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Ozcan AA, Ulas B, Aksoy M. An effective approach for the treatment of severe punctal stenosis: Bicanalicular silicone tube intubation with pigtail probe. J Fr Ophtalmol 2024; 47:104073. [PMID: 38320466 DOI: 10.1016/j.jfo.2024.104073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 09/07/2023] [Accepted: 09/09/2023] [Indexed: 02/08/2024]
Abstract
PURPOSE To evaluate the results of using a pigtail probe to open the inferior punctum followed by bicanalicular silicone tube intubation in patients with severe acquired punctal stenosis. METHODS Forty-one eyes of 25 patients with severe inferior punctal stenosis admitted to our tertiary care center were included in the study. The degree of epiphora was determined using the Munk score and the fluorescein disappearance test. The inferior punctum was located and opened by entering the superior punctum with a pigtail probe. Then, bicanalicular silicone tube intubation was performed. The silicone tube was removed after six months. A Munk score of 0 or 1 and a fluorescein disappearance test score of 1 and 2 were considered a complete success. RESULTS Ten (40%) patients were male, and 15 (60%) were female. The mean age was 60.4±15.5years. One year after the surgery, epiphora was absent in 18 eyes (43.9%) (Munk score grade 0) and rarely seen in 9 eyes (22%) (Munk score grade 1). At the one-year follow-up, the fluorescein disappearance test score was stage 1 (<3min) in 21 eyes (51.2%) and stage 2 (3-5min) in 13 eyes (31.7%). There was a statistically significant difference between the preoperative and one-year postoperative test results (P<0.001). CONCLUSION In cases with severe punctal stenosis, a pigtail probe is an effective method for locating and opening the punctum, and punctal opening and prevention of restenosis were achieved by a bicanalicular stent.
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Affiliation(s)
- A A Ozcan
- Cukurova University Faculty of Medicine, Ophthalmology Department, 01330 Saricam/Adana, Turkey
| | - B Ulas
- Cukurova University Faculty of Medicine, Ophthalmology Department, 01330 Saricam/Adana, Turkey.
| | - M Aksoy
- Cukurova University Faculty of Medicine, Ophthalmology Department, 01330 Saricam/Adana, Turkey
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2
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Aksoy M, Aksoy AN, Yilmaz EPT, Senocak GNC, Dostbil A, Ozkan H. The effectiveness of erector spina plane, quadratus lumborum blocks, and intrathecal morphine for analgesia after cesarean: a randomized study. Rev Assoc Med Bras (1992) 2023; 69:e20230867. [PMID: 37971133 PMCID: PMC10645188 DOI: 10.1590/1806-9282.20230867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 08/22/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE This prospective randomized study was conducted at Ataturk University Medical Faculty Hospital, Department of Anesthesia and Reanimation, from June 2022 to May 2023. The aim of this study was to compare the effectiveness of ultrasound-guided erector spinae plane block, quadratus lumborum block, and intrathecal morphine to decrease postoperative pain after cesarean section. METHODS Sixty-term pregnant women who were scheduled for elective cesarean sections with spinal anesthesia were included. Patients were randomly divided into three groups (n=20 for each group): Group 1: Patients were administered intrathecal morphine during spinal anesthesia; Group 2: Patients performed bilateral erector spinae plane block postoperatively; and Group 3: Patients performed bilateral quadratus lumborum block postoperatively. In the postpartum care unit, patients received intravenous Patient-Controlled Analgesia. The Patient-Controlled Analgesia devices were set to administer an intravenous bolus of 25 μg fentanyl, with a lockout interval of 10 min. Opioid consumption and maximum pain score in the 24 postoperative hours were recorded. RESULTS Patients in Group 1 had a longer time to first analgesic requirement compared to Group 2 (p=0.017). Opioid consumption and resting and moving visual analog score scores in the first 24 h postoperatively were similar between groups. CONCLUSION All three methods, including intrathecal morphine, erector spinae plane block, and quadratus lumborum block, are efficacious and comparable in providing postoperative analgesia after cesarean under spinal anesthesia.
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Affiliation(s)
- Mehmet Aksoy
- Atatürk University, Faculty of Medicine, Department of Anesthesiology and Reanimation – Erzurum, Turkey
- Atatürk University, Anesthesiology Clinical Research Office – Erzurum, Turkey
| | - Ayse Nur Aksoy
- Atatürk University, Anesthesiology Clinical Research Office – Erzurum, Turkey
- University of Health Sciences, Erzurum City Hospital, Department of Obstetrics and Gynecology – Erzurum, Turkey
| | - Emsal Pınar Topdagi Yilmaz
- Atatürk University, Anesthesiology Clinical Research Office – Erzurum, Turkey
- Atatürk University, Faculty of Medicine, Department of Obstetrics and Gynecology – Erzurum, Turkey
| | - Gamze Nur Cimilli Senocak
- Atatürk University, Anesthesiology Clinical Research Office – Erzurum, Turkey
- Atatürk University, Faculty of Medicine, Department of Obstetrics and Gynecology – Erzurum, Turkey
| | - Aysenur Dostbil
- Atatürk University, Faculty of Medicine, Department of Anesthesiology and Reanimation – Erzurum, Turkey
- Atatürk University, Anesthesiology Clinical Research Office – Erzurum, Turkey
| | - Hava Ozkan
- Atatürk University, Faculty of Health Science, Department of Midwifery – Erzurum, Turkey
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Can Y, Kocayiğit I, Aksoy M, Kılıç H, Akdemir R. Assessment of the relationship between monocyte to high-density lipoprotein ratio and subclavian artery stenosis. Eur Rev Med Pharmacol Sci 2023; 27:1881-1888. [PMID: 36930485 DOI: 10.26355/eurrev_202303_31554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
OBJECTIVE Assessment of the monocyte-to-high-density lipoprotein ratio (MHR) is a new tool for predicting inflammation, which plays a major role in atherosclerosis. Subclavian artery stenosis (SAS) is usually asymptomatic, and atherosclerosis is the most common cause of chronic obstruction of the subclavian artery in adults. The aim of this study was to determine the relationship between the MHR and SAS. PATIENTS AND METHODS Between January 2015 and January 2020, 43 patients with SAS and 43 patients without SAS were enrolled in the study. The patients' angiographic, demographic and clinic characteristics were reviewed from their medical records. Monocytes and HDL (high-density lipoprotein) cholesterols were measured through a complete blood count. The MHR was calculated as the ratio of the absolute monocyte count to the HDL cholesterol value. The resulting MHR values were divided into the following three groups: low (7.16 ± 1.59), moderate (11.08 ± 1.53) and high (21.70 ± 5.62). A p-value of less than 0.05 was considered significant. RESULTS MHR was found to be significantly higher in the SAS group compared to the control group with normal subclavian arteries (p<0.001). The frequency of SAS was found to increase with an increase in the MHR tertiles. Sensitivity and specificity values were 69.8% and 95.3%, respectively. The cut-off of the MHR value, taken as 13.39, was found to provide a significantly accurate prediction of the subclavian diagnosis (ROC area under the curve: 0.868, 95% CI: 0.789-0.947, p<0.001). After adjusting for other hematological parameters in the multivariate analysis, MHR (p=0.061) was found to be a predictor of the presence of SAS. CONCLUSIONS This study showed that MHR can be a convenient marker for predicting SAS because of the correlation between MHR and SAS.
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Affiliation(s)
- Y Can
- Department of Cardiology, Sakarya University School of Medicine, Sakarya, Turkey.
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4
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Dagasan Cetin G, Dostbil A, Aksoy M, Kasali K, Ince R, Kahramanlar AA, Atalay C, Topdagi Yilmaz EP, Ince I, Ozkal MS. Intraperitoneal instillation versus wound infiltration for postoperative pain relief after cesarean delivery: A prospective, randomized, double-blind, placebo-controlled trial. J Obstet Gynaecol Res 2023; 49:209-219. [PMID: 36270632 DOI: 10.1111/jog.15469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Revised: 10/02/2022] [Accepted: 10/06/2022] [Indexed: 01/19/2023]
Abstract
AIM To compare local anesthetic wound infiltration with intraperitoneal instillation of local anesthetic for analgesia after cesarean section under spinal anesthesia. METHODS This study was conducted on 150 pregnant women undergoing elective cesarean section under spinal anesthesia. Spinal anesthesia was performed with 7 mg isobaric bupivacaine and 15 μcg fentanyl. The patients were randomized into three groups of 50 patients each: Group local anesthetic wound infiltration (LWI): 20 ml local anesthetic solution (10 ml 0.5% bupivacaine and 10 ml 2% lidocaine mixture) was administered subcutaneous wound infiltration at the end of surgery prior to skin closure and 20 ml saline was instilled into the uterine peritoneal area before fascia closure. Group intraperitoneal local anesthetic (IPLA): 20 ml local anesthetic solution (10 ml 0.5% bupivacaine and 10 ml 2% lidocaine mixture) was instilled into the uterine peritoneal area and 20 ml saline was administered subcutaneous wound infiltration. Group Placebo: 20 ml saline was instilled into the uterine peritoneal area and 20 ml saline was administered local subcutaneous wound infiltration. Pain scores at rest and on movement, total fentanyl consumption at 24 h, maternal satisfaction, and the time to first analgesic request were recorded. RESULTS No statistically significant difference was observed in the postoperative pain scores at rest at 2, 12, and 24 h (p = 0.314, 0.343, and 0.735, respectively) and on movement at 12 and 24 h (p = 0.318 and 0.642, respectively) between the groups. The pain scores on movement at 2 h were significantly lower in Group IPLA compared with Group Placebo (p = 0.047). There were no significant differences between the groups in terms of total fentanyl consumption and the time to first analgesic request. CONCLUSION The use of intraperitoneal instillation of bupivacaine and lidocaine reduces early the pain score on movement in women undergoing cesarean section under spinal anesthesia.
