Aim: The Coronavirus disease-2019 (COVID-19) pandemic has caused serious changes in health servic... more Aim: The Coronavirus disease-2019 (COVID-19) pandemic has caused serious changes in health services in our country as well as all over the world. The most affected group includes those who will undergo surgery with an oncological diagnosis or who can be diagnosed with an oncological diagnosis. It is aimed to observe the changes in the operations with oncological diagnoses, which will require pathological examination in the operating room of our tertiary university hospital, in terms of demographics, surgical branch, duration of the operation and type of anesthesia in the first year of the pandemic. Materials and Methods: The retrospective scanning method was used to scan the surgical patient files of the patients who met the criteria (Retrospective cross-sectional study). Results: While the first 3 branches of our operating room with the highest number of cases did not change, there was a difference in the American Society of Anesthesiology (ASA) II-III scoring (p<0.05), neuraxial and trunk blocks (p<0.05) in which general anesthesia was applied alone as an anesthesia type or it was added. In addition, a change was observed in 13.3% of cases with oncological diagnosis and 32% in elective surgeries requiring pathological examination. Conclusion: In the COVID-19 pandemic, more expected cancellation rates did not occur by adapting to the "new normal", but there were differences in ASA scores and anesthesia type during this period.
Background We aimed to determine the effects of waist circumference and body mass index on spinal... more Background We aimed to determine the effects of waist circumference and body mass index on spinal anesthesia levels. In total, 120 surgical patients who were between 18 and 65 years old and in the American Society of Anesthesiologists’ (ASA) I–III risk groups enrolled in this study. Patients were classified into three groups, depending on their weight. After a spinal block, we noted the time needed for the sensory block to reach the T10 level, the maximum sensory block level, the time needed for the sensory block to reach the maximum sensory block level, the time needed before the start of the motor block, and the Bromage scale for each patient. Results We observed no significant demographic differences in age, gender, or ASA risk class between the groups; however, we found a statistically significant difference between the groups’ BMIs and waist circumferences. For the time needed for the spinal block to reach the T10 level, we observed a statistically significant difference betwee...
Journal of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care Society, 2015
Objective: Anesthesia for the repair of abdominal aortic aneurism can be performed with different... more Objective: Anesthesia for the repair of abdominal aortic aneurism can be performed with different modalities of anesthesia or their combinations. The risk level for the morbidity and mortality of the patients, is increased in geriatric patients with the existence of accompanying pathology. To compare two different anesthesia methods (local anesthesia and sedation vs combined spinal and epidural anesthesia) for the repair of endovascular aneurism in a geriatric patient. Material and Methods: 16 high risk geriatric patients were included in the study. The parameters of 16 high risk patients who underwent elective or emergency treatment for endovascular aneurism were included. Group-I (n:8) was given local anesthesia and sedation, Group-II (n:8) was given combined spinal and epidural anesthesia. Intraoperative and postoperative hemodynamic parameters were reviewed and analyzed. The demographic data of the two groups ressembled each other. Results: The complication rate was calculated at an average of 6.25%, which was considered insignificant (p>0.05). There was no significant difference between the duration of hospital and intensive care unit stay for the two groups (p>0.05). Conclusion: Combined spinal and epidural anesthesia requires much more experience, but it is safer than local anesthesia and sedation for endovascular aneurism patients.
The preoperative anxiety rate in patients waiting for elective surgery varies between 60% and 80%... more The preoperative anxiety rate in patients waiting for elective surgery varies between 60% and 80%. We aimed to reduce preoperative anxiety in patients undergoing total knee replacement using a video demonstration of combined spinal-epidural anesthesia on a tablet computer. Methods: Fifty adult patients, scheduled to undergo total knee replacement, were enrolled in a randomized controlled study. Anxiety levels were assessed using the State-trait Anxiety Inventory (STAI) and the Amsterdam Preoperative Anxiety and Information scale. The assessment was based on questionnaires completed by the patients. Patients were randomly divided into two groups: video and control groups. In the video group, a video demonstration of combined spinal-epidural anesthesia was provided, along with verbal information about the procedure. On the day of surgery, the same questionnaires were again completed for the assessment of anxiety levels. Results: There were no significant differences between groups regarding age, sex, occupation, education, and previous history of anesthesia and surgery. The STAI scale scores were found to be significantly lower in the video group than in the control group (p=0.000; p<0.005). The Amsterdam Preoperative Anxiety and Information scale scores were found to be significantly lower in the video group compared to the control group (p=0.000; p<0.05). Conclusion: New devices and technologies may be used in daily anesthetic practice to offer patient information more efficiently. This may help reduce preoperative anxiety levels among patients undergoing elective surgery.
