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    The Impact of Multimodal Analgesia Timing on Postoperative Pain in Cesarean Delivery. A Prospective Randomized Study
    (2023) Ozmete, Ozlem; Sener, Mesut; Bali, Cagla; Caligan, Esla; Durdag, Gulsen Dorgan; Aribogan, Anis; 38131366
    AIM: The issue of preemptive or preventive use of paracetamol still raises questions in terms of multimodal analgesia in cesarean delivery. A combination of paracetamol and opioid is commonly used for pain management after cesarean delivery. This study aims to compare postoperative pain level and analgesic consumption when using paracetamol at two different perioperative times in cesarean section. MATERIAL AND METHODS: Sixty patients recruited for elective cesarean section under general anesthesia were included in this prospective study. Patients were randomly assigned to receive iv 1 g paracetamol 15 minutes before incision (Group PE) or after delivery of newborn (Group PV). Visual analog scale (VAS) values, 24-hour morphine consumption, additional analgesic requirement, side effects, and patient and surgeons' satisfaction were recorded. RESULTS: Demographic data and hemodynamic values of the patients were similar in both groups. There was no differences between groups in terms of VAS scores at rest and during movement, additional analgesic requirement during the postoperative 1st hour, and 24-hour total morphine consumption. There was no difference in side effects, and patient and surgeon satisfaction scores postoperatively. CONCLUSIONS: Preemptive and preventive use of paracetamol provides the same quality of analgesia and opioid sparing effect without increasing the frequency of adverse effects.
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    Inappropriate Use of Anticoagulant Drugs in Older Adults
    (2014) Bali, Cagla; Ergenoglu, Pinar; Akin, Sule; Aribogan, Anis; https://orcid.org/0000-0003-2615-1918; https://orcid.org/0000-0002-6366-941X; https://orcid.org/0000-0001-6423-1076; https://orcid.org/0000-0002-4419-5693; 24802992; AAI-8790-2021; GON-8465-2022; AAJ-2094-2021; S-8336-2019
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    Practical Regional Blocks for Nasal Fracture in A Child: Blockade of Infraorbital Nerve and External Nasal Branch of Anterior Ethmoidal Nerve
    (2015) Oya, Yalcin; Erkan, Alper Nabi; Eker, Hatice Evren; Aribogan, Anis; 0000-0002-7901-0185; 0000-0002-4419-5693; 0000-0003-3004-2626; 0000-0001-7138-1400; 25824052; AAI-8769-2021; S-8336-2019; AAI-7998-2021; H-1063-2019
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    Is Atropine Premedication During Ketamine-Dexmedetomidine Sedation is Necessary?
    (2015) Ozyilkan, Nesrin Bozdogan; Eker, Hatice Evren; Aribogan, Anis; 0000-0002-4973-8132; 0000-0002-7901-0185; 0000-0002-4419-5693; 26507921; AAI-7880-2021; AAI-8769-2021; S-8336-2019
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    Anesthesia Management and Sugammadex Experience in A Neonate For Galen Vein Aneurysm
    (2016) Ozmete, Ozlem; Bali, Cagla; Ergenoglu, Pinar; Andic, Cagatay; Aribogan, Anis; https://orcid.org/0000-0001-5845-699X; https://orcid.org/0000-0003-2615-1918; https://orcid.org/0000-0002-6366-941X; https://orcid.org/0000-0001-8581-8685; https://orcid.org/0000-0002-4419-5693; 27185673; AAI-7779-2021; AAI-8790-2021; GON-8465-2022; AAM-3180-2021; S-8336-2019
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    Oral 30% Glucose Provides Sufficient Sedation in Newborns During
    (2017) Eker, H. Evren; Cok, Oya Yalcin; Cetinkaya, Bilin; Aribogan, Anis; 0000-0003-0866-7339; 0000-0003-3004-2626; 0000-0002-7901-0185; 0000-0002-4419-5693; 27999970; AAF-1346-2021; AAI-7998-2021; AAI-8769-2021; S-8336-2019
    Newborns are often sedated during MRI but sedation itself creates adverse events and management is more challenging in this environment. Oral glucose/sucrose administration has been studied in newborns during painful procedures; however, its effectiveness in keeping newborns sleepy and motionlessness during painless procedures has not been demonstrated. The objective of this study was to describe effectiveness of oral 30% glucose administration by comparing with intravenous midazolam sedation for newborns during MRI. One hundred twelve ASA II-III newborns who required care in the ICU and were scheduled for MRI with sedation were included. Group I received 30% glucose solution orally with 0.5-1 ml increments up to 2 ml/3 kg doses and group II received intravenous 0.1 mg/kg midazolam with 0.05 mg/kg repetition. The procedure was considered satisfactory when MRI images were not disturbed by patient movement after oral glucose or intravenous midazolam administration. The efficiency of the techniques, additional dose and rescue sedation requirements, blood glucose levels following oral 30% glucose suckling and presence of adverse events were recorded. Demographic data was similar between groups. The efficiency of the procedures were similar between groups (78.9%, in group I and 66.1%, in group II). The blood glucose levels were within normal range in group I whereas transient desaturation and apnea occurred in 8 neonates in group II (p = 0.006). Oral 30% glucose administration for newborns during MRI is as effective as standard sedation protocol with midazolam. Thereby, we recommend and support the integration of this safe and reliable technique into routine practice for newborns during MRI.
