Yazar "Eryilmaz, Mehmet" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    Comparison of permissive hypotensive resuscitation, low-volume fluid resuscitation, and aggressive fluid resuscitation therapy approaches in an experimental uncontrolled hemorrhagic shock model
    (Turkish Assoc Trauma Emergency Surgery, 2010) Durusu, Murat; Eryilmaz, Mehmet; Ozturk, Gurkan; Mentes, Oner; Ozer, Tahir; Denir, Turgut
    BACKGROUND In this study, we aimed to compare the efficacy of aggressive fluid resuscitation, low-volume fluid resuscitation and permissive hypotensive resuscitation in an experimental uncontrolled hemorrhagic shock model. METHODS Forty-four male Guinea pigs were used in the study in an experimental uncontrolled shock model. Guinea pigs were split into six groups including normovolemic-normotensive fluid treatment group, normovolemic-permissive hypotensive fluid treatment group, low-volume normotensive fluid treatment group, low-volume permissive hypotensive fluid treatment group, no treatment (n=6), and sham-operated groups (n=6). Resuscitation was initiated when mean arterial pressure (MAP) reached 30 mmHg. In the permissive hypotensive resuscitation group, fluid treatment continued until MAP reached 45 +/- 5 mmHg and in the aggressive fluid groups until MAP reached 60 +/- 5 mmHg. Resuscitation fluid was hetastarch 6% (hydroxyethyl starch) in the low-volume fluid groups and Ringer's lactate in the normovolemic fluid groups. RESULTS Mean survival time was 122.75 +/- 4.83 min in the normovolemic-normotensive fluid group, 130.87 +/- 16.31 min in the normovolemic-permissive hypotensive group, 122.12 +/- 11.53 min in the low-volume-normotensive fluid group, and 152.25 +/- 9.10 min in the low-volume-permissive hypotensive fluid group. Survival time was found significantly higher in the group in which low-volume-permissive hypotensive fluid treatment was applied than in the other groups. CONCLUSION When pressure effect was compared during treatment, permissive-hypotensive resuscitation was found more effective in both groups that received colloid and crystalloid treatment.
  • [ X ]
    Öğe
    Prehospital life support in trauma patients: Basic or advanced trauma life support
    (Turkish Association of Trauma and Emergency Surgery, 2006) Özdo?an, Mehmet; A?alar, Fatih; Eryilmaz, Mehmet; Özel, Gürkan; Tavilo?lu, Korhan
    The controversy between Advanced Trauma Life Support (ATLS) and Basic Life Support (BLS) in the prehospital care of trauma patients has not been resolved yet. The purpose of this study was to examine the literature with respect to the type of prehospital care applied to the trauma patients. A total of 76 papers on ATLS and/or BLS for trauma were reviewed regarding the variables such as intravenous catheter application, prehospital fluid resuscitation, transport time, intubation and mortality. As a conclusion, the data in the literature do not support the routine use of on-field ATLS in trauma patients. Prospective randomized trials comparing ATLS and BLS in prehospital management of trauma patients are needed to clarify this issue.
  • [ X ]
    Öğe
    Remarks of 52 physicians participating into 8th Ankara Emergency Rooms (ERs) Meeting 2005 on resuscitative thoracotomy intervention
    (Turkish Association of Trauma and Emergency Surgery, 2006) Eryilmaz, Mehmet; Özdo?an, Mehmet; A?alar, H. Fatih
    BACKGROUND: The aim of this study was to define the opinions of 52 emergency physicians working in different ERs in Ankara and participated in the 8th Ankara Emergency Meeting 2005, on resuscitative thoracotomy (RT). METHODS: A questionnaire form containing 14 questions was designed for the opinions of physicians on RT. Responders filled in the forms through answering the questions by themselves. Data were analyzed using Student's t-test and ANOVA. RESULTS: The survey concluded three common points: 1. Resuscitative thoracotomy should be performed in the emergency rooms (65,4%), 2. It should be performed by specialists however; it is a procedure which can and should be conducted by every experienced emergency physician easily when the indications are clear (69,23%). 3. Majority of the responders stated that they would like to get a post-education courses on this subject (96,15%). CONCLUSION: Theoretical and practical policies of our medical education on RT should be revised. Emergency rooms should be equipped for this intervention. Resuscitative thoracotomy should be applied by the experienced people, indications should be clarified well and emergency physicians should be trained on resuscitative thoracotomy by regular post-graduation courses.