Browsing by Author "Hüseyinoǧlu, Ü.A."

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Anaesthetic and Hemodynamic Effects of Continuous Spinal Anaesthesia Versus Single Dose Spinal Anaesthesia in Elderly Patients
(2001) Dimirel, C.B.; Kati, I.; Cem Tuncer, Y.; Hüseyinoǧlu, Ü.A.; Silay, E.
Forty patients (>70 years old) scheduled for retropubic transvesical prostatectomy were prospectively evaluated in order to compare quality of anaesthesia, complications and hemodynamic tolerance of titrated doses of plain bupivacaine using continuous spinal anaesthesia versus single dose spinal anaesthesia. Patients were randomized into two groups (Group K: continuous spinal anaesthesia, n: 20, Group S: single dose spinal anaesthesia, n: 20). The group S patients received 3 mL of 0.5% plain bupivacaine, and the group K patients received a starting dose of 1.5 mL of 0.5% plain bupivacaine, followed after 10 min by optional reinjection of 0.5 mL every 5 min until T10 level sensory block was reached. Onset of anaesthesia, hemodynamic variables, the need for ephedrine and complications were registered. Spinal anaesthesia was successful in all patients of both groups. Decreases in mean arterial pressure were significantly less pronounced in the group K than in the group S. The variations in heart rate were small and there was no significant difference between the two groups. The mean dose of ephedrine was significantly less in the group K than in the group S. No neurological complications related to the spinal anaesthesia technique were observed in either group. As a result of this study, the continuous spinal anaesthesia, using small titrated doses of 0.5% plain bupivacaine, is safe, efficient, and provides better hemodynamic stability than single dose spinal anaesthesia in elderly patients.
Ankylosis of Temporomandibular Joint, Micrognathia and Difficult Intubation (Case Report)
(2004) Kati, I.; Tekin, M.; Hüseyinoǧlu, Ü.A.; Silay, E.
Fiberoptic bronchoscopy is widely used for tracheal intubation in cases where direct laryngoscopy could not be achieved. In this case report we have discussed the anaesthetic management of a 17-years-old male with temporomandibular joint ankylosis and micrognathia developed following a trauma in childhood. We concluded that; although several methods can be used in cases of difficult intubation, following a careful preoperative preparation and by taking preventive measures, fiberoptic intubation can be performed providing spontaneous breathing without any problem in patients having micrognathia and restricted mouth opening.
Comparison of Bupivacaine With Bupivacaine Plus Fentanyl Administered Via Thoracic Epidural Catheter for Pain After Thoracotomy in Children
(2004) Demirel, C.B.; Kati, I.; Köseoǧlu, B.; Bakan, V.; Hüseyinoǧlu, Ü.A.; Silay, E.
In this study, we aimed to compare the analgesic and side effects of bupivacaine versus bupivacaine and fentanyl combination administered via epidural cathater. Sixty children, aged 3-12 years, ASA I or II physical status, undergoing thoracic surgery were studied. All patients were monitorized routinely. Anaesthesia induced with sevoflurane or thiopenton, atracurium and fentanyl, and meintained with O2 + air, sevoflurane, atracurium and fentanyl. At the end of the operations, epidural catheters were placed below two dermatomes of the surgical incision. In the First Group, 0.3 mL kg-1 bupivacaine 0.125 % was administered as a bolus through the catheter, and infusion in a dose of 0.3 mL kg-1 h-1 added. In the Second Group, 2 mg mL-1 fentanyl and bupivacaine 0.125% was administered as a bolus in a dose of 0.3 mL kg-1 and infusion in a dose of 0.3 mL kg-1 h-1 added. Pain scores were decreased lower than four points in all patients except two patients in the first group, and three patients in the second group. In the second group, sedation scores were higher and pupil's diameters were smaller than the first group. In conclusion, thoracal epidural analgesia seems to be favorable method for pain relief after thoracotomy. However, we must be careful for sedation if opioids will be added to local anesthetics.
Difficult Tracheal Extubation (Case Report)
(2003) Demirel, C.B.; Kati, I.; Çankaya, H.; Hüseyinoǧlu, Ü.A.; Egeli, E.
Difficult tracheal extubation is hardly recognized by anesthesiologists as it is rarely encountered in comparison to difficult tracheal intubation. In patients, trials of extubation can be fatal when the real reason is not found. In most cases, the problem arises from an inability to deflate the cuff, commonly as a result of failure in the cuff-deflating mechanism. We present a patient who had operation for laryngo-fissur and chordectomy. The patient was intubated orally by direct laryngoscopy with a spiral endotracheal tube, which was used for the second time due to economical reasons. At the end of operation, the cuff could not be deflated via normal procedure. The patient was given anesthesia again and the cuff was exploded by a stile under direct laryngoscopy and extubation was performed. In patients with difficult tracheal extubation, it is better to do extubation after finding the real reason.