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Öğe Canavan hastalığında anestezi yönetimi: İki olgu sunumu(2017) Yediyıldız Bulun, Merve; Yılmaz, Resul; Tosun, Osman Mücahit; Reisli, Ruhiye; Tuncer Uzun, SemaCanavan hastalığı, aspartoaçilaz enzim eksikliği ile karakterize, otozomal resesif kalıtılan ilerleyici bir lökodisitrofidir. Canavanhastalığında makrosefali, kas güçsüzlüğü, yutma bozukluğu, gastroözefageal reflü ve epilepsi görülebilecek bulgulardandır. Tedavisisemptomatiktir. Bu yazıda Canavan hastalığı olan iki olguda uyguladığımız anestezi deneyiminin tartışılması amaçlanmıştır.Öğe Comparison of pupillometer, critical care pain observation scale, and vital findings in the evaluation of pain in intensive care patients without oral communication(Kare Publ, 2023) Yaman Gulper, Rabia; Reisli, Ruhiye; Arican, Sule; Yosunkaya, Alper; Tuncer Uzun, SemaObjectives: The aim of this study was to investigate the effects of portable infrared Pupillometer, Critical Care Pain Observation Scale (CPOT), and vital sign changes during painful procedures on patients with mechanical ventilators in the intensive care unit (ICU), and comparing the efficacy of these methods to detect the presence of pain. Methods: In 50 patients who could not verbally state pain, admitted to Necmettin Erbakan University Meram Faculty of Medicine ICU, aged 18-75 years, and connected to a mechanical ventilator, vital sign changes, CPOT scale assessments, and pain evaluation with a portable infrared pupillometer were performed during endotracheal aspiration and position changes, which are defined as painful stimuli. Results: Data were collected from 50 patients with a mean age of 57.4 +/- 17.9 years and 48% of males. The systolic, diastolic, and mean arterial pressure and heart rate values, CPOT scores, and pupillometric measurements of the patients increased significantly at the time of aspiration and change of position (p<0.05). Neurological pupil index scores showed a significant decrease at the time of painful stimulation (p<0.05). Conclusion: It was found that pupil diameter changes evaluated using a portable infrared pupillometric measuring device can be used effectively and reliably in pain assessment in patients who are treated in the ICU, supported by mechanical ventilation and who cannot communicate verbally.Öğe Comparison of pupillometer, critical care pain observation scale, and vital findings in the evaluation of pain in intensive care patients without oral communication(Kare Publ, 2023) Yaman Gulper, Rabia; Reisli, Ruhiye; Arican, Sule; Yosunkaya, Alper; Tuncer Uzun, SemaObjectives: The aim of this study was to investigate the effects of portable infrared Pupillometer, Critical Care Pain Observation Scale (CPOT), and vital sign changes during painful procedures on patients with mechanical ventilators in the intensive care unit (ICU), and comparing the efficacy of these methods to detect the presence of pain. Methods: In 50 patients who could not verbally state pain, admitted to Necmettin Erbakan University Meram Faculty of Medicine ICU, aged 18-75 years, and connected to a mechanical ventilator, vital sign changes, CPOT scale assessments, and pain evaluation with a portable infrared pupillometer were performed during endotracheal aspiration and position changes, which are defined as painful stimuli. Results: Data were collected from 50 patients with a mean age of 57.4 +/- 17.9 years and 48% of males. The systolic, diastolic, and mean arterial pressure and heart rate values, CPOT scores, and pupillometric measurements of the patients increased significantly at the time of aspiration and change of position (p<0.05). Neurological pupil index scores showed a significant decrease at the time of painful stimulation (p<0.05). Conclusion: It was found that pupil diameter changes evaluated using a portable infrared pupillometric measuring device can be used effectively and reliably in pain assessment in patients who are treated in the ICU, supported by mechanical ventilation and who cannot communicate verbally.