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Öğe Endobronchial inflammatory pseudotumor: A cause of chronic cough(Asia Publishing Exchange Pte Ltd, 1999) Yildirim Z.; Soysal O.; Gokirma M.; Cihan H.B.; Mizrak B.; Hasanoglu H.C.Endobronchial location of an inflammatory pseudotumor is extremely rare. A 48-year-old female presented with chronic cough. An endobronchial polypoid inflammatory pseudotumor was diagnosed by bronchoscopic biopsy and treated by a middle lobectomy.Öğe Flexible bronchoscopy: Is atropine necessary for premedication?(2001) Hasanoglu H.C.; Gokirmak M.; Yildirim Z.; Koksal N.; Cokkeser Y.To investigate whether atropine is necessary for premedication of flexible bronchoscopy (FFB), 93 patients who underwent bronchoscopy for different indications were randomly separated into two groups. Subjects in the first group were premedicated only with 10 mg of intramuscular (IM) diazepam, whereas the second group was given 10 mg of IM diazepam and 0.5 mg of IM atropine. Blood pressures and pulse rates were recorded before, during, and after FFBs. Blood glucose levels were measured before and after the procedures. Amounts of bronchial secretion and complications related to the procedure were recorded during and after FFBs. The blood pressures were found higher in both groups during the bronchoscopies, whereas only the diastolic blood pressures were significantly higher when compared with the values before FFBs in the atropine-treated group. There was no intergroup difference when increase in blood pressures was compared. The pulse rates were found increased during and after FFBs in both groups (P < 0.05), and the increase in Group II was significantly more when compared with Group I (P < 0.05). Blood glucose levels were measured significantly higher after bronchoscopy when compared with those before the procedure (P < 0.05); however, the increase showed no statistical difference between the groups. Complication rates and amounts of bronchial secretion were similar in both groups of patients. Routine application of atropine for premedication of FFB was found to have no advantages. Instead, it might have some potential disadvantages such as hyperglycemia and tachyarrhythmias in patients with diabetes mellitus and cardiac diseases, respectively.Öğe Retrieving aspirated pins by flexible bronchoscopy(Lippincott Williams and Wilkins, 2002) Gokirmak M.; Canan Hasanoglu H.; Koksal N.; Yildirim Z.; Savas Hacievliyagil S.; Soysal O.Eleven women have been admitted to our clinic with turban pin aspiration since October 1996. All patients except two were admitted within the day of aspiration. The other two patients were admitted 5 days after pin aspiration. The aspirated pin was localized in the right lung in seven patients and in the left lung in four patients. The pins were retrieved successfully with a flexible bronchoscope in 8 of 11 patients. In one of these eight patients, the pin was removed using the flexible bronchoscope through a rigid bronchoscope. In one patient, the pin dropped from the forceps in the pharynx, and was later excreted in the feces. Thoracotomy was performed in two patients because both rigid and flexible bronchoscopies were unsuccessful in retrieving the pins. Flexible bronchoscopy alone or in combination with rigid bronchoscopy is a successful method for retrieving aspirated pins.Öğe Temporary and Permanent Inferior Vena Cava Filter Combination in a Young Patient: To Implant or Not to Implant?(Springer New York, 2003) Kutlu R.; Alkan A.; Sigirci A.; Altinok T.; Yildirim Z.The decision to implant vena cava filters, either temporary or permanent, is difficult in young patients. We present the case of a young man with pulmonary embolism in whom temporary and permanent inferior vena cava filters were implanted. The decision process is discussed in relation to the current literature.
