Person: KARAASLAN, KAZıM
5 results
Search Results
Now showing 1 - 5 of 5
Publication 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 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 Open Access Esmolol Administration for the Treatment of Refractory Ventricular Fibrillation(2016-12-01) Karaaslan, KAZIM; UMUTOGLU, Tarik; TOPUZ, Ufuk; Ay, YASİN; KARAASLAN, KAZıM; AY, YASİNVentricular fibrillation (VF) after releasing an aortic cross clamp in patients undergoing open heart surgery procedures is not rare. Ischemiareperfusion injury after release of the aortic clamp, increased adrenergic tone, and insufficient protection of the myocardium are the possible causes. Amiodarone, lidocaine, and beta blockers have been added to the cardioplegia solutions as a preventive measure for reperfusion VF. We report a case of life-threatening, shock-resistant VF during the weaning period of a cardiopulmonary bypass (CPB) in a 61-yearold male who underwent a mitral valve repair surgery for mitral valve regurgitation. After several defibrillation attempts, refractory VF was turned to normal sinus rhythm shortly after ultra-short acting, beta blocking agent esmolol administration. CPB was terminated successfully following this. In conclusion, VF is still a major problem for clinicians and the treatment of refractory VF is not well defined. In contrast with the absence of the sufficient randomized controlled human studies, theoretically beta blockers could be a choice alternative for shock refractory VF.Publication Metadata only A new technique at insertion of laryngeal mask airway(2013-06-04) Esen A.; Bakan M.; Topuz U.; Ertaş Dursun Z.; Karaaslan K.; ESEN, ASIM; KARAASLAN, KAZıMA new technique at insertion of laryngeal mask airway Esen A., Bakan M., Topuz U., Ertas Z., Karaaslan K. (Bezmialem Vakif University, Dept of Anaesthesiology & Intensive Care, Istanbul, Turkey) Background and Goal of Study: Laryngeal mask airway (LMA) have been frequently used for airway management. The satisfaction of the insertion and trauma at insertion are problems. We present a new in insertion technique for LMA with partially inflated cuff. Materials and Methods: Consecutive 157 patients undergoing general anesthesia with LMA were randomized to two groups by coin toss. Induction and maintenance of anesthesia were standart in two groups. There were 85 patients in study group (group S) and 72 patients in control group (group C). LMA insertions were made by same physician. LMA was inserted with standart technique -which was described by Brain- at group C. Laryngeal mask airway was inserted with new techinque at group S. In new technique the head was positioned with extension by nondominant hand, mouth was opened with dominant hand, LMA was held with dominant hand from the tube part and inserted until the tip touches to the oropharynx. The index finger of nondominant hand was inserted to mouth to pass by the LMA and reach the tip of it and the tip of LMA was directed to caudal by index finger. Then LMA was inserted by the guidance of the index finger towards it reaches to the trianguler base of the orophariynx. Results and Discussion: There were no difference between the groups for the demographic details, ASA scores, insertion success and duration of anesthesia. The mean age was 47 ,4 for group S and 51,7 for group C. Count of attempt was better in study group. Mean count number was 1,11 at group S and 1,28 at group C (p=0.02). Also blood on LMA were seen more common at group C (p=0.04). There were no statistical difference at sore throat but it was less seen at group S. Also airway satisfaction was not statistical different between groups but while all airways were succesfull in group S we can not inserted LMA by standart method at 1 patient and inserted it at first attempt by new technique. Conclusion: New technique is less traumatic and easy to use at daily practice. References: 1. Brain AIJ : The laryngeal mask. A new consept in airway management. Br J Anaesth 55:801,1983. 2. Asai T, Morris S : The laryngeal mask airway: its’ features, effects and role. Can J Anaesth 41:930-60, 1994. 3. Wakeling HG, Butler PJ, Baxter PJ : The laryngeal mask airway: a comparison between two insertion techniques. Anesth Analg 85:687-90,1997.