Öğe Diyabetik Vakalarda Roküronyumun Nöromusküler Blok Özellikleri(2014) Topal, Ahmet; Sargın, Mehmet; Et, Tayfun; Tuncer Uzun, SemaAmaç: Diyabetik hastalarda motor sinir liflerinde fonksiyonel kayıplar ortaya çıkmakta ve bu durum anestezi yönetimini birçok yönden etkileyebilmektedir. Bu çalışmada roküronyumun nöromusküler blok etkilerinin non-diyabetik hastalara göre tip II diyabetli hastalarda farklı olup olmadığını araştırmayı amaçladık. Materyal ve Metod: 18 diyabetik ve 21 non-diyabetik hastanın, 0,6 mg kg-1 roküronyum uygulanmasından sonra nöromüsküler transport monitörü kullanılarak nöromusküler fonksiyonları değerlendirildi.Etki başlama süresi, klinik etki süresi, derlenme süresi, toplam roküronyum dozu, supramaksimal uyarı şiddeti ve Goldberg entübasyon skoru karşılaştırıldı. Bulgular: Etki başlama (118,3341,61 sn. & 142,0028,68 sn.) ve derlenme (13,339,83 dak. & 22,3811,64 dak.) süreleri diyabetik hastalarda daha uzundu (p0,05), etki süresi ve supramaksimal uyarı şiddeti benzerdi (p0,05). Sonuç: Diyabetik hastalarda etki başlama ve derlenme sürelerinde görülen uzamanın, diyabete bağlı gelişen nöropatik bir komplikasyon olduğunu ve roküronyumun farmakodinamiğinde diyabetin etkili olduğunu düşünmekteyiz.Öğe The Effects of Sugammadex on Progesterone Levels in Pregnant Rats(2015) Et, Tayfun; Topal, Ahmet; Erol, Atilla; Tavlan, Aybars; Kılıçaslan, Alper; Tuncer Uzun, SemaBackground: Sugammadex has been shown to de- crease the efficiency of progesterone-containing oral contraceptive drugs which possess a steroid structure. Aims: The aim of the present study was to evaluate the effects of sugammadex on progesterone levels in pregnant rats as well as on the physiological course of the pregnancy. Study Design: Animal experiment. Methods: This study was approved by the Selçuk Uni- versity Ethical Committee for Experimental Animal Research. Pregnant Winster Albino rats (n26) were divided into three groups and administered with vari- ous intravenous injections on the 7th day of pregnancy. The control group (Group K, n6) received 1.5 mL serum physiologic, the sugammadex group (Group S, n10) received 30 mg/kg sugammadex and the sugam- madex rocuronium group (Group SR, n10) received 30 mg/kg sugammadex and 3.5 mg/kg rocuronium. Progesterone levels were measured and the offspring were monitored for morphologic status. Results: Mean progesterone levels were 94.16±15.54 ng/mL in Group K, 87.86±12.48 ng/mL in Group S, and 94.53±16.10 ng/mL in Group SR (p<0.05). No stillbirth or miscarriage was observed in the rats. The mean number of offspring was 6.8±1.47 in Group K, 6.5±1.35 in Group S, and 6.4±1.17 in Group SR. The offspring appeared macroscopically normal. Conclusion: Sugammadex does not appear to affect the progesterone levels in pregnant rats in the first trimes- ter and the clinical course. Successful completion of pregnancy and the absence of stillbirth or miscarriage will guide future studies about the use of sugammadex, particularly in the first trimester of the pregnancy.Öğe Evaluation of pupil diameter for pain assessment in interventional headache management(Kare Publishing, 2023) Yılmaz, Resul; Kocadağ, Gökhan; Arıcan, Şule; Özdemir, Mustafa; Reisli, Ruhiye; Tuncer Uzun, SemaObjectives: Pain is a subjective experience. Besides, sensory, affective and behavioral responses, and autonomic response are part of pain response to noxious stimuli. Evaluation of pupil diameter by pupillometry has been used as an alternative method for pain assessment. In algologic procedures like interventional headache management have not been addressed in the literature. Herein, we investigated changes in pupil diameter during interventional headache management as an objective method for pain assessment. Methods: Demographic data of the patients were