Browsing by Author "Soyoral, L."

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Effect of N 2o on Nausea and Vomiting Via Intraabdominal Pressure
(2012) Yuce, H.H.; Goktas, U.; Kati, I.; Cegin, M.B.; Soyoral, L.
Background and objective: In this study we aimed to investigate whether there is an effect of N 2O on postoperative nausea and vomiting (PONV) via intraabdominal pressure (IAP). Methods: A total of 40 patients with risk class ASA I-II and age ranging between 20 and 50 years were enrolled in the study. The patients were monitored for electrocardiography (ECG), peripheral oxygen saturation (SpO 2), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), end-tidal carbon dioxide (ETCO 2) and body temperature. IAP was measured by a central venous pressure manometer placed in the urine catheter. Heart rate (HR), SpO 2, SBP, DBP, MBP, ETCO 2, body temperature and IAP were measured before the induction of anesthesia and every 10 minutes throughout the operation. Nausea and vomiting were questioned at the first and second postoperative hours. The patients were randomly grouped into two groups. Induction in both groups was provided using 2 mg/kg propofol, 2 pg/kg fentanyl and 0.1 mg/kg vecuronium, and endotracheal intubation was performed. The maintenance of anesthesia was provided by 40 % O 2+ 60 % N 2O, 1-2 % sevoflurane and 50 g fentanyl + 2 mg vecuronium every 45 minutes in the first group. In the second group, 60 % dry air was used instead of 60 % N 2O. Results: There was no significant difference in terms of HR, SpO 2, SBP, MBP, ETCO 2, body temperature, nau-sea-vomiting and IAP. Conclusions: In conclusion, we think that N 2O usage during the general anesthesia in patients without intraab-dominal problems may increase IAP level for some degree whereas it does not increase PONV. In addition, N 2O usage does not change ETCO 2 values (Tab. 3, Fig. 3, Ref. 32). Full Text in PDF www.elis.sk.
Effect of N2o on Nausea and Vomiting Via Intraabdominal Pressure
(Comenius Univ, 2012) Yuce, H. H.; Goktas, U.; Kati, I; Cegin, M. B.; Soyoral, L.
Background and objective: In this study we aimed to investigate whether there is an effect of N2O on postoperative nausea and vomiting (PONV) via intraabdominal pressure (IAP). Methods: A total of 40 patients with risk class ASA I-II and age ranging between 20 and 50 years were enrolled in the study. The patients were monitored for electrocardiography (ECG), peripheral oxygen saturation (SpO(2)), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), end-tidal carbon dioxide (ETCO2) and body temperature. IAP was measured by a central venous pressure manometer placed in the urine catheter. Heart rate (HR), SpO(2), SBP, DBP, MBP, ETCO2, body temperature and IAP were measured before the induction of anesthesia and every 10 minutes throughout the operation. Nausea and vomiting were questioned at the first and second postoperative hours. The patients were randomly grouped into two groups. Induction in both groups was provided using 2 mg/kg propofol, 2 mu g/kg fentanyl and 0.1 mg/kg vecuronium, and endotracheal intubation was performed. The maintenance of anesthesia was provided by 40 % O-2 + 60 % N2O, 1-2 % sevoflurane and 50 mu g fentanyl + 2 mg vecuronium every 45 minutes in the first group. In the second group, 60 % dry air was used instead of 60 % N2O. Results: There was no significant difference in terms of HR, SpO(2), SBP, MBP, ETCO2, body temperature, nausea-vomiting and IAP. Conclusions: In conclusion, we think that N2O usage during the general anesthesia in patients without intraabdominal problems may increase IAP level for some degree whereas it does not increase PONV. In addition, N2O usage does not change ETCO2 values (Tab. 3, Fig. 3, Ref. 32). Full Text in PDF www.elis.sk.
