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Öğe Anesthetic management in hydatid disease: A review of 435 cases(Societa Editrice Universo, 2014) Altay N.; Yüce H.H.; Küçük A.; Aydo?an H.; Yalçin Ş.; Yildirim Z.B.Background and Aims: Hydatid cyst diseases are still a problem in Turkey, especially in the east and southeast of Anatolian Region, as well as in many other places in the world. In this study a retrospective review was made of the anesthetic management for surgical and interventional treatment of 435 patients with hydatid cysts. The study data were collected between January 1997 and December 2012 at Harran University Hospital, Sanliurfa, Turkey. Materials and Methods: Patients' demographics and localization of the cysts were recorded. Suitable anesthetic and surgical management were performed to the cysts according to their locations. Four hundred thirty-five patients had general anesthesia with a midazolam premedication and one of them was treated by sedation. Results: Of the 435 patients, 251 were females (57.7%) and 184 males (42.3%) and ages ranged from 1 to 74 years (mean: 36.3 ± 25.4). These include; preoperative using of steroids and antihistamines to prevent the allergy possibility, intraoperative hypotension and tachycardia and administration of colloids, and improvement of postoperative anaphylaxis. Anaphylaxis was observed in only two patients who undertook percutaneous aspiration. Also bronchospasm was developed in four patients during the postoperative period and successfully treated with standard bronchodilatators. Conclusion: Anaphylactic reaction during operation is a serious complication, but a very rare one. Prophylactic use of antihistamine and steroid drugs were reduced allergy and anaphylaxis. © Società Editrice Universo (SEU).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 A cardiac arrest associated with double lumen endobronchial tube: Case report(2011) Tufek A.; Celik F.; Tokgoz O.; Karaman H.; Ulku R.; Yildirim Z.B.; Kavak G.O.Double lumen tubes are used frequently in operations of Thorax Surgery Department. This case report presents a cardiac arrest towards the end of surgery in patient with placement of left bronchial double lumen tubes. Unexplained perioperative cardiac arrest may be due to obstruction of pulmonary artery flow associated with double lumen tube in thorax surgery.Öğe Oral ketamine administration for radiation therapy in children(Scientific Publishers of India, 2017) Doğan E.; Güzel A.; Zincircioğlu S.B.; Arslan M.Ş.; Çelik F.; Yildirim M.B.; Yildirim Z.B.Background: Radiotherapy is a reliable and effective treatment for various malignancies and can be used for both curative and palliative/prophylactic ends. In order to achieve accuracy, reliability and success in the implementation of radiotherapy, it is imperative that patients adapt to the treatment and remain motionless. Material and methods: In this study, the records of anesthetic agents utilized in 26 patients aged 2-10 being treated by external beam radiotherapy were examined. Results: Radiotherapy under anesthesia was implemented in a total of 56 sessions conducted on 26 patients. During the radiotherapy applications, only 10 (17%) sessions required the use of an extra dose of ketamine. The radiotherapy session duration was 6.3 ± 2.4 minutes. (The anesthesia start time was 20.5 ± 4.6.) Additionally, the patients' recovery time from anesthesia was found to be 68.6 ± 6.2. 61.5% of the patients were administered prophylactic cranial radiotherapy due to acute lymphoblastic leukaemia (ALL). Before and after the procedure, hemodynamic and respiratory parameters were found to be stable. Conclusion: Since a combination of oral ketamine and midazolam provides effective sedation and comfort and can be administrated easily, we believe that it can be safely used in radiotherapy procedures on children. © 2017, Scientific Publishers of India. All rights reserved.