collected before the bilateral major occipital nerve blockage (MONB) pro-cedure. Numeric rating score (NRS) and pupil diameter measurements by pupillometer were recorded before MONB. Standard MONB procedure was applied to all patients. Pain assessment and pupillary diameter measurements were obtained after nerve blockage. Results: Twenty-eight patients were included in this study. Mean age was 41.03 +/- 12.63 years. There is no difference between the hemodynamic parameters before and after the procedure. Post-procedure NRS and pupil diameter values were signifi-cantly lower than pre-procedure values. There was a positive correlation between changes in NRS scores and changes in the right and left pupil diameters. Conclusion: There was a significant correlation between NRS score and pupil diameter in patients who underwent MONB. Monitoring of pupil diameter can be used for pain assessment during headache treatment. Evaluation of pupil diameter is a new approach in pain palliation. Future research is needed to study the effect of other parameters, that is, gender, age, origin of pain, acute, and chronic pain on pupil diameter and to evaluate its application in different algological procedures.Öğe Fluoroscopy-guided genicular nerves pulsed radiofrequency for chronic knee pain treatment(Kare Publ, 2020) Arican, Sule; Hacibeyoglu, Gulcin; Akkoyun, Ozlem; Tuncer Uzun, Sema; Reisli, RuhiyeObjectives: The primary objective of this study was to investigate the effects of Pulsed RF application in the genicular nerve on pain and function in patients with osteoarthritis (OA) and its side effects. Methods:This study was conducted between February 2018 and June 2018. Patients who were previously administered diagnostic blocks were evaluated a day later; a drop of at least 50% in numeric pain scores was considered a positive response, and these patients were included in the Pulsed RF neurotomy procedures. Radiofrequency (RF) cannula was advanced towards targeted nerves under the guidance of fluoroscopy. RF lesions were created by applying Pulsed RF treatment to the three genicular nerves three times with five minutes intervals at 42 degrees C using NT1000 RF Generator. Following the Pulsed RF application, 2 mL 0.5% bupivacaine was injected into each genicular nerve as an anesthetic agent. VAS, pain DETECT scores, WOMAC scores were evaluated preoperative baseline and postprocedure weeks 1, 4, and 12. Patient Global Impression of Change (PGIC) score was evaluated postprocedure weeks 12. Results:This study included 20 patients who were administered genicular nerve Pulsed RE The mean age was 55.2 +/- 3.24 years, and F/M ratio was 12/8. Compared to the pre-procedure period, patients' pain and function evaluation, WOMAC and VAS values decreased by approximately 50% at the end of the 12th week. No side effect was observed in any patients. Conclusion: Our findings suggest that Pulsed RF neurotomy of the genicular nerves is an efficient and safe treatment method for patients with chronic knee osteoarthritis.Öğe Fluoroscopy-guided genicular nerves pulsed radiofrequency for chronic knee pain treatment(Kare Publ, 2020) Arican, Sule; Hacibeyoglu, Gulcin; Akkoyun, Ozlem; Tuncer Uzun, Sema; Reisli, RuhiyeObjectives: The primary objective of this study was to investigate the effects of Pulsed RF application in the genicular nerve on pain and function in patients with osteoarthritis (OA) and its side effects. Methods:This study was conducted between February 2018 and June 2018. Patients who were previously administered diagnostic blocks were evaluated a day later; a drop of at least 50% in numeric pain scores was considered a positive response, and these patients were included in the Pulsed RF neurotomy procedures. Radiofrequency (RF) cannula was advanced towards targeted nerves under the guidance of fluoroscopy. RF lesions were created by applying Pulsed RF treatment to the three genicular nerves