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Affiliation(s)
- Gozdenur Dagasan Cetin
- Department of Anesthesiology and Reanimation, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Aysenur Dostbil
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Kamber Kasali
- Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.,Department of Biostatistics, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Ramazan Ince
- Department of Anesthesiology and Reanimation, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Agah Abdullah Kahramanlar
- Department of Anesthesiology and Reanimation, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Canan Atalay
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Emsal Pınar Topdagi Yilmaz
- Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.,Department of Obstetrics and Gynecology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Ilker Ince
- Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.,Department of Anesthesiology and Reanimation, Altınbas University, İstanbul, Turkey
| | - Mırac Selcen Ozkal
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey
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5
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Bal C, Aksoy M, Ozturk Z, Unuvar M, Arslan Y. Does combined usage of FFP2 and Surgical mask against SARS-CoV-2 affect SpO 2 values and pulse rates of dental health-care workers? Niger J Clin Pract 2022; 25:1969-1972. [PMID: 36537452 DOI: 10.4103/njcp.njcp_6_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
BACKGROUND AND AIM Combined use of surgical mask with filtering facepiece (FFP) 2 masks has been popular among the health-care workers. However, the effect of this preference on the vital values of individuals stays as a challenge among the professionals. The present study aimed to assess the effect of FFP2 mask versus combined use of it with surgical mask on the SpO2 values and pulse rates of individuals. PATIENTS AND METHODS This study was conducted on 20 health-care workers. The pulse rates and SpO2 values were evaluated by pulse oximeter placed in the index fingers of the participants. The participants were divided into two groups: those using the FFP2 mask and those using FFP2-surgical mask combination. Individuals wearing FFP2 mask were examined for a period of 60 min and the same examination was repeated for another period of 60 min in those using combination of FFP2 with surgical mask. The values were measured at the beginning and at 15, 30, 45, and 60 min intervals, respectively. The examinations were conducted in the rest position to obtain standardization. RESULTS The observed data showed no statistical difference at all periods in either SpO2 values or pulse rates between FFP2 and FFP2-surgical mask combined groups. The SpO2 values reduced from the initial time to 15 min in the FFP2-surgical mask group. Also, in the FFP2-SM group, statistically significant increase in values was observed between 15 and 45 min and 15 and 60 min. Another increase in SpO2 value was found in the observations made between made 30 and 45 min in the same group (P < 0.05). The pulse rates of the individuals showed no statistical difference in both the groups and at all experimental periods (P > 0.05). CONCLUSION According to the present study, wearing only the FFP2 mask or FFP2-surgical mask combination seems not to cause any effect on the SpO2 values and pulse rates of the participants.
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Affiliation(s)
- C Bal
- Department of Pediatric Dentistry, Health Sciences University Gülhane Dentistry Faculty, Ankara, Turkey
| | - M Aksoy
- Department of Pediatric Dentistry, Health Sciences University Gülhane Dentistry Faculty, Ankara, Turkey
| | - Z Ozturk
- Department of Pediatric Dentistry, Health Sciences University Gülhane Dentistry Faculty, Ankara, Turkey
| | - M Unuvar
- Department of Pediatric Dentistry, Health Sciences University Gülhane Dentistry Faculty, Ankara, Turkey
| | - Y Arslan
- Department of Chest Disease, Health Sciences University Gülhane Training and Research Hospital, Ankara, Turkey
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6
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Gundogdu H, Alkis N, Bozkirli B, Yilmaz K, Aksoy M, Gunaydin S, Akbuga G. Status of ERAS implementation in Turkey: The outcomes of a nationwide survey. Clin Nutr ESPEN 2022. [DOI: 10.1016/j.clnesp.2022.06.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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7
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Kahramanlar AA, Aksoy M, Ince I, Dostbıl A, Karadenız E. The Comparison of Postoperative Analgesic Efficacy of Ultrasound-Guided Paravertebral Block and Mid-Point Transverse Process Pleura Block in Mastectomy Surgeries: A Randomized Study. J INVEST SURG 2022; 35:1694-1699. [PMID: 35848451 DOI: 10.1080/08941939.2022.2098544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
PURPOSE/AIM OF THE STUDY The purpose of this triple-blind randomized study is to compare the postoperative analgesic efficacy of Mid-Point Transverse Process Pleura Block (MTP) and Paravertebral Block (PVB) in patients undergoing breast surgery. MATERIALS AND METHODS The study was retrospectively registered on ClinicalTrials.gov (NCT05332028). A total of 64 patients undergoing unilateral simple mastectomy operation due to breast cancer were included in the study. Before the anesthesia procedure, participants were randomly assigned to one of two groups: Group 1: Participants undergoing PVB or Group 2: Participants undergoing MTP block. All block applications were performed using 20 mL of 0.25% bupivacaine. Routine general anesthesia protocol was performed on all patients. In the postanesthetic care unit, fentanyl infusion was given to all patients postoperatively via a patient-controlled analgesia device. Postoperative fentanyl consumption, time to the first request for analgesia, VAS score values at rest and in motion, and blocked dermatome areas were recorded. RESULTS Postoperative total opioid consumption, the number of patients given rescue analgesia, the time requiring postoperative supplemental analgesia, postoperative pain scores at rest and in motion, and blocked dermatome areas at both anterior and posterior lower and upper limits were not different between groups (p > 0.05, for all). CONCLUSIONS It was concluded that ultrasound-guided PVB and MTP blocks have similar postoperative analgesic efficacy in patients undergoing breast surgery. The MTP block may be preferred as an alternative to PVB for breast surgeries with less risk of complications.
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Affiliation(s)
- Agâh Abdullah Kahramanlar
- Department of Anesthesiology and Reanimation, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye
| | - Mehmet Aksoy
- Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Türkiye.,Department of Anesthesiology and Reanimation, Altınbas University, Medical Park Hospital School of Medicine University, Istanbul, Türkiye
| | - Ilker Ince
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Türkiye.,Department of Anesthesiology and Reanimation, Altınbas University, Medical Park Hospital School of Medicine University, Istanbul, Türkiye
| | - Aysenur Dostbıl
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Türkiye.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Türkiye
| | - Erdem Karadenız
- Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Türkiye
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8
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Ozcan AA, Ulas B, Aksoy M, Cam B, Acikalin A. Erdheim-Chester disease with bilateral periorbital involvement. J Fr Ophtalmol 2022; 45:669-672. [PMID: 35513924 DOI: 10.1016/j.jfo.2021.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 11/19/2021] [Accepted: 11/22/2021] [Indexed: 10/18/2022]
Affiliation(s)
- A A Ozcan
- Ophthalmology Department, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - B Ulas
- Ophthalmology Department, Faculty of Medicine, Cukurova University, Adana, Turkey.
| | - M Aksoy
- Ophthalmology Department, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - B Cam
- Ophthalmology Department, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - A Acikalin
- Pathology Department, Faculty of Medicine, Cukurova University, Adana, Turkey
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9
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Turan GB, Aksoy M, Özer Z, Demir C. The association between coronaphobia and attitude towards COVID-19 Vaccine: A sample in the east of Turkey. Encephale 2022; 48:38-42. [PMID: 34243957 PMCID: PMC8196324 DOI: 10.1016/j.encep.2021.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 04/12/2021] [Accepted: 04/30/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE This study was conducted to examine the association between coronaphobia and attitude towards COVID-19 vaccine in the society. METHODS This cross-sectional descriptive study was conducted with snowball sampling method between December 30, 2020 and January 10, 2021. The survey form was sent online to individuals who were 18 years of age and older. 1252 individuals who responded to the surveys were included in the study. The data were collected by using "Descriptive Information Form", "Attitudes towards the Covid-19 vaccine scale" and "Coronavirus 19 Phobia Scale (CP19-S)". Descriptive statistics and Pearson Correlation analysis were used in the evaluation of data. RESULTS In the study, it was found that the participants had a mean ATV-COVID-19 scale positive attitude sub-dimension score of 2.81±1.04, while they had a mean negative attitude sub-dimension score of 2.95±0.78 and a mean total score of 2.89±0.78. It was found that the participants had a mean C19P-S psychological sub-dimension score of 21.03±5.36, a mean psychosomatic sub-dimension score of 10.30±4.11, a mean social sub-dimension score of 15.04±4.71, a mean economic sub-dimension score of 8.89±3.46 and a mean total scale score of 55.28±15.00. It was found in the study that there was a positive association between the participants' C19P-S and social sub-dimension and ATV-COVID-19 and positive attitude sub-dimension, while there was a negative association between ATV-COVID-19 and negative attitude sub-dimension (p<0.05). CONCLUSIONS It was found that the participants had a moderate level of coronavirus phobia and positive attitudes towards the vaccine. It was found that positive attitudes towards COVID-19 vaccine increased as the coronavirus phobia increased.
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Affiliation(s)
- G B Turan
- Department of Nursing, Faculty of Health Sciences, Firat University, Elaziğ, Turkey.
| | - M Aksoy
- Department of Nursing, Faculty of Health Sciences, Siirt University, Siirt, Turkey
| | - Z Özer
- Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey
| | - C Demir
- Firat University Hospital, Elaziğ, Turkey
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10
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Aksoy M, Dostbil A, Aksoy AN, Ince I, Bedir Z, Ozmen O. Granisetron or ondansentron to prevent hypotension after spinal anesthesia for elective cesarean delivery: A randomized placebo-controlled trial. J Clin Anesth 2021; 75:110469. [PMID: 34314906 DOI: 10.1016/j.jclinane.2021.110469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Revised: 07/20/2021] [Accepted: 07/20/2021] [Indexed: 10/20/2022]
Abstract
STUDY OBJECTIVE This study aimed to compare the effects of high doses of ondansetron and granisetron before spinal anesthesia on hemodynamic parameters in patients undergoing elective cesarean section. DESIGN A double-blinded randomized placebo-controlled trial. SETTING Operating room. PATIENTS A total of 120 parturients with term pregnancy undergoing elective cesarean section with combined spinal-epidural anesthesia were included. INTERVENTIONS Three groups (n = 40 for each group) were formed by randomization. Five minutes before the anesthesia procedure, Group I received 8 mg intravenous (IV) ondansetron diluted in 10 ml normal saline, Group II received IV 3 mg granisetron diluted in 10 ml normal saline, and Group III received IV 10 ml normal saline. MEASUREMENTS Following intrathecal drug administration, intraoperative hemodynamic changes were recorded every 2 min for 20 min and then every 5 min until the end of the operation. MAIN RESULTS Twenty patients (50%) in Group I, 12 patients (30%) in Group II, and 29 patients (72.5%) in Group III had hypotension requiring treatment with IV ephedrine (P = 0.001). The ephedrine requirement in Group III was significantly higher than in Groups I (P = 0.033) and II (P < 0.001). Also, the ephedrine requirement in Group II was lower than in Group I, but the difference was not statistically significant (P = 0.055). The mean arterial pressure for the three groups differed in the 10th, 18th, and 60th minutes. The number of patients with nausea or vomiting was lower in Groups I and II than in Group III (P < 0.001). At 5 min, the Apgar scores were higher than 8 for all neonates. Postoperative scores for the visual analogue scale were similar for all groups. CONCLUSIONS It was concluded that prophylactic IV administration of 3 mg of granisetron or 8 mg of ondansetron before spinal anesthesia results in a significantly lower ephedrine requirement compared to placebo.
