Pandemiler, genis bir cografi alanda morbidite ve mortaliteyi buyuk olcude artirabilen ve onemli ... more Pandemiler, genis bir cografi alanda morbidite ve mortaliteyi buyuk olcude artirabilen ve onemli ekonomik, sosyal ve politik bozulmaya neden olan buyuk olcekli bulasici hastalik salginlaridir. 1918’de Ispanyol gribi, 1957’de Asya gribi, 1968’de Hong Kong gribi ve 2009’da domuz gribi morbidite ve mortalite acisindan cesitli ozelliklere sahip pandemiler olarak biliniyordu. Daha yakin donemlere bakildiginda ise 2003’de SARS, 2009’da influenza (H1N1), 2012’de MERS, 2014’de Ebola, 2016’da Zika virusu ve gunumuzde Cin'in Wuhan sehrinde, Aralik 2019’da baslayan ve tanimlanan yeni koronavirusun neden oldugu Covid-19 pandemisi dunya uzerinde bircok insani olumsuz etkilemis ve cok sayida insanin olumune sebebiyet vermistir.Uluslararasi toplum, pandemilerin etkilerine hazirlanma ve azaltma yolunda ilerleme kaydetmistir. 2003 siddetli akut solunum sendromu (SARS) salgini ve kus gribinin yarattigi tehditle ilgili artan endiseler bircok ulkeyi salgin planlari gelistirmeye itti. Bu gelismelere ragmen, kuresel pandemi hazirliklarinda onemli bosluklar ve zorluklar bulunmaktadir. Pandemi sirasinda hastalarin karsilanmasinda ve tedavi planlamasina yonelik bircok ulke temel gereksinimleri karsilayamamistir. Gunumuz tibbi gelismelere ragmen bu yeni pandemi hastaligin zamaninda tespiti, temel bakim ihtiyaclari, temaslilarin izlenmesi, karantina ve izolasyon prosedurleri ve kuresel koordinasyon ve mudahale de dahil olmak uzere hem saglik sektoru hem de saglik sektoru disinda bircok zorluklar yaratmistir. Covid-19 pandemisi ortaya ciktigi 2019 yili sonrasi dunyayi hizli bir sekilde etkilemis, toplumun tum kesimlerinde sikinti, panik ve endiseyi artirdigi saptanmistir. Covid-19 pandemisi tum dunyada kabul edilen tibbi yaklasim yontemlerinin hizli bir sekilde yeniden yorumlanmasina neden olmustur.Bu hastalik hakkinda basta bildiklerimizin kisitli olmasi tibbi yaklasimlarda zorluklari da beraberinde getirmistir. Dunya genelinde tip otoriteleri bu hastaliga yaklasim konusunda cok hizli degerlendirmeler yapmaya ve yeni klavuzlar yayinlamaya basladilar. Bircok ulkede tibbi imkanlarini ve olasi tedavi yaklasimlarini goz onune alarak bircok yeni klavuz yayinlandi. Bu kitapta bu yeni yaklasimlari derlemeye calistik. Tum arkadaslarimizin ozverili calismasi sonucu ortaya cikan bu eserin saglik camiasina faydali olmasi dileklerimizle emegi gecenlere tesekkurlerimizi sunariz.
Aim: The proportion of an individual’s index finger to their ring finger, their 2D/4D proportion,... more Aim: The proportion of an individual’s index finger to their ring finger, their 2D/4D proportion, is influenced by prenatal sex hormones and is known to be higher in women. It has been related to certain psychological, behavioral and physiological characteristics. Therefore, we aimed to discover whether 2D/4D proportion is related to preoperative anxiety.Materials and Methods: We included 108 ASA I or II patients with an age range of 18 to 65 years who were to undergo elective surgery. The APAIS-A and APAIS-B tests were used to determine the patients’ anxiety levels and their desire to obtain information regarding the preoperation. Digit lengths were quantified via a digital caliper with 0.01 mm sensitivity. 2D/4D proportions were measured bilaterally, allowing us to determine the differences between the fingers of both hands. Patients were grouped according to their 2D/4D proportions as ≥1 mm and <1 mm.Results: We found no statistical relation in 2D/4D proportions of either hand...
