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BEKİROĞLU, GÜLNAZ NURAL

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BEKİROĞLU

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GÜLNAZ NURAL

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1996 - 19992
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End date: 1999 × Has files: true ×

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    PublicationOpen Access
    Açık ve laparoskopik kolesistektominin erken postoperatif dönem sıvı faz mide boşalmasına etkileri (ön çalışma)
    (1996-06-01) BEKİROĞLU, GÜLNAZ NURAL; Günal Ö., Değirmencioğlu L., Çaşkurlu U., Akkaya L., Bekiroğlu G. N.
    Today, laparoscopic cholecystectomy (LC) as a gold standard operation in the treatment of the gallbladder stones, has not been known enough how it does effect to earty postoperative period (EPP) liquid phase gastric emptying, comparing with the open cholecystectomy (OC). Gastric empyting scintigraphy (Tc 99m-DPTA) has been done to 12 laparoscopically, 6 conventionally treated cholecystectomy patients in prospective, randomized manner. Pre-operative, postoperative 1st and 7th day scintigraphic gastric empyting values (GEVs) were compared with each other. As compared with OC, decreasing GEV in LC at post-op 1st day 60.min was found to be increased at 7th day 0. and 30. min. significantly (p<0.05). However, both LC and OC groups GEVs were found to be statistically the similar levels at 7th day 60. min. We could not find a clinically reasonable difference between the effects of LC and OC on the liquid phase gastric empyting.
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    PublicationOpen Access
    Can alfentanil or diltiazem prevent myocardial ischemia due to trachcal intubation?
    (1999-01-01) BEKİROĞLU, GÜLNAZ NURAL; Ay B., Eti Z., Yaycı A., Tezcan H., Bekiroğlu G. N., Göğüş Y.
    Objective: The aim of this study is to evaluate the efficacy of alfentanil and diltiazem to attenuate the ca rd io v a s c u la r responses to laryn g o sco p y and tracheal intubation and their effects on the occurrance of m yocardial ischem ia in patients with coronary artery disease. Methods: Tw enty eight patients A SA ll-lll, 40-80 years old, scheduled for elective abdom inal surgery were random ly assigned into three groups. A nesthesia was induced with 0.2 m g/kg etom idate and 1.5 m g/kg succinylcholine i.v. in all patients. In group I (n=10) 15 pg/kg alfentanil i.v. and in group II (n=10) 0.2 m g/kg diltiazem i.v. w ere adm inistered 2 m inutes before la ryn g o sco p y. In g roup III (n=8) (control) no m edication w as adm inistered. Systolic, diastolic, mean arterial pressure, heart rate, rate-pressure product and ST segm ent changes in Dll and V5 leads w ere recorded before and after induction at 1., 3., 5. m inutes of intubation. Results: M ean arterial pressure was significantly lower in the alfentanil and diltiazem group 1 m inute after intubation. T here w as no significant difference in heart rate betw een groups. R ate-pressure product was greater than 11000 in all patients of diltiazem and control groups and in 9 patients of alfentanil group. Conclusion: Although 0.2 m g/kg diltiazem and 15 p g /kg a lfe n ta n il i.v. a tte n u a te d the hyp e rte n sive response to tracheal intubation, they w ere found to be ineffective in decreasing the incidence of m yocardial ischem ia in coronary artery disease. K e y W o r d s : M yocardial ischem ia, alfentanil, d iltia ze m . T ra ch e a l intubation, hem odynam ic response.