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Öğe Cervical subcutaneous emphysema: an unusual complication of adenotonsillectomy(Blackwell Science Ltd, 2001) Miman, MC; Ozturan, O; Durmus, M; Kalcioglu, MT; Gedik, ERemoval of the tonsils and adenoid tissue because of recurrent infection and/or respiratory obstruction is one of the most commonly performed operations. A rare complication during this intervention is subcutaneous surgical emphysema. The awareness of anaesthesiologists and otolaryngological surgeons will protect the patient from serious consequences. We report our experience with this complication and provide a review of the literature.Öğe Early detection of the TURF syndrome(Lippincott Williams & Wilkins, 2000) Bakan, N; Gedik, E; Ersoy, O[Abstract Not Available]Öğe Oral clonidine premedication does not reduce postoperative vomiting in children undergoing strabismus surgery(Blackwell Munksgaard, 2003) Gulhas, N; Turkoz, A; Durmus, M; Togal, T; Gedik, E; Ersoy, MOBackground: We evaluated the effect of oral clonidine on postoperative vomiting (POV) in children undergoing strabismus surgery. Methods: Eighty ASA physical status I children aged 3-12 years were randomly assigned to one of two groups in a double-blinded manner. One hour before surgery, each patient in the clonidine group (n=40) received clonidine 4 mug kg(-1) in apple juice 0.2 ml kg(-1) , and each of the controls (n=40) received apple juice 0.2 ml kg(-1) only. The protocol for general anesthesia was propofol-sevoflurane in N-2 O/O-2 . A paracetamol suppository was administered in each case to prevent postoperative pain. Patient responses during 0-48 h after anesthesia were recorded as complete (no POV, no antiemetic rescue required), retching, vomiting, or rescue antiemetic. Results: There were no significant differences between the clonidine and control groups regarding the number of patients with complete response (21 vs. 18, respectively) retching (10 vs. 14, respectively), vomiting (19 vs. 22, respectively), or rescue antiemetic (9 vs. 12, respectively) during the first 48 h. Conclusion: Oral premedication with clonidine 4 mug kg(-1) did not reduce the rate of POV in the children undergoing strabismus surgery.Öğe Sevoflurane as an alternative anaesthetic for electroconvulsive therapy(Lippincott Williams & Wilkins, 2005) Toprak, HI; Gedik, E; Begeç, Z; Öztürk, E; Kaya, B; Ersoy, MÖObjectives: The aim of this study was to investigate the effects of sevoflurane and propofol used in electroconvulsive therapy (ECT) on hemodynamic variables and duration of seizure activity and recovery profiles. Methods: Sixteen patients who were not premedicated, with a mean age 27.1 years, were enrolled in this prospective open trial, receiving a total of 64 ECT treatments. Each patient was given the following 2 anesthetic regimens in random order: In group S, anesthesia was induced with 7% sevoflurame in 100% oxygen at 6 L min (1) fresh gas flow until the loss of consciousness and 1.5 mg kg(-1) propofol in group P. Adequate muscle relaxation was achieved with suxamethonium, 1.0 - 1.2 mg kg(-1). Noninvasive mean arterial pressure (MAP) and heart rate (HR) values, duration of motor seizure activity, and recovery times were recorded. Results: The mean motor seizure duration was significantly longer with sevoflurane (mean [SD]: 43.09 [16.6] s) than with propofol (28.91 [7.9] s; P < 0.05). The MAP 1 minute and 10 minutes after ECT (10 1.25 [7.5] mm Hg and 100.16 [11.0] min mu g, respectively) was significantly increased compared with before ECT (94,56 [6.91 mm fig) in sevoflurane group (P < 0.05). Time to spontaneous breathing, eye opening and obeying commands, and changes in MAP and HR during and after ECT were similar in both regimens. Conclusion: Induction with 7% sevoflurane allows prolonged duration of motor seizures in ECT. We concluded that induction of anesthesia with sevoflurane inhalation is a reasonable alternative for patients undergoing ECT.
