Publications by authors named "Kazim Karaaslan"
Objective: Electrolyte disorder (ED) is frequently encountered critically ill patients during admission or admission to the intensive care unit (ICU). This study aimed to determine the frequency of ED encountered in ICU patients to evaluate the relationship of ED with drugs.
Methods: This prospective, multicenter study was conducted in the medical and anesthesiology ICUs of two training and research hospitals and included patients with at least one ED during admission or hospitalization in the ICUs.
Article Synopsis
- Septorhinoplasty (SRP) is a common surgical procedure aimed at improving both the function and appearance of the nose, and this study compares the effects of low (hypocapnia) versus high (hypercapnia) levels of carbon dioxide during surgery.
- The study involved 80 patients who were randomly assigned to either the hypocapnia or hypercapnia group, measuring factors like intraoperative bleeding, surgical field quality, and surgeon satisfaction.
- Results showed that hypocapnia significantly reduced bleeding and improved surgical conditions and satisfaction compared to hypercapnia, while hemodynamic stability and adverse events were similar in both groups.
Background: To validate the utility and performance of the gastro-laryngeal tube (GLT) in terms of cardiologist and patient satisfaction levels, incidence of and attempts at successful transesophageal echocardiography (TEE) probe placement, perioperative and postoperative hemodynamics, and adverse events related to the TEE procedure.
Methods: In this randomized prospective clinical study, forty-four patients undergoing TEE and aged 20 to 80 years old scheduled for TEE were randomly allocated to two study groups: Group SA (sedation and analgesia) and Group GLT. Cardiologist and patient satisfaction levels, TEE probe placement performance, hemodynamics, adverse events related to the TEE procedure, demographic characteristics, and TEE procedure data were recorded.
Article Synopsis
- * Researchers analyzed data from 31 patients, measuring various clinical scores (APACHE II, SOFA) and collecting blood samples to assess oxidative stress levels.
- * Findings indicated no significant correlation between oxidative stress markers and clinical severity or discharge outcomes, suggesting that these markers may not be reliable indicators of patient status in COVID-19 cases.
Background: New generation airway devices with different designs have been developed as an alternative to endotracheal intubation in order to avoid adverse events associated with sedation in endoscopic procedures and to provide patent airway. We aimed to compare two supraglottic airway devices (SGADs), the LMA Gastro™ airway and gastrolaryngeal tube (GLT), in terms of airway efficiency, performance during procedure and adverse events in endoscopic retrograde cholangiopancreatography (ERCP).
Methods: A hundred-three ERCP patients without high risk of aspiration were included.
Article Synopsis
- This study aimed to assess the effectiveness of an intraoperative erector spinae plane block (ESPB) in reducing severe postoperative back pain after major spinal surgeries, as current pain management methods often come with high side effects.
- 56 patients undergoing spinal surgeries were randomly assigned to either receive the ESPB or a saline injection, with postoperative pain assessed using a visual analog scale (VAS) and morphine usage tracked.
- Results showed that the ESPB group required significantly less morphine, had better postoperative pain scores, longer pain relief duration, and shorter hospital stays, suggesting that ESPB is a promising approach for pain management in these surgeries.
The practice of anesthesia can include the need to accommodate surgical interventions on multiple extremities in a single procedure. General anesthesia is usually preferred in such cases in order to prevent an overdose of local anesthetics. One of the major benefits of using ultrasonography to provide regional anesthesia is that it facilitates reducing the local anesthetic drug dose required to obtain a successful block.
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- The study aimed to evaluate the effectiveness of three regional anesthesia techniques—ultrasound-guided transversus abdominis plane (TAP) block, quadratus lumborum (QL) block, and caudal epidural block—on pain management for pediatric patients undergoing elective lower abdominal surgery.
- Ninety-four patients aged 6 months to 14 years were randomly assigned to one of the three anesthesia methods, receiving bupivacaine for pain relief.
- Results showed that the QL block provided better postoperative pain control with lower Pediatric Objective Pain Scale scores and shorter hospital stays compared to the caudal block, making it a recommended option for pediatric perioperative analgesia if resources allow.
Background/aim: To examine the effects of active and passive smoking on perioperative anesthetic and analgesic consumption.
Materials And Methods: Patients were divided into three groups: group S, smokers; group PS, passive smokers; and group NS, individuals who did not have a history of smoking and were not exposed to smoke. All patients underwent the standard total intravenous anesthesia method.
Background/aims: In this study, we aimed to analyze the effects of Gastro-Laryngeal Tube (GLT) use on intraoperative and postoperative hemodynamic parameters, comfort of the procedure, and patients' satisfaction in endoscopic retrograde cholangiopancreatography (ERCP).