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Affiliation(s)
- Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.
| | - Aysenur Dostbil
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Ayse Nur Aksoy
- Department of Obstetrics and Gynecology, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Ilker Ince
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Zehra Bedir
- Department of Anesthesiology and Reanimation, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Ozgur Ozmen
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey; Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
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11
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Okucu F, Aksoy M, Ince I, Aksoy AN, Dostbıl A, Ozmen O. Combined spinal epidural anesthesia in obese parturients undergoing cesarean surgery : A single-blinded randomized comparison of lateral decubitus and sitting positions. Anaesthesist 2021; 70:30-37. [PMID: 34159412 DOI: 10.1007/s00101-021-00995-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 04/18/2021] [Accepted: 05/01/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND There is a significant increase in number of obese pregnant women worldwide. Obese parturients undergoing cesarean section have a higher risk for hypotension and require higher doses of vasopressors following spinal anesthesia compared to nonobese parturients. OBJECTIVE This study aimed to compare the maternal hemodynamic changes when combined spinal-epidural anesthesia (CSEA) is induced in the left lateral decubitus and sitting positions in obese pregnant women undergoing elective cesarean section. MATERIAL AND METHODS In this study, pregnant women with full-term gestation diagnosed as obese undergoing elective cesarean section were included. Two groups were formed: the CSEA was performed in left lateral position in group I (n = 50) and in sitting position in group II (n = 50). At the end of the CSEA procedure, patients were placed in the supine position. When the sensory block reached at the upper level of T6 dermatome, surgery was initiated. Hemodynamic, anesthetic and neonatal parameters were recorded. RESULTS In all patients, CSEA was successful and sufficient anesthesia was provided for surgery. Time to reach T6 dermatome sensory level in group II was found to be longer than group I (P = 0.011). At 20 min after spinal injection, the maximum sensory block level was similar in both groups. There were no significant differences between groups in terms of sensory block time and the time to requiring postoperative supplemental analgesics. There were no significant differences in terms of the volume of intravenous fluid administered, ephedrine and atropine requirements between groups. Both groups had similar systolic blood pressure, heart rate and oxygen saturation values during surgery and postoperatively. While both groups had similar diastolic blood pressure (DBP) values during surgery and at the 1st postoperative hour, group II had lower DBP values at the 2nd postoperative hour compared with group I (P = 0.04). CONCLUSION Left lateral decubitus and sitting positions during performance of CSEA lead to similar maternal hemodynamic changes in obese pregnant women undergoing cesarean section.
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Affiliation(s)
- Fatma Okucu
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25240, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25240, Erzurum, Turkey. .,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.
| | - Ilker Ince
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25240, Erzurum, Turkey.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Ayse Nur Aksoy
- Department of Obstetrics and Gynecology, Erzurum Regional Training and Research Hospital, University of Health Sciences, Erzurum, Turkey
| | - Aysenur Dostbıl
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25240, Erzurum, Turkey.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
| | - Ozgur Ozmen
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25240, Erzurum, Turkey.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey
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12
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Acikbas Y, Aksoy M, Aksoy M, Karaagac D, Bastug E, Kursunlu AN, Erdogan M, Capan R, Ozmen M, Ersoz M. Recent progress in pillar[n]arene-based thin films on chemical sensor applications. J INCL PHENOM MACRO 2021. [DOI: 10.1007/s10847-021-01059-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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13
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Ince I, Dostbil A, Ozmen O, Aksoy M, Karadeniz E. Subtransverse process interligamentary (STIL) plane block for postoperative pain management after breast surgery. J Clin Anesth 2020; 61:109649. [DOI: 10.1016/j.jclinane.2019.109649] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Accepted: 11/10/2019] [Indexed: 11/29/2022]
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14
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Naseer Z, Ahmad E, Aksoy M, Epikmen E. Impact of quercetin supplementation on testicular functions in summer heat-stressed rabbits. World Rabbit Sci 2020. [DOI: 10.4995/wrs.2020.12420] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
<p>The current study was designed to determine the effects of dietary quercetin on epididymal sperm and testicular changes in male rabbits during summer heat stress (HS). Twelve adult male New Zealand white rabbits were submitted to summer heat conditions (temperature-humidity index 29.9±1.2). One group was fed a basal ration (BR; n = 6), whereas the other group was fed the same basal diet supplemented with quercetin (30 mg/kg d; Que-BR; n = 6) for 60 d, and both groups were sacrificed at the end of the experiment. Epididymis and testicles isolation was done for sperm, histopathology and apoptosis assessments. The results showed that quercetin improved epididymis weight, but did not affect other testicular dimensions except testicular length. A significant improvement was observed in epididymal sperm motility, concentration, kinematic parameters, viability, mitochondrial potential and acrosome integrity in Que-BR compared to the BR group. Lowered serum malondialdehyde level was observed in quercetin supplemented rabbits. Moreover, the quercetin supplementation maintained the interstitial stroma, seminiferous tubules architecture, germinal and Sertoli cells under HS, decreasing the apoptotic germ cell rate in seminiferous tubules. In conclusion, HS condition affects the sperm and testes configurations in rabbits and dietary quercetin minimises oxidative stress, which in turn protects the testes and sperm against HS induced damage.</p>
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15
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Ozmen O, Aksoy M, Ince I, Dostbil A, Dogan N, Kursad H. Comparing the Clinical Features and Trauma Scores of Trauma Patients Aged Under 65 Years with Those of Patients Aged over 65 Years in the Intensive Care Unit: A Retrospective Study for Last Ten Years. Eurasian J Med 2020; 52:1-5. [PMID: 32158304 DOI: 10.5152/eurasianjmed.2019.19194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective This retrospective study aimed to compare the clinical characteristics and trauma scores of Intensive Care Unit (ICU) trauma patients 65 years and older with the patients under 65 years old. Materials and Methods Trauma patients (n=161) who stayed at least 24 hours in ICU were included. Patients younger than 65 years were included into Group 1 (n=109) and patients aged ≥65 years (n=52) were included into Group 2. Patient characteristics and trauma index scores (GCS; APACHE II score, ISS; TRISS and RTS) at ICU admission were calculated. Results The patients in Group 2 had more comorbid disease compared with Group 1 (61.5%, 6.4%) (p=0.001). The Trauma-related Injury Severity Score score were higher in Group 1 (49.76±33.75) compared with Group 2 (35.38±34.93) (p=0.006). The APACHE II score were higher in Group 2 (20.08±7.60) compared with Group 1 (17.00±6.90) (p=0.007). The need for invasive mechanical ventilation and tracheostomy were more frequent in Group 2 trauma patients compared with those of patients in Group 1 (92.3%, 73.4%; p=0.003; 26.9%, 8.3%; p=0.002; respectively). The need for transfusion of packed red blood cell suspension (PRBC) was more frequent in Group 2 compared with Group 1 (92.3%, 55.0%; respectively) (p=0.001). The mortality rate was found to be higher in Group 2 compared with Group 1 (48.1%, 19.3%; respectively) (p=0.001). Conclusion The elderly trauma patients have more comorbid disease, higher scores for APACHE II and lower scores for TRISS, more mechanical ventilation and tracheostomy requirements and higher mortality rate compared with young trauma patients.
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Affiliation(s)
- Ozgur Ozmen
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Ilker Ince
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Aysenur Dostbil
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Nazim Dogan
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Husnu Kursad
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
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16
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Ozmen O, Ince I, Aksoy M, Dostbil A, Atalay C, Kasali K. The Effect of the Modified Thoracolumbar Interfacial Nerve Plane Block on Postoperative Analgesia and Healing Quality in Patients Undergoing Lumbar Disk Surgery: A Prospective, Randomized Study. Medeni Med J 2019; 34:340-345. [PMID: 32821459 PMCID: PMC7433717 DOI: 10.5222/mmj.2019.36776] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 12/04/2019] [Indexed: 12/20/2022] Open
Abstract
Objective: The purpose of this study was to investigate the effect of the modified thoracolumbar interfascial plane block (TLIP) on postoperative analgesia and quality of recovery in patients undergoing lumbar disk surgery. Method: Ninety patients scheduled for lumbar disk surgery were divided into a control group (Group C) and a modified TLIP block group (Group T). Controlled analgesia was administered to both groups. Pain evaluation was performed at 30 min and at 1., 2., 4., 8.,12., and 24. hrs using a VAS scale, with patients at rest and duringand patients completed the QoR-40 quality of recovery inventory. Results: Fentanyl used during postoperative 24 hours was 742.5±220.3 mcg in Group C and 446.0±241.98 in Group T. Postoperative fentanyl consumption was statistically significantly lower in Group T (p<0.001) with a statistically significant intergroup difference. The patient’s pain, physical independence, physical comfort, psychological support, and emotional support were compared using the QoR-40 questionnaire survey. Significant differences in favor of Group T were observed (p<0.001, p=0.017, p=0.002, p=0.001 and p<0.001, respectively). Static and dynamic pain scores in Group C and Group T were recorded at 30 min and at 1, 2, 4, 8, 12, and 24h. Mean static scores were statistically significantly different in favor of Group T with the exception of 8th and 12h assessments (p<0.05). Dynamic scores were statistically significantly different in favor of Group T at all time points (p<0.05). Conclusion: Pain scores, opioid consumption and QoR-40 values after lumbar disk surgery were superior in the group undergoing TLIP. We think that the modified TLIP block may be an important method in terms of postoperative analgesia and patient recovery for lumbar spinal disk surgery.