Background Simplified risk models, such as the Apfel score, have been developed to calculate the ... more Background Simplified risk models, such as the Apfel score, have been developed to calculate the risk of postoperative nausea-vomiting (PONV) for adult patients. In the absence of any risk factors, PONV risk is assumed to be 10%. While the presence of one of the four risk factors determined as female gender, non-smoking, PONV/car sickness history, and postoperative opioid use is associated with 20% risk for PONV, the risk increases by 20% with the addition of each risk factor, and reaches to 80% if four factors are present. Aim : Our aim in this study is to investigate the prevalence of PONV, and whether the scoring systems used for nausea-vomiting in the literature are still valid. Patients and Methods Five groups of patients were included in the study with an Apfel score of 0, 1, 2, 3, 4. Each case was taken to the recovery room at the end of the operation. They were observed whether had nausea-vomiting was recorded according to the Abramowitz emesis score. Results While the PONV risk for women is 24.637 times higher than men, the PONV risk of those who had gynecological surgery is 6.27 times higher than that of the other type of surgery. Those who had urological surgery are 0.345 times less than the other type of surgery. Those who had lower abdominal surgery had a risk of PONV of 4.56 times higher than the others. As the duration of the case increases, the risk of PONV increases 1.01 times (P values P < 0.001, P < 0.001, P < 0.001, P = 0.048, P < 0.001, respectively). Conclusion As a result, our PONV prevalence is considerably lower than the frequency rates mentioned in the literature. PONV scoring systems need long-term studies with larger populations to be updated.
Purpose. To compare the effects of different anesthesia techniques on tourniquet-related ischemia... more Purpose. To compare the effects of different anesthesia techniques on tourniquet-related ischemia-reperfusion by measuring the levels of malondialdehyde (MDA), ischemia-modified albumin (IMA) and neuromuscular side effects.Methods. Sixty ASAI-II patients undergoing arthroscopic knee surgery were randomised to three groups. In Group S, intrathecal anesthesia was administered using levobupivacaine. Anesthesia was induced and maintained with sevoflurane in Group I and TIVA with propofol in Group T. Blood samples were obtained before the induction of anesthesia (t1), 30 min after tourniquet inflation (t2), immediately before (t3), and 5 min (t4), 15 min (t5), 30 min (t6), 1 h (t7), 2 h (t8), and 6 h (t9) after tourniquet release.Results. MDA and IMA levels increased significantly compared with baseline values in Group S att2–t9andt2–t7. MDA levels in Group T and Group I were significantly lower than those in Group S att2–t8andt2–t9. IMA levels in Group T were significantly lower than th...
Objectıve To evaluate the sedative efficacy and effects on early period cognitive function of pre... more Objectıve To evaluate the sedative efficacy and effects on early period cognitive function of premedication in endoscopic retrograde cholangiopancreatography (ERCP). Methods Forty patients (18–70 years; American Society of Anesthesiology risk category I–III) undergoing elective ERCP were randomized to receive oral premedication with 0.15 mg/kg midazolam or 1 mg/kg tramadol. Cognitive function was determined by mini-mental test (MMT). Target scores for effective sedation were determined as a Bispectral index score of 70–90 and modified Ramsay Sedation Scale score (mRSS) of 2–4. Results Global MMT score was not significantly different between treatment groups at 60 min post-ERCP. A significant deterioration in the MMT subcategory of recall was determined in with midazolam versus tramadol. Level of sedation (mRSS) was higher in with midazolam compared with tramadol reaching statistical significance at 30 min after drug administration. Conclusıons Although more effective sedation was ob...
