Pub Date : 2018-01-01DOI: 10.5336/ANESTHE.2017-58406
Nizamettin Bucak, Asım Esen, Sinan Yilmaz, Kazım Karaaslan, Ayda Türköz
Kabuki Syndrome is a rare syndrome with multiple congenital malformations. The facial features of the patients resemble the make-up of traditional Japanese theater players. This is why it is called Kabuki Make-up Syndrome. Syndrome is characterized by craniofacial dysmorphic disorder, skeletal-muscle anomalies, dermatological anomalies, congenital heart defects, urogenital anomalies, anorectal anomalies, epilepsy, joint laxity, dental anomalies, high palate, ophthalmologic anomalies and mental retardation. Difficult airway, cardiovascular problems, malignant hyperthermia, hypotonia, genitourinary abnormalities and epilepsia accompanied with this syndrome may increase the risk associated with general anesthesia. For this reason, anesthetic management of these cases are specific. İn this case report we present our anesthesia management in a 7-yearold boy with Kabuki's syndrome with Mallampati score class III, micrognathia, muscle weakness and bicuspid aortic valve to be performed due to dental surgery and phimosis.
{"title":"Kabuki Sendromlu Hastada Anestezi Yönetimi","authors":"Nizamettin Bucak, Asım Esen, Sinan Yilmaz, Kazım Karaaslan, Ayda Türköz","doi":"10.5336/ANESTHE.2017-58406","DOIUrl":"https://doi.org/10.5336/ANESTHE.2017-58406","url":null,"abstract":"Kabuki Syndrome is a rare syndrome with multiple congenital malformations. The facial features of the patients resemble the make-up of traditional Japanese theater players. This is why it is called Kabuki Make-up Syndrome. Syndrome is characterized by craniofacial dysmorphic disorder, skeletal-muscle anomalies, dermatological anomalies, congenital heart defects, urogenital anomalies, anorectal anomalies, epilepsy, joint laxity, dental anomalies, high palate, ophthalmologic anomalies and mental retardation. Difficult airway, cardiovascular problems, malignant hyperthermia, hypotonia, genitourinary abnormalities and epilepsia accompanied with this syndrome may increase the risk associated with general anesthesia. For this reason, anesthetic management of these cases are specific. İn this case report we present our anesthesia management in a 7-yearold boy with Kabuki's syndrome with Mallampati score class III, micrognathia, muscle weakness and bicuspid aortic valve to be performed due to dental surgery and phimosis.","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"644 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86701994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.5336/ANESTHE.2017-58130
U. Koca
inputa (volüm) göre output (basınç) değiştirilir. Dual kontrol modlar hasta veya zaman tetiklemeli, akım veya zaman döngülü olabilir. 1 AAnnaahhttaarr KKeelliimmeelleerr:: basınçlı solunum; havayolu AABBSSTTRRAACCTT Dual control modes have been developed to provide the benefits of both volume control and pressure control ventilation: Advantage of Volume control modes: - Guarantee a preset tidal volume and minute ventilation Advantage of Pressure control modes: - The abilitiy to determine and maintain peak airway pressure and inspiratory time - The variable and decelerating inspiratory flow pattern Dual control modes are closed-loop systems that switch between pressure control and volume control in a single breath or breath to breath on measured patient characteristics. Dual control modes change the output (pressure) based on a measured input (volume). The dual-control modes can be patient-triggered or time-triggered, and flow-cycled or time-cycled. 1
输入(volm) göre输出(basınç) değiştirilir。双控制模块hasta veya zaman tetiklemeli, akım veya zaman döngülü olabilir。1 AAnnaahhttaarr KKeelliimmeelleerr:: basınçlı solunum;haayolu AABBSSTTRRAACCTT已开发出双控制模式，以提供体积控制和压力控制通风的好处:体积控制模式的优势:-保证预设的潮汐量和分钟通风压力控制模式的优势:-确定和维持气道峰值压力和吸气时间的能力-可变和减速吸气流量模式双控制模式是闭环系统，可在单次呼吸或根据测量的患者特征在呼吸控制和音量控制之间切换。双控制模式改变输出(压力)基于测量的输入(体积)。双控制方式包括患者触发或时间触发、流量循环或时间循环。1
{"title":"Dual Kontrol Modlar","authors":"U. Koca","doi":"10.5336/ANESTHE.2017-58130","DOIUrl":"https://doi.org/10.5336/ANESTHE.2017-58130","url":null,"abstract":"inputa (volüm) göre output (basınç) değiştirilir. Dual kontrol modlar hasta veya zaman tetiklemeli, akım veya zaman döngülü olabilir. 1 AAnnaahhttaarr KKeelliimmeelleerr:: basınçlı solunum; havayolu AABBSSTTRRAACCTT Dual control modes have been developed to provide the benefits of both volume control and pressure control ventilation: Advantage of Volume control modes: - Guarantee a preset tidal volume and minute ventilation Advantage of Pressure control modes: - The abilitiy to determine and maintain peak airway pressure and inspiratory time - The variable and decelerating inspiratory flow pattern Dual control modes are closed-loop systems that switch between pressure control and volume control in a single breath or breath to breath on measured patient characteristics. Dual control modes change the output (pressure) based on a measured input (volume). The dual-control modes can be patient-triggered or time-triggered, and flow-cycled or time-cycled. 1","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"2012 1","pages":"34-40"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73431096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.5336/ANESTHE.2017-57257
