Person: KARAASLAN, KAZıM
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Publication Metadata only The effects of tourniquet on intraocular pressure during knee surgery.(2011-02-01) BULUT, NG; Karaaslan, KAZIM; OZTURAN, KE; CAKICI, H; KOCOGLU, H; KARAASLAN, KAZıMPublication Open Access Use of the gastro-laryngeal tube in endoscopic retrograde cholangiopancreatography cases under sedation/analgesia(2016-05-01) Daskaya, HAYRETTİN; UYSAL, HARUN; Ciftci, Taner; BAYSAL, Birol; IDIN, Kadir; Karaaslan, KAZIM; DAŞKAYA, HAYRETTİN; UYSAL, HARUN; KARAASLAN, KAZıMBackground/Aims: In this study, we aimed to analyze the effects of Gastro-Laryngeal Tube (GLT) use on intraoperative and postoperative hemodynamic parameters, comfort of the procedure, and patients’ satisfaction in endoscopic retrograde cholangiopancreatography (ERCP). Materials and Methods: A total of 80 patients between the ages of 20 and 75 years who were scheduled for elective ERCP were enrolled. The patients were randomly assigned to two groups: groups N and G. Those in group N underwent the procedure with sedation without any airway instruments and those in group G underwent procedure after sedation and airway management with GLT. Intraoperative and postoperative vital signs as well as the satisfaction of the patients were recorded. Results: The duration to esophageal visualization was found to be significantly higher in group N (16 s) than in group G (7 s) (p=0.001). The mean Visual Analogue Scale for Pain (VAS) was significantly higher in group G (1.85) than in group N (0.45) (p=0.016). Group G had higher endoscopist satisfaction scores than group N. The incidence of desaturation during ERCP was significantly higher in group N (60%) than in group G (0%) (p=0.000). Conclusion: In conclusion, ERCP should be performed under optimal conditions to avoid the occurrence of unwanted complications, such as aspiration-related disorders. Therefore, according to the structural properties of GLT, sedation anesthesia application with GLT in ERCP will be safer, more comfortable, and more effective.Publication Open Access Does smoking increase the anesthetic requirement?(2019-10-24T00:00:00Z) Aydoğan, MS; Karaaslan, KAZIM; Doğan, Z; Topuz, U; KARAASLAN, KAZıMBackground/aim: To examine the effects of active and passive smoking on perioperative anesthetic and analgesic consumption. Materials and methods: Patients were divided into three groups: group S, smokers; group PS, passive smokers; and group NS, individuals who did not have a history of smoking and were not exposed to smoke. All patients underwent the standard total intravenous anesthesia method. The primary endpoint of this study was determination of the total amount of propofol and remifentanil consumed. Results: The amount of propofol used in induction of anesthesia was significantly higher in group S compared to groups PS and NS. Moreover, the total consumption of propofol was significantly higher in group S compared to groups PS and NS. The total propofol consumption of group PS was significantly higher than that of group NS (P = 0.00). Analysis of total remifentanil consumption showed that remifentanil use was significantly higher in group S compared to group NS (P = 0.00). Conclusion: The amount of the anesthetic required to ensure equal anesthetic depth in similar surgeries was higher in active smokers and passive smokers compared to nonsmokers.Publication Metadata only Anesthetic Management for a Patient With Transcatheter Mitral Valve Implantation(2014-02-01) Karaaslan, KAZIM; TOPUZ, Ufuk; VATANKULU, Mehmet Akif; OZTURK, Erdogan; KARAASLAN, KAZıMPublication Metadata only Anaesthesia and orphan disease: anaesthetic management of a child with Pena-Shokeir syndrome(2012-12-01) BAKAN, Mefkur; IDIN, Kadir; Karaaslan, KAZIM; OZTURK, Erdogan; KARAASLAN, KAZıMPublication Open Access Comparison of ultrasound-guided transversus abdominis plane block, quadratus lumborum block, and caudal epidural block for perioperative analgesia in pediatric lower abdominal surgery(2019-10-24T00:00:00Z) Kara, D; İpek, CB; Esen, A; Yılmaz, S; Yeşiltaş, S; Türköz, A; Dooply, SSSL; Karaaslan, KAZIM; KARA, DENİZ; YEŞİLTAŞ, SERDAR; ESEN, ASIM; KARAASLAN, KAZıM; TÜRKÖZ, AYDABackground/aim: Despite different regional anesthesia techniques used to provide intraoperative and postoperative analgesia in pediatric patients, the analgesic effectiveness of peripheral nerve blockades