three times with five minutes intervals at 42 degrees C using NT1000 RF Generator. Following the Pulsed RF application, 2 mL 0.5% bupivacaine was injected into each genicular nerve as an anesthetic agent. VAS, pain DETECT scores, WOMAC scores were evaluated preoperative baseline and postprocedure weeks 1, 4, and 12. Patient Global Impression of Change (PGIC) score was evaluated postprocedure weeks 12. Results:This study included 20 patients who were administered genicular nerve Pulsed RE The mean age was 55.2 +/- 3.24 years, and F/M ratio was 12/8. Compared to the pre-procedure period, patients' pain and function evaluation, WOMAC and VAS values decreased by approximately 50% at the end of the 12th week. No side effect was observed in any patients. Conclusion: Our findings suggest that Pulsed RF neurotomy of the genicular nerves is an efficient and safe treatment method for patients with chronic knee osteoarthritis.Öğe Hastanemiz Anestezi Polikliniğine Başvuran Hastaların Memnuniyet Durumlarının Değerlendirilmesi(2017) Hanedan, Bedia Mine; Tavlan, Aybars; Yılmaz, Resul; Tuncer Uzun, SemaSağlık hizmetlerinin geliştirilmesi için gerekli olan öğelerin en iyi şekilde kullanılmasında, hasta beklenti ve memnuniyetinin dikkate alınması çok önemlidir. Bu çalışmanın amacı, Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Hastanesi Anestezi Polikliniğine başvuran hastaların memnuniyet düzeyini değerlendirmek ve hasta memnuniyetini etkileyen faktörleri saptamaktır.Anket araştırması, Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı’nda Kasım 2015 - Şubat 2016 tarihleri arasında poliklinik hizmeti almak üzere başvuran hastalarda yapıldı. Söz konusu dönemde, polikliniğe başvuran ve araştırmaya katılmayı kabul ederek aydınlatılmış onam formunu onaylayan 200 hasta çalışmaya alındı. Anket formu, poliklinik işlemlerinin bitiminde yüz yüze görüşme tekniği ile dolduruldu. Hastaların anestezi polikliniğine başvuruları ile anestezi onamlarını almaları arasında geçen süre ve ASA skorları kaydedildi. Ayaktan hasta memnuniyet katsayısı 90.32 olarak bulundu. Hastaların %72’si kayıt işlemleri için, %68.5’i tahlil/tetkik için çok beklemediğini, %98’i doktorun, %96’sı personelin kibar ve saygılı olduğunu belirtti. Üniversite ve üstü eğitim seviyesinde ve okur yazar olmayan hastaların memnuniyet katsayısı diğer eğitim seviyelerine göre daha düşük bulundu (p0.01). Hastaların anestezi polikliniğine başvuruları ile anestezi onamlarını almaları arasında geçen ortalama süre 3.001,014 saat idi. ASA skoru ile anestezi onamını almaları için geçen süre arasında istatistiksel olarak anlamlı fark yoktu (p0.08). Hastanemiz anestezi polikliniğine başvuran hastaların memnuniyet düzeyinin yüksek, üniversite ve üstü eğitim seviyesinde ve okur-yazar olmayan hastalarda ise memnuniyet düzeyinin diğer eğitim seviyesindeki hastalara göre daha düşük olduğu saptandı. Tahlil/tetkik ve kayıt işlemlerindeki bekleme süresini kısaltacak çalışmalarında memnuniyet düzeyini arttırmada faydalı olacağı kanaatine varıldı.Öğe Limb-Girdle Musküler Distrofi’li Gebede Anestezi Yönetimi(2019) Yılmaz, Resul; Reisli, Ruhiye; Tosun, Osman Mücahit; Topal, Ahmet; Tuncer Uzun, SemaLimb-girdle musküler distrofiler (LGMD), otozomal dominant veya resesif geçiş özelliği gösteren,pelvis ve omuz çevresi kaslarında ilerleyici zayıflık ve atrofi ile ortaya çıkan, heterojen bir hastalıkgrubudur. Rejyonal anestezi sezeryan operasyonları için hem anne açısından hem de bebek açısından birçok avantajlara sahip olmakla birlikte, kas hastalığı öyküsü bulunan hastalarda rejyonal anestezi uygulaması ile etkin bir anestezi sağlanabilmektedir. Bununla birlikte, genel anestezinin bu hastalar için öngörülen komplikasyonlarından uzak durmak da olasıdır. LGMD sık görülmemekle birlikte, anestezi yönetimi açısından özellikli noktalar içermektedir. Bu olguda, LGMD’li gebede anestezi yönetimimize ait klinik deneyimimizi sunmayı amaçladık.