Browsing by Author "Göktaş, U."

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Acute Mountain Sickness Occurring With Corpus Callosum, Globus Pallidus and Cerebellar Peduncle Involvement: Mri Findings
(2010) Avcu, S.; Arslan, H.; Göktaş, U.; Bulut, M.D.; Ünal, Ö.
Acute mountain sickness (AMS) is a pathological reaction, occurring as a result of failure to adapt to altitude. The main symptoms reported are headache, nausea, vomiting and fatigue. However, high altitude cerebral and pulmonary edema, occurring in AMS, cause potentially fatal consequences. In our 31-year-old case, who is the group leader and activity organizer among nine mountaineers, who climbed Mt. Aĝri{dotless} for winter climbing, nausea, vomiting, unconsciousness, lack of appetite and severe headache have occurred in connection with high altitude at 4200 m. Brain MRI of the patient revealed wide-spread hyperintense lesions at subcortical white matter, corpus callosum, globus pallidi, and bilateral cerebellar peduncles on T2 and FLAIR series. The patient was referred to anesthesia-intensive care unit of our hospital. Since the appearances are demonstrative, MRI findings are presented. © 2010 Elsevier Ireland Ltd.
Anesthesia Mumps After the Cesarean Section in Pregnant Woman
(TIP ARASTIRMALARI DERNEGI, 2011) Kati, I.; Kurdoǧlu, Z.; Göktaş, U.; Aytekin, O.Ç.; Avcu, S.
Anesthesia mumps is characterized by acute transient swelling of the parotid gland association with general anesthesia. We presented a 25 years old pregnant woman with anesthesia mumps after 24 hours Cesarean section, and discussed treatment of anesthesia mumps and differential diagnosis. 25 years old woman underwent to operation for Cesarean section. Her Medical history had no chronic disease, and no allergies. Her mental and psychological status, neurological, other systematical examination findings and laboratory values were normal. General anesthesia was administered. Twenty four hours after the extubation, a large swelling of right more than left parotid region expanding down to the mandibular angle was noted. In conclusion we suggest that especialy obstetrical cases should be performed gently intubation and extubation and used medications should be attention. In additioal, anesthesia mumps of patients may fully recover within a few days without any treatment or with treatment.
Catheter Related Pneumomediastinum
(2009) Göktaş, U.; Avcu, S.; Kati, I.; Özhan, C.
Central venous catheterization is usually used in situations such as major blood loss or where myocardial function is impaired. Pneumomediastinum is a rarely seen event associated with central venous catheterization. In this presentation, we wanted to highlight the importance of radiographic control in unrecognized cases with pneumomediastinum developed after repeated catheterizations.
Complete Atrioventricular Block Presenting With Arrest
(2011) Işik, Y.; Gümrükçüoǧlu, H.A.; Göktaş, U.; Akdaǧ, S.; Kati, I.
The most common cause of complete atrioventricular block is drug toxicity, coroner artery disease and degenerative disorders in adults. Here we present a case of complete AV block and sudden cardiac arrest in women while waiting to make examination of her child in another health center. A 29 years old woman had a normal vaginal delivery 2 mounts ago. About 14 minutes, resuscitated the patient was referred to our hospital. The first evaluation in the emergency department; consciousness closed, pupil dilation, pupil light reflex. +/+, intubated, heart rate 30 beats min-1, blood pressure: 90/60 mmHg and Glasgow Coma Score: 7. Complete atrioventricular block was detected in electrocardiography and single-chamber temporary cardiac pacemaker was inserted and the rhythm of 80 beatslmin arranged by cardiology department. The patient in this state transferred anesthesia intensive care unit and connected mechanical ventilation. Drug levels were normal in patient with suspected intoxication. Patient was extubated one day after the consciousness and transferred to cardiology clinic. When more than 72 hours to pass the first event we through that patient pacemaker-dependent. Dual chamber pace maker was inserted. The patient was discharged three days after pacemaker implantation. In conclusion, we reported a patient with atrioventricular block presented with life-threatening clinical manifestations due to peripartum cardiomyopaty and treated without sequela.
