What is known and objective The most appropriate sedative agent for conscious sedation in minor hysteroscopic surgeries still unclear. Dexmedetomidine a analgesic agent, may be outpatient procedures. aim of our study was to compare the sedative, hemodynamic effects dexmedetomidine vs propofol combination with fentanyl midazolam patients undergoing hysteroscopy surgery. Methods Sixty surgery were randomized receive either (n = 30) or groups. infused at 1 µg/kg 10 minutes followed by 0.7...

In the present study, we aimed to assess rate and effect of device-associated nosocomial infections (DANIs), as well antibiotic resistance, in medical-surgical intensive care unit (ICU) a research training hospital Turkey, compare our results with those reported by National Nosocomial Infections Surveillance (NNIS) system International Infection Control Consortium (INICC). A total 509 patients were followed up within 1-year period from 1 November 2007 2008. The patient days 4,087, number...

The aim of the study was to evaluate comparative effects propofol infusion versus sevoflurane for maintenance anesthesia with respect hemodynamics, recovery characteristics, nausea and vomiting in patients undergoing percutaneous nephrolithotomy.Forty American Society Anesthesiologists physical status I-II patients, aged between 22 65 years were randomly divided receive either intravenous (group P) or S). Cardiovascular variables, peripheral oxygen saturation (SpO2), end-tidal carbon dioxide...

Recently, Iskandar et al described "Chiari Zero malformation" to characterize some kind of syringomyelia that exhibits classic Chiari-type symptoms with little no herniation, but there is dilemma about whether it actually present.We presented a 38-year-old-man diagnosis cervical syringomyelia.In his neurological examination, was monoparesia at the left leg together hypoesthesia below thoracal 7.He had initially been treated syringopleural shunting successfully.Nine months after surgery,...

What is known and objective Adenotonsillectomies are common surgical procedures performed under general anaesthesia in childhood. Post-operative pain agitation complications associated with this procedure. We compared the effects of dexmedetomidine tramadol on post-operative pain, agitation, haemodynamic parameters, extubation quality patients undergoing an adenotonsillectomy using sevoflurane as anaesthetic agent. Methods Sixty paediatric who had undergone were included study. The...

Optimal sedation and analgesia are of key importance in intensive care. The aim this study was to assess the quality sedoanalgesia outcome parameters regimens containing midazolam either fentanyl or remifentanil. A prospective, randomized, open-label, controlled trial carried out ICU unit a large teaching hospital Istanbul over 9-month period. Thirty-four patients were randomly allocated receive remifentanil-midazolam regimen ( R group, ) fentanyl-midazolam F ). strong correlation between...

Ventilator-associated pneumonia (VAP) is a frequently occurring nosocomial infection in ICU patients and has been associated with increased morbidity, prolonged duration of ventilation stay costs for healthcare. It was shown that early diagnosis VAP immediate initiation appropriate antibiotics reduced morbidity mortality. The aim this study to evaluate the potential ability screening test based on clinical pulmonary score (CPIS) identify treat VAP.

There are a few reports in the literature about successful use of sugammadex treatment hypersensitivity reactions caused by rocuronium; however, pathophysiological mechanism is still unknown. This study aims to investigate changes rocuronium lung and effect on these with biochemical, light microscopic immunohistochemical parameters rat model.For study, 28-male Sprague-Dawley rats were randomly divided, seven each, into four groups. Group C (control) received only 0. 9 % NaCl without any...

Background Epidural anesthesia is one of the best options for lower abdominal and limb surgery. However, there have been insufficient reports regarding use epidural pilonidal sinus The present study was performed to compare clinical profiles block with 0.75% levobupivacaine ropivacaine in this procedure. Methods Thirty patients undergoing surgery were randomly allocated into two groups: group received other at a volume 10 ml. Arterial blood pressure, heart rate, oxygen saturation, onset time...

Even endotracheal intubation could be considered safe in operations under general anesthesia; rarely, it cause recurrent laryngeal nerve paralysis as a complication. As mentioned the literature, possible reason for this, anterior branches of larynx suffer from compression between posteromedial part thyroid cartilage and cuff tube. In unilateral vocal cord due to occurs more frequently comparison bilateral paralysis. These types palsies usually totally improve approximately 6 months. A...

Methylene tetrahydrofolate reductase (MTHFR) deficiency is an autosomal recessive disorder that results in increased homocysteine levels the body. Hyperhomocysteinemia causes a predisposition to venous and arterial thrombosis ischaemic insults. The incidence of around 40% some countries. In this study, we aimed evaluate effects anaesthetic agents children with MTHFR deficiency.Twelve paediatric patients enzyme who underwent surgery ten-month period single centre were retrospectively...

Cyclopentolate is a frequently used topical mydriatic and cycloplegic drug by ophthalmologists for diagnosing preoperatively evaluating the patients.We aimed to report case of delirium due high dose cyclopentolate application an ophthalmologic examination.Cyclopentolate drops were in 6 years old male patient without any co-existing disease examination at ophthalmology polyclinic.However, it was applied 3-three times as 3 with 15 minutes intervals on his two eyes mother.After he experienced...

BACKGROUNDSedating the mechanically ventilated patients in intensive care unit (ICU) has a clinical prevalence, and aimed to reduce incompatibility with ventilator, increase intubation tolerance, anxiety, reducing recall of care, stress response oxygen consumption, prevent removal endotracheal tube, vascular catheter etc. by patients, adequacy patient services, provide good conditions for sleep protect providers from patient's agitating movements, treat delirium (1-4).The application...

Spinal Anestezi ile Yapılan Elektif Sezaryen Vakalarında Serebral Oksimetre Kullanımı: Randomize Prospektif ÇalışmaAim: To compare the effect of bupivacaine and bupivacaine/ fentanyl combination on cerebral oxygenation values with Near-infrared spectroscopy (NIRS) technique in elective cesarean sections performed under spinal anesthesia.Methods: Fifty patients who underwent section anesthesia were randomly divided into two groups.7.5-10 mg 0.5% hyperbaric was administered to group (n=25)...