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Affiliation(s)
- Ozgur Ozmen
- Ataturk University, School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey
| | - Ilker Ince
- Ataturk University, School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.,Ataturk University, Clinical Research Office, Erzurum, Turkey
| | - Mehmet Aksoy
- Ataturk University, School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.,Ataturk University, Clinical Research Office, Erzurum, Turkey
| | - Aysenur Dostbil
- Ataturk University, School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.,Ataturk University, Clinical Research Office, Erzurum, Turkey
| | - Canan Atalay
- Ataturk University, School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.,Ataturk University, Clinical Research Office, Erzurum, Turkey
| | - Kamber Kasali
- Ataturk University, School of Medicine, Department of Biostatistics, Erzurum, Turkey.,Ataturk University, Clinical Research Office, Erzurum, Turkey
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17
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Ince I, Aksoy M, Ozmen O. Ultrasound guided erector spinae plane block for postoperative analgesia in a 13 year-old child undergoing abdominal surgery: A new approach. J Clin Anesth 2019; 55:77-78. [DOI: 10.1016/j.jclinane.2018.12.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 12/14/2018] [Indexed: 11/27/2022]
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18
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Demir U, Ince I, Aksoy M, Dostbil A, Arı MA, Sulak MM, Kose M, Tanios M, Ozmen O. The Effect of Pre-emptive Dexketoprofen Administration on Postoperative Pain Management in Patients with Ultrasound Guided Interscalene Block in Arthroscopic Shoulder Surgery. J INVEST SURG 2019; 34:82-88. [PMID: 30966835 DOI: 10.1080/08941939.2019.1576809] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: Postoperative pain is an important problem for patients undergoing shoulder surgery. Our study investigated analgesic efficacy, duration of analgesia, postoperative analgesic use and patient satisfaction with the use of preemptive intravenous dexketoprofen for interscalene block in addition to general anesthesia in arthroscopic shoulder surgery. Methods: 60 patients, scheduled for arthroscopic shoulder surgery were randomized (30 patients each) into either: - control group (Group1) or dexketoprofen group (Group 2). Patients were followed for 48 hours to compare both groups for; post-operative pain scores, effectiveness of postoperative analgesia, duration of analgesia, and analgesia consumption. Duration of postoperative sensory block of the shoulder joint was defined as time to onset of pain at the incision site. Duration of postoperative motor block of the shoulder joint was defined as time to onset of first shoulder movement. Results: While no significant difference was determined for motor block time, sensory block time was significantly longer in the dexketoprofen group (p < 0.05).VAS scores were significantly lower at all times in the dexketoprofen group (p < 0.05).Total PCA fentanyl consumption was 274.16 ± 314.89 (μg) in the dexketoprofen group, and 490.00 ± 408.98 (μg) in the control group, the difference was statistically significant (p < 0.05). No significant difference was observed between the groups' demographic and hemodynamic data. Conclusion: Pre-emptive IV dexketoprofen may be a good option for arthroscopic shoulder surgery and provides effective analgesia.
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Affiliation(s)
- U Demir
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - I Ince
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - M Aksoy
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - A Dostbil
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - M A Arı
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - M M Sulak
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - M Kose
- Department of Orthopaedic Surgery, Ataturk University School of Medicine, Erzurum, Turkey
| | - M Tanios
- Anesthesiology Institute Outcomes Research Department, Cleveland Clinic, Cleveland, Ohio, USA
| | - O Ozmen
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
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19
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Soyalp C, Kocak MN, Ahiskalioglu A, Aksoy M, Atalay C, Aydin MD, Cakir M, Calikoglu C, Ozmen S. New determinants for casual peripheral mechanism of neurogenic lung edema in subarachnoid hemorrhage due to ischemic degeneration of vagal nerve, kidney and lung circuitry. Experimental study1. Acta Cir Bras 2019; 34:e201900303. [PMID: 30892389 PMCID: PMC6585894 DOI: 10.1590/s0102-865020190030000003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Accepted: 02/10/2019] [Indexed: 01/13/2023] Open
Abstract
Purpose To evaluate whether there is a relationship between renal artery vasospasm
related low glomerular density or degeneration and neurogenic lung edema
(NLE) following subarachnoid hemorrhage. Methods This study was conducted on 26 rabbits. A control group was formed of five
animals, a SHAM group of 5 to which saline and a study group (n=16) injected
with homologous blood into the sylvian cisterna. Numbers of degenerated
axons of renal branches of vagal nerves, atrophic glomerulus numbers and NLE
scores were recorded. Results Important vagal degeneration, severe renal artery vasospasm, intrarenal
hemorrhage and glomerular atrophy observed in high score NLE detected
animals. The mean degenerated axon density of vagal nerves
(n/mm2), atrophic glomerulus density (n/mm3) and NLE
scores of control, SHAM and study groups were estimated as 2.40±1.82,
2.20±1.30, 1.80±1.10, 8.00±2.24, 8.80±2.39, 4.40±1.14 and 154.38±13.61,
34.69±2.68 and 12.19±1.97 consecutively. Degenerated vagal axon, atrophic
glomerulus and NLE scores are higher in study group than other groups and
the differences are statistically meaningful (p<0.001). Conclusion Vagal complex degeneration based glomerular atrophy have important roles on
NLE following SAH which has not been extensively mentioned in the
literature.
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Affiliation(s)
- Celaleddin Soyalp
- MD, Department of Anesthesiology, Medical Faculty, Yil University, Van, Turkey. Conception and design of the study, acquisition of data, manuscript writing
| | - Mehmet Nuri Kocak
- MD, Department of Neurology, Medical Faculty, Ataturk University, Erzurum, Turkey. Technical procedures, manuscript preparation
| | - Ali Ahiskalioglu
- Assistant Prof., Department of Anesthesiology and Reanimation, Medical Faculty, Ataturk University, Erzurum, Turkey. Acquisition, analysis and interpretation of data; manuscript preparation; critical revision
| | - Mehmet Aksoy
- Assistant Prof., Department of Anesthesiology and Reanimation, Medical Faculty, Ataturk University, Erzurum, Turkey. Acquisition, analysis and interpretation of data; manuscript preparation; critical revision
| | - Canan Atalay
- Assistant Prof., Department of Anesthesiology and Reanimation, Medical Faculty, Ataturk University, Erzurum, Turkey. Acquisition, analysis and interpretation of data; manuscript preparation; critical revision
| | - Mehmet Dumlu Aydin
- Prof., Department of Neurosurgery, Medical Faculty, Ataturk University, Erzurum, Turkey. Histopathological examinations, manuscript writing, critical revision, final approval
| | - Murteza Cakir
- Prof., Department of Neurosurgery, Medical Faculty, Ataturk University, Erzurum, Turkey. Histopathological examinations, manuscript writing, critical revision, final approval
| | - Cagatay Calikoglu
- Prof., Department of Neurosurgery, Medical Faculty, Ataturk University, Erzurum, Turkey. Histopathological examinations, manuscript writing, critical revision, final approval
| | - Sevilay Ozmen
- MD, Department of Pathology, Medical Faculty, Ataturk University, Erzurum, Turkey. Histopathological examinations
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20
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Isler B, Keske Ş, Aksoy M, Azap ÖK, Yilmaz M, Yavuz SŞ, Aygün G, Tigen E, Akalın H, Azap A, Ergönül Ö. Antibiotic overconsumption and resistance in Turkey. Clin Microbiol Infect 2019; 25:651-653. [PMID: 30844434 DOI: 10.1016/j.cmi.2019.02.024] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 02/19/2019] [Accepted: 02/21/2019] [Indexed: 10/27/2022]
Affiliation(s)
- B Isler
- Infectious Diseases and Clinical Microbiology Department, Istanbul Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Ş Keske
- Infectious Diseases and Clinical Microbiology Department, American Hospital, Istanbul, Turkey
| | - M Aksoy
- Turkish Medicines and Medical Devices Agency, Ministry of Health, Ankara, Turkey
| | - Ö K Azap
- Infectious Diseases and Clinical Microbiology Department, Baskent University School of Medicine, Ankara, Turkey
| | - M Yilmaz
- Infectious Diseases and Clinical Microbiology Department, Medipol University, School of Medicine, Istanbul, Turkey
| | - S Ş Yavuz
- Infectious Diseases and Clinical Microbiology Department, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey
| | - G Aygün
- Medical Microbiology Department, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey
| | - E Tigen
- Infectious Diseases and Clinical Microbiology Department, Marmara University, School of Medicine, Istanbul, Turkey
| | - H Akalın
- Infectious Diseases and Clinical Microbiology Department, Uludağ University School of Medicine, Bursa, Turkey
| | - A Azap
- Infectious Diseases and Clinical Microbiology Department, Ankara University School of Medicine, Ankara, Turkey
| | - Ö Ergönül
- Infectious Diseases and Clinical Microbiology Department, Koç University School of Medicine, Ankara, Turkey.
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21
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Ozmen O, Mutlu V, Ince I, Karadeniz E, Aksoy M, Kaya Z. Single-dose intravenous ibuprofen versus ultrasound and #8209;guided bilateral superficial cervical plexus block for post and #8209;thyroidectomy pain: A randomized study. Med-Science 2019. [DOI: 10.5455/medscience.2019.08.9098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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22
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Ince I, Ozmen O, Aksoy M, Zeren S, Ulas AB, Aydin Y. Erector Spinae Plane Block Catheter Insertion under Ultrasound Guidance for Thoracic Surgery: Case Series of Three Patients. Eurasian J Med 2018; 50:204-206. [PMID: 30515044 DOI: 10.5152/eurasianjmed.2018.18147] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The erector spinae plane (ESP) block is a novel plane block first reported for thoracic analgesia. It affects the dorsal and ventral rami of the thoracic nerves. Owing to the ease of the technique and decreased risk of complication of the ESP block under ultrasound guidance, it can be a preferable procedure compared with other invasive techniques, such as neuraxial and nerve blocks. In this case report, we presented three patients who had thoracic surgery under general anesthesia. The ESP block and catheter placement was applied to the patients before operation. The catheter was inserted deep into the erector spinae muscle and was used successfully for postoperative pain management.