Objective Erector spinae plane (ESP) block is an alternative to neuraxial block for post-surgical... more Objective Erector spinae plane (ESP) block is an alternative to neuraxial block for post-surgical pain in nephrectomy patients. However, no clinical trial has directly compared ESP block with a control group. Methods In a single-center, double-blind randomized comparative trial, patients undergoing nephrectomy with a subcostal flank incision under general anesthesia were divided into the following two groups: ESP block group (ESP block before anesthesia) and non-ESP (control) group (no intervention). The primary outcome measure was pain score (Numeric Rating Scale [NRS] 0 to 10). Secondary outcomes were postoperative opiate use, anesthetic and surgical complications, length of hospital stay, and patient-reported outcomes. Results Postoperatively (0 to 24 hours), the ESP block group experienced less pain and had lower NRS pain scores 0 to 24 hours postoperatively than the non-ESP group. Opioid consumption and the number of rescue analgesic doses decreased significantly in the ESP gro...
Objective: The flow type generated by a heart-lung machine is important in cardiopulmonary bypas... more Objective: The flow type generated by a heart-lung machine is important in cardiopulmonary bypass. The use of pulsatile flow versus non-pulsatile flow during cardiopulmonary bypass has been a controversy among clinicians. We compared the effect of non-pulsatile and pulsatile flow during cardiopulmonary bypass on cerebral oxygenation. Method: We conducted a retrospective study of 50 adult patients who underwent coronary artery bypass graft surgery at our university hospital, with near infrared spectroscopy used to compare differences in cerebral oxygenation between the pulsatile and non-pulsatile flow type. Result: There was no difference between the effect of pulsatile and non-pulsatile flow on the saturation of hemoglobin (SpO2), nor on the partial pressure of oxygen (pO2) and carbon dioxide (pCO2). The near infrared spectroscopy results were not different between the two flow types. Conclusion: There was no effect of the flow type generated by a heart-lung machine (pulsati...
Introduction The cervical plexus block (CPB) has been used for a long time for both analgesia and... more Introduction The cervical plexus block (CPB) has been used for a long time for both analgesia and anesthesia in carotid endarterectomy and thyroid operations. To be unfamiliar with the technique and its perceived difficulty, potential risks, and possible adverse effects such as intravascular injection has limited broader use before the practical use of ultrasound. We hypothesize that the cervical plexus block can provide adequate anesthesia in tracheostomy cases and provide excellent anesthesia comfort when combined with a translaryngeal block. Methods This double-blinded, randomized 29 patients undergoing primary tracheostomy operation to receive either CPB (Group S) or CPB with translaryngeal block (Group ST). The primary outcome was cumulated analgesic consumption during the first 24 postoperative hours. Secondary outcomes were as follows: pain related to incision, patient tolerance as assessed by tracheostomy cannula comfort score, cough and gag, pain at rest, nausea and vomitin...
Background: In this retrospective observational study, we evaluated patients who underwent electi... more Background: In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block. Aims: We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis. Study Design: A retrospective observational study. Methods: We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting. Results: Sixty patients were included in the study. The numerical rating scale’s pain scores were significantly lower in the erector spinae...
