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ESEN, ASIM

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ASIM
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ESEN
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Now showing 1 - 4 of 4
  • PublicationOpen 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, GÖKÇEN
    The 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.
  • PublicationOpen 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 BETÜL
    Lumbar 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.
  • PublicationOpen 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, AYDA
    Background/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.
  • PublicationOpen 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, ASIM
    Aim: The aim of this study was to evaluate 1: 1 mixture of ketamine and propofol for sedative/analgesic efficacy, patient comfort and postoperative complications.