Yazar "Reisli, R." seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Anaesthetic and Hemodynamic Effects of Single Shot Versus Incremental Titration of Spinal Prilocaine [Tek Doz ve Surekli Spinal Anestezinin Hemodinamik ve Anestezik Etkilerinin Karsilastirilmasi](1999) Reisli, R.; Horasanli, E.; Demirbilek, S.; Dikmen, B.; Yigitbasi, B.; Gogus, N.The effects of single shot and continuous spinal anaesthesia on hemodynamic stability, the quality of anaesthesia, recovery and complications were investigated on 30 patients (over age 60) undergoing transurethral procedures. 80 mg prilocaine was given to the single shot spinal anaesthesia group (Group T), and 40 mg prilocaine was given to the continuous spinal anaesthesia group (Group S). In intraoperative period, the systolic, diastolic and mean arterial blood pressure of group T were significantly lower when compared to group S (p<0.05). The heart rates in both groups decreased (p<0.05), but the comparison was not found significant (p>0.05). The hemodynamic stability of the patients of group S were more stable than those of group T. The level of sensorial anaesthesia was similar in both groups, and the time to reach this level was not different (p>0.05). The time to reach to the level of T12 was significantly shorter in group T (p<0.05). The level of motor block was similar in both groups (p>0.05). The onset time of the motor block was significantly shorter in group T (p<0.05), and the duration of motor block in this group was significantly longer (p<0.01). The recovery period was significantly shorter in group S (p<0.05). None of the patients needed additional sedation and analgesia. In group T, number of the complications in per and postoperative period was higher compared to group S. As a result of this study, the continuous spinal anaesthesia was found to be a reliable method in older patients because of its quality, minimum hemodynamic changes, the shortness of the recovery period and the lower complication rate.Öğe The Comparison of Bupivacaine-Tramadol Combination With Bupivacaine-Fentanyl and Plain Bupivacaine in Epidural Anesthesia(2002) Kesriklioğlu, A.; Duman, A.; Öztin, Öğün C.; Reisli, R.; Ökeşli, S.In this study, the properties of epidural anesthesia with 0.5% bupivacaine and tramadol was compared with epidural anesthesia using bupivacaine-fentanyl or plain bupivacaine. For this purpose, 63 patients undergoing transuretral prostate resection were divided into three groups. Group BT(n = 22) received 70mg 0.5% bupivacaine + 50 mg tramadol HCl, Group BF(n = 21) received 70mg 0.5% bupivacaine + 50 ?g fentanyl and Group B(n = 20) received only 70mg 0.5% bupivacaine epidurally. Heart rate (HR), mean arterial pressure (MAP), breath rate (BR), oxygen saturation (SpO2), levels of sensorial block, maximum sensorial block level and motor block level were recorded. Time to need for an analgesic supplement (effective analgesia) (time to reach VAS 4) was recorded. One way analysis of variance, Tukey HSD, Kruskall Wallis, Bonferroni corrected Mann-Whitney-U tests were used. No significant change in HR was seen in between the three groups after the epidural block. A significant decrease of MAP was seen in Group BF beginning at the 40th minute lasted up to the 60th minute. Time to reach T10 sensory block level and time to reach maximum sensory block level was shorter in Group BF than Groups BT and B while Group BT and Groups B were similar. Time to complete motor block was similar in Group BT and BF. The number of patients with complete motor block was similar in Group BT and BF while there was no patient with complete motor block in Group B. The time to reach VAS 4 was 17.57 ± 7.82 hours in Group BT, 11.79 ± 8.48 hours in Group BF and 5.40 ± 2.67 hours in Group B (p < 0.05). Side effects were similar and no treatment was needed. In conclusion, tramadol-bupivacaine combination increases postoperative analgesia time significantly compared with fentanyl-bupivacaine combination and plain bupivacaine while providing stabile hemodynamic responses and similar side effects.