INTRODUCTION: CEAisthemainrevascularisationmethodusedtotreatseverecarotidarteryocclusion.We examined patientsretrospectivelywhounderwentcarotidendarterectomyinourclinic.
METHODS: Patientswhohadsurgeryinourclinicbetweentheyearsof2012-2014wereexamined retrospectively in terms of their demographic features, anesthesia method and surgery method,monitorisationmethodandcomplications.
RESULTS: Among 99patients,81ofthem were male and 18of them were female.Mean age was 66,66±8,96.The most used surgical method was classical method in 44patients. 21patient had general anesthesia and 76patient had cervical plexus blockage.In 2patients anesthesia method changed to general anesthesia after cervical plexus blockage.Shunt was used in9 patients.The most seen comorbidities wereCVA(%71,7),HT(%62,6) and CAD(%45,5). During operation 1 patient felt pain and 1 patient was unconscious.Cerebral oximetry was used in74patients.Temporary complications occurred in12patients.The main complication was transient ischemic attack and right hemiparesis.Permanent complications occurred in4 patients and these were right plegia+revision saphen vein interposition, plegia and haematoma in left lower and upper extremity, left hemiplegia, plegia in left arm.Permanent complications occurred in ¾ patients who received general anesthesia and ¼ patients who received cervical plexus blockage.A patient who had general anesthesia died.When we examine the patients on whom shunt was used,we observed that the most common comorbidities were CVA(n: 8),HT(n: 7),CAD(n: 5),DM(n: 4).There was no statistically significant difference between morbidity factors related to shunt use.Serebral oximetry was most commonly used in patients who had cervical plexus blockage.When we investigate the anesthesia method according to the years, we observed that there was statistically significant difference and cervical plexus blockage was the most preferred method in years.
DISCUSSION AND CONCLUSION: There is not an exact consensus on the anesthetic method for CEA.We can say that regional techniques take a larger place in CEA relation with innovation in methods of monitoring in time.

INTRODUCTION: There is no definitive suggestion for the content of the priming solution in on pump open hearth surgery, but studies comparing the advantages and disadvantages of priming liquid are still ongoing. In our study, we aim to compare the effects of colloid and crystalloid priming solutions on the final fluid balance in open heart surgery
METHODS: Data from 100 patients with ASA I–II who underwent elective on pump open heart surgery are obtained from anesthesia files and patient records. 100 patients are included to the study; 50 of them had crystalloid + colloid priming solutions and the remaining 50 had only crystalloid priming solutions.
RESULTS: Fluid balance at the end of CPB was significantly higher in crystalloid group, while at the end of surgery it was similar in both groups (p<0.001, p=0.80). Blood products used at the end of surgery and the amount of urine output were similar in both groups. Creatinine levels in the preoperative and postoperative period were similar between and in both groups
DISCUSSION AND CONCLUSION: (HES) % 6 (130/0.4) is reducing fluid balance at the end of CPB in on-pump open hearth surgery and this effect continues until the end of surgery. Effects on hemostasis and bleeding were similar with crystalloids. Although (HES) % 6 (130/0.4) does not impair creatinine levels in patients with normal renal functions, it should be contemplated as real drugs and used in appropriate doses and durations in suitable patients.

INTRODUCTION: Health is very important sector. In order for receiving quality health care services, the work conditions of health care workers should be taken in to the consideration. Intensive care departments are among the most critical unitsat the hospitals. Patients receiving care in the intensive care departments have the maximum life risks. This life risks cause serious stress at the workers who are responsible to care these risky patients.


METHODS: The purpose of this study is to measure the work stress of intensive care personnel work at the hospitals. The participants of the study are 115 intensive care workers in Antalya Education and Research Hospital. Data gathered through a “Work Stress Survey.” The survey has a three sub categories. The first sub category has several questions related to the demographic information of the workers. The second part is consisted of questions related to the “vocational evaluation” and the last part has questions related to “work stress.”
RESULTS: The findings indicated that there are statistically significant relationships between stress levels and intensive care workers jobs, age, sex and marital status.
DISCUSSION AND CONCLUSION: The results of this study showed that the work definitions at the intensive care department are needed to be redefined to reduce the working hours for the personnel. Secondly, wages for the intensive care workers should be increased to meet the needs of the personnel.