U. Koca
14 irway pressure release ventilation (APRV), 1987 yılında havayolu basıncının düzenli aralıklar ile kısa süreli olarak serbestleştiği bir mod olarak Stock ve ark. tarafından tarif edilmiştir.1 Bu mod zaman tetiklemeli, zaman döngülü ve basınç limitli soluklar sağlamaktadır. Dinamik valf sayesinde spontan soluklara izin vermektedir. Spontan soluklar basınç destekli veya desteksiz olabilmektedir. APRV, düşük inflasyon basınçları ile alveolar “recruitment” sağlamaktadır.1 APRV, uzun süreli (Thigh) ve inspiratuar basınç (Phigh) uygulayarak uygun tidal hacim ve alveolar “recruitment” sağlamaktadır. Zaman döngülü olarak kısa süreli (Tlow) ve düşük basınç (Plow) uygulaması ile ekspirasyon ve karbondioksit atılması sağlanmaktadır. Hastanın spontan soluğu yok ise APRV ters oranlı basınç limitli zaman döngülü bir moddur1. APRV’de dakika ventilasyonu akciğer Airway Pressure Release Ventilation
{"title":"Airway Pressure Release Ventilation","authors":"U. Koca","doi":"10.5336/ANESTHE.2017-57257","DOIUrl":"https://doi.org/10.5336/ANESTHE.2017-57257","url":null,"abstract":"14 irway pressure release ventilation (APRV), 1987 yılında havayolu basıncının düzenli aralıklar ile kısa süreli olarak serbestleştiği bir mod olarak Stock ve ark. tarafından tarif edilmiştir.1 Bu mod zaman tetiklemeli, zaman döngülü ve basınç limitli soluklar sağlamaktadır. Dinamik valf sayesinde spontan soluklara izin vermektedir. Spontan soluklar basınç destekli veya desteksiz olabilmektedir. APRV, düşük inflasyon basınçları ile alveolar “recruitment” sağlamaktadır.1 APRV, uzun süreli (Thigh) ve inspiratuar basınç (Phigh) uygulayarak uygun tidal hacim ve alveolar “recruitment” sağlamaktadır. Zaman döngülü olarak kısa süreli (Tlow) ve düşük basınç (Plow) uygulaması ile ekspirasyon ve karbondioksit atılması sağlanmaktadır. Hastanın spontan soluğu yok ise APRV ters oranlı basınç limitli zaman döngülü bir moddur1. APRV’de dakika ventilasyonu akciğer Airway Pressure Release Ventilation","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"69 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83328608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.5336/ANESTHE.2018-61810
F. Çiftçi, M. Aldemir, Y. Demiraran
ABS TRACT Objective: Gastrointestinal system dysfunction is a common postoperative complication. Especially after abdominal surgery it extends the length of stay in the hospital causing morbidity. Sugammadex is a drug being used in anesthesia routine which binds to steroid formed nondepolarizing muscle relaxants with high affinity and antagonizes neuromuscular block by a completely different mechanism from neostigmine which cause cholinesterase inhibition. We aimed to investigate the effect of sugammadex and neostigmine on return of bowel movements in the postoperative period. Material and Methods: 60 patients classified as American Society of Anesthesiologists (ASA) I, II aged between 18 and 65 years who underwent total abdominal hysterectomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy and myomectomy operations under general anesthesia were randomized into two groups (Sugammadex, Group S, Neostigmine, Group N). Before the operation. Group S received 2 mg /kg sugammadex after spontaneous respiratory effort after operation, group N received 0.015 mg /kg atropine followed by 0.3 mg /kg neostigmine. Patients were examined by an independent physician at 0, 4, 8, 12, 24 hours postoperatively with a stethoscope for bowel movement. Patients gas release and defecation time were noted. Results: There was no statistically significant difference between groups in terms of demographic characteristics and total surgery time. Total anesthesia time was observed to be significantly shorter in group S. There was no difference between the groups in terms of the first gas extraction time, defecation time and patient discharge time. Conclusion: As a result, there was no difference between sugammadex and neostigmine in terms of returning time of postoperative bowel movements.
