Yazar "Kartal, Seyfi" seçeneğine göre listele

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  • Küçük Resim
    Öğe
    Auxiliary methods for percutaneous dilatational tracheotomy
    (2019) Kartal, Seyfi; Sen, Ahmet
    Aim: Patient with long-term mechanic ventilation in the Intensive care unit can be used as an adjunct to the Light styles and Fiber optic bronchoscope as a guide in percutaneous dilatation tracheotomy. In our study, we planned to investigate the effects of Light styles and Fiber optic bronchoscope on perioperative complications in percutaneous dilatation tracheotomy.Material and Methods: The study was conducted by scanning digital and written file records of 52 patients who underwent percutaneous dilatation tracheotomy between 2016 and 2018. Patients were evaluated in 3 groups using Light styles, Fiber optic bronchoscope and no additional methods.Results: In the study; percutaneous dilatation tracheotomy were performed to 52 patients who were followed up at the Intensive care unit. Mean Percutaneous dilatation tracheotomy opening day was 17.03±4.18 days, operation time was 21.23±8.45 min, 69.2% was successful in the first attempt in all groups. There were 21 patients using Light styles, 12 using Fiber optic bronchoscope and 19 with no additional methods. In 26 patients (74.3%) the use of Light styles or Fiber optic bronchoscope was facilitated. In the Light styles group endotracheal tube puncture was less common (p=0.044). More venous hemorrhage was seen in longer periods of procedure (p0.001), and more hypotension was observed in the longer Percutaneous dilatation tracheotomy administration time in all groups (p=0.012).Conclusion: The use of Light styles and Fiber optic bronchoscope can be safely used in percutaneous dilatation tracheotomy. Keywords: Lighted stile; Fiber optic bronchoscope; percutaneous dilatation tracheotomy.
  • Küçük Resim
    Öğe
    Herpes zosterli hastada interskalen blok uygulanması
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2015) Kartal, Seyfi; Karabayırlı, Safinaz; Gözdemir, Muhammet; Kösem, Bahadır; Kılınç, Hatice; Özanbarcı, Azra
    Reactivation of the latent virus at the dorsal nerve roots and ganglia in patients with chickenpox history may result in quite painful, itchy, and blistering rash on a limited area of the sensory nerve and this condition is called Herpes Zoster or Zona. Herpes Zoster may resolve spontaneously in one or two weeks or course of disease may also be serious in elderly and immunocompromised individuals. Although providing an effective treatment is not always possible, sympathetic nerve block, antiviral agents, analgesics, and opioid drugs might be used. We believe that, sympathetic nerve blocks, with their inhibitory effects on the formation of the post-herpetic neuralgia, are one of the effective treatment modalities especially in patients with insufficient improvement after medications. In this case report, we aimed to present the use of interscalene brachial plexus nerve block to treat a patient with Herpes Zoster in the shoulder area.
  • Küçük Resim
    Öğe
    Interscalen Block Application in Patients with Herpes Zoster
    (2015) Kartal, Seyfi; Karabayırlı, Safinaz; Gözdemir, Muhammet; Kösem, Bahadır; Kılınç, Hatice; Ozanbarcı, Azra
    Abstract:Daha önceden suçiçeği geçirmiş kişilerde arka sinir köklerinde ve ganglionlarda latent haldeki virüsün reaktivasyonu sonucu, ilgili sinirin duyusal alanıyla sınırlı, oldukça ağrılı ve kaşıntılı, vezikülo-büllöz döküntülü lezyonlarla karakterize tabloya Herpes Zoster veya Zona denilir. Herpes Zoster bir veya iki haftada kendiliğinden düzelebileceği gibi, özellikle yaşlılarda ve immün sistemi baskılanmış kişilerde ciddi seyredebilir. Herpes Zoster tedavisi kolay olmayıp her zaman etkin şekilde sağlanamamakla beraber, sempatik sinir bloğu, antiviral, analjezik ve opioid gibi ilaçlar kullanılabilmektedir. Özellikle ilaç tedavisinden yeterince fayda görmeyen hastalarda, meydana gelebilecek Postherpetik Nevralji oluşumunu önleyici etkileri de göz önüne alındığında sempatik sinir bloğu uygulaması etkin bir tedavi yöntemi olarak kullanılabileceği kanısındayız. Bu olgu sunusunda, omuz bölgesinde Herpes Zoster tutulumu olan hastanın interskalen blok ile tedavisini sunmayı amaçladık.