Materials And Methods: A total of 80 patients between the ages of 20 and 75 years who were scheduled for elective ERCP were enrolled. The patients were randomly assigned to two groups: groups N and G.
Background: Providing sufficient and convenient analgesia is crucial during the postoperative period after totalknee replacement (TKR) to enhance patient mobility and reduce stress response to surgery. The scope of this study is to compare the effects of levobupivacaine and levobupivacaine plus fentanyl on stress response and analgesic efficiency after TKR.
Method: In this study, 40 ASA I - II patients scheduled to undergo TKR were subjected to combined spinal epidural anesthesia (CSEA) injecting of 15 mg levobupivacaine and randomly assigned to receive either levobupivacaine 0.
Anesthetic management for a patient with transcatheter mitral valve implantation.
J Cardiothorac Vasc Anesth
February 2014
The effects of tourniquet on intraocular pressure during knee surgery.
Middle East J Anaesthesiol
February 2011
Background: In this prospective study we aimed at examining the effects of pneumatic tourniquet on intraocular pressure during elective knee surgery.
Method: Twenty patients undergoing elective knee surgery under general anesthesia with tracheal intubation were inluded the study. Anesthesia was induced with pentothal, rocuronium and fentanyl, then maintained with sevoflurane and nitrous oxide in oxygen.
Objective: To investigate the role of stellate ganglion blockade (SGB) in cardio-protection against ischemia reperfusion injury.
Methods: This prospective randomized, experimental study was carried out between August and October 2008 in the Department of Anesthesia, Abant Izzet Baysal University, Bolu, Turkey. Twenty-one rats were randomly divided into 3 groups; group 1--SGB group (rats with percutaneous ganglion blockade), group 2--preconditioned (P) group (rats that were subjected to ischemia and then reperfusion periods for 5 minutes), and group 3--control group (rats that were injected with normal saline).
Summary Background: This study was aimed to evaluate the analgesic efficacy duration of analgesia, and side effects of two different doses of caudal neostigmine used with levobupivacaine in children.
Methods: Sixty boys, between 5 months and 5 years, undergoing genitourinary surgery were allocated randomly to one of three groups (n =20 each). Group I patients received caudal 0.
Obstructive sleep apnea (OSA) is a common medical condition that occurs in approximately 5% to 15% of the population. It is usually associated with an increased risk of cardiovascular disease. Diagnosis of OSA is based on polysomnography, and its severity is measured with an apnea-hypopnea index.
View Article and Find Full Text PDFBackground: Preconditioning might protect the myocardium against ischemia/ reperfusion injury by reducing infarct size and preventing arrhythmias. Dexmedetomidine (DEX) is a highly selective α2-agonist used for sedoanalgesia in daily anesthetic practice. The cardioprotective effects of DEX on infarct size and on the incidence of arrhythmias observed after regional ischemia/reperfusion injury in vivo have not been reported.
View Article and Find Full Text PDFBackground: The aim of this study was to evaluate whether the addition of magnesium to levobupivacaine will decrease the postoperative analgesic requirement or not, and to investigate the possible preventive effects on laryngospasm.
Methods: Seventy-five children undergoing elective tonsillectomy and/or adenoidectomy surgery. The drug was prepared as only NaCl 0.
Objective: Removing the nasal packing after nasal surgery is an uncomfortable and painful procedure. Since there is no controlled trial described in the literature about the local use of meperidine during packing removal, we aimed to compare the analgesic and sedative effects of the meperidine-prilocaine combination, injected into the packing 15 minutes before the procedure, with that of prilocaine during packing removal.
Methods: Fifty adult patients, for whom nasal packing removal after nasal septoplasty was scheduled, were randomly allocated into one of two groups.
We investigated the effect of a new fixator made from a medication port of a intravenous fluid container on the migration of epidural catheter. Fifty patients were recruited to receive epidural analgesia and allocated to one of two groups. In the new fixator group (n=25) epidural catheter was advanced through a fixator then fixed with transparent adhesive dressing, in the standard dressing group (n=25), the catheter was fixed only with transparent adhesive dressing.
View Article and Find Full Text PDFStudy Objective: To investigate the effects of tympanometric changes on the frequency of postoperative nausea and vomiting (PONV).
Design: Prospective, observational study.
Setting: University hospital.
Unlabelled: Abstract.
Background: Monitored anesthesia care (MAC) may be applied for septoplasty or endoscopic sinus surgery in which an adequate sedation and analgesia without respiratory depression are desired for comfort of both the patient and the surgeon. Several combinations with different agents have been used for this purpose in these patients.