Öğe Normal ve zor havayolu simülasyonlarında C-MAC D-Blade, Konvansiyonel C-MAC ve Macintosh Laringoskopların karşılaştırılması(2014) Kılıçaslan, Alper; Topal, Ahmet; Erol, Atilla; Tuncer Uzun, SemaAMAÇ: Yakın bir zamanda zor havayolu yönetiminin mevcut potansiyelini daha da geliştirmek için CMAC sistemine, bladei daha fazla açılandırılmış CMAC D-blade eklendi. Bu çalışmanın amacı, normal ve zor havayolu simülasyonlarında yeni CMAC D-blade in laringoskopik görüntü ve entübasyon parametrelerini konvansiyonel CMAC video laringoskop ve Macintosh direkt laringoskop (ML) ile karşılaştırarak araştırmaktı. YÖNTEMLER: Bu randomize kontrollü çalışma 26 deneyimli anestezi uygulayıcısı tarafından gerçekleştirildi. Endotrakeal entübasyon işlemleri Laerdal SimMan mankeninde: (1) normal havayolu, (2) servikal omurga immobilizasyonu, (3) dil ödemi senaryolarında gerçekleştirildiler. Entübasyon süreleri, başarı oranları, entübasyon deneme sayıları, laringoskopi görüntüleri, diş kompresyonunu şiddeti kaydedildi. BULGULAR: Tüm senaryolarda videolaringoskoplar Macintosh laringoskoptan daha iyi görüntü sağladılar ve daha az diş kompresyonuna neden oldular. Servikal omurga immobilizasyonu senaryosunda D-blade diğer laringoskoplara göre daha az diş kompresyonuna neden oldu (p0,001). Entübasyon başarısı açısından videolaringoskoplar arasında fark yoktu (p0,05). CMAC ile en kısa entübasyon süreleri elde edildi. ML ile başarısızlık oranı %19 idi. Dil ödemi senaryosunda, CMAC ile daha başarılı ve daha hızlı entübasyon sağlandı (p0,001). Videolaringoskoplar arasında laringoskopik görüntü skorları ve diş basısı açısından fark yoktu (p0,05). Başarısız entübasyon oranı ML ile %46 ve D-blade ile %7 idi. SONUÇ: CMAC D-blade servikal omurga immobilizasyonu senaryosunda konvansiyonel CMAC ve MLa göre daha az diş kompresyonuna neden olmuştur. Konvansiyonel CMAC ile dil ödemi senaryosunda D-blade ve MLa göre daha iyi entübasyon şartları sağlanmıştır. Bu iki videolaringoskop farklı zor havayolu şartlarında birbirlerini tamamlayabilirlerÖğe A probable case of pregabalin - related reversible hearing loss(Kare Publ, 2020) Yilmaz, Resul; Turk, Seyda; Reisli, Ruhiye; Tuncer Uzun, SemaPregabalin and gabapentin are similar compounds with analgesic, anticonvulsant, and anxiolytic characteristics. Due to these pharmacological features, they are commonly used throughout the world in neuropathic pain treatment and anxiety disorders. Mild to moderate side effects of the central nervous system, such as dizziness and somnolence, are important factors in deciding to terminate the use of pregabalin. Studies have also reported that the use of dose-dependent pregabalin resulted in peripheral edema and weight gain. Described in this case report is hearing loss occurring after an increase in the drug dose of a patient using pregabalin.Öğe Research for the factors effecting the headache experienced by the health-care personnel in COVID-19 pandemic: A monocentric survey study(Kare Publ, 2022) Hacibeyoglu, Gulcin; Eren, Ayse Seda; Arican, Sule; Yilmaz, Resul; Reisli, Ruhiye; Tuncer Uzun, SemaObjectives:The aim of this study is to determine the factors that may be related to the headache experienced by health-care professionals in the coronavirus disease 2019 (COVID-19) pandemic. Methods: The target population of the study consisted of the health-care professionals working in the COVID-19 pandemic. The questionnaire form consisted of 40 questions. The demographic information of the participants, the presence of contact with the COVID-19 patient, they used which personal protective equipment (PPE) and how often, the effect of the pandemic process on the lifestyle, the presence of visual defects, the effect of the pandemic process on water consumption, the presence of old or de novo headaches, the factors that may affect this headache, and the factors that reduce the pain were questioned in the survey. Results: A total of 177 health-care