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Öğe Anesthetic management of pregnant patients with Appendectomy(2013) Celik F.; Oguz A.; Yildirim Z.B.; Guze A.; Dogan E.; Ciftci T.; Aycan I.A.Our goal was to present our anesthesia procedure of pre-diagnosis and laparotomy on pregnant patients with acute appendicitis. After approval Ethics Committee, 77 pregnant patients with a diagnosis of acute appendicitis were evaluated. Patients were separated into two groups: group G (general anesthesia) and Group S (spinal anesthesia), according to the method of anesthesia applied. The patients' age, gestational age, method of anesthesia applied, duration of hospital stay, duration of anesthesia, number of pregnancies, leukocyte count and complications suffered were compared between the groups. After the surgery, with regular and adequate spontaneous respiration, protective airway reflexes present, and with vital parameters normal and within clinical limits, the patients were sent for internal evaluations. The demographic information of the cases is shown in table 1. In comparing the groups, the hospital stay duration of group S was significantly short. Looking at the incisions made for the surgical procedures, in group S relative to the pararectal incision average, the McBurney incision average was greater. In group G, the number of perforated appendicitis cases was higher. The anesthesia duration was short to a significant degree in group S. In order to protect the mother and baby from the negative effects of general anesthesia, as well as to lower costs by decreasing the duration of stay in the hospital, the spinal anesthesia technique could be a preferable procedure for selected pregnant acute appendicitis patients. G: general anesthesia, S: spinal anesthesia.Öğe Apert's syndrome: ophthalmic importance and clinical findings.(2009) Caça I.; Caça F.N.; Sakalar Y.B.; Erdem S.; Alakus F.; Ciftci S.; Dogan E.Apert's syndrome is a rare form of craniosynostosis that exhibits with many ocular manifestations. We present two cases of Apert's syndrome. Our first case is a 10-year-old girl admitted with exotropia, V pattern and proptosis on examination. Investigations revealed coronal craniosynostosis, cleft palate, vaginal atresia and syndactyly of the hands and feet. The second case is a 5-year-old boy presented with hypertelorism, exotropia, dissociated vertical deviation and proptosis. Investigations revealed coronal craniosynostosis, bifid uvula and syndactyly of the hands and feet.Öğe Bilateral cataract extraction with posterior chamber intraocular lens implantation simultaneous in pediatric cataracts.(2008) Caça I.; Sakalar Y.B.; Ari S.; Alakus F.; Dogan E.We evaluated the results of simultaneous bilateral cataract extraction with intraocular lens (IOL) inplantation 32 pediatric cataract patients. Simultaneous cataract extraction and posterior capsulotomy with anterior vitrectomy and IOL implantation is an effective and safe procedure in bilateral pediatric cataracts treatment.Öğe Trabeculectomy with mitomycin-C in neovascular galucoma patients.(2008) Caça I.; Ari S.; Sakalar Y.B.; Unlü K.; Dogan E.We sought to determine the effectiveness of trabeculectomy with mitomycin-C (MMC) in neovascular glaucoma (NVG) patients. Trabeculectomy with MMC in NVG patients is a method that has high rate of short-term success.Öğe The usage of low-dose lidocaine fentanyl in intravenous regional anesthesia(2013) Guzel A.; Çelik F.; Uludag O.; Dogan E.; Alemdar C.; Yildirim B.We aimed to present our IVRA practices by adding low-dose lidocaine fentanyl for the patients who have undergone forearm and hand surgery. After approval Ethics Committee and the permission of patients, 36 patients which were undergone elective, forearm or hand surgery, aged 18-60 years, were included in the study. The intravenous route was opened with 20 G cannula from the hand back (dorsum) which will operated and double-cuffed pneumatic tourniquet was inserted into the arm proximal. The arm was uplift for ten minutes and had veins drained by firmly wrapping the arm from finger tips towards shoulder to distal arm with the Esmarch bandage. First, the proximal cuff was inflated so as to be 150 mmHg more than systolic pressure. The distal cuff was lowered and the Esmarch bandage was removed. The 100 mg lidocaine+100 ?g fentanyl from the IV cannula on the hand back which will be operated, was given in 40 ml and the distal cuff was inflated after 5 min then proximal cuff was put out. The sensory block was assessed and sensory block initial time and motor block initial time was recorded. The regression times of sensory and motor block were recorded. Also the complications during and after the operation were recorded. Duration of surgery was determined as 30.3±10.1 min and the duration of tourniquet was 41.3±9.1 min. Sensory block initial time was recorded as 8.1±2.6 min, and the time for sensory block regression was recorded as 6.2±3.1 min. The motor block initial time was recorded as 13.4±5.2 min and motor regression time was recorded as 5.6±2.8 min. The clinical diagnoses of the patients were shown in Table 2. According to the VAS scores, it was observed that adequate level of anesthesia and analgesia was maintained for all patients. The addition of low-dose lidocaine to fentanyl in IVRA may provide both sufficient and effective anesthesia and decrease the complications related with local anesthetic toxicity.