{"title":"Comparing Effects of Sugammadex and Neostigmine on Postoperative Bowel Movements After Laparotomic Gynecological Operations","authors":"F. Çiftçi, M. Aldemir, Y. Demiraran","doi":"10.5336/ANESTHE.2018-61810","DOIUrl":"https://doi.org/10.5336/ANESTHE.2018-61810","url":null,"abstract":"ABS TRACT Objective: Gastrointestinal system dysfunction is a common postoperative complication. Especially after abdominal surgery it extends the length of stay in the hospital causing morbidity. Sugammadex is a drug being used in anesthesia routine which binds to steroid formed nondepolarizing muscle relaxants with high affinity and antagonizes neuromuscular block by a completely different mechanism from neostigmine which cause cholinesterase inhibition. We aimed to investigate the effect of sugammadex and neostigmine on return of bowel movements in the postoperative period. Material and Methods: 60 patients classified as American Society of Anesthesiologists (ASA) I, II aged between 18 and 65 years who underwent total abdominal hysterectomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy and myomectomy operations under general anesthesia were randomized into two groups (Sugammadex, Group S, Neostigmine, Group N). Before the operation. Group S received 2 mg /kg sugammadex after spontaneous respiratory effort after operation, group N received 0.015 mg /kg atropine followed by 0.3 mg /kg neostigmine. Patients were examined by an independent physician at 0, 4, 8, 12, 24 hours postoperatively with a stethoscope for bowel movement. Patients gas release and defecation time were noted. Results: There was no statistically significant difference between groups in terms of demographic characteristics and total surgery time. Total anesthesia time was observed to be significantly shorter in group S. There was no difference between the groups in terms of the first gas extraction time, defecation time and patient discharge time. Conclusion: As a result, there was no difference between sugammadex and neostigmine in terms of returning time of postoperative bowel movements.","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"44 1","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85233209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5336/anesthe.2016-53862
I. Demirel, Azize Beştaş, Aysun Yildiz Altun, Latif Üstünel, K. Kara, E. Bolat
vislerde, operasyon öncesi veya operasyon sırasında hemodinamik monitörizasyonda, büyük sıvı veya kan kayıpları beklenen operasyonlarda replasman amaçlı, uzun süreli vazoaktif veya periferik venleri irrite eden ilaç uygulamalarında, hemodiyaliz için diyaliz kateteri yerleştirilmesinde ve venöz yol gerekliliğinde uygulanan invaziv bir işlemdir.1 Perkütan santral ven kateterizasyonu rutin bir tekniktir. Kökensel olarak tel kılavuzun ve kateterin radyolojik olarak görüntülenmesine olanak sağlayan Seldinger tekniği; santral venöz kanülasyon için sıklıkla kullanılmaktadır.2 Turkiye Klinikleri J Anest Reanim 2017;15(2):81-6
{"title":"Santral Venöz Kanülasyonuna Bağlı Nadir Bir Komplikasyon: Unutulan Kılavuz Tel","authors":"I. Demirel, Azize Beştaş, Aysun Yildiz Altun, Latif Üstünel, K. Kara, E. Bolat","doi":"10.5336/anesthe.2016-53862","DOIUrl":"https://doi.org/10.5336/anesthe.2016-53862","url":null,"abstract":"vislerde, operasyon öncesi veya operasyon sırasında hemodinamik monitörizasyonda, büyük sıvı veya kan kayıpları beklenen operasyonlarda replasman amaçlı, uzun süreli vazoaktif veya periferik venleri irrite eden ilaç uygulamalarında, hemodiyaliz için diyaliz kateteri yerleştirilmesinde ve venöz yol gerekliliğinde uygulanan invaziv bir işlemdir.1 Perkütan santral ven kateterizasyonu rutin bir tekniktir. Kökensel olarak tel kılavuzun ve kateterin radyolojik olarak görüntülenmesine olanak sağlayan Seldinger tekniği; santral venöz kanülasyon için sıklıkla kullanılmaktadır.2 Turkiye Klinikleri J Anest Reanim 2017;15(2):81-6","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"54 1","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74561695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5336/ANESTHE.2017-55537
Betul Kozanhan, Mahmut Sami Tutar
{"title":"Anesteziyoloji Alanında İnternet Sitelerinde Sunulan Hasta Bilgilendirme Metinlerinin Okunabilirliklerinin Değerlendirilmesi","authors":"Betul Kozanhan, Mahmut Sami Tutar","doi":"10.5336/ANESTHE.2017-55537","DOIUrl":"https://doi.org/10.5336/ANESTHE.2017-55537","url":null,"abstract":"","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"2 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82629342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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