INTRODUCTION: Carbondioxide insufflation is used for prevention air embolism during cardiac surgery. At this procedure CO2 can absorbed to the blood when the operation time takes long. The aim of this study is to analyze the effects of local CO2 insufflation at the patients blood gasses and patients outcomes.
METHODS: Totally 30 patients were retrospectively analyzed in 2 groups that were scheduled for open cardiac surgery with an aortic cross clamp time was longer than 60 min. CO2 insufflation was performed in 15 patients (Group C), 15 patients were analyzed as control group without CO2 insufflation (Group K). Blood gas samples were analyzed after the induction of anesthesia (T1), at cardiopulmonary bypass (CPB) 10th minutes (T2), at CPB 60th minutes (T3) and at the end of the surgery (T4). Patients datas and results were analyzed.
RESULTS: While comparing the 2 groups, in Group C, pCO2 was statistically higher than Group K at T2 and T3, in Group C pH was lower than Group K at T3. There were no statistically difference at patients outcome except mechanical ventilation time in intensive care unit.
DISCUSSION AND CONCLUSION: During open heart surgery using carbondioxide insufflation for preventing from air embolism makes pCO2 levels higher and acidosis in blood gasses. There were no morbidity and mortality in both groups.

INTRODUCTION: In preterm infants with patent ductus arteriozus, due to low birth weight, interventional difficulties and ventilation problems caused by bronchopulmonary dysplasia are commonly observed. In this study, we analysed the anaesthetic approach, hemodynamics and surgical complications in these high risk patients.
METHODS: After the approval of the scientific committee and the informed consent of the patients, 39 preterm patients scheduled for PDA ligation in our paediatric heart surgery clinic have been enrolled for the study. Birth weeks, birth weight, additional cardiac pathology and the necrotising enterocolitis have been recorded. Hemodynamic data such as blood pressure, heart rate, SaO2 and NIRS have been monitored and complications such as hypotension, bradycardia and bleeding have been registered.
RESULTS: The average data for patients have been recorded as 8,49 ± 2,72 for gestational age at birth (week), 24,02 ± 6,35 (day) for mean age and 924,43 ± 30,70 g for weight. During the surgery, transient hypotension due to bradycardia was observed at % 25,6.
DISCUSSION AND CONCLUSION: In preterm infants that undergone PDA ligation, there is a possibility of transient hypotension, bradycardia and low oxygen saturation during anaesthesia. We concluded the importance of close observation of hemodynamics during anaesthetic management in these patients with low birth weight who may have congestive heart failure.

Dilated cardiomyopathy (DCM) is characterized as an enlargement of cardiac chambers and decay in ventricular functions which may lead to thrombus formation and embolic events consequently. Cardiac echocardiography, either transthoracic or transesophageal is an important diagnostic tool to detect intracardiac thrombi. However, we present a 16-years old female admitted to the emergency department with the complaining of fatigue, palpitation and dyspnea. She had a diagnosis of DCM and was included in heart transplantation list 2 years before. Her saturation drammatically dropped despite the intensive ventilation and eventually she was facilitated endotracheal intubation. Transesophageal echocardiography revealed left and right ventriculary failure and pericardial effusion. Left ventricile assist device implementation (LVAD) was planned but at the beginning of the surgery, the intraoperative TEE showed hypoechoic masses which were 5.3x2.6 cm and 2.3x1.9 cm in diameter and floating in the right atrium. Therefore, surgical plan switched to ECMO implantation. As a conclusion, if enough preoperative preparation can not be made, intraoperative transesophageal echocardiography may be useful in planning the surgical strategies to decrease the risk of embolic complications and protect from intraoperative complications.

Sturge-Weber Syndrome (SWS) is a rare syndrome characterized by congenital skin angiomas and ensefalotrigeminal angiomatosis that resulting in lesions on skin, brain and eyes. Laryngoscopy and intubation should be performed carefully with ventilation by facemask because of patients with SWS have angiomas in the airway. Alternative airway devices should be ready for difficult airway management. In this case, anesthesia management was presented in pediatric patient with SWS planned eye surgery for glaucoma.