Anesthetic management of patients with pericardial tamponade is challenging. A 65-year-old man di... more Anesthetic management of patients with pericardial tamponade is challenging. A 65-year-old man diagnosed with small-cell lung carcinoma and bilateral malignant pleural effusion in the lungs and pericardial effusion was scheduled for pericardial-window-opening surgery. The severely compromised lung function of the patient led to an anesthetic plan of ultrasound-guided serratus anterior plane block combined with an intercostal block. Although serratus plane block was initially developed for postoperative analgesia, we have shown here that it can be used under deep sedation in combination with an intercostal block for anesthesia for surgeries involving the hemithorax; the block may be promising in high-risk cases.
This article has been accepted for publication and undergone full peer review but has not been th... more This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record.
The incidents of hip fractures rise as the population gets older. Weakness of bones cause fractur... more The incidents of hip fractures rise as the population gets older. Weakness of bones cause fractures easily due to falling, which can occur by balance deficiency, side effects of medications and maneuvering difficulties through environmental hazards. Patients with hip fractures are cared by clinicians in different specialties who should be familiar with the management of these injuries. The fascia iliaca compartment block, an easy to perform and low-cost procedure, provides efficient perioperative analgesia for patients who suffer from hip or femur fractures. Increased success rates are due to the facilitation of the block via ultrasound which is easily accessible in many operation theaters and emergency services. Anterior thigh and knee surgery as well as analgesia following hip and knee procedures are the basic indications for this block. In this case, we performed an ultrasound guided fascia iliaca compartment block for postoperative analgesia after a hip fracture surgery.
Elli beş yaşında 85 kg olan erkek hasta mantar yedikten 18 saat sonra bulantı, kusma, ishal ve ha... more Elli beş yaşında 85 kg olan erkek hasta mantar yedikten 18 saat sonra bulantı, kusma, ishal ve halsizlik şikayeti ile ÖZ Yüz kadarının toksik olduğu bilinmekle beraber, yeryüzünde 5.000'den fazla mantar çeşidi bulunmaktadır. Bunların arasında en zehirli türler Amanita ve Gallerina türlerine ait olanlardır. Türkiye'deki ölümcül mantar zehirlenmelerinin %90'ından sorumlu olan, ciddi karaciğer, böbrek ve santral sinir sistemi hasarı ile seyreden alfa-amanitin ve beta-amanitin toksinleri Amanita phalloides tarafından üretilmektedir. Sunmayı amaçladığımız iki olgu, ormanlık alanda mantar toplayıp tüketen 55 ve 42 yaşlarında iki erkek hastadır. Birincisi tüketimden 18 diğeri ise 24 saat sonra ilçe devlet hastanesine bulantı, kusma, ishal ve halsizlik şikayetleri ile başvurmuşlardır. Yapılan tetkiklerde karaciğer fonksiyon testlerinde artış gözlenen hastalar ileri tetkik ve tedavi için hastanemize sevk edildiler ve yoğun bakımımızdaki başarılı tedavilerinin sonrasında şifa ile taburcu edildiler.
Background: Anesthetic management of pericardial tamponade is requiring full use of abilities for... more Background: Anesthetic management of pericardial tamponade is requiring full use of abilities for anesthesiologists because of associated cardiovascular problems inherent to this condition, with its associated comorbidities. Case presentation: A 55-year-old man diagnosed with severe mitral insufficiency, asthma, diabetes, and pleural effusion in the lungs and pericardial effusion was scheduled for pericardial window opening surgery. Conclusions: Due to compromised lung functions and asthma of the patient led to an anesthetic plan of ultrasound-guided erector spinae plane catheter placement for long-term continuous analgesia.
Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperativ... more Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries. The case reports and randomized controlled trials published previously mostly used bilateral erector spinae plane block; however, we report a case in which a unilateral erector spinae plane block was performed. Case presentation: A 34-year-old male patient who underwent laparoscopic cholecystectomy was scheduled for a unilateral erector spinae plane block. The block was performed preoperatively, followed by the induction of general anesthesia. Conclusions: The patient was comfortable and had a visual analog scale score of 2 for 12 h. Thus, we report successful pain management with the unilateral erector spinae plane block; however, more studies are needed for conclusive information.