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Affiliation(s)
- Ilker Ince
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Ozgur Ozmen
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Sumeyra Zeren
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Ali Bilal Ulas
- Department of Thoracic Surgery, Atatürk University School of Medicine, Erzurum, Turkey
| | - Yener Aydin
- Department of Thoracic Surgery, Atatürk University School of Medicine, Erzurum, Turkey
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23
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Aksoy M, İnce İ, Ahıskalıoğlu A, Keleş S, Doymuş Ö. Effect of intravenous preoperative versus postoperative paracetamol on postoperative nausea and vomiting in patients undergoing strabismus surgery: A prospective randomized study. Agri 2018; 30:1-7. [PMID: 29450877 DOI: 10.5505/agri.2017.65872] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES This prospective randomized study aimed to compare the efficacy of preoperative versus postoperative paracetamol on postoperative nausea and vomiting (PONV) in children undergoing strabismus surgery. METHODS Ninety-six patients were randomly divided into three equal groups (n=32). In the preoperative paracetamol group, patients received intravenous (IV) infusion of paracetamol [15 mg kg-1 (1.5 ml kg-1)] 1 h before surgery over 20 min and that of saline (1.5 ml kg-1) in the recovery room. In the postoperative paracetamol group, patients received IV infusion of saline (1.5 ml kg-1) 1 h before surgery over 20 min and that of paracetamol [15 mg kg-1 (1.5 ml kg-1)] in therecovery room. In the control group, patients received the IV infusion of saline (1.5 ml kg-1) pre- and postoperatively. Postoperative pain condition was evaluated using the Faces Pain Scale. In the recovery room, an observer recorded the pain score, complaints of nausea and vomiting, the need for rescue analgesics, and the need for antiemetic drug during 24 h postoperatively. RESULTS The incidence of nausea and vomiting during the first 0-6 h postoperatively was significantly lower in the preoperative paracetamol group than in the control and postoperative paracetamol groups (p<0.001). The number of patients requiring antiemetic administration during the first 0-6 and 6-12 h postoperatively was found to be higher in the control group than in the other groups (p<0.001, for all). CONCLUSION The preoperative administration of paracetamol reduces PONV incidence in children undergoing strabismus surgery.
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Affiliation(s)
- Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Ataturk University Faculty of Medicine, Erzurum, Turkey.
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24
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Aksoy M, Aksoy AN, Ahıskalıoğlu A, İnce İ, Laloğlu E, Dostbil A, Çelik MG. The Effect of Anaesthetic Techniques on Maternal and Cord Blood Brain-Derived Neurotrophic Factor Levels. Turk J Anaesthesiol Reanim 2018; 46:139-146. [PMID: 29744249 DOI: 10.5152/tjar.2018.90187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2016] [Accepted: 11/22/2017] [Indexed: 11/22/2022] Open
Abstract
Objective Brain-derived neurotrophic factor (BDNF), a member of neurotrophins, plays a critical role in neuronal tissue. In this study, the effects of spinal or general anaesthesia on cord and maternal peripheral blood BDNF and malondialdehyde (MDA) levels were investigated in patients undergoing elective caesarean section. Methods Eighty patients with term pregnancy were included. General anaesthesia was induced with intravenous (IV) propofol 2 mg kg-1 in the general anaesthesia group (n=36). In the spinal anaesthesia group (n=35), hyperbaric bupivacaine 0.5%, 9 mg (1.8 mL) was injected intrathecally. Maternal blood samples were taken immediately after positioning the patient on the operating table (T1), before clamping the umbilical cord (T2) and 24 hours after the first sample was obtained (T3). Cord blood samples were drawn from the umbilical artery (T4). Results Maternal BDNF levels (pg mL-1) measured at T2 time point were higher in the general anaesthesia group compared to the spinal anaesthesia group (p<0.001). Cord blood BDNF levels were higher in the general anaesthesia group compared to the spinal anaesthesia group (p<0.001). In both groups, cord blood BDNF levels were significantly lower compared to the maternal blood samples collected at any time point (p<0.001, for all). There was a negative association between both maternal and cord blood BDNF levels with maternal MDA and cord blood MDA levels, respectively (r=-0.379, p<0.001; r=-0.375, p=0.001, respectively). Conclusion The anaesthetic technique may have an influence on maternal peripheral and cord blood BDNF levels.
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Affiliation(s)
- Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Ayşe Nur Aksoy
- Clinic of Obstetrics and Gynecology, Nenehatun Hospital, Erzurum, Turkey
| | - Ali Ahıskalıoğlu
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - İlker İnce
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Esra Laloğlu
- Department of Biochemistry, Atatürk University School of Medicine, Erzurum, Turkey
| | - Ayşenur Dostbil
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Mine Gürsaç Çelik
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
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Ince I, Arı MA, Sulak MM, Aksoy M. Comparação das abordagens clássica transversal no eixo curto e longitudinal oblíqua no eixo longo sem seringa para cateterização de veia jugular interna guiada por ultrassom. Rev Bras Anestesiol 2018; 68:260-265. [DOI: 10.1016/j.bjan.2017.12.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 05/09/2017] [Accepted: 12/09/2017] [Indexed: 11/28/2022] Open
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26
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Ince I, Arı MA, Sulak MM, Aksoy M. Comparison of transverse short-axis classic and oblique long-axis “Syringe-Free” approaches for internal jugular venous catheterization under ultrasound guidance. Brazilian Journal of Anesthesiology (English Edition) 2018. [PMID: 29478705 PMCID: PMC9391733 DOI: 10.1016/j.bjane.2017.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background and objectives Methods Results Conclusion
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Karaca Ö, Ahıskalıoğlu A, Aksoy M, Doğan R, Oral Ahıskalıoğlu E. What happened? An inexplicable case: Accidental subdural block. Agri 2018; 30:31-34. [PMID: 29450874 DOI: 10.5505/agri.2016.68736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Epidural block is an appropriate anesthesia method for outpatient operation. This technique is generally safe and efficient. We present the case of a 20-year-old female patient with accidental subdural block after a single dose of epidural block for pilonidal sinus surgery. Sudden apnea, unconsciousness, and bilateral mydriasis occurred within a few minutes after injection. Within 80 minutes after injection, the patient regained full consciousness and spontaneous respiration, with motor block in lower extremities and sensory block until the T4 level. Motor block continued until 165 minutes after injection, whereas sensory block ended 225 minutes later.
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Affiliation(s)
| | - Ali Ahıskalıoğlu
- Department of Anesthesiology and Reanimation, Ataturk University Faculty of Medicine, Erzurum, Turkey.
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Ahiskalioglu A, İnce İ, Ahiskalioglu EO, Oral A, Aksoy M, Yiğiter M, Celikkaya ME, Salman AB. Is Neuromuscular Blocker Necessary in Pediatric Patients Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing? Eur J Pediatr Surg 2017; 27:263-268. [PMID: 27548910 DOI: 10.1055/s-0036-1587329] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Purpose The aim of this study is to evaluate operating conditions during general anesthesia with or without neuromuscular blocker (NMB) in patients undergoing percutaneous internal ring suturing (PIRS). Materials and Methods In this study, 40 patients, with American Society of Anesthesiologists I and II between the ages of 1 and 12 years, were randomly assigned to two groups to receive muscle relaxant with endotracheal tube (ETT) (ETT group) or without muscle relaxant with supreme laryngeal mask airway (sLMA) (LMA group). Anesthesia was maintained with sevoflurane in oxygen (Fio 2 0.3-0.5), thiopental sodium, fentanyl, and rocuronium in ETT group. In LMA group, same protocol was used without rocuronium. Heart rate, blood pressure, peak airway pressure, end-tidal carbon dioxide (EtCO2), and Spo 2 were recorded before and during pneumoperitoneum maintained at a pressure of 8 to 10 mm Hg. Duration of surgery, recovery time, anesthetic time, and grade of quality view were also recorded. Airway problems (cough, hoarseness, laryngospasm, and aspiration) were recorded. Results In LMA group, there was a statistically significant reduction in recovery time versus ETT group (11.6 ± 4.08 vs. 17.15 ± 5.32 minutes; p = 0,001). There were no statistically significant differences grade of quality view between the two groups (p = 0.548). There were no statistically significant differences in oxygen saturation (Spo 2), peak airway pressure, and EtCO2 between the two groups before or during insufflation (p > 0.05). Postoperative airway complications were significantly more prevalent in the ETT group. There was no case of inadequate ventilation, regurgitation, or aspiration recorded. Conclusion sLMA is safe and suitable alternative to ETT and NMB is not necessary in general anesthesia with sLMA, pediatric patients undergoing laparoscopic hernia repair with PIRS.
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Affiliation(s)
- Ali Ahiskalioglu
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - İlker İnce
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Elif Oral Ahiskalioglu
- Department of Anaesthesiology and Reanimation, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Akgun Oral
- Department of Pediatric Surgery, Atatürk University, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Murat Yiğiter
- Department of Pediatric Surgery, Atatürk University, Erzurum, Turkey
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Konyar M, Yildiz T, Aksoy M, Yatmaz HC, Öztürk K. Reticulated ZnO Photocatalyst: Efficiency Enhancement in Degradation of Acid Red 88 Azo Dye by Catalyst Surface Cleaning. CHEM ENG COMMUN 2017. [DOI: 10.1080/00986445.2017.1306520] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M. Konyar
- Materials Science and Engineering Department, Gebze Technical University, Gebze, Kocaeli, Turkey
| | - T. Yildiz
- Materials Science and Engineering Department, Gebze Technical University, Gebze, Kocaeli, Turkey
| | - M. Aksoy
- Materials Science and Engineering Department, Gebze Technical University, Gebze, Kocaeli, Turkey
| | - H. C. Yatmaz
- Environmental Engineering Department, Gebze Technical University, Gebze, Kocaeli, Turkey
| | - K. Öztürk
- Materials Science and Engineering Department, Gebze Technical University, Gebze, Kocaeli, Turkey
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Ciftci B, Aksoy M, Ince I, Ahıskalıoglu A, Yılmazel Ucar E. The Effects of Positive End-Expiratory Pressure at Different Levels on Postoperative Respiration Parameters in Patients Undergoing Laparoscopic Cholecystectomy. J INVEST SURG 2017; 31:114-120. [PMID: 28340306 DOI: 10.1080/08941939.2017.1296984] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Purpose/Aim of the study: We investigated the effects of different positive end-expiratory pressure (PEEP) levels on postoperative respiration parameters in patients undergoing laparoscopic cholecystectomy. MATERIALS AND METHODS One hundred and five consecutive patients were randomly divided to three groups (n = 35, for each group). Group I did not receive PEEP whereas group II received PEEP as 5 cmH2O and group III received PEEP as 8 cm H2O. Measurements with spirometer were taken 1 hour before the operation (T1) and, 1 (T2), 6 (T3), and 24 hours (T4) after extubation by an anesthetist. Forced expiratory volume (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF) were recorded. RESULTS Group I had higher FVC values measured at T2 time point compared with other groups (p < 0.05, for both groups). There was a statistically significant difference between group I and group III in terms of the FVC values measured at T3 and T4 time points (p = 0.05 and p < 0.05, retrospectively). A statistical difference was found between group I and group II in terms of FEV1 measured at T2 time point (p < 0.05). Group I had higher FEV1 values measured at T3 and T4 time points compared to group III (p = 0.05, P<0.05; respectively). Group III had lower PEF values measured at T4 time point compared to group I and II (p < 0.05). CONCLUSIONS We concluded that PEEP with 5 or 8 cmH2O has negative effects on lung function tests measured with spirometer during postoperative 1st, 6th, and 24th hours in patients underwent elective laparoscopic cholecystectomy.