Öğe Evaluation of Halothane and Sevoflurane Effects With Two Different Anaesthesia Induction Methods in Children [Çocukların Anestezi İndüksiyonunda Farklı İki Yöntem İle Uygulanan Halotan ve Sevofluranın Etkilerinin Değerlendirilmesi](2001) Yosunkaya, A.; Aydemir, T.; Tuncer, S.; Reisli, R.; Otelcioğlu, S.In this study, we compared the induction characteristics of halothane and sevoflurane with two different anaesthesia induction methods on eighty children (1-6 years old) ASA I-II class scheduled for elective surgery. None of the patients were premedicated. Patients were randomly assigned to four equal groups. Anaesthesia induction was achieved as follows: in 50 % O2/N2O, in Group I, starting with halothane 0.5 % concentration, increasing 0.5 % and reaching to 3.5 % maximum; in Group II, starting with sevoflurane 1 % concentration, increasing 1-1.5 % and reaching to 7 % maximum; in Group III, starting with 3.5 % and Group IV, starting with 7 % concentration. The duration of induction, it's completion, intubation and the complications which developed during induction were determined. Measurements of systolic arterial pressure, diastolic arterial pressure and heart rate were recorded before induction, after induction, after intubation, 3 and 5 minutes after intubation. The induction duration was determined shorter in Group III than Group I and in Group VI titan Group II (p<0.05). As there were significant differences for the duration of the induction between Group I and Group II while Group III and Group IV were similar (p?0.05). We didn't see a statistically difference between the groups regarding the completion of the induction, the duration of the intubation, and complications (p>0.05). As a result, sevoflurane was found to be a good alternative to halothane in paediatric patients and the induction with high concentration could be preferred because of the reliable and significantly faster induction.Öğe Intraperitoneal Versus Interpleural Analgesia on Post-Operative Pain to Laparoscopic Cholecystectomy(2000) Çelik, J.; Tuncer, S.; Reisli, R.; Ökeşli, S.; Otelcioğlu, S.In our study, we aimed to compare the quality and duration of analgesia intrapleural bupivacaine, bupivacaine+morphine, only morphine and intraperitoneal bupivacaine, bupivacaine+morphine and only morphine administration for relieving pain after laparoscopic cholecystectomy. 90 cases of ASA I-II class were included in the study. Cases were randomly allocated in six groups. At the end of surgery, Group I (n=15) intraperitoneal 3 mg morphine in 30 mL saline; Group II (n=15) intraperitoneal 30 mL % 0.25 bupivacaine; Group III (n=15) intraperitoneal 30 mL % 0.25 bupivacaine+3 mg morphine; Group IV (n=15) interpleural 3 mg morphine in 30 mL saline; Group V (n=15) interpleural 30 mL % 0.25 bupivacaine; Group VI (n=15) interpleural 30 mL % 0.25 bupivacaine+3 mg morphine were administered. Postoperatif pain was assesed by a visual analog scale, numeric rating scale in 1,2,4,6,12, 24 hours and side effect were recorded for 24 hours. Interpleural bupivacaine was effective for postoperative pain relief and adding morphine to bupivacaine does not increase the quality and duration of analgesia. There were no differences in intraoperative fentanyl consumption and postoperative pain scores (NRS, VAS) were less in groups V and VI than groups I,II,III,IV.Öğe Prevention of Postoperative Nausea-Vomiting in Children: Comparison of Granisetron and Droperidol Plus Metoclopramide(2001) Çelik, J.; Reisli, R.; Tuncer, S.; Duman, A.; Ökeşli, S.This study was performed to compare the efficacy of a droperidol-metoclopramide combination with granisetron to prevent postoperative nausea and vomiting after tonsillectomy with or without adenoidectomy in children. Ninety pediatric patients, ASA class I, aged 4-10 years, were enrolled in a prospective, randomized, double-blind investigation and assigned to one of two treatment regimens; granisetron 40 mg/kg (Group G, n=45), droperidol 50 mg/kg plus metoclopramide 0.25 mg/kg (Group DM, n=45). Antiemetic drugs were administered intravenaously (IV) after inhaled induction of general anaesthesia. The same standard general anesthetic technique was used. Tracheal extubation was performed while patients were still deeply anaesthetized. Acetaminophen (10-25 mg/kg PR) was applied for postoperative analgesia to all children. The rate of complete response, defined as no emesis and no need for rescue antiemetics, 0-3 h after anaesthesia were 85% in group G, 87% in group DM (p>0.05). No clinically important adverse events were observed in any of the groups.