Reports on pacemaker placement/relocation surgery under pectoralis nerve block are limited. We he... more Reports on pacemaker placement/relocation surgery under pectoralis nerve block are limited. We herein report a case involving a 74-year-old woman with an infected cardiac pacemaker generator who underwent pacemaker relocation surgery under an ultrasound-guided pectoralis nerve block. On preoperative evaluation, she had congestive heart failure, type 2 diabetes mellitus, and a pacer-dependent heart rhythm. She was considered to be at high risk for general anesthesia. Thus, an ultrasound-guided pectoralis nerve block was planned. The surgery was completed successfully, without notable complications. Our findings might help in the management of patients who require pacemaker implantation/relocation.
35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred e... more 35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred especially for young patients for optimal functional outcomes while unresolved fractures are usually treated conservatively. A 38-year-old male patient was admitted to the emergency service after falling resulting a left clavicle fracture. During the preoperative evaluation, the patient requested to be awake during the surgery. Combined supraclavicular-superficial cervical plexus block was performed under ultrasound guidance and no complications and pain was seen. This approach may be successful to avoid the possible complications related with interscalene brachial plexus block and more studies are needed in the near future.
Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperativ... more Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries. The case reports and randomized controlled trials published previously mostly used bilateral erector spinae plane block; however, we report a case in which a unilateral erector spinae plane block was performed. Case presentation: A 34-year-old male patient who underwent laparoscopic cholecystectomy was scheduled for a unilateral erector spinae plane block. The block was performed preoperatively, followed by the induction of general anesthesia. Conclusions: The patient was comfortable and had a visual analog scale score of 2 for 12 h. Thus, we report successful pain management with the unilateral erector spinae plane block; however, more studies are needed for conclusive information.
Aim: The Coronavirus disease-2019 (COVID-19) pandemic has caused serious changes in health servic... more Aim: The Coronavirus disease-2019 (COVID-19) pandemic has caused serious changes in health services in our country as well as all over the world. The most affected group includes those who will undergo surgery with an oncological diagnosis or who can be diagnosed with an oncological diagnosis. It is aimed to observe the changes in the operations with oncological diagnoses, which will require pathological examination in the operating room of our tertiary university hospital, in terms of demographics, surgical branch, duration of the operation and type of anesthesia in the first year of the pandemic. Materials and Methods: The retrospective scanning method was used to scan the surgical patient files of the patients who met the criteria (Retrospective cross-sectional study). Results: While the first 3 branches of our operating room with the highest number of cases did not change, there was a difference in the American Society of Anesthesiology (ASA) II-III scoring (p<0.05), neuraxial and trunk blocks (p<0.05) in which general anesthesia was applied alone as an anesthesia type or it was added. In addition, a change was observed in 13.3% of cases with oncological diagnosis and 32% in elective surgeries requiring pathological examination. Conclusion: In the COVID-19 pandemic, more expected cancellation rates did not occur by adapting to the "new normal", but there were differences in ASA scores and anesthesia type during this period.
Background We aimed to determine the effects of waist circumference and body mass index on spinal... more Background We aimed to determine the effects of waist circumference and body mass index on spinal anesthesia levels. In total, 120 surgical patients who were between 18 and 65 years old and in the American Society of Anesthesiologists’ (ASA) I–III risk groups enrolled in this study. Patients were classified into three groups, depending on their weight. After a spinal block, we noted the time needed for the sensory block to reach the T10 level, the maximum sensory block level, the time needed for the sensory block to reach the maximum sensory block level, the time needed before the start of the motor block, and the Bromage scale for each patient. Results We observed no significant demographic differences in age, gender, or ASA risk class between the groups; however, we found a statistically significant difference between the groups’ BMIs and waist circumferences. For the time needed for the spinal block to reach the T10 level, we observed a statistically significant difference betwee...