professionals participated in the study. About 93.8% of the participants use masks daily for more than 4 h. About 62.7% of the participants stated that their water consumption increased on the days when they used PPE. About 72.3% of the participants reported disruption in sleep patterns, 83.1% of them reported increase in their stress and anxiety. About 65.5% of the participants experienced headaches during the pandemic process. They reported that the most likely causes of headache were excessive sweating and difficulty in breathing due to the use of PPE. Conclusion: During the pandemic, a substantial portion of health-care professionals experiences headaches. Besides the physical difficulties caused by the use of PPE, the stress caused by the pandemic process should not be ignored.Öğe Research for the factors effecting the headache experienced by the health-care personnel in COVID-19 pandemic: A monocentric survey study(Kare Publ, 2022) Hacibeyoglu, Gulcin; Eren, Ayse Seda; Arican, Sule; Yilmaz, Resul; Reisli, Ruhiye; Tuncer Uzun, SemaObjectives:The aim of this study is to determine the factors that may be related to the headache experienced by health-care professionals in the coronavirus disease 2019 (COVID-19) pandemic. Methods: The target population of the study consisted of the health-care professionals working in the COVID-19 pandemic. The questionnaire form consisted of 40 questions. The demographic information of the participants, the presence of contact with the COVID-19 patient, they used which personal protective equipment (PPE) and how often, the effect of the pandemic process on the lifestyle, the presence of visual defects, the effect of the pandemic process on water consumption, the presence of old or de novo headaches, the factors that may affect this headache, and the factors that reduce the pain were questioned in the survey. Results: A total of 177 health-care professionals participated in the study. About 93.8% of the participants use masks daily for more than 4 h. About 62.7% of the participants stated that their water consumption increased on the days when they used PPE. About 72.3% of the participants reported disruption in sleep patterns, 83.1% of them reported increase in their stress and anxiety. About 65.5% of the participants experienced headaches during the pandemic process. They reported that the most likely causes of headache were excessive sweating and difficulty in breathing due to the use of PPE. Conclusion: During the pandemic, a substantial portion of health-care professionals experiences headaches. Besides the physical difficulties caused by the use of PPE, the stress caused by the pandemic process should not be ignored.Öğe Research on the efficacy of the rectus sheath block method(2018) Karaarslan, Esma; Topal, Ahmet; Avcı, Onur; Tuncer Uzun, SemaObjectives: We aimed to retrospectively investigate the efficacy of ultrasound guided rectus sheath block (RSB) method inour study. Methods: We scanned 235 patient files operated for abdominal pathology. Patients meeting the criteria were evaluated forintra-operative rectus sheath block and two different groups were formed. In these two groups of patients visual analoguescale (VAS) values recorded from the postoperative pain follow-up form and analgesic delivery (DEL) and analgesic demand (DEM) values recorded from patient controlled analgesia (PCA) device were compared. In addition, complaints of nausea,vomiting and constipation were evaluated. Results: Postoperative VAS values (Postoperative 1, 12 and 24 hours p0.001), DEM values (Postoperative 1, 12 and 24 hoursp0.001) and total amount of morphine consumed (Postoperative 1, 12 and 24 hours p0.001) were lower in patients with RSB. Also, in patients with RSB nausea (p0.014) and vomiting was less seen postoperatively (p0.007). In the first 24 hoursafter surgery, constipation was seen in 8 patients with RSB and constipation was seen in 30 patients without RSB (p0.00). Conclusion: Ultrasound guided rectus sheath block is an effective method for postoperative pain control.