Factor Vii Deficiency and Anesthesia
(2008) Göktaş, U.; Kati, I.; Tekin, M.; Çeǧin, M.B.; Korkut, M.
We suggest that recombinant factor VII concentrate could be used to prevent bleeding in the patients with congenital factor VII deficiency in the anesthesia procedure.
Hyperthermia
(2009) Göktaş, U.; Tekin, M.; Kati, I.; Toprak, K.; Yusuf Güneş, H.
Rapid and progressively increasing body temperature during anesthesia reminds us many conditions, predominantly malignant hyperthermia. In this report, it is aimed to investigate the reason of progressively increasing fever during and after the anesthesia in a total of 8 patients from 2 different clinics (n=3, and n=respectively).
Our Anesthesia Experiences in Pediatric Congenital Heart Surgery: Preliminary Results
(Turkish Anaesthesiology and Intensive Care Society, 2015) Yüzkat, N.; Çeʇin, M.B.; Polat, V.; Soyoral, L.; Göktaş, U.; Kunt, A.S.
Introduction: To investigate pediatric cases undergoing open heart surgery due to congenital heart disease. Material and Method: Pediatric cases undergoing congenital open heart surgery between November '2013 and March 2015 were retrospectively reviewed. Result: The study population consisted of 17 male and 23 female children and 52.5% of them were newborns. Surgery was performed in 50% of all cases with cardiopulmonary bypass. In 75% of the cases operated with CBP blood cardioplegia while in 25% of them histidinetryptophan-ketoglutarate solution were used. Discussion and Conclusion: Anesthetic problems encountered in a center with newly practised pediatric cardiac surgery were related to lack of experienced technicians, medical supplies, and catheterization procedure problems.
A Pregnant Developed Cardiac Arrest Due To Anaphylaxis
(TIP ARASTIRMALARI DERNEGI, 2010) Göktaş, U.; Kati, I.; Tekin, M.; Güneş, Y.
We present a pregnant developed cardiac arrest due to a severe anaphylactic reaction to i.v. sulbactam-ampicillin, who had no history of allergy to penicillin and cephalosporin. Ampicillin is one of the most common drugs to elicit a rash, with an overall incidence of 3% to 8%. Five to ten percent of people on ampicillin develop eruptions between the 5th and 14th day following initiation of therapy. The incidence of immediate hypersensitivity reaction or anaphylactic reaction to cephalosporin antibiotics has been estimated at 0.02% and most of these patients have a history of allergy to penicillin and/or adverse reactions to cephalosporins. We present a case of immediate systemic reaction to sulbactam-ampicillin in a pregnant women whom exposed to intravenous sulbactam-ampicillin several times in past. The patient manifested a severe reaction which included anaphylactic shock, requiring orotracheal intubation and epinephrine. In this case, we emphasized the importance of early, fast, effective,and proper cardiac resusitation for anaphylaxis which may improve the prognosis.
A Retrospective Analysis of the Poisoning Cases Who Were Followed in Our Intensive Care Unit
(2011) Göktaş, U.; Işik, Y.; Çeǧin, M.B.; Soyoral, L.; Kati, I.
Background: Poisoning is a commonly encountered and a serious acute or chronic health problem which may be fatal. Patients admitted to our Intensive Care Unit (ICU) with a diagnosis of poisoning have been retrospectively analyzed in the last 3 years in order to determine the national and especially regional health policies, and to shed light on other studies. Material and Methods: All poisoning cases of ICU between March 2007 and September 2010 were evaluated regarding age, gender, type and receiving path of the poison and prognosis. Results: Forty-one of total 803 patients were poisoning cases, twenty-one of whom were female and 20 male. The mean age for the females and the males were 26 and 27 respectively. One patient (2.44%) was poisoned by carbon monoxide, I patient (2.44%) had methyl alcohol, 5 patients (12.2%) were poisoned with rat poison, 5 patients (12.2%) had heroin, 2 patients (4.88%) were poisoned with organophosphates, 26 patients (63.42%) were poisoned by medication, and 1 patient (2.44%) was poisoned by an unknown substance. Conclusion: Although the cases adopted to ICU with acute poisoning were especially young population and majority of them were poisoned with drugs, females were found out to be more when committing suicide was considered.