Yazar "Yarimoglu, Rafet" seçeneğine göre listele
Listeleniyor 1 - 4 / 4
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe A Misplaced Femoral Venous Catheter in the Internal Iliac Vein: A Case Report(Anestezi Dergisi, 2024) Yarimoglu, Rafet; Yarimoglu, SalihaCentral venous catheters are used for many purposes in intensive care. Venous catheterization in the femoral region is safer than others regarding mechanical complications. Although femoral catheter malpositions are rare, they can lead to fatal consequences, especially when diagnosed late. In this article, the misplaced femoral central venous catheter in the internal iliac vein is presented. A 36-year-old male patient diagnosed with respiratory failure displayed septicemia symptoms during his follow-up in the intensive care unit. A blood sample from the central catheter in the right femoral region showed bacterial growth. Therefore, a new central venous catheter was placed into the left femoral vein for an inotropic infusion. According to the abdominal computed tomography scan report performed for a different reason the next day, the catheter was seen in an incorrect position. The evaluation revealed the catheter to be situated in the internal iliac vein. The catheter was removed without complications. We share a report regarding catheter malposition found in the internal iliac vein. Physicians must keep in mind that early detection of catheter malpositions is critical. © 2024 Anestezi Dergisi. All rights reserved.Öğe Bilateral external oblique intercostal plane block (EOIPB) in patients undergoing laparoscopic cholecystectomy(Saudi Med J, 2023) Korkusuz, Muhammet; Basaran, Betul; Et, Tayfun; Bilge, Aysegul; Yarimoglu, Rafet; Yildirim, HasanObjectives: To measure tramadol intake in the first 24 hours post-surgery. In addition, pain scores and quality of recovery were evaluated as secondary outcomes.Methods: A total of 80 adult patients scheduled for laparoscopic cholecystectomy were randomized into 2 groups (with and without external oblique intercostal plane block [EOIPB]). Control group of patients received standard multimodal analgesia, EOIPB was applied on each side to patients in EOIPB group in addition to multimodal analgesia. The primary outcome was to evaluate tramadol consumption at postoperative 24 hours. Secondary outcomes were evaluating the Numeric Rating Scale (NRS) scores, postoperative Quality of Recovery score (QoR-15), sedation score, the incidence of nausea and vomiting, and antiemetic consumption.Results: In EOIPB group, median (Q1, Q3) tramadol consumption values for 24 hours (0 [0,50] mg) were found to be significantly lower than the control group (50 [50,100] mg) (median difference-50) (p<0.001). NRS values during rest and motion were lower in EOIPB group compared to the control group at all measurement points within 24 hours (p<0.05). The total QoR-15 scores were significantly higher in EOIPB group compared to the control group (p<0.001). No differences were detected in other secondary outcome parameters. Conclusion: External oblique intercostal plane block resulted in less postoperative tramadol consumption. However, there were no minimal clinically important differences about postoperative opioid consumption. On the other hand, compared to multimodal analgesia addition of EOIPB improved overall QoR-15 scores at postoperative 24 hours.Öğe Rebound pain after interscalene brachial plexus block for shoulder surgery: a randomized clinical trial of the effect of different multimodal analgesia regimens(K Faisal Spec Hosp Res Centre, 2023) Et, Tayfun; Basaran, Betul; Bilge, Aysegul; Yarimoglu, Rafet; Korkusuz, Muhammet; Tueluece, IbrahimBACKGROUND: Rebound pain is characterized by sudden, significant acute postoperative pain occurring after the resolution of inter-scalene block (ISB); it affects the quality of recovery postoperatively. Dexamethasone increases ISB resolution time and decreases opioid consumption and the incidence of rebound pain.OBJECTIVE: Evaluate whether multimodal analgesia including intravenous dexamethasone administration with preoperative ISB reduces the incidence of rebound pain.DESIGN: Prospective, randomized, controlled trialSETTING: Tertiary university hospitalSAMPLE SIZE: 60 patientsPATIENTS AND METHODS: Patients who underwent shoulder surgery under general anesthesia were assigned randomly to two different multimodal analgesia protocols. Thirty patients received 5 mg IV dexamethasone with non-steroid, paracetamol, and ISB with 15 mL 0.5% bupivacaine, while the control patients received the same regimen and ISB with 15 mL 0.5% bupivacaine without dexamethasone. Postoperative opioids were given to any patient on demand.MAIN OUTCOMES MEASURES: Effect of IV dexamethasone on pain score and incidence of rebound pain after ISB resolution and postoperative opioid consumption at 0-48 hours, numerical pain rating scale (NPRS) scores, sleep scale scores, and quality of recovery-15 scores (QoR-15).RESULTS: The incidence of rebound pain was lower in the dexamethasone group than in the control group (73.3% and 30%, respectively, P=.001). NPRS scores after ISB resolution were lower in the dexamethasone group (5 ([4-7]), 8 ([5.75-8]), P<.001, respectively). Those who received IV dexamethasone had less sleep disturbances (P<.001) and higher QoR-15 on day 1 (P<.001) and day 7 (P=.020) postoperatively.CONCLUSIONS: IV dexamethasone added to the ISB block resulted in a lower incidence of rebound pain. In addition, better results were obtained in postoperative sleep quality and QoR-15.LIMITATIONS: Single-center studyCONFLICT OF INTEREST: None.Öğe Scorpion sting as a trigger factor for stroke: a case report(Springer Science and Business Media Deutschland GmbH, 2025) Yarimoglu, Saliha; Yarimoglu, Rafet; Gunay, Merve Akgul; Yucel, Zeliha.
