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Öğe Investigation of the Effects of Different Intraabdominal Pressures on Optic Nerve Sheath Diameter in Patients Undergoing Major Abdominal Surgery(Springer India, 2022) Inal, Mehmet Turan; Memis, Dilek; Demir, Emin Tunc; Arslan, Ismail; Korkmaz, SelcukIncreased intraabdominal pressure (IAP) has deleterious effects on intracranial pressure. In this study, we intended to investigate the effects of intraabdominal pressure values on intracranial pressure (ICP) measured by ultrasound-assisted optic nerve sheath diameter (ONSD) measurement in patients who underwent major surgery. Observational study. All patients' age, gender, weight, types of surgeries, comorbidities, Acute Physiology and Chronic Health Evaluation (APACHE) score, Sequential Organ Failure Assessment (SOFA) score, operation time, and amount of fluid administered during the operation were all recorded. Intraabdominal pressure and optic nerve sheath diameter measurements were measured. The patients were separated into 3 groups: group I, intraabdominal pressure 0-11 mmHg; group II, intraabdominal pressure 12-19 mmHg; and group III, intraabdominal pressure 20 mmHg and above. Intensive care unit (ICU) stay and prognosis were all recorded. Intraabdominal pressure, left optic nerve sheath diameter, right optic nerve sheath diameter, and heart rate (HR) measurements were meaningfully higher in group II and group III compared to group I (p < 0.001 for each), and group III was significantly higher compared to group I (p < 0.001). In patients with high intraabdominal pressure, optic nerve sheath diameter follow-up with ultrasonography gains great importance. We recommend that attention should be paid to this situation.Öğe Simplified Weaning After Use of Quetiapine in a Patient: Case Report(Galenos Yayincilik, 2020) Inal, Mehmet Turan; Memis, Dilek; Demir, Emin Tunc; Uyar, Ahmet Senol; Arslan, Ismail; Bozkurtlu, PoyrazDelirium is an organic dysfunction including the brain's inflammatory response to injury, hormonal effects and changes in neurotransmission and neural network. Delirium is one of the major causes of weaning difficulty in intensive care unit (ICU) patients. In this case report, we tried to explain the successful weaning procedure in a patient using quetiapine after trying all treatment options due to delirium in the ICU. This report emphasizes that second-generation antipsychotics should be kept in mind in patients who cannot be disconnected from the mechanical ventilator due to delirium.Öğe Takotsubo Cardiomyopathy in Paraplegic Patient in Intensive Care Unit: A Case Report(Galenos Yayincilik, 2019) Demir, Emir Tunc; Arslan, Ismail; Kaya, Caglar; Inal, Mehmet Turan; Altay, Servet; Memis, DilekTakotsubo cardiomyopathy (TC) is a disease mimicking Acute Coronary syndrome with electrocardiographic changes as well as temporary, reversible regional wall motion defect in the apical and middle segments of the left ventricle. It may be associated with emotional and physical stress caused by serious medical discomfort or surgical stress. Although it is more common in postmenopausal women, it is thought that stress-induced catecholamine discharge causes TC. Intensive care patients are at high risk for emotional and physical stress due to various factors such as multisystem diseases and problems due to prolonged hospitalization. In this case report, we aimed to present the characteristics of TC following long-term intensive care follow-up of our patient who was paraplegic due to cervical trauma and conscious, and to discuss the differential diagnosis and evaluate the literature.