Journal of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care Society, 2015
Objective: Anesthesia for the repair of abdominal aortic aneurism can be performed with different... more Objective: Anesthesia for the repair of abdominal aortic aneurism can be performed with different modalities of anesthesia or their combinations. The risk level for the morbidity and mortality of the patients, is increased in geriatric patients with the existence of accompanying pathology. To compare two different anesthesia methods (local anesthesia and sedation vs combined spinal and epidural anesthesia) for the repair of endovascular aneurism in a geriatric patient. Material and Methods: 16 high risk geriatric patients were included in the study. The parameters of 16 high risk patients who underwent elective or emergency treatment for endovascular aneurism were included. Group-I (n:8) was given local anesthesia and sedation, Group-II (n:8) was given combined spinal and epidural anesthesia. Intraoperative and postoperative hemodynamic parameters were reviewed and analyzed. The demographic data of the two groups ressembled each other. Results: The complication rate was calculated at an average of 6.25%, which was considered insignificant (p>0.05). There was no significant difference between the duration of hospital and intensive care unit stay for the two groups (p>0.05). Conclusion: Combined spinal and epidural anesthesia requires much more experience, but it is safer than local anesthesia and sedation for endovascular aneurism patients.
The preoperative anxiety rate in patients waiting for elective surgery varies between 60% and 80%... more The preoperative anxiety rate in patients waiting for elective surgery varies between 60% and 80%. We aimed to reduce preoperative anxiety in patients undergoing total knee replacement using a video demonstration of combined spinal-epidural anesthesia on a tablet computer. Methods: Fifty adult patients, scheduled to undergo total knee replacement, were enrolled in a randomized controlled study. Anxiety levels were assessed using the State-trait Anxiety Inventory (STAI) and the Amsterdam Preoperative Anxiety and Information scale. The assessment was based on questionnaires completed by the patients. Patients were randomly divided into two groups: video and control groups. In the video group, a video demonstration of combined spinal-epidural anesthesia was provided, along with verbal information about the procedure. On the day of surgery, the same questionnaires were again completed for the assessment of anxiety levels. Results: There were no significant differences between groups regarding age, sex, occupation, education, and previous history of anesthesia and surgery. The STAI scale scores were found to be significantly lower in the video group than in the control group (p=0.000; p<0.005). The Amsterdam Preoperative Anxiety and Information scale scores were found to be significantly lower in the video group compared to the control group (p=0.000; p<0.05). Conclusion: New devices and technologies may be used in daily anesthetic practice to offer patient information more efficiently. This may help reduce preoperative anxiety levels among patients undergoing elective surgery.
Objective Erector spinae plane (ESP) block is an alternative to neuraxial block for post-surgical... more Objective Erector spinae plane (ESP) block is an alternative to neuraxial block for post-surgical pain in nephrectomy patients. However, no clinical trial has directly compared ESP block with a control group. Methods In a single-center, double-blind randomized comparative trial, patients undergoing nephrectomy with a subcostal flank incision under general anesthesia were divided into the following two groups: ESP block group (ESP block before anesthesia) and non-ESP (control) group (no intervention). The primary outcome measure was pain score (Numeric Rating Scale [NRS] 0 to 10). Secondary outcomes were postoperative opiate use, anesthetic and surgical complications, length of hospital stay, and patient-reported outcomes. Results Postoperatively (0 to 24 hours), the ESP block group experienced less pain and had lower NRS pain scores 0 to 24 hours postoperatively than the non-ESP group. Opioid consumption and the number of rescue analgesic doses decreased significantly in the ESP gro...
Objective: The flow type generated by a heart-lung machine is important in cardiopulmonary bypas... more Objective: The flow type generated by a heart-lung machine is important in cardiopulmonary bypass. The use of pulsatile flow versus non-pulsatile flow during cardiopulmonary bypass has been a controversy among clinicians. We compared the effect of non-pulsatile and pulsatile flow during cardiopulmonary bypass on cerebral oxygenation. Method: We conducted a retrospective study of 50 adult patients who underwent coronary artery bypass graft surgery at our university hospital, with near infrared spectroscopy used to compare differences in cerebral oxygenation between the pulsatile and non-pulsatile flow type. Result: There was no difference between the effect of pulsatile and non-pulsatile flow on the saturation of hemoglobin (SpO2), nor on the partial pressure of oxygen (pO2) and carbon dioxide (pCO2). The near infrared spectroscopy results were not different between the two flow types. Conclusion: There was no effect of the flow type generated by a heart-lung machine (pulsati...