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    A Patient with Churg-Strauss Syndrome Complicated with Pulmonary Hemoptysis
    (2016) Bali, Cagla; Ozmete, Ozlem; Ergenoglu, Pinar; Gedikoglu, Murat; Aribogan, Anis; https://orcid.org/0000-0003-2615-1918; https://orcid.org/0000-0001-5845-699X; https://orcid.org/0000-0002-6366-941X; https://orcid.org/0000-0002-9884-3190; https://orcid.org/0000-0002-4419-5693; 27041254; AAI-8790-2021; AAI-7779-2021; GON-8465-2022; S-8336-2019
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    A Short View of Chronic Graft-Vs-Host Disease
    (2016) Bali, Cagla; Ozmete, Ozlem; Ozyilkan, Nesrin Bozdogan; Akin, Sule; Aribogan, Anis; https://orcid.org/0000-0003-2615-1918; https://orcid.org/0000-0001-5845-699X; https://orcid.org/0000-0002-4973-8132; https://orcid.org/0000-0001-6423-1076; https://orcid.org/0000-0002-4419-5693; 27041253; AAI-8790-2021; AAI-7779-2021; AAI-7880-2021; AAJ-2094-2021; S-8336-2019
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    Preoperative Paracetamol Improves Post-Cesarean Delivery Pain Management: A Prospective, Randomized, Double-Blind, Placebo-Controlled Trial
    (2016) Ozmete, Ozlem; Bali, Cagla; Cok, Oya Yalcin; Ergenoglu, Pinar; Ozyilkan, Nesrin Bozdogan; Akin, Sule; Kalayci, Hakan; Aribogan, Anis; 0000-0003-3004-2626; 0000-0002-4973-8132; 0000-0002-6366-941X; 0000-0001-5845-699X; 0000-0001-6423-1076; 0000-0003-2615-1918; 0000-0002-4419-5693; 27555133; AAI-8790-2021; S-8336-2019; AAI-7998-2021; J-5282-2013; AAI-7779-2021; AAJ-2094-2021; AAI-7880-2021; GON-8465-2022
    Study Objective: To evaluate the analgesic effect of preoperative single dose intravenous paracetamol on postoperative pain and analgesic consumption within 24 hours after elective cesarean surgery. Design: Prospective, randomized, double-blind, placebo-controlled clinical trial. Setting: University Teaching Hospital. Patients: American Society of Anesthesiologists (ASA) I and II 60 patients between 18-40 years of age who were scheduled to undergo elective cesarean section. Interventions: Patients were randomized into two groups to receive either intravenous 1 g paracetamol (100 mL) (Group P) or 0.9% NaCl solution (100 mL) (Group C) 15 minutes before the induction of general anesthesia. After delivery of newborn 0.15 mg kg(-1) morphine was administered to all patients in both groups. Postoperative analgesia was provided with patient-controlled intravenous analgesia with morphine in the postoperative period. Measurements: Pain which is the primary outcome measure was assessed at 15th, 30th minutes and 1st, 2nd, 4th, 6th, 12th, 24th hours by the Visual Analogue Scale. Patients' demographics, hemodynamics, Apgar score, additional analgesic requirement, side effects, patients' satisfaction and postoperative total morphine consumption within 24 hours were recorded. Main Results: Median visual analogue scale for pain in Group P was significantly lower compared to Group C at all time points except for the score at 24th h postoperatively (P <.05). Additional analgesic requirement during postoperative first hour was lower in Group P (P <.05). Total morphine consumption was higher in Group C compared with Group P (P <.05). There was no difference between groups with respect to Apgar scores, side effects, and patient satisfaction (P >.05). Conclusions: Preoperative use of single-dose intravenous 1 g paracetamol was found to be effective in reducing the severity of pain and opioid requirements within 24 hours after cesarean section. (C) 2016 Elsevier Inc. All rights reserved.
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    Resuscitation Experience in A Patient with Left Ventricular Assist Device
    (2016) Ozmete, Ozlem; Bali, Cagla; Ergenoglu, Pinar; Suner, Halil Ibrahim; Aribogan, Anis; 0000-0002-6366-941X; 0000-0002-5957-8611; 0000-0003-2615-1918; 0000-0002-4419-5693; 0000-0001-5845-699X; 27687385; AAI-7779-2021; S-8336-2019; GON-8465-2022; J-5282-2013; AAI-8790-2021; AAJ-5381-2021