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    Myocardial infarction of a patient with drug abuse
    (Anestezi Dergisi, 2016) Yaman F.; Çolak S.; Bakkal G.; Gençay I.; Aktürk E.; Tulmaç M.; Büyükkoçak Ü.
    Amongst the illicit drugs, heroin, cocaine and cannabis have been studied and documented well to cause sudden death by different mechanisms. Cocaine-related myocardial infarction is well-known phenomenon. Heroin-induced myocardial infarction has been seldom reported. In this article we presented a case of drug abuse such as heroin, cocaine, bonsai and arrest after heroin injection with literature. A 28-year-old young male was brought to the emergency with sudden cardiac arrest after eroin injection intravenously. Myocardial infarction with left ventricular failure was diagnosed. Coronary angiography showed 100% occlusion of left ascending coronary artery. On day 7, cardiac arrest occured after recurrent attacks of ventricular fibrillation and resuscitation was unsuccessful.
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    Transversus abdominis plane (TAP) block for postoperative analgesia after laparoscopic cholecystectomy, a retrospective study
    (Anestezi Dergisi, 2019) Yaman F.; Karaca G.; Colak S.; Ates G.; Pehlivanlı F.; Gencay I.; Aydın G.
    Objective: Laparoscopic cholecystectomy is a minimally invasive surgical procedure but it is still associated with postoperative pain within the first 24 hours. Ultrasound-guided transversus abdominis plane block is a regional anesthetic technique which provides postoperative analgesia in abdominal surgery. We aimed to determine the effects of the TAP block on discharge time, non-opioid and opioid consumption, shoulder tip pain, incidence of postoperative nausea and vomiting, and severity of pain evaluated with visual analogue scale in patients who underwent laparoscopic cholecystectomy. Methods: Seventy-two eligible patients who underwent laparoscopic cholecystectomy were included in the study. In 38 patients ultrasound-guided TAP block was performed, and 34 patients were treated with conventional methods such as non-steroid anti-inflamatory drugs. Data related to VAS pain scores, shoulder tip pain, intraoperative opioid consumption, postoperative non-opioid and opioid consumption, nausea vomiting and discharge time were collected retrospectively to determine statistically significant differences between TAP block and non-TAP block groups. Results: VAS pain scores were globally reduced at all time periods in two groups (significant group main effect, F(7.760)=94.47, P<0.001). VAS pain scores were significantly lower at all measurement intervals except 24h in the TAP group than in the non-TAP group. Shoulder pain was significantly higher in TAP block group than non-TAP block group (p<0.001). Any statistically significant difference was not found between the groups in terms of intraoperative, and postoperative opioid consumption, discharge time, nausea and vomiting. Conclusion: Ultrasound-guided TAP block is an effective regional analgesic technique to decrease postoperative abdominal pain, however TAP block does not reduce shoulder tip pain. Multimodal pain management is required after laparoscopic cholecystectomy. © Copyright Anesthesiology and Reanimation Specialists' Society.
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    Unexpected difficult airway with hypogonadotropic hypogonadism
    (Dove Medical Press, 2014) Yaman F.; Arslan B.; Yuvanç E.; Büyükkoçak U.
    Background A critical aspect of safe general anesthesia is providing adequate ventilation and oxygenation. Failed endotracheal intubation and inadequate ventilation with insufficient oxygenation may lead to serious complications, even death. Anesthesiologists rarely encounter unexpected difficult airway problems in daily routine. Management of an unexpectedly difficult airway consists of laryngeal mask ventilation, gum-elastic bougie and video laryngoscopy-assisted intubation. Gum-elastic bougie is the easiest and cheapest tool used in case of an unexpected difficult intubation occurring in the operating room. Case: A 53-year-old male patient with hypogonadotropic hypogonadism presented as an unexpected difficult intubation after the induction of anesthesia. No pathological finding or predictor of difficult intubation was present. In addition, bag-mask ventilation was poor and inadequate. The patient was finally successfully intubated with a gum-elastic bougie. Conclusion: A difficult airway has been described in patients with a variety of endocrine disorders, including pituitary diseases, but not with hypogonadism. There may be an unrevealed relationship between hypogonadism and difficult airway. Gum-elastic bougie is still the most attainable and effective tool in the operation room in this situation. © 2014 Yaman et al. This work is published by Dove Medical Press Limited.