Introduction The cervical plexus block (CPB) has been used for a long time for both analgesia and... more Introduction The cervical plexus block (CPB) has been used for a long time for both analgesia and anesthesia in carotid endarterectomy and thyroid operations. To be unfamiliar with the technique and its perceived difficulty, potential risks, and possible adverse effects such as intravascular injection has limited broader use before the practical use of ultrasound. We hypothesize that the cervical plexus block can provide adequate anesthesia in tracheostomy cases and provide excellent anesthesia comfort when combined with a translaryngeal block. Methods This double-blinded, randomized 29 patients undergoing primary tracheostomy operation to receive either CPB (Group S) or CPB with translaryngeal block (Group ST). The primary outcome was cumulated analgesic consumption during the first 24 postoperative hours. Secondary outcomes were as follows: pain related to incision, patient tolerance as assessed by tracheostomy cannula comfort score, cough and gag, pain at rest, nausea and vomitin...
Background: In this retrospective observational study, we evaluated patients who underwent electi... more Background: In this retrospective observational study, we evaluated patients who underwent elective lumbar stenosis surgery between February 1, 2019, and April 1, 2019. Patients who underwent surgery for lumbar spinal stenosis under general anesthesia alone were compared with those who underwent general anesthesia combined with erector spinae plane block. Aims: We aimed to retrospectively evaluate whether erector spinae plane block reduced opioid consumption following surgery for spinal stenosis. Study Design: A retrospective observational study. Methods: We collected data on the pain scores, time for the first requirement for patient-controlled analgesia with tramadol, the cumulative patient-controlled analgesia dose, requirement for rescue analgesia, time to first stand up postoperatively and the incidence of postoperative nausea and vomiting. Results: Sixty patients were included in the study. The numerical rating scale’s pain scores were significantly lower in the erector spinae...
Anesthetic management of patients with pericardial tamponade is challenging. A 65-year-old man di... more Anesthetic management of patients with pericardial tamponade is challenging. A 65-year-old man diagnosed with small-cell lung carcinoma and bilateral malignant pleural effusion in the lungs and pericardial effusion was scheduled for pericardial-window-opening surgery. The severely compromised lung function of the patient led to an anesthetic plan of ultrasound-guided serratus anterior plane block combined with an intercostal block. Although serratus plane block was initially developed for postoperative analgesia, we have shown here that it can be used under deep sedation in combination with an intercostal block for anesthesia for surgeries involving the hemithorax; the block may be promising in high-risk cases.
This article has been accepted for publication and undergone full peer review but has not been th... more This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record.
The incidents of hip fractures rise as the population gets older. Weakness of bones cause fractur... more The incidents of hip fractures rise as the population gets older. Weakness of bones cause fractures easily due to falling, which can occur by balance deficiency, side effects of medications and maneuvering difficulties through environmental hazards. Patients with hip fractures are cared by clinicians in different specialties who should be familiar with the management of these injuries. The fascia iliaca compartment block, an easy to perform and low-cost procedure, provides efficient perioperative analgesia for patients who suffer from hip or femur fractures. Increased success rates are due to the facilitation of the block via ultrasound which is easily accessible in many operation theaters and emergency services. Anterior thigh and knee surgery as well as analgesia following hip and knee procedures are the basic indications for this block. In this case, we performed an ultrasound guided fascia iliaca compartment block for postoperative analgesia after a hip fracture surgery.
