These data provide important preliminary information on the pattern of symptomatic poisonings in this south-east part of our country.

Adıyaman Üniversitesi Eğitim ve Araştırma Hastanesi, yoğun bakım ünitesinde beyin ölümü tanısı konulan olguların demografik ve klinik özellikleri retrospektif olarak incelenerek, organ bağışı kabul oranları sunuldu. Gereç ve Yöntem: Hastanemiz yoğun bakım ünitesinde 2008-2014 yılları arasında beyin ölümü tanısı konmuş hastalar retrospektif olarak incelendi. Tüm hastalar; yaş, cinsiyet, beyin ölümü nedeni, kan grubu, organ bağışı kabul ve red nedenleri, kardiyak arrest geçirme ve vazopressin kullanma durumu, laboratuvar testleri, apne testi öncesi ve sonrası kan gazı değerleri, yoğun bakımda izlem süresi, apne testi, yıl ve mevsimsel dağılım açısından değerlendirildi. Donör adayı olan olgular verilen organ ve alıcı olan hastalar demografik özelliklerine göre ayrıca değerlendirildi. Bulgular: Otuz dört (%59,6) erkek, 23 (%40,4) kadın toplam 57 hastaya beyin ölümü tanısı konuldu. En sık nedenler travmatik subaraknoid kanama (SAK) ve intraserebral hematom idi. Olguların çoğu A Rh (+) kan grubunda (n=18, %31,5) idi. Rh (+) hastalarda Rh (-) hastalara oranla 4,7 kat fazla beyin ölümü tespit edildi. Kardiyak arrest görülme oranı %12,3 (n=7) olup en sık SUMMARY Objective: It was aimed to present the acceptance rate of organ donation of cases that were diagnosed with brain death and evaluated in terms of their demographic and clinical properties retrospectively in Adıyaman University Training and Research Hospital. Material and Method: In the intensive care unit of our hospital, cases that were diagnosed with brain death between the dates of January 2008 and December 2014 were retrospectively analyzed. Cases were evaluated in terms of age, sex, cause of brain death, blood groups, donation status, reasons for acceptance or rejection of donation, cardiac arrest, vasopressin treatment, laboratory test results, arterial blood gas values before and after the apnea test, intensive care unit follow-up durations, apnea test, seasonal and annual distribution. Also, potential donors and recipients were analyzed in accordance with their demographic characteristics. Results: The diagnosis of brain death was made in totally 57 cases; of those, 34 (59.6%) were men and 23 (40.4%) were women. The most common causes for brain death were traumatic subarachnoid hemorrhage (SAH) and intracerebral hematoma. Most of the cases had A Rh+ blood type (n=18, 31.5%) and the rate of brain death was 4.7 times higher in Rh (+) patients in comparison to Rh (-) patients. The rate of incidence of cardiac arrest was 12.3% (n=7), and it was more common in traumatic SAH patients. The rate of receiving vasopressor therapy was 21.1% (n=12), and the mean duration of therapy was 1.3±0.8 days. It was more commonly used in traumatic SAH patients (n=10). The follow-up period was 2.7±3.2 (minimum: 1, maximum: 17) days. Five patients were considered to be organ donors. The most common reason for acceptance of donation was the effect of organ transplantation coordinator during family interviews (n=3, 60%). In total, 4 livers, 5 kidneys and 1 heart transplantation oper...

How to cite / Atıf için: Uludağ Ö, Tutak A. Efficacy of prophylactic epidural saline for reducing postdural puncture headache in patients undergoing caesarean section.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: Post-Dural Puncture Headache (PDPH) is a common complication of spinal anesthesia during the postoperative period. The optimal means of prevention, management, and treatment of this disorder are uncertain. The objective of this current study was to investigate the effect of a 24 hours-continuous infusion of saline on the occurrence of PDPH in patients undergoing caesarean section and to provide a reference for the clinical prevention of PDPH.Methods: This study included 126 patients aged between 18 and 45 years with an American Society of Anesthesiology physical status (ASA) score of 1-2, who underwent elective caesarean operation. Patients were randomized into control (n=63) and study groups (n=63). Spinal anesthesia was administered to both groups via a 27-gauche spinal needle. The study group was administered normal saline infusion for 24 hours with an easy-pump device through an epidural catheter. Results: Seven control-group patients developed PDPH within the first 72 hours postoperatively while it was not observed in any of the study-group patients. Visual analogue scale and numerical rating scales were used for pain measurement. Five patients described mild pain while two described moderate pain. Severe headache was not observed in any patients at any time.Conclusion: This study demonstrated that the administration of epidural saline during an elective caesarean under spinal anesthesia significantly reduced the incidence of PDPH and was not associated with any side-effects. Öz Amaç: Postdural ponksiyon baş ağrısı (PDPH), ameliyat sonrası dönemde spinal anestezinin sık görülen bir komplikasyonudur. Bu bozukluğun önlenmesi, yönetimi ve tedavisi için en uygun yöntem belirsizdir. Bu çalışmanın amacı, 24 saat devam eden epidural salin infüzyonunun sezaryen geçiren hastalarda PDPH oluşumu üzerindeki etkisini araştırmak ve PDPH'nın önlenmesi için referans bilgi sağlamaktı. Yöntemler: Çalışmaya Amerikan Anesteziyoloji Derneği fiziksel durumu (ASA) 1-2 olan, 18-45 yaş arası, elektif sezaryen ameliyatı yapılan 126 hasta dâhil edildi. Kontrol grubu (n=63) ve çalışma grubu (n=63) olarak belirlendi. Her iki gruba da 27 gauche spinal iğne ile spinal anestezi uygulandı. Çalışma grubuna epidural kateter yoluyla kolay pompa cihazı ile 24 saat boyunca normal salin infüzyonu yapıldı. Bulgular: Kontrol grubunda 7 hastada ilk 72 saatte PDPH görülürken, çalışma grubunda PDPH görülmedi. Kontrol grubunda bulunan beş hasta, görsel analog skala ve sayısal derecelendirme skalasına göre PDPH'yi hafif ağrı ve iki hasta orta...

Çalışmamızda yoğun bakım ünitesinde tedavi edilen zehirlenme olguları retrospektif incelenerek ilimize ait zehirlenme vakalarının profilini belirlemek, epidemiyolojik çalışmaların güncellenmesine ve ülkemizin zehirlenme verilerine katkıda bulunmak amaçlandı.

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