The Efficiency of Hemodialysis in Transfusion-Related Acute Lung Injury (Trali): a Case Report
(Yuzuncu Yil Universitesi Tip Fakultesi, 2016) Goktas, U.; Yuzkat, N.; Soyoral, L.; Cegin, M.B.; Kahraman, A.
Transfusion-Related Acute Lung Injury (TRALI) is an important life-threatening complication that is related with blood transfusion. The frequency is reported as 1/5.000. It is generally characterized with hypoxia that appears at the 2-6th hours after the blood transfusion, bilateral infiltration in the chest radiography, and non-cardiogenic pulmonary edema. Acute respiratory distress, hypotension, tachycardia and fever accompany the clinical picture. Past surgery, blood transfusion, and sepsis are among the factors that trigger the disease. In this study, the efficiency of the hemodialysis applied in the right time in the treatment of a heavy TRALI case developed after a blood transfusion has been presented. © 2017 Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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.
Pregabalin Administered as an Anxiolytic Agent in Ultrasound-Guided Infraclavicular Block: a Controlled, Double-Blind, Dose-Ranging Trial
(verduci Publisher, 2016) Cegin, M. B.; Soyoral, L.; Yuzkat, N.; Baydi, V.; Goktas, U.
OBJECTIVE: Adjuvant agents, given with local anesthetics or via venous, oral, or rectal routes for peripheral nerve blocking, have been in use for a long time. Literature studies about pregabalin usage in peripheral nerve blocking are limited in number. In this study, we aimed to reveal the blocking quality of pregabalin administered orally in various doses as an anxiolytic agent and its effective dose range. PATIENTS AND METHODS: Eighty patients who underwent upper extremity bone surgery were included in the study. The cases were divided into 4 randomized groups of 20 patients. The group that did not receive any medication before the surgery was named the Control Group (Group C), the group that received 75 mg pregabalin per os was named Group P75, the group that received 150 mg pregabalin per os was named Group P150, and the group that received 300 mg pregabalin per os was named Group P300. The study had a controlled and double-blind design. Before, during and after routine peripheral nerve blocking, vital signs, Ramsey Sedation Scale, Patient Satisfaction, Visual Analog Scale, and termination durations of sensorial and motor blocks were recorded. RESULTS: Motor block initiation durations of all groups given pregabalin were significantly shorter than those of Group C. Sensorial block termination durations were similar in Group P150 and Group P300, and both were significantly longer than those in Group C and Group P75. First analgesic requirement time for Group P150 and Group P300 were significantly longer than that of Group P75. Although there was no significant difference between postoperative patient satisfaction and VAS values, first analgesic requirement times of the pregabalin administered groups were longer than those of the control group. CONCLUSIONS: The patients, who are about to undergo surgery, generally develop anxiety about death, not waking up from anesthesia, disability, pain and loss of ability to work. Pre-gabalin is an anti-epileptic, analgesic and anxiolytic agent. With these characteristics, it can be used to reduce pre-operative anxiety, for prophylaxis against convulsions and post-operative analgesia. One hundred fifty mg of pregabalin provides sufficient and effective analgesia, and this dose positively affects the quality of the block.
Retroperitoneal Castleman Disease With Paravertebral Localization Mimicking Nephrolithiasis: a Rare Case
(Yuzuncu Yil Universitesi Tip Fakultesi, 2014) Kaba, M.; Pirinççi, N.; Yavuz, A.; Bora, A.; Soyoral, L.; Bulut, G.
Castleman’s Disease (CD), is a rare condition of uncertain etiology, involves a massive proliferation of lymphoid tissues and typically presents as mediastinal masses. In general, CD is an incidentally diagnosed disease with an asymptomatic course in most cases. We aimed to present a 48-year old woman who presented with left flank pain and had calcifications at the localization of left kidney on abdomen x-ray. The retroperitoneal mass with paravertebral localization was evaluated, because the size of mass in our case was larger than traditional sizes seen in Castleman Disease and calcifications and localization of the mass on KUB x-ray can mimic renal stone disease. © 2014, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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.