Elli beş yaşında 85 kg olan erkek hasta mantar yedikten 18 saat sonra bulantı, kusma, ishal ve ha... more Elli beş yaşında 85 kg olan erkek hasta mantar yedikten 18 saat sonra bulantı, kusma, ishal ve halsizlik şikayeti ile ÖZ Yüz kadarının toksik olduğu bilinmekle beraber, yeryüzünde 5.000'den fazla mantar çeşidi bulunmaktadır. Bunların arasında en zehirli türler Amanita ve Gallerina türlerine ait olanlardır. Türkiye'deki ölümcül mantar zehirlenmelerinin %90'ından sorumlu olan, ciddi karaciğer, böbrek ve santral sinir sistemi hasarı ile seyreden alfa-amanitin ve beta-amanitin toksinleri Amanita phalloides tarafından üretilmektedir. Sunmayı amaçladığımız iki olgu, ormanlık alanda mantar toplayıp tüketen 55 ve 42 yaşlarında iki erkek hastadır. Birincisi tüketimden 18 diğeri ise 24 saat sonra ilçe devlet hastanesine bulantı, kusma, ishal ve halsizlik şikayetleri ile başvurmuşlardır. Yapılan tetkiklerde karaciğer fonksiyon testlerinde artış gözlenen hastalar ileri tetkik ve tedavi için hastanemize sevk edildiler ve yoğun bakımımızdaki başarılı tedavilerinin sonrasında şifa ile taburcu edildiler.
Background: Anesthetic management of pericardial tamponade is requiring full use of abilities for... more Background: Anesthetic management of pericardial tamponade is requiring full use of abilities for anesthesiologists because of associated cardiovascular problems inherent to this condition, with its associated comorbidities. Case presentation: A 55-year-old man diagnosed with severe mitral insufficiency, asthma, diabetes, and pleural effusion in the lungs and pericardial effusion was scheduled for pericardial window opening surgery. Conclusions: Due to compromised lung functions and asthma of the patient led to an anesthetic plan of ultrasound-guided erector spinae plane catheter placement for long-term continuous analgesia.
Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperativ... more Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries. The case reports and randomized controlled trials published previously mostly used bilateral erector spinae plane block; however, we report a case in which a unilateral erector spinae plane block was performed. Case presentation: A 34-year-old male patient who underwent laparoscopic cholecystectomy was scheduled for a unilateral erector spinae plane block. The block was performed preoperatively, followed by the induction of general anesthesia. Conclusions: The patient was comfortable and had a visual analog scale score of 2 for 12 h. Thus, we report successful pain management with the unilateral erector spinae plane block; however, more studies are needed for conclusive information.
Reports on pacemaker placement/relocation surgery under pectoralis nerve block are limited. We he... more Reports on pacemaker placement/relocation surgery under pectoralis nerve block are limited. We herein report a case involving a 74-year-old woman with an infected cardiac pacemaker generator who underwent pacemaker relocation surgery under an ultrasound-guided pectoralis nerve block. On preoperative evaluation, she had congestive heart failure, type 2 diabetes mellitus, and a pacer-dependent heart rhythm. She was considered to be at high risk for general anesthesia. Thus, an ultrasound-guided pectoralis nerve block was planned. The surgery was completed successfully, without notable complications. Our findings might help in the management of patients who require pacemaker implantation/relocation.
35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred e... more 35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred especially for young patients for optimal functional outcomes while unresolved fractures are usually treated conservatively. A 38-year-old male patient was admitted to the emergency service after falling resulting a left clavicle fracture. During the preoperative evaluation, the patient requested to be awake during the surgery. Combined supraclavicular-superficial cervical plexus block was performed under ultrasound guidance and no complications and pain was seen. This approach may be successful to avoid the possible complications related with interscalene brachial plexus block and more studies are needed in the near future.
Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperativ... more Background: Ultrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries. The case reports and randomized controlled trials published previously mostly used bilateral erector spinae plane block; however, we report a case in which a unilateral erector spinae plane block was performed. Case presentation: A 34-year-old male patient who underwent laparoscopic cholecystectomy was scheduled for a unilateral erector spinae plane block. The block was performed preoperatively, followed by the induction of general anesthesia. Conclusions: The patient was comfortable and had a visual analog scale score of 2 for 12 h. Thus, we report successful pain management with the unilateral erector spinae plane block; however, more studies are needed for conclusive information.
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