Yazar "Kol, Iclal Özdemir" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Pseudoaneurism of radial artery
    (2008) Kol, Iclal Özdemir; Gürsoy, Sinan; Kaygusuz, Kenan; Gürelik, Bilge; Alkin, Feridun; Gönüllü, Mustafa; Mimaroglu, Caner
    Introduction: Pseudoaneurysms can be occurred due to blunt or penetrating traumas that damages arterial wall completeness. Pseudoaneurysm of radial artery is seen rarely. In this case, a pseudoaneurysm due to radial artery catheterization at intensive care unit (ICU) is presented. Case: The patient was a 56 years old man that had amyotrophic lateral sclerosis at ICU. Radial catheter was removed because of skin flushing and pain at the 190th day of hospitalization. After 24 hours of removal of the catheter a 2×3 cm palpable and pulsatile mass was determined. The diagnosis of pseudoaneurysm was made by Doppler ultrasound. Because of mass enlarging and wound formations on first and second fingers, aneurismatic mass was removed and radial artery was ligated. The ulcerations on fingers recovered completely. Conclusion: Pseudoaneurysms can be seen after the removal of catheters at the patients who are catheterized for a long time and frequently. In order to prevent this it must be paid attention to asepsia, and must be pressed for enough time. The attempting area must be observed regularly for early diagnosis, the treatment must be done before dangerous complications have been occurred.
  • Küçük Resim Yok
    Öğe
    Radial nerve paralysis after tourniquet at intravenous regional anesthesia (Case report)
    (2007) Kol, Iclal Özdemir; Kaygusuz, Kenan; Öztürk, Hayati
    We aimed to presentate the radial nerve paralysis after IVRA with double tourniquet method. Case: The cystic mass at forearm of 34 aged woman was excised under IVRA. The total operation time was 20 minutes. At the operation's finishing time, it was seen that both esmarch bandage and pneumotic tourniquet were still using. Our case had drop hand at postoperative period and recovered six weeks later. In conclusion; double tourniquet must be used at IRVA in order to decrease the tourniquet damage, esmarch tourniquet must be taken off after pneumotic tourniguet was inflated.
  • Küçük Resim Yok
    Öğe
    The effect of different anaesthetic technics on stress response to the surgery
    (2005) Kaş, Dindar; Gönüllü, Mustafa; Kol, Iclal Özdemir
    Aim: This study compared the hemodynamic, metabolic and endocrine including leptin responses to surgery with total intravenous anesthesia (TIVA) with propofol-alfentanil or propofol-remifentanil and sevoflurane anesthesia. Materials ve Methods: Fortyfive ASA I-II, patients scheduled to undergo abdominal surgery were randomly divided into three groups (N=15). General anaesthesia induction and neuromuscular paralysis were performed in all patients with 1,5 mg kg-1 propofol and 0.1 mg kg-1 vecuronium respectively. In Addition group I patients were given 1 ?g kg-1 fentanyl, group II patients were given 40 ?g kg-1 alfentanil and group III patients were given 1 ?g kg-1 remifentanil. Maintenance anaesthesia was performed in group I with 1.5-3 % sevoflurane and 50 % N 2O/O2 in group II with 100 ?g kg-1 min -1 propofol and 2 ?g kg-1 min-1 alfentanil and after the first hour 1 ?g kg-1 min-1 alfentanil infusion. Third group was administered 100 ?g kg-1 propofol and 0.25 ?g kg-1 min-1 remifentanil infusion. Hemodynamic changes were recorded. Plasma cortisol, ACTH, prolactin, insulin, glucose and leptin concentration were determined, one hour post-incision and 24th hours with RIA or IRMA methods as appropriate. Results: Hemodynamic response to intubation and surgical incision was depressed at alfentanil and remifentanil groups (p<0.05). ACTH and cortisol levels were depressed significantly at remifentanil group (p<0.05). Prolactin levels were significantly elevated in all groups (p<0.05). Blood glucose levels were lower in the TIVA groups. Compared to preoperative levels leptin was significantly decreased one hour post intubation and increased at 24 hours postoperatively in all groups. Conclusions: We conclude that in healthy patients undergoing abdominal surgery TIVA with propofol-remifentanil blunts perioperative hemodynamic, metabolic and endocrine responses when compared to sevoflurane anesthesia. Leptin concentrations first decrease than increase during the first 24 hours of surgery.
  • Küçük Resim Yok
    Öğe
    The investigation of the effects of morphine on QT interval at spinal anesthesia with Bupivacaine
    (2008) Düger, Cevdet; Mimaro?lu, Caner; Kaygusuz, Kenan; Kol, Iclal Özdemir; Gürsoy, Sinan
    Objective: The aim of this study is to research the effects on QT interval of intrathecal morphine added to bupivacaine which is known as a cardiac arrhythmogenic agent. Method: The study was performed on 60 patients that are scheduled to have lower abdominal surgery. The patients were randomized into two groups 30 of each. Solution of 12,5 mg 0,5 % hyperbaric bupivacaine and 0,3 mL 0,9 % NaCl at the control group, and 0,3 mg morphine hydroclorur at the morphine group that have a volume of 2,8 mL were administered to the intrathecal area for spinal anesthesia. The mean arterial pressure, heart rates, sensorial block levels, QT and QTc intervals recorded during the study. Results: The mean arterial pressures at the postspinal 5th minute and after were found lower at the morphine group (p<0,05). QTc values of the morphine group were found lower than the control group at 20th, 25th and 30th minutes (p<0.05). The peak sensorial block level was higher, time to reach the block to T10 level was shorter, the two segment regressing time of sensorial block was longer at the morphine group (p<0,05). Itching were seen at 20% patients in morphine group, but no patients of control group (p<0,05). Conclusion: Adding a prototype and car cardioprotective opioid agent morphine to cardiotoxic agent bupivacaine for spinal anesthesia may decrease arrythmia incidence.