Pandemiler, genis bir cografi alanda morbidite ve mortaliteyi buyuk olcude artirabilen ve onemli ... more Pandemiler, genis bir cografi alanda morbidite ve mortaliteyi buyuk olcude artirabilen ve onemli ekonomik, sosyal ve politik bozulmaya neden olan buyuk olcekli bulasici hastalik salginlaridir. 1918’de Ispanyol gribi, 1957’de Asya gribi, 1968’de Hong Kong gribi ve 2009’da domuz gribi morbidite ve mortalite acisindan cesitli ozelliklere sahip pandemiler olarak biliniyordu. Daha yakin donemlere bakildiginda ise 2003’de SARS, 2009’da influenza (H1N1), 2012’de MERS, 2014’de Ebola, 2016’da Zika virusu ve gunumuzde Cin'in Wuhan sehrinde, Aralik 2019’da baslayan ve tanimlanan yeni koronavirusun neden oldugu Covid-19 pandemisi dunya uzerinde bircok insani olumsuz etkilemis ve cok sayida insanin olumune sebebiyet vermistir.Uluslararasi toplum, pandemilerin etkilerine hazirlanma ve azaltma yolunda ilerleme kaydetmistir. 2003 siddetli akut solunum sendromu (SARS) salgini ve kus gribinin yarattigi tehditle ilgili artan endiseler bircok ulkeyi salgin planlari gelistirmeye itti. Bu gelismelere ragmen, kuresel pandemi hazirliklarinda onemli bosluklar ve zorluklar bulunmaktadir. Pandemi sirasinda hastalarin karsilanmasinda ve tedavi planlamasina yonelik bircok ulke temel gereksinimleri karsilayamamistir. Gunumuz tibbi gelismelere ragmen bu yeni pandemi hastaligin zamaninda tespiti, temel bakim ihtiyaclari, temaslilarin izlenmesi, karantina ve izolasyon prosedurleri ve kuresel koordinasyon ve mudahale de dahil olmak uzere hem saglik sektoru hem de saglik sektoru disinda bircok zorluklar yaratmistir. Covid-19 pandemisi ortaya ciktigi 2019 yili sonrasi dunyayi hizli bir sekilde etkilemis, toplumun tum kesimlerinde sikinti, panik ve endiseyi artirdigi saptanmistir. Covid-19 pandemisi tum dunyada kabul edilen tibbi yaklasim yontemlerinin hizli bir sekilde yeniden yorumlanmasina neden olmustur.Bu hastalik hakkinda basta bildiklerimizin kisitli olmasi tibbi yaklasimlarda zorluklari da beraberinde getirmistir. Dunya genelinde tip otoriteleri bu hastaliga yaklasim konusunda cok hizli degerlendirmeler yapmaya ve yeni klavuzlar yayinlamaya basladilar. Bircok ulkede tibbi imkanlarini ve olasi tedavi yaklasimlarini goz onune alarak bircok yeni klavuz yayinlandi. Bu kitapta bu yeni yaklasimlari derlemeye calistik. Tum arkadaslarimizin ozverili calismasi sonucu ortaya cikan bu eserin saglik camiasina faydali olmasi dileklerimizle emegi gecenlere tesekkurlerimizi sunariz.
Aim: The proportion of an individual’s index finger to their ring finger, their 2D/4D proportion,... more Aim: The proportion of an individual’s index finger to their ring finger, their 2D/4D proportion, is influenced by prenatal sex hormones and is known to be higher in women. It has been related to certain psychological, behavioral and physiological characteristics. Therefore, we aimed to discover whether 2D/4D proportion is related to preoperative anxiety.Materials and Methods: We included 108 ASA I or II patients with an age range of 18 to 65 years who were to undergo elective surgery. The APAIS-A and APAIS-B tests were used to determine the patients’ anxiety levels and their desire to obtain information regarding the preoperation. Digit lengths were quantified via a digital caliper with 0.01 mm sensitivity. 2D/4D proportions were measured bilaterally, allowing us to determine the differences between the fingers of both hands. Patients were grouped according to their 2D/4D proportions as ≥1 mm and <1 mm.Results: We found no statistical relation in 2D/4D proportions of either hand...