with minimal side effect profiles have not yet been fully determined. We aimed to compare the efficacy of ultrasound-guided transversus abdominis plane (TAP) block, quadratus lumborum (QL) block, and caudal epidural block on perioperative analgesia in pediatric patients aged between 6 months and 14 years who underwent elective unilateral lower abdominal wall surgery. Materials and methods: Ninety-four patients classified under the American Society of Anesthesiologists physical status classification system as ASA I or ASA II were randomly divided into 3 equal groups to perform TAP, QL or Caudal epidural block using 0.25% of bupivacaine solution (0.5 ml kg−1). Results: Postoperative analgesic consumption was highest in the TAP block group (P < 0.05). In the QL block group, Pediatric Objective Pain Scale (POAS) scores were statistically significantly lower after 2 and 4 h (P < 0.05). The length of hospital stay was significantly longer in the caudal block group than the QL block group (P < 0.05). Conclusion: We suggest that analgesia with ultrasound-guided QL block should be considered as an option for perioperative analgesia in pediatric patients undergoing lower abdominal surgery if the expertise and equipment are available.Publication Metadata only The effects of perioperative use of dexmedetomidine on hemodynamic parameters and surgical stress response in chronic hypertensive patients(2010-06-12T00:00:00Z) SARPKAYA, A.; Karaaslan, KAZIM; KOCOGLU, H.; BUGDAYCI, G.; COLAK, C.; KARAASLAN, KAZıMPublication Metadata only Pretreatment with stellate ganglion blockade before ischemia reduces infarct size in rat hearts(2010-02-01T00:00:00Z) Gulcu-Bulut, Nebahat; Gonca, Ersoz; Kocoglu, Hasan; Bozdogan, Omer; Karaaslan, KAZIM; KARAASLAN, KAZıMObjectives: To investigate the role of stellate ganglion blockade (SGB) in cardio-protection against ischemia reperfusion injury.Publication Metadata only Use of ETView (TM) tracheoscopic ventilation tube for unilateral pulmonary ventilation(2014-04-01) TOPUZ, Ufuk; BAKAN, Mefkur; UMUTOGLU, Tarik; Karaaslan, KAZIM; KARAASLAN, KAZıMThe ETView (TM) tracheoscopic ventilation tube is a standard endotracheal tube which reflects the view continuously to a portable monitor with a light source at the tip and a mini-video camera. In this article, we describe the use of ETView (TM) tracheoscopic ventilation tube for unilateral pulmonary ventilation in selected cases.Publication Metadata only Effect of epidural levobupivacaine and levobupivacaine with fentanyl on stress response and postoperative analgesia after total knee replacement(2013-08-01) Bayazit, Esra Gunnus; Karaaslan, KAZIM; Ozturan, Kutay; Serin, Erdinc; Kocoglu, Hasan; KARAASLAN, KAZıMBackground: Providing sufficient and convenient analgesia is crucial during the postoperative period after total-knee replacement (TKR) to enhance patient mobility and reduce stress response to surgery. The scope of this study is to compare the effects of levobupivacaine and levobupivacaine plus fentanyl on stress response and analgesic efficiency after TKR. Method: In this study, 40 ASA I - II patients scheduled to undergo TKR were subjected to combined spinal epidural anesthesia (CSEA) injecting of 15 mg levobupivacaine and randomly assigned to receive either levobupivacaine 0.125% (Group L) or levobupivacaine 0.125% plus fentanyl 4 mu g ml(-1) (Group F) during postoperative period via the epidural route. Patient controlled epidural analgesia (PCEA) was offered for 24 hours. Venous blood samples were assayed for ach-enocorticotropic hormone (ACTH), cortisol and prolactin levels before surgery and after analgesia administration. Analgesia was assessed using a visual analogue scale (VAS) at rest (VASR) and during movement (VASM). Results: There was no statistically significant difference between the groups in terms of total doses, bolus requests, bolus delivered and side effects (p > 0.05). The ACTH, cortisol and prolactin levels increased following the surgery and decreased during PCA infusion in both groups where the decline in Group F was significant (p < 0.05) at 24 hours after the analgesic treatment and 48 hours after the surgery. Conclusion: We have demonstrated that infusion of levobupivacaine (0.125%) in combination with fentanyl (4 jig ml-1) using PCEA suppressed stress response to surgery significantly and provided better pain relief than levobupivacaine (0.125%) alone after TKR.