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Affiliation(s)
- Bahadır Ciftci
- a Department of Anaesthesiology and Reanimation, Faculty of Medicine , Ataturk University , Erzurum , Turkey
| | - Mehmet Aksoy
- a Department of Anaesthesiology and Reanimation, Faculty of Medicine , Ataturk University , Erzurum , Turkey
| | - Ilker Ince
- a Department of Anaesthesiology and Reanimation, Faculty of Medicine , Ataturk University , Erzurum , Turkey
| | - Ali Ahıskalıoglu
- a Department of Anaesthesiology and Reanimation, Faculty of Medicine , Ataturk University , Erzurum , Turkey
| | - Elif Yılmazel Ucar
- b Department of Pulmonary Diseases , Faculty of Medicine , Ataturk University , Erzurum , Turkey
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Aksoy M, Ilker Ince II, Ahiskalioglu A. Anaesthesia Techniques in Transfemoral Transcatheter Aortic Valve Implantation: A Brief Review. EMJ 2017. [DOI: 10.33590/emj/10312194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Transcatheter aortic valve implantation (TAVI) is an alternative, less invasive method to use for aortic valve replacement in high-risk patients. This operation allows a faster recovery, reduced tissue damage, less postoperative pain, increased patient satisfaction, reduced intensive care unit (ICU) stay, avoidance of ICU admission, reduced hospital stay, and reduced wound infection rates. A retrograde transfemoral approach is commonly used in TAVI procedures. The role of the anaesthetist is important for a successful outcome. General or local anaesthesia, with or without conscious sedation, may be used according to patient characteristics, the presence of comorbidities, and the preference of the surgical team. There is no general consensus regarding which patients should receive general or local anaesthesia during TAVI operations; therefore, the surgical team’s preference has an important influence on the selection of anaesthetic technique. There are many studies in the literature relating to the anaesthesia technique used in TAVI operations. No matter which technique is used, anaesthetists should provide and maintain optimal haemodynamic stability during the procedure. On the other hand, anaesthetists should be cautious of possible procedural complications, such as hypotension, ventricular fibrillation, permanent pacemaker requirement, and emergency aortic valve replacement requirement.
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Affiliation(s)
- Mehmet Aksoy
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Ilker Ince Ilker Ince
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Ali Ahiskalioglu
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
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Ince I, Aksoy M, Celik M. Can We Perform Distal Nerve Block Instead of Brachial Plexus Nerve Block Under Ultrasound Guidance for Hand Surgery? Eurasian J Med 2017; 48:167-171. [PMID: 28149139 DOI: 10.5152/eurasianjmed.2016.0256] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Distal nerve blocks are used in the event of unsuccessful blocks as rescue techniques. The primary purpose of this study was to determine the sufficiency for anesthesia of distal nerve block without the need for deep sedation or general anesthesia. The secondary purpose was to compare block performance times, block onset times, and patient and surgeon satisfaction. MATERIALS AND METHODS Patients who underwent hand surgery associated with the innervation area of the radial and median nerves were included in the study. Thirty-four patients who were 18-65 years old and American Society of Anesthesiologists grade I-III and who were scheduled for elective hand surgery under conscious nerve block anesthesia were randomly included in an infraclavicular block group (Group I, n=17) or a radial plus median block group (Group RM, n=17). The block performance time, block onset time, satisfaction of the patient and surgeon, and number of fentanyl administrations were recorded. RESULTS The numbers of patients who needed fentanyl administration and conversion to general anesthesia were the same in Group I and Group RM and there was no statistically significant difference (p>0.05). The demographics, surgery times, tourniquet times, block perfomance times, and patient and surgeon satisfaction of the groups were similar and there were no statistically significant differences (p>0.05). There was a statistically significant difference in block onset times between the groups (p<0.05). CONCLUSIONS Conscious hand surgery can be performed under distal nerve block anesthesia safely and successfully.
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Affiliation(s)
- Ilker Ince
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
| | - Mine Celik
- Department of Anesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey
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Bedir Z, Ahiskalioglu A, Esenkaya Ü, Ahiskalioglu EO, Dostbil A, Aksoy M, Dogan N, Kursad H. HELLP syndrome is still a serious, life-threatening complication of pregnancy: admission of 34 women to an eastern Turkish intensive care unit. CLIN EXP OBSTET GYN 2016. [DOI: 10.12891/ceog3012.2016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Yilmaz AH, Ziypak E, Ziypak T, Aksoy M, Adanur S, Kocakgol H, Demirdogen SO, Polat O. Comparison of the Effect of Lidocaine versus a Lidocaine-Bupivacaine Combination in a Periprostatic Nerve Block Undergoing Transrectal Ultrasound-Guided Prostate Biopsy: A Double-Blind Randomized Controlled Trial. Curr Urol 2016; 9:153-158. [PMID: 27867334 DOI: 10.1159/000447132] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Accepted: 11/24/2015] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION To determine whether a combination of the long acting local anesthetic, bupivacaine, and lidocaine is better than lidocaine alone in the long-term pain control, which is a short-acting anesthetic. MATERIALS AND METHODS In group 1, periprostatic nerve block was applied to both neurovascular areas with 2% lidocaine (5 ml) in an isotonic solution (5 ml). In group 2, the combination of 2% lidocaine (5 ml) and 5mg/ml bupivacaine (5 ml) was used for the PPNB. RESULTS In the first 30 minutes the mean VAS scores of groups 1 and 2 were 2.1 ± 0.2 and 1.2 ± 0.1, respectively (p = 0.002). VAS scores of group II determined at 1, 2, 4, 6, and 8 hours after the biopsy were significantly lower since it was (p < 0.05). CONCLUSION While periprostatic nerve block for late phase pain control, applying a combination of a long-acting local anesthetic, such as bupivacaine, is effective in terms of pain control and patient comfort.
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Affiliation(s)
- Ali H Yilmaz
- Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Elif Ziypak
- Department of Anesthesiology and Reamination, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Tevfik Ziypak
- Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reamination, Education and Research Hospital, Erzurum, Turkey
| | - Senol Adanur
- Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Hüseyin Kocakgol
- Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Saban O Demirdogen
- Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Ozkan Polat
- Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey
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Ahiskalioglu EO, Alici HA, Dostbil A, Celik M, Ahiskalioglu A, Aksoy M. Pneumothorax after trigger point injection: A case report and review of literature. J Back Musculoskelet Rehabil 2016; 29:895-897. [PMID: 26922846 DOI: 10.3233/bmr-160666] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Myofascial pain syndrome is defined as ``pain and/or autonomic phenomena referred from active myofascial trigger points''. Trigger point injection is an effective treatment option, which is widely used to treat myofascial pain. Trigger point injection in the cervicothoracic regions can be associated with pneumothorax. CASE In this paper, we presented a patient who developed pneumothorax after trigger point injection. RESULT This case report indicates there is a risk of pneumothorax during trigger point injection in the cervicothoracic regions.
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Affiliation(s)
- Elif Oral Ahiskalioglu
- Department of Anesthesiology and Reanimation, Regional Training and Research Hospital, Erzurum, Turkey
| | - Haci Ahmet Alici
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Aysenur Dostbil
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Mine Celik
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Ali Ahiskalioglu
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
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Isli F, Caglar O, Helvaci CS, Aksoy M, Kadi E, Yuce D, Hayran M. Assessment of antibiotic including prescriptions prescribed by family physicians in Turkey in 2015. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw175.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Ahiskalioglu A, Ince I, Aksoy M, Ahiskalioglu EO, Comez M, Dostbil A, Celik M, Alp HH, Coskun R, Taghizadehghalehjoughi A, Suleyman B. Comparative Investigation of Protective Effects of Metyrosine and Metoprolol Against Ketamine Cardiotoxicity in Rats. Cardiovasc Toxicol 2016; 15:336-44. [PMID: 25503950 DOI: 10.1007/s12012-014-9301-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
This study investigated the effect of metyrosine against ketamine-induced cardiotoxicity in rats and compared the results with the effect of metoprolol. In this study, rats were divided into groups A, B and C. In group A, we investigated the effects of a single dose of metyrosine (150 mg/kg) and metoprolol (20 mg/kg) on single dose ketamine (60 mg/kg)-induced cardiotoxicity. In group B, we investigated the effect of metyrosine and metoprolol, which were given together with ketamine for 30 days. In group C, we investigated the effect of metyrosine and metoprolol given 15 days before ketamine and 30 days together with ketamine on ketamine cardiotoxicity. By the end of this process, we evaluated the effects of the levels of oxidant-antioxidant parameters such as MDA, MPO, 8-OHGua, tGSH, and SOD in addition to CK-MB and TP I on cardiotoxicity in rat heart tissue. The experimental results show that metyrosine prevented ketamine cardiotoxicity in groups A, B and C and metoprolol prevented it in only group C.
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Affiliation(s)
- Ali Ahiskalioglu
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25100, Erzurum, Turkey
| | - Ilker Ince
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25100, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25100, Erzurum, Turkey
| | - Elif Oral Ahiskalioglu
- Department of Anaesthesiology And Reanimation, Regional Education And Research Hospital, 25100, Erzurum, Turkey
| | - Mehmet Comez
- Department of Anaesthesiology And Reanimation, Regional Education And Research Hospital, 25100, Erzurum, Turkey
| | - Aysenur Dostbil
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25100, Erzurum, Turkey
| | - Mine Celik
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25100, Erzurum, Turkey
| | - Hamit Hakan Alp
- Department of Biochemistry, Faculty of Medicine, 100, Yil University, 65000, Van, Turkey
| | - Resit Coskun
- Department of Cardiology, Bayburt State Hospital, 69000, Bayburt, Turkey
| | | | - Bahadir Suleyman
- Department of Pharmacology, Faculty of Medicine, Recep Tayyip Erdogan University, 53000, Rize, Turkey.