Background Simplified risk models, such as the Apfel score, have been developed to calculate the ... more Background Simplified risk models, such as the Apfel score, have been developed to calculate the risk of postoperative nausea-vomiting (PONV) for adult patients. In the absence of any risk factors, PONV risk is assumed to be 10%. While the presence of one of the four risk factors determined as female gender, non-smoking, PONV/car sickness history, and postoperative opioid use is associated with 20% risk for PONV, the risk increases by 20% with the addition of each risk factor, and reaches to 80% if four factors are present. Aim : Our aim in this study is to investigate the prevalence of PONV, and whether the scoring systems used for nausea-vomiting in the literature are still valid. Patients and Methods Five groups of patients were included in the study with an Apfel score of 0, 1, 2, 3, 4. Each case was taken to the recovery room at the end of the operation. They were observed whether had nausea-vomiting was recorded according to the Abramowitz emesis score. Results While the PONV risk for women is 24.637 times higher than men, the PONV risk of those who had gynecological surgery is 6.27 times higher than that of the other type of surgery. Those who had urological surgery are 0.345 times less than the other type of surgery. Those who had lower abdominal surgery had a risk of PONV of 4.56 times higher than the others. As the duration of the case increases, the risk of PONV increases 1.01 times (P values P < 0.001, P < 0.001, P < 0.001, P = 0.048, P < 0.001, respectively). Conclusion As a result, our PONV prevalence is considerably lower than the frequency rates mentioned in the literature. PONV scoring systems need long-term studies with larger populations to be updated.
Purpose. To compare the effects of different anesthesia techniques on tourniquet-related ischemia... more Purpose. To compare the effects of different anesthesia techniques on tourniquet-related ischemia-reperfusion by measuring the levels of malondialdehyde (MDA), ischemia-modified albumin (IMA) and neuromuscular side effects.Methods. Sixty ASAI-II patients undergoing arthroscopic knee surgery were randomised to three groups. In Group S, intrathecal anesthesia was administered using levobupivacaine. Anesthesia was induced and maintained with sevoflurane in Group I and TIVA with propofol in Group T. Blood samples were obtained before the induction of anesthesia (t1), 30 min after tourniquet inflation (t2), immediately before (t3), and 5 min (t4), 15 min (t5), 30 min (t6), 1 h (t7), 2 h (t8), and 6 h (t9) after tourniquet release.Results. MDA and IMA levels increased significantly compared with baseline values in Group S att2–t9andt2–t7. MDA levels in Group T and Group I were significantly lower than those in Group S att2–t8andt2–t9. IMA levels in Group T were significantly lower than th...
Objectıve To evaluate the sedative efficacy and effects on early period cognitive function of pre... more Objectıve To evaluate the sedative efficacy and effects on early period cognitive function of premedication in endoscopic retrograde cholangiopancreatography (ERCP). Methods Forty patients (18–70 years; American Society of Anesthesiology risk category I–III) undergoing elective ERCP were randomized to receive oral premedication with 0.15 mg/kg midazolam or 1 mg/kg tramadol. Cognitive function was determined by mini-mental test (MMT). Target scores for effective sedation were determined as a Bispectral index score of 70–90 and modified Ramsay Sedation Scale score (mRSS) of 2–4. Results Global MMT score was not significantly different between treatment groups at 60 min post-ERCP. A significant deterioration in the MMT subcategory of recall was determined in with midazolam versus tramadol. Level of sedation (mRSS) was higher in with midazolam compared with tramadol reaching statistical significance at 30 min after drug administration. Conclusıons Although more effective sedation was ob...
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