yontem : Ahi Evran Universitesi Egitim ve Arastirma Hastanesi Eriskin Genel Yogun Bakim Unitesinde (YBU) 24 saatten uzun sureyle 01.01.2015-31.12.2015 tarihleri arasinda yatan sepsis hastalarinin dosyalari retrospektif olarak incelendi. Hastalarin demografik verileri, etken patojenleri, yatis sureleri, yogun bakim sonuclari, kullandigi antibiyotikler, tetkik ucretleri, tedavi hizmeti ucretleri, yatak ucretleri, ilac ve sarf-...
Research Interests:
Background and Aims; In this study, it was aimed to assess the efficacy of intentional ipsilateral epidural catheterization for unilateral epidural anesthesia with different baricities of bupivacaine. Material and Methods; The study... more
Background and Aims; In this study, it was aimed to assess the efficacy of intentional ipsilateral epidural catheterization for unilateral epidural anesthesia with different baricities of bupivacaine. Material and Methods; The study included 38 patients aged 1865 years, with American Society of Anesthesiologists physical status I-II, scheduled for lower extremity operation. The patients were randomly divided three groups. Epidural block was performed at the L5-S1 interspace with the operative side in the dependent position. A Tuohy needle was inserted at a 5o to 10o angle from the midline and then the bevel of the needle was rotated 90o from the cephalad direction towards the operative side in Groups I and II. In Group III, the Tuohy needle was inserted by the conventional midline approach with the bevel of the needle oriented in the cephalad direction. Group I was administered with 2 ml hyperbaric bupivacaine 0.5%, Group II with 2 ml plain bupivacaine 0.5% and Group III with 5 ml p...
Research Interests:
Introduction: Many factors have been tested to predict the spread of spinal anesthesia in clinical practice. In the study, we aimed to investigate the correlation between hip/shoulder width ratio and spread of spinal anesthesia. Method:... more
Introduction: Many factors have been tested to predict the spread of spinal anesthesia in clinical practice. In the study, we aimed to investigate the correlation between hip/shoulder width ratio and spread of spinal anesthesia. Method: Sixty patients were enrolled in this study to determine the correlation between hip/shoulder width ratio and the spread of spinal anesthesia. The L4-L5 interspace, navigated by ultrasonography, was introduced at the lateral position with a 25G spinal needle. 3ml 0,5% hyperbaric bupivacaine was injected intrathecally in 15 seconds. Age, height, weight, body mass index, hip/shoulder width ratio, and vertebral column length were recorded. Spinal anesthesia spread was assessed at 0, 5, 10, 20, and 30 minutes after spinal anesthesia. The patient was turned supine 5 minutes after intrathecal injection. Multiple linear regression analysis was used to analyze the correlation between the spread of spinal anesthesia and age, height, weight, hip/shoulder width ...
Research Interests:
Purpose: The presence or absence of protective or preventive role of dexmedetomidine and propofol against ischemia/reperfusion (I/R) injury at tissue level on liver I/R model was demonstrated. Materials and methods: 24 rats were randomly... more
Purpose: The presence or absence of protective or preventive role of dexmedetomidine and propofol against ischemia/reperfusion (I/R) injury at tissue level on liver I/R model was demonstrated. Materials and methods: 24 rats were randomly divided into four groups. Following anesthesia laparotomy was done and hepatoduodenal ligament was explorated. Tissue samples were taken for both biochemical (MDA, SOD, GPx) and histological study. Results: MDA level was hisghest in Group II and was significantly lower in Group III and Group IV. GPx level was lowest in Group II, the level of GPx was higher in Group III and Group IV with respect to Group II. SOD level was lowest in Group II and was highest in Group IV. SOD levels in Group II and Group III did not show statistical significance. In the histopathological study, in Group I the liver parenchyme and membrane integrity was protected; in Group II the hepatocyte cellular membrane integrity was distorted, microvesicule number increased and the liver sinusoids were shrunken; in Group III the hepatocyte membrane and nucleus was near normal and well protected; and in Group IV the cellular component structures were protected, hepatocyte cell membrane was protected in normal thickness. Discussion: The results show that dexmedetomidine and propofol decrease the level of MDA in similarly; the effect of dexmedetomidine on GPx level was slightly lower than propofol and its effect on SOD level was lower than propofol. As a result, we believe that either propofol or dexmedetomidine can be effective in protecting hepatocytes from I/R injury especially in log term procedures but the former drug having dominance in this protective role.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
BackgroundAdvantages of laparoscopic cholecystectomy (LC) such as less pain and short hospital stay make it the treatment of choice for cholelithiasis. There are limited data about LC under spinal anesthesia. This study was designed to... more
BackgroundAdvantages of laparoscopic cholecystectomy (LC) such as less pain and short hospital stay make it the treatment of choice for cholelithiasis. There are limited data about LC under spinal anesthesia. This study was designed to evaluate LC under spinal anesthesia.