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Ince I, Aksoy M, Ahiskalioglu A, Comez M, Dostbil A, Celik M, Yilmaz I, Mammadov R, Dogan H, Boztok Ozgermen B, Altuner D. A Comparative Investigation of the Analgesic Effects of Metamizole and Paracetamol in Rats. J INVEST SURG 2016; 28:173-80. [PMID: 26065593 DOI: 10.3109/08941939.2014.998798] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND This study investigated the effects of metamizole and paracetamol on pain and oxidative stress induced by scalpel incision and carrageenan in rats. MATERIALS AND METHODS Total of 144 rats were divided into groups of 12 animals. Six groups each were used for scalpel incision and carrageenan tests. Pain was inflicted by applying a scalpel incision or carrageenan. Pain-created groups by scalpel incision received metamizole (SIM) or paracetamol (SIP) at doses of 250 or 500 mg/kg. Pain-created groups by carrageenan received metamizole (CAM) or paracetamol (CAP) at doses of 250 or 500 mg/kg. Analgesic activity was determined by Basile Algesimeter. The COX-2 and MPO gene expressions were determined, and malondialdehyde and tGSH were measured in rat paws. RESULTS In the scalpel incision test, pain was reduced in groups of SIM-250 and SIM-500 in the first hour by 65.2% and 91.3%, respectively, and in the third hour by 51.9% and 77.8%, respectively, compared with the SIC group. In SIP-250 and SIP-500 groups, pain was reduced in the first hour by 43% and 74%, respectively, and by 33.4% and 59.3%, respectively, in the third hour compared with the SIC group. In the carrageenan test, in groups CAM-250 and CAM-500, pain was reduced in the first hour by 72.3% and 86.1%, respectively, and by 65.8% and 71.4%, respectively, in the third hour compared with the CCG group. In groups CAP-250 and CAP-500, pain was reduced in the first hour by 52.8% and 69.4%, respectively, and by 28.6% and 25.8%, respectively, in the third hour compared with the CCG group. Metamizole inhibited COX-2 gene expression at a dose of 500 mg/kg in the carrageenan test. At doses of 250 and 500 mg/kg, metamizole reduced COX-2 and MPO gene expressions and oxidative stress induced by scalpel incision or carrageenan. But both doses of paracetamol were unable to suppress that parameters. CONCLUSIONS Our results show that metamizole is more effective than paracetamol for treating surgical trauma-related pain, inflammation, and oxidative stress and hence may be a preferential drug to paracetamol.
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Affiliation(s)
- Ilker Ince
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University , Erzurum , Turkey
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Karatepe O, Eken I, Acet E, Unal O, Mert M, Koc B, Karahan S, Filizcan U, Ugurlucan M, Aksoy M. Vacuum Assisted Closure Improves the Quality of Life in Patients with Diabetic Foot. Acta Chir Belg 2016. [DOI: 10.1080/00015458.2011.11680757] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- O. Karatepe
- Department of General Surgery, Istanbul University, Faculty of Medicine
| | - I. Eken
- Department of General Surgery, Istanbul University, Faculty of Medicine
| | - E. Acet
- Department of General Surgery, Istanbul University, Faculty of Medicine
| | - O. Unal
- Department of Vascular Surgery, Istanbul University, Faculty of Medicine
| | - M. Mert
- Department of Endocrinology, Istanbul University, Faculty of Medicine
| | - B. Koc
- Department of General Surgery, Istanbul University, Faculty of Medicine
| | - S. Karahan
- Department of General Surgery, Istanbul University, Faculty of Medicine
| | - U. Filizcan
- Okmeydani Training and Research Hospital; Department of Cardiovascular Surgery, Istanbul University, Faculty of Medicine
| | - M. Ugurlucan
- Maltepe University Medical Faculty; Department of Cardiovascular Surgery, Istanbul University, Faculty of Medicine
| | - M. Aksoy
- Duzce Ataturk State Hospital; Department of General Surgery, Istanbul University, Faculty of Medicine
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Ahiskalioglu A, İnce İ, Aksoy M, Yalcin E, Ahiskalioglu EO, Kilinc A. Effects of a Single-Dose of Pre-Emptive Pregabalin on Postoperative Pain and Opioid Consumption After Double-Jaw Surgery: A Randomized Controlled Trial. J Oral Maxillofac Surg 2016; 74:53.e1-7. [DOI: 10.1016/j.joms.2015.09.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Revised: 09/09/2015] [Accepted: 09/13/2015] [Indexed: 12/12/2022]
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Aksoy AN, Tör IH, Aksoy M, Ahıskalıoglu A, Ince I, Kürsad H. The effect of colloid preload versus prophylactic ephedrine administration on QTc intervals during cesarean delivery: A randomized controlled study. Niger J Clin Pract 2016; 19:115-20. [DOI: 10.4103/1119-3077.173710] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bedir Z, Ahiskalioglu A, Esenkaya Ü, Ahiskalioglu EO, Dostbil A, Aksoy M, Dogan N, Kursad H. HELLP syndrome is still a serious, life-threatening complication of pregnancy: admission of 34 women to an eastern Turkish intensive care unit. CLIN EXP OBSTET GYN 2016; 43:795-799. [PMID: 29944225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE The transfer of the obstetric patient to the intensive care unit is considered as an indicator of maternal morbidity. The most important two indications for admittance of the obstetric patient to the intensive care unit are postpartum hemorrhage and hypertensive disorders. The purpose of this study was to determine maternal morbidity and mortality rates in patients diagnosed with hemolysis, elevated liver enzyme levels, and low platelet count (HELLP) syndrome who required intensive care. MATERIALS AND METHODS The charts of 34 patients who were diagnosed with HELLP syndrome and treated in intensive care unit between the years 2005 - 2013 were evaluated retrospectively. RESULTS During the study period, a total of 151 patients were diagnosed with HELLP syndrome and 34 patients were admitted to the intensive care unit. Mean age of the patients was 28.97 ± 7.26 years and there was no significant difference be- tween survivors and non-survivors (p = 0.442). There were no significant differences between survivors and non-survivors in terms of gestational age, parity, and multiparity rates (p > 0.05). There was 31.2% mortal cases and 77.8% of living cases had received regular antenatal follow-up and the difference was statistically significant (p = 0.006). 30 patients (88.2%) required invasive mechanical ven- tilation. The average Glasgow Coma Score (GCS) of patients was 6.47 ± 4.34. There were significant differences between patients who lived and who died in terms of Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA) score, and duration of invasive mechanical ventilation (p < 0.05). Twenty-two patients (64.7%) required transfusion of blood and blood products. Maternal mortality occurred in 16 patients (47%). The causes of death were: intracerebral hemorrhage in six cases, acute respiratory distress syndrome (ARDS) in three cases, disseminated intravascular coagulation (DIC) in three\cases, sepsis/multi- ple organ dysfunction syndrome (MODS) in two cases, hepatic rupture in one case, and massive pulmonary embolism in one case. Con- clusion: HELLP syndrome is still one of the most serious and life-threatening complications of pregnancy. Mortality rate can be reduced by regular antenatal follow-up and transfer of pregnant women who carry risk to the intensive care unit without delay.
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Ahiskalioglu EO, Ahiskalioglu A, Firinci B, Dostbil A, Aksoy M. [Anesthetic management of a pediatric patient with hypohidrotic ectodermal dysplasia undergoing emergency surgery]. Rev Bras Anestesiol 2015; 65:522-4. [PMID: 26655713 DOI: 10.1016/j.bjan.2013.10.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 10/31/2013] [Indexed: 11/30/2022] Open
Abstract
Ectodermal dysplasias are rare conditions with a triad of hypotrichosis, anodontia and anhidrosis. In literature review there have been only a few reports of anesthetic management of patients with ectodermal dysplasias. Hyperthermia is a very serious risk which may occur due to the defect of sweat glands. The present case involves a 10-year-old child with ectodermal dysplasia who presented with an acute abdomen and was considered for an emergency surgery. Our aim was to demonstrate the successful management of this case using a combination of general and epidural anesthesia. It is important for anesthesiologist to have information about this syndrome in case of emergency operations, since it can prevent serious complications and even save lives.
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Affiliation(s)
- Elif Oral Ahiskalioglu
- Departamento de Anestesiologia e Reanimação, Hospital Regional de Ensino e Pesquisa, Erzurum, Turquia.
| | - Ali Ahiskalioglu
- Departamento de Anestesiologia e Reanimação, Escola de Medicina da Universidade Ataturk, Erzurum, Turquia
| | - Binali Firinci
- Departamento de Pediatria Cirurgia, Hospital Regional de Ensino e Pesquisa, Erzurum, Turquia
| | - Aysenur Dostbil
- Departamento de Anestesiologia e Reanimação, Escola de Medicina da Universidade Ataturk, Erzurum, Turquia
| | - Mehmet Aksoy
- Departamento de Anestesiologia e Reanimação, Escola de Medicina da Universidade Ataturk, Erzurum, Turquia
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Aksoy M, Aksoy AN, Laloglu E, Dostbil A, Celik MG. Umbilical cord blood endocan levels according to the delivery mode. CLIN EXP OBSTET GYN 2015. [DOI: 10.12891/ceog1987.2015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Ahiskalioglu EO, Ahiskalioglu A, Firinci B, Dostbil A, Aksoy M. Anesthetic management of a pediatric patient with hypohidrotic ectodermal dysplasia undergoing emergency surgery. Braz J Anesthesiol 2015; 65:522-4. [PMID: 26614152 DOI: 10.1016/j.bjane.2013.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 10/18/2013] [Accepted: 10/31/2013] [Indexed: 11/24/2022] Open
Abstract
Ectodermal dysplasias are rare conditions with a triad of hypotrichosis, anodontia and anhidrosis. In literature review there have been only a few reports of anesthetic management of patients with ectodermal dysplasias. Hyperthermia is a very serious risk which may occur due to the defect of sweat glands. The present case involves a 10-year-old child with ectodermal dysplasia who presented with an acute abdomen and was considered for an emergency surgery. Our aim was to demonstrate the successful management of this case using a combination of general and epidural anesthesia. It is important for anesthesiologist to have information about this syndrome in case of emergency operations, since it can prevent serious complications and even save lives.
