Yazar "Ogun, Cemile Oztin" seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe DOES A SPINAL BLOCK AT SACRAL LEVEL PROVIDE ADEQUATE ANESTHESIA FOR TRANSURETHRAL RESECTION OF THE PROSTATE CONDUCTED WITH CONTINUOUS IRRIGATION RESECTOSCOPE?(GUNES KITABEVI LTD STI, 2011) Apiliogullari, Seza; Sakalli, Melike; Duman, Ates; Balasar, Mehmet; Ogun, Cemile OztinIntroduction: It has been previously reported that a spinal block at L1 level is adequate for transurethral resection of prostate (TURP) if low bladder pressure is provided. This study aims to compare adequacy and the characteristics of spinal anesthesia with low dose bupivacaine and bupivacaine + fentanyl combinations for TURP conducted with continuous irrigation resectoscope. Materials and Method: After Ethical Committee approval and informed consent, 50 patients were included with randomization. Spinal anesthesia was conducted in the sitting position with 5 mg of hyperbaric bupivacaine + 0.4 ml 0.9% NaCl in group B (n=25) and 5 mg of hyperbaric bupivacaine + 0.4 ml (20 mu g) fentanyl in group BF (n=25). Sensory block levels, motor block properties, quality of intraoperative anesthesia, surgical convenience and side effects were recorded. Results: The groups were similar regarding maximum block levels (L2), motor block and hemodynamic, properties. Sufficient analgesia was provided without additional analgesics in 46 of 50 patients with a sensory block higher than S1. Two groups were similar in terms of the quality of anesthesia, convenience for the surgeon and side effects. Conclusion: Bupivacaine (5mg) with or without fentanyl provides safe and adequate anesthesia, with a sensory block higher than S1, when continuous irrigation resectoscope is used for TURP.Öğe The effect of 45-degree head up tilt on bloody tap during lumbar puncture in children(WILEY-BLACKWELL PUBLISHING, INC, 2009) Duman, Ates; Apiliogullari, Seza; Ogun, Cemile Oztin[Abstract not Available]Öğe Is nimodipine really effective in head trauma?(ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD, 2009) Duman, Ates; Duman, Ipek; Ogun, Cemile Oztin[Abstract not Available]Öğe Prediction of arterial blood gas values from venous blood gas values in patients with acute exacerbation of chronic obstructive pulmonary disease(TOHOKU UNIV MEDICAL PRESS, 2006) Ak, Ahmet; Ogun, Cemile Oztin; Bayir, Aysegul; Kayis, Seyit Ali; Koylu, RamazanArterial blood gas (ABG) analysis has an important role in the clinical assessment of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, arterial puncture or insertion of an arterial catheter has many drawbacks. The aim of this study was to evaluate whether venous blood gas (VBG) values of pH, partial pressure of carbon dioxide (PCO2) and oxygen (PO2), bicarbonate (HCOA and oxygen saturation (SO2) can reliably predict ABG levels in patients with AECOPD. One hundred and thirty-two patients with a prior diagnosis of COPD presenting with acute exacerbation according to AECOPD criteria were included in this prospective study. AECOPD is defined as a recent increase in cough, wheezing, the volume and purulence of sputum or shortness of breath necessitating a change in regular medication, including corticosteroids or antibiotics. ABG samples were taken immediately after venous sampling, and both were analyzed. Linear regression analysis was performed and equations were established for the estimation of arterial values. The Pearson correlation coefficients for pH, PCO2, HCO3, PO2, and SO2 were 0.934, 0.908, 0.927, 0.252, and 0.296, respectively. There was a significant correlation between ABG and VBG values of pH, PCO2, and HCO3 (P < 0.001)Linear regression equations for the estimation of pH, PCO2, and HCO3 were as follows: arterial pH = 1.004 x venous pH; arterial PCO2 = 0.873 x venous PCO2; and arterial HCO3 = 0.951 x venous HCO3. VBG analysis can reliably predict the ABG values of pH, PCO2 and HCO3 in patients with AECOPD.Öğe Wrist tourniquet: The most patient-friendly way of bloodless hand surgery(LIPPINCOTT WILLIAMS & WILKINS, 2007) Karalezli, Nazim; Ogun, Cemile Oztin; Ogun, Tunc Cevat; Yidirim, Serhat; Tuncay, IbrahimBackground: The literature is scarce on wrist tourniquets. In this study, three well-established locations of tourniquet setting including upper arm, proximal forearm, and wrist were compared on the same limb using both clinical as well as biochemical variables in paramedical volunteers. Methods. Twenty unmedicated, healthy, paramedical, right-hand dominant volunteers participated in the study. The left upper arms were used for monitoring. Blood pressures and heart rates were monitored and recorded before (baseline) and immediately after the application of the tourniquet, every 5 minutes, and at the time the patient requested deflation. An intravenous cannula (22 G) was placed on the right hand to obtain samples, which were taken at baseline and immediately after deflation of the tourniquet to evaluate the levels of pO(2), pCO(2) O-2 saturation, pH, bicarbonate, blood sugar, lactate, hematocrit, and electrolytes. The tourniquets were applied to the right upper arm, forearm, and wrist of each subject with 5-day intervals between each trial. Subjective discomfort and tourniquet pain levels were recorded. For each trial, tourniquet tolerance and details of discomfort were recorded. Statistical analysis was performed as appropriate. Results: Twenty volunteers aged 20 to 44 years were included. For each trial, in the first 10 minutes after inflation of the tourniquet, the heart rate and systolic blood pressure were increased compared with baseline values. Diastolic blood pressure was elevated immediately after inflation and remained so until deflation in each trial. Diastolic blood pressure values were higher in the upper-arm tourniquet group compared with wrist. Then pH, pO(2), and O-2. saturation values were de-creased and pCO(2) and lactate levels were increased compared with baseline values in each trial. Blood sugar was decreased significantly in the arm group. The decrease in pH, pO(2), O-2 saturation, and blood sugar in the upper arm group was significantly higher compared with wrist and forearm groups. The lactate value was higher in the upper arm group compared with wrist. Visual analog scale and numerical rating scores were lower in the wrist group compared with others at all times. The longest tourniquet tolerance was in the wrist group. In the wrist group, curling was observed in all subjects but the fingers could easily be extended. Conclusion: The wrist tourniquet is the most comfortable technique of bloodless surgery for procedures limited to the hand region.
