Browsing by Author "Acar, H. Volkan"

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Cuffed oropharyngeal airway as a suitable alternative to the laryngeal mask airway for minor outpatient surgery
(Lippincott Williams & Wilkins, 2002-03) Acar, H. Volkan; Yavaşçaoğlu, Belgin; Kahveci, Ferda; Kaya, Fatmanur Nazlı Dinçer; Özcan, Bahar; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji Anabilim Dalı.; AAI-7914-2021; AAG-9356-2021; AAI-8213-2021; 6602742300; 6602405968; 7003619647; 6603825848
Background and objective: To compare the application of the cuffed oropharyngeal airway and the laryngeal mask airway on anaesthetized adult patients undergoing minor outpatient surgery. Methods: One hundred patients received intravenous fentanyl, propofol and N2O for the induction and maintenance of anaesthesia. The patients were randomly divided into two groups: a cuffed oropharyngeal airway group (n = 50) and a laryngeal mask airway group (n = 50). After insertion of the device, fibreoptic laryngoscopy was attempted and the degree of success scored. We then compared the first application success rate of both procedures while judging airway intervention requirement, fibreoptic scores, adverse airway events and haemodynamic tolerance. Results: Both devices had an almost similar first-time placement rate (cuffed oropharyngeal airway 84% versus laryngeal mask airway 96%). The cuffed oropharyngeal airway required a higher number of airway interventions (P < 0.001). The laryngeal mask airway had a significantly better fibreoptic view compared with the cuffed oropharyngeal airway (P < 0.001). However, the number of adverse airway events was lower in the cuffed oropharyngeal airway group; there were no significant differences in adverse events and haemodynamic variables between the said two groups. Conclusions: The results suggest that the cuffed oropharyngeal airway was an effective alternative airway in spontaneously breathing patients during short procedures.
Fatal hydrothorax due to misplacement of a nasoenteric feeding tube
(Sage Publications, 2001) Acar, H. Volkan; Kahveci, Ferda; İşçimen, Remzi; Gurbet, Alp; Uysal, Hale Yarkan; Kutlay, Özden; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji Anabilim Dalı.; AAG-9356-2021; 6602742300; 7007146835; 16645821200; 35618853300; 8290444400; 6602199747
Blind nasoenteric intubation was attempted in a patient with chronic parkinsonism. The tube was inadvertently misplaced and penetrated the left pleural cavity. The next day, the patient developed cardiopulmonary arrest during dietary supplement infusion. This complication ultimately led to the patient's death. We have reviewed the known complications of nasoenteric tube placement and conclude that difficult insertion in patients at risk from tube misplacement should be followed by chest radiography to confirm the correct placement of the tube before nutritional support is started.
The use of a laryngeal mask airway during percutaneous tracheostomy
(Taylor & Francis, 1999) Acar, H. Volkan; Kahveci, Ferda Şöhret; Özcan, Berin; Kutlay, Oya; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Yoğun Bakım Anabilim Dalı.; 0000-0003-4820-2288; AAG-9356-2021; 6602405968; 6602199747; 6603825848
Bedside percutaneous tracheostomy (PCT) for patients in intensive care units (ICU) is gaining popularity. Recently, the use of a laryngeal mask airway (LMA) to facilitate PCT has been described. We present a series of 18 patients where an LMA was inserted prior to PCT. This was successful in all but one patient. PCT could not be performed in this patient as oxygen desaturation had developed after inserting the LMA. The reason for this was probably an oedematous larynx, secondary to long-term intubation. Major bleeding in two patients [one of whom required packed red blood cell (RBC) transfusion] required surgical intervention and two patients had minor bleeding. No complications were related to the insertion or presence of the LMA during PCT, with the exception of the one patient cited above. The use of an LMA during PCT is a method of treatment worth noting in ICU patients. This technique may provide suitable conditions for performing PCT and is free from the complications associated with the presence of an endotracheal tube.