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Affiliation(s)
- Elif Oral Ahiskalioglu
- Department of Anesthesiology and Reanimation, Regional Training and Research Hospital, Erzurum, Turkey.
| | - Ali Ahiskalioglu
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Binali Firinci
- Department of Pediatric Surgery, Regional Training and Research Hospital, Erzurum, Turkey
| | - Aysenur Dostbil
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
| | - Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey
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Aksoy M, Ince I, Ahıskalıoglu A, Karaca O, Bayar F, Erdem AF. Spinal anaesthesia at low and moderately high altitudes: a comparison of anaesthetic parameters and hemodynamic changes. BMC Anesthesiol 2015; 15:123. [PMID: 26357836 PMCID: PMC4566491 DOI: 10.1186/s12871-015-0104-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2015] [Accepted: 09/07/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Hypoxemia caused high altitude leads to an increase and variability in CSF volume. The purpose of this prospective study was to detect the differences, if any, between moderately highlanders and lowlanders in terms of anaesthetic parameters under neuroaxial anaesthesia. METHODS Consecutive patients living at moderately high altitude (Erzurum, 1890 m above the sea level) and sea level (Sakarya, 31 m above the sea level) scheduled for elective lower extremity surgery with spinal anaesthesia were enrolled in this study (n = 70, for each group). Same anaesthesia protocol was applied for all patients. Spinal anaesthesia was provided with hyperbaric bupivacaine 0.5 %, 9 mg (1.8 mL) in all patients. Anaesthetic characteristics and hemodynamic parameters of patients were recorded. The findings obtained in two different altitudes were compared using appropriate statistical tests. If data was not normally distributed, comparisons were determined using the Mann-Whitney U-test. Comparisons were determined using the Independent T test when data was normally distributed and Fisher's exact test was used to compare the percentage values. RESULTS Duration of the block procedure (minutes) was significantly shorter at the sea level (14.34 ± 0.88) than at moderate altitude (20.38 ± 1.46) (P < 0.001). Motor block duration (minutes) was higher at the sea level compared to the moderate altitude (310.2 ± 104.2, 200.4 ± 103.2; respectively; P < 0.05). Also, the sensory block time (minutes) was higher at the sea level compared to moderate altitude (200.2 ± 50. minutes vs. 155.2 ± 60.7 min; respectively; P < 0.05). Moderate altitude group had significantly higher MABP values at baseline, during surgery and at postoperative 1(st) and 2nd hours than in the sea level group (P < 0.05, for all). Moderately high altitude group had lower heart rate values at baseline, during surgery and postoperative 1(st) and 2(nd) hours compared with the sea level group (P < 0.05). PDPH was seen more frequently (7.14 vs. 2.85 %; P < 0.05) at moderate altitude. CONCLUSIONS Hemodynamic variations and more anaesthetic requirements following the spinal anaesthesia may be observed at moderately high altitudes compared to the sea level. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry: ACTRN12614000749606 .
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Affiliation(s)
- Mehmet Aksoy
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey, 25240.
| | - Ilker Ince
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey, 25240.
| | - Ali Ahıskalıoglu
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey, 25240.
| | - Omer Karaca
- Department of Anaesthesiology and Reanimation, Ordu State Hospital, Ordu, Turkey.
| | - Fikret Bayar
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Sakarya University, Sakarya, Turkey.
| | - Ali Fuat Erdem
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Sakarya University, Sakarya, Turkey.
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Aksoy AN, Toker A, Celık M, Aksoy M, Halıcı Z, Aksoy H. The effect of progesterone on systemic inflammation and oxidative stress in the rat model of sepsis. Indian J Pharmacol 2015; 46:622-6. [PMID: 25538334 PMCID: PMC4264078 DOI: 10.4103/0253-7613.144922] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2013] [Revised: 03/24/2013] [Accepted: 09/25/2014] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVES To explore the protective effect of progesterone on inflammation and oxidative stress in a rat model of sepsis created by cecal ligation and puncture (CLP). MATERIALS AND METHODS Rats were randomly divided into 4 groups: Overiectomy group (OVX), sham operated (control), sepsis (CLP) group and progesterone-treated CLP group (CLP+ progesterone). The rats in CLP+ progesterone group received intraperitoneal progesterone (2 mg/kg). Cardiac blood samples were obtained for the measurement levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α). Tissue samples, including liver, kidney and uterus of rats were prepared to determine activities of myeloperoxidase (MPO), glutathione peroxidase (GPx) and levels of malondialdehyde (MDA). RESULTS Increased serum IL-6 and TNF-α levels were found in the CLP group in comparison with the control group (P = 0.01, P = 0.02; respectively). In CLP+ progesterone group, mean MDA concentration of kidney tissue was significantly lower than in CLP group (P = 0.003). Liver MDA concentration of the CLP+ progesterone group was not significantly different from that of the control group. While there were no significant differences among groups regarding liver MPO; in the CLP group, MPO activity in kidney (P = 0.02) and uterine tissues (P = 0.03) were found to be significantly higher compared to the control group. In CLP+ progesterone group, mean MPO activities of all tissues were not different than those of control group. The uterine tissue GPx activity in the CLP+ progesterone group was not statistically significantly different from control group. CONCLUSIONS We suggest that progesterone ameliorates sepsis syndrome by reduction of the inflammatory cytokines IL-6 and TNF-α, and by restoration of antioxidant enzyme activities in some tissues.
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Affiliation(s)
- Ayse Nur Aksoy
- Department of Obsterics and Gynecology, Nenehatun Hospital, Erzurum, Turkey
| | - Aysun Toker
- Department of Biochemistry, Meram Faculty of Medicine, Konya University, Konya, Turkey
| | - Muhammet Celık
- Department of Biochemistry, Goverment Hospital of Oltu, Turkey
| | - Mehmet Aksoy
- Departments of Anesthesiology and Reanimation, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Zekai Halıcı
- Department of Pharmacology, Faculty of Medicine, Atatürk University, Erzurum, Turkey
| | - Hulya Aksoy
- Department of Biochemistry, Faculty of Medicine, Atatürk University, Erzurum, Turkey
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Aksoy M, Ahiskalioglu A, Ince I, Celik M, Dostbil A, Kuyrukluyildiz U, Altuner D, Kurt N, Suleyman H. The relation between the effect of a subhypnotic dose of thiopental on claw pain threshold in rats and adrenalin, noradrenalin and dopamine levels. Exp Anim 2015. [PMID: 26211784 PMCID: PMC4637376 DOI: 10.1538/expanim.15-0028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Thiopental sodium (TPS) needs to be applied together with adrenalin in order to establish
its analgesic effect in general anesthesia. We aimed to investigate the effect of TPS on
the claw pain threshold in rats and evaluated its relationship with endogenous adrenalin
(ADR), noradrenalin (NDR), and dopamine (DOP) levels. Intact and adrenalectomized rats
were used in the experiment. Intact animals were divided into the following groups: 15
mg/kg TPS (TS), 0.3 mg/kg ADR+15 mg/kg TPS (ATS) and 0.3 mg/kg ADR alone (ADR).
Adrenalectomized animals were divided into the following groups: 15 mg/kg TPS (A-TS), 0.3
mg/kg ADR+15 mg/kg TPS (A-ATS) and 0.3 mg/kg ADR alone (A-ADR). Claw pain threshold and
blood ADR, NDR, and DOP levels were measured. The TS group’s claw pain threshold was found
low. However, the claw pain thresholds of the ATS and ADR groups increased significantly.
In the A-TS group, the pain threshold decreased compared with normal, and in the A-ATS and
A-ADR groups, the pain threshold increased. TPS reduced the blood ADR levels in intact
rats; however, no significant changes were observed in the NDR and DOP levels. #TPS
provides hyperalgesia by reducing the production of ADR in rats. The present study shows
that to achieve analgesic activity, TPS needs to be applied together with ADR.
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Affiliation(s)
- Mehmet Aksoy
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Ataturk University, 25240, #Erzurum, Turkey
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Aksoy M, Ince I, Ahiskalioglu A, Dogan N, Colak A, Sevimli S. Transcatheter Aortic Valve Implantation: First Applications and Short Term Outcomes in Our Clinic. Eurasian J Med 2015; 47:91-8. [PMID: 26180492 DOI: 10.5152/eurasianjmed.2015.57] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2014] [Accepted: 08/24/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The objective of this study is to evaluate the first applications and short term outcomes of transcatheter aortic valve implantation (TAVI) in our clinic, which is a new technology for the patients with high risk for surgical aortic valve replacement (SAVR). MATERIALS AND METHODS Between January 2010 and December 2012, twenty five patients (16 males, 9 females; mean age 74.04±8.86 years) diagnosed with severe aortic stenosis, who were at high risk for surgery (EuroSCORE II: 5.58±4.20) and underwent TAVI in our clinic, were evaluated. The demographic and clinical characteristics of patients, anaesthetic management, complications during pre- and post-operative periods and the mortality rate in the first 30 days and six months were recorded. RESULTS Edwards SAPIEN Valve prostheses were implanted by transfemoral approach (percutaneously in 10 patients and surgically in 15 patients) in all patients. The TAVI procedure was performed under general anaesthesia. The success rate of the TAVI procedure was 100%. Three patients had limited dissection of the femoral artery; however, intervention was not needed due to good distal perfusion rate. Permanent pacemaker was implanted to four patients because of long-term atrioventricular blockage. After the procedure, all patients were transferred to the Intensive Care Unit (ICU) and all patients were extubated in the ICU. The mean mechanical ventilation duration (minutes) was 166.20±39.32, the mean critical care unit stay (day) was 5.64±2.99 and the mean hospital stay (day) was 11.92±5.54. Acute renal failure was observed in one patient and stroke was observed in two patients on the first postoperative day. The mortality rate in the first 30 days and 6 months was found to be 4% and 16%, respectively. CONCLUSION Transcatheter aortic valve implantation is a great option for patients with severe aortic stenosis who are at high risk for SAVR. In our institute, procedural success and short term outcomes for patients underwent TAVI were found to be similar to the other studies in the national and international literature.
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Affiliation(s)
- Mehmet Aksoy
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Ilker Ince
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Ali Ahiskalioglu
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Nazim Dogan
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Abdurrahim Colak
- Deparment of Cardiovascular Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Serdar Sevimli
- Deparment of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
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Yilmaz S, Kiliç H, Demirtas S, Çakar M, Edis L, Vatan M, Pabuccu M, Edem E, Aksoy M, Vural M, Gunduz H. Age- related changes in left ventrikuler torsion. Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.1015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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