{"id":2837,"date":"2019-08-18T18:56:11","date_gmt":"2019-08-18T15:56:11","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=2837"},"modified":"2020-10-17T19:54:48","modified_gmt":"2020-10-17T16:54:48","slug":"sizi-uyutan-gercek-propofol-bagimliligi","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/sizi-uyutan-gercek-propofol-bagimliligi\/","title":{"rendered":"S\u0130Z\u0130 UYUTAN GER\u00c7EK (!): PROPOFOL BA\u011eIMLILI\u011eI"},"content":{"rendered":"\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-1024x1024.jpg\" alt=\"\" class=\"wp-image-2866\" width=\"698\" height=\"698\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/0524-mj-propofol-lethal-1-1-768x768.jpg 768w\" sizes=\"(max-width: 698px) 100vw, 698px\" \/><figcaption>2009 y\u0131l\u0131nda MJ, doktorunun ona uygulad\u0131\u011f\u0131 propofol y\u00fcz\u00fcnden intoksikasyona u\u011fram\u0131\u015f ve solunumu durmu\u015ftu. Jackson, 50 ya\u015f\u0131ndayd\u0131.<br>Kaynak:  <br><a href=\"https:\/\/www.scientificamerican.com\/article\/propofol-michael-jackson-doctor\/\">https:\/\/www.scientificamerican.com\/article\/propofol-michael-jackson-doctor\/<\/a> <br><br> <br><a href=\"https:\/\/www.novinite.com\/articles\/105043\/WHO+IS+WHO%3A+Michael+Jackson+%281958+-+2009%29\">https:\/\/www.novinite.com\/articles\/105043\/WHO+IS+WHO%3A+Michael+Jackