Browsing by Author "Işik, Y."

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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.
A Rare Case of Fistula: Nasocutaneous Fistula
(2011) Işik, D.; Koçak, O.F.; Işik, Y.
A three-year-old male patient was brought to our clinic by his family with the complaint of a non-healing wound with discharge on his forehead and the nasal region. He had a history of a fall one-year ago. The patient had recurrent complaints of swelling and hyperemia following this trauma. He had undergone an operation with the pre-diagnosis of foreign body in soft tissue six months ago. However, no foreign body had been detected and the inflamed tissue had been excised and closed again. The swelling and purulent discharge in the region between nose and eye continued after this surgery. The patient underwent an operation and a circular defect 0.5 cm in diameter was detected on the dorsum of the nasal bone and a fistula tract was found to have developed between this defect and the skin between the nose and the eye. A subcutaneous forehead flap without skin tissue was removed including the periosteum from the left part of forehead after excision of the fistula tract. The flap was transferred to the nasal dorsum and the component of the forehead flap including the periosteum was used for reconstruction of the nasal mucosa. The wound healed without any problems and no fistula or infection developed again during the six-month follow-up.
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.