Öğe The role of right ventricular volumes and inferior vena cava diameters in the evaluation of volume status before colonoscopy(Tubitak Scientific & Technological Research Council Turkey, 2019) Arican, Sule; Dertli, Ramazan; Dagli, Cagdas; Hacibeyoglu, Gulcin; Koyuncu, Mustafa; Topal, Ahmet; Tuncer Uzun, SemaBackground/aim: Ultrasonographic measurements of inferior vena cava (IVC) diameters and right ventricle (RV) volumes are important tools for the evaluation of intravascular volume. The current study investigates the association of IVC diameters and RV volumes before colonoscopy in prediction of postanesthesia hypotension. Materials and methods: Seventy patients scheduled for colonoscopy were included in the study. Preoperatively, expirium (dIVC tnax) and inspirium (dIVC min) IVC diameters were measured using M-mode ultrasonography and the collapsibility index (IVC-CI) was calculated. Ventricular volumes and areas were also measured using transthoracic echocardiography. Postanesthesia hypotension was defined as mean arterial blood pressure of <60 mm Hg or a decrease of >30% in the mean arterial pressure after sedation. Results: Minimum and maximum IVC diameters were significantly lower (P = 0.005 and P < 0.001, respectively) and IVC-CI was significantly higher (P < 0.001) in patients who developed hypotension. Similarly, right ventricular end-diastolic area (RV-EDA), right ventricular end-systolic area (RV-ESA), right ventricular end-diastolic volume (RV-EDV), right ventricular end-systolic volume ( RVESV), and left ventricular end-systolic volume (LV-ESV) values were significantly lower in patients with hypotension (P < 0.05). Logistic regression analysis showed that dIVC min and RV-ESA were independent predictors of hypotension. Conclusion: IVC diameters and RV-ESA, RV-EDA, RV-ESV, and RV-EDV are good indicators of preoperative volume status and can be used to predict the patients at risk of developing hypotension.Öğe Use of laryngeal mask airway in flexible bronchoscopy in children(2019) Arıcan, Şule; Pekcan, Sevgi; Hacıbeyoğlu, Gülçin; Tavlan, Aybars; Atay, Turgay; Kolsuz Erdem, Feyza; Tuncer Uzun, SemaAim: Flexible bronchoscope is widely used by pediatric pulmonologists as a diagnostic and therapeutic tool. The objective of thisstudy was to present our anesthesia experience in pediatric flexible bronchoscopy in which airway management was provided withlaryngeal mask airway (LMA) and the complications developed.Material and Methods: This study was conducted in children aged between 2-15 years who underwent bronchoscopy for diagnosisand/or treatment between January 2017 and November 2018. Patients’ demographic data, diagnosis, anesthesia and airwaymanagement were recorded from the patient files. Times of anesthesia, operation and recovery were recorded. Complicationsduring the procedure, awakening and recovery were recorded. Patients’ sore throat and hoarseness during resting and swallowingwere recorded.Results: This study included 31 patients whose airway management was provided with LMA. The mean age was 8.584.14years. Persistent cough was the most common indication for bronchoscopy. Anesthesia time was 15.4610.99 minutes,bronchoscopy time 12.8710.57, awakening time 16.384.53 minutes, and recovery time 23.3210.24 minutes. The most commoncomplication was cough. Sore throats of the patients were observed as mild and moderate at the 0th and 2th hours. Bothresting and swallowing sore throats were observed as mild at the 4th hour, while no sore throat was seen in any patient at the 12thhour. Hoarseness was observed at mild level in 4 patients at the 0th hour.Conclusion: Providing airway with LMA in pediatric flexible bronchoscopy applications offers a safe anesthetic management, and ithas a low rate of complications.
