Person: ESEN, ASIM
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Publication Open Access Inadvertent Venous Air Embolism during Cesarean Section: Collapsible Intravenous Fluid Bags Without Self-Sealing Outlet Have Risks. Case Report(2013-07-01) BAKAN, Mefkur; TOPUZ, Ufuk; Esen, ASIM; Basaranoglu, GÖKÇEN; OZTURK, Erdogan; ESEN, ASIM; BAŞARANOĞLU, GÖKÇENThe anesthesiologist must be aware of the causes, diagnosis and treatment of venous air embolism and adopt the practice patterns to prevent its occurrence. Although venous air embolism is a known complication of cesarean section, we describe an unusual inattention that causes iatrogenic near fatal venous air embolism during a cesarean section under spinal anesthesia. One of the reasons for using self-collapsible intravenous (IV) infusion bags instead of conventional glass or plastic bottles is to take precaution against air embolism. We also demonstrated the risk of air embolism for two kinds of plastic collapsible intravenous fluid bags: polyvinyl chloride (PVC) and polypropylene-based. Fluid bags without self-sealing outlets pose a risk for air embolism if the closed system is broken down, while the flexibility of the bag limits the amount of air entry. PVC-based bags, which have more flexibility, have significantly less risk of air entry when IV administration set is disconnected from the outlet. Using a pressure bag for rapid infusion can be dangerous without checking and emptying all air from the IV bag.Publication Open Access Total spinal block after lumbar plexus block: a case report(2014-03-01) DOGAN, Zafer; BAKAN, Mefkur; IDIN, Kadir; Esen, ASIM; Uslu, FATMA BETÜL; OZTURK, Erdogan; ESEN, ASIM; USLU, FATMA BETÜLLumbar plexus block (LPB) is a suitable method for elder patients for lower extremity surgery. Many complications could be seen during LPB, but not as many as central block. In this case report, we aimed to report a total spinal block, an unusual complication. LPB with sciatic block was planned for a male patient, 76 years old, scheduled for total knee replacement due to gonarthrosis. The patient became unconscious after psoas compartment block with Chayen technique for LPB. The operation ended at 145th minute. The patient was admitted to intensive care unit until postoperative second day and discharged to home on fifth day of surgery. Main concern of patient monitorization should be an anesthesiologist. In this manner, we conclude that contacting to the patient should be ensured during these procedures.Publication Metadata only Livedoid Vasculopaty and Anesthetic Management in Cesarean Delivery(2016-01-01) Basaranoglu, GÖKÇEN; IDIN, Kadir; UMUTOGLU, Tarik; Esen, ASIM; BAKAN, Mefkur; SALIHOGLU, Ziya; BAŞARANOĞLU, GÖKÇEN; ESEN, ASIMLivedoid vasculopathy (LV) is a hyalinizing vascular disease characterized by painful purple macules and papules that subsequently ulcerate. This vasculopathy may be associated with chronic venous insufficiency, deep venous thrombosis, factor V Leiden mutation, protein C deficiency, antiphospholipid syndrome, increased homocysteine levels, abnormalities in fibrinolysis, increased platelet activation and sickle cell disease. Difficult venous access, unreliable measurement of peripheral O2 saturation and increased susceptibility to venous embolic events may be a challenge for anesthetists. There is limited data about anesthetic management of livedoid vasculopathy in the literature. This case report describes successful anesthetic management of two patients with livedoid vasculopathy.Publication Metadata only Practical use of remifentanil for pediatric patients(2011-10-01) BAKAN, Mefkur; DOGAN, Zafer; Esen, ASIM; ESEN, ASIMPublication Open Access Use of a Ketamine-Propofol Combination During Sedation and Analgesia(2015-03-01) Basaranoglu, GÖKÇEN; Esen, ASIM; BAKAN, Mefkur; TOPUZ, Ufuk; IDIN, Kadir; UMUTOGLU, Tarik; BAŞARANOĞLU, GÖKÇEN; ESEN, ASIMAim: The aim of this study was to evaluate 1: 1 mixture of ketamine and propofol for sedative/analgesic efficacy, patient comfort and postoperative complications.