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Öğe Aminophylline reversal of flunitrazepam sedation(1987) Gurel A.; Elevli M.; Hamulu A.Seventeen otherwise healthy patients were given either intravenous physiologic saline, 5 ml, aminophylline, 2 mg/kg, randomly 30 min after they were given intravenous flunitrazepam in doses adequate to produce sleep and sedation during spinal anesthesia for anorectal surgery. In the control group, mean sedation scores were 1.8 ± 0.3 and 1.0 ± 0.4 15 and 45 min after injection of placebo. Fifteen and 45 min after the injection of aminophylline the mean scores of sedation were 0.4 ± 0.2 and 0.2 ± 0.2, respectively. Even though the patients in both groups appeared to be equally alert and responsive after 75 min, Trieger tests revealed that psychomotor function was still significantly impaired in the control group 90 min after the injection of placebo. The amnesic effects of flunitrazepam were not affected by aminophylline. Aminophylline may be used to reverse the sedative and psychomotor effects of flunitrazepam.Öğe Clinical and echocardiographic evaluation in children with cardiomyopathy(1996) Elevli M.; Kilinc M.; Gunbey S.; Devecioglu C.; Tas M.A.Thirty cases diagnosed cardiomyopathy by echocardiography were evaluated with clinical and laboratory findings. The patients were aged between 2.5 months and 13 years. There was history of consanguinity in of 26 cases with myocarditis and cardiomyopathy. The left ventricular apical thrombus was in two patients with myocarditis and cardiomyopathy. Dyspne, cough, cyanosis weakness and fever were the most often encountered clinical symptoms of patients with idiopathic and dilated myocarditis and cardiomyopathy. The left ventricular apical thrombus was observed in two patients with myocarditis dilated cardiomyopathy. The mean left atrial dimension was 127.04 23.88 % of the predicted normal mean value in patients with myocarditis and dilated cardiomyopathy. In patients with myocarditis and dilated cardiomyopathy left ventricular end-diastolic and right ventricular end-diastolic dimensions were considerably in excess of expected normal upper limits in children with the same body weight (119.58 18.67 % and 136.85 25.89 % respectively. The ejection fraction and fractional shortening were significantly lower than the normal value in all the patients with myocarditis and dilated cardiomyopathy (ejection fraction: 34.21 8.34 %, fractional shortening: 15.99 4.99 % respectively). In cases with hypertrophic cardiomyopathy the mean fractional shortening values were 75.5 22.45 % and 48.92 4.21 %. M-mode and two-dimensional echocardiographic study are valuable diagnostic methods in the diagnosis of myocarditis and dilated and hypertropathy. Color Doppler echocardiographic study is also available by the measurement of flow velocities an the determination of valvular insufficiencies.Öğe Epidural morphine for postoperative pain relief in anorectal surgery(1986) Gurel A.; Unal N.; Elevli M.; Eren A.Postoperative analgesia and side effects of a single dose of 20 ml of 2% epidural prilocaine followed immediately by either morphine (3 mg in 3 ml saline) or saline (3 ml) were studied in 79 patients scheduled for anorectal surgery. Pain relief was evaluated by a linear scale for 24 hr and by an assessment of the requirement for parenteral analgesics. Of the patients given epidural morphine, 25% did not require analgesics, whereas all patients given prilocaine alone asked for additional analgesia. Remaining patients given morphine were pain-free for a mean duration of 7.6 ± 5.1 hr (SD). Only 9% of patients given morphine required a maximum of three analgesic parenteral injections in 24 hr. Urinary retention was the most prominent side effect observed in patients given epidural morphine. No early or delayed respiratory depression was noted in our patients.Öğe Intravenous immunoglobulin in the treatment of Guillain-Barre syndrome(1997) Elevli M.; Yaramis A.; Soker M.; Haspolat K.; Gunbey S.[No abstract available]
