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    COMPARISON OF TRUVIEW EVO2 LARYNGOSCOPE WITH MACINTOSH LARYNGOSCOPE ON PATIENTS UNDERGOING CAESAREAN SECTION
    (Nobel Ilac, 2016) Inal, Mehmet Turan; Memis, Dilek; Yandim, Tarik; Ersoz, Sule
    Objective: A significant part of developing complications from anaesthesia during caesarean section is related to airway management. The goal of this study was to determine the efficiency of the TruView EVO2 laryngoscope compared with the Macintosh laryngoscope on patients undergoing caesarean section. Material and Method: One hundred patients requiring endotracheal intubation for caesarean delivery were divided into two groups: Group T, using the TruView EVO2 laryngoscope (n=50), and Group M, using the Macintosh laryngoscope (n=50). The view of the glottis evaluating Cormack-Lehane classification, the intubation time, the success rate, the number of intubation attempts, the blood on blade, minor laceration, dental/airway trauma, and the lowest peripheral oxygen saturation during intubation attempts were noted. Results: The view with the TruView EVO2 laryngoscope was better than the view with the Macintosh laryngoscope, using the Cormack-Lehane classification (p<0.05) for evaluation. The intubation time was 6.0 +/- 1.9 sec in group M and 13.8 +/- 3.3 sec in group T (p<0.001). The success rate was 100% in all groups. The number of intubation attempts was 46/2/2 in group T and 45/3/2 in group M (p>0.05). Blood on blade was detected in five patients in group T and in four patients in group M. Minor laceration was detected in four patients in group T and in three patients in group M. No statistically difference was detected in the incidence of complications. The lowest peripheral oxygen saturation during intubation attempts was 99.14 +/- 0.67 in group T and 99.00 +/- 0.72 in group M (p>0.05). Conclusion: The TruView EVO2 laryngoscope provides better laryngeal views and similar peripheral oxygen saturations and complication rates when compared with the Macintosh laryngoscope; thus, it can be used for intubation in obstetric patients.
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    Pulmonary embolysm after cesarean section
    (Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2007) Sahin, Sevtap Hekimoglu; Memis, Dilek; Seker, Sermin; Saritabak, Oezlem; Yandim, Tarik
    Pregnancy is a physiologic state with an increased risk for thromboembolic complications. Tachypnea and respiratory distress was evident in a 36-year-old female patient in the postoperative third hour after an elective cesarean section in the 38. week of pregnancy. Thoracic tomography revealed pulmonary embolism, the patient was admitted to the intensive care unit and tranecsamic acid infusion was started. Paradoxical septal motion and a 4x1 cm hpyerechogenic mobile mass on the right atrium attached to the inferior wall was apparent in the echocardiographic assessment. Thrombolytic infusion therapy was started due to the worsening of the patient's respiratory distress and hemodynamic state but was withdrawn due to the active bleeding from the vagina and the operation site. Bleeding was controlled by erythrocyte and thrombocyte suspensions, freshly drawn blood, and fresh frozen plasma. Echocardiographic control revealed lysis of the thrombus in the right atrium and the patient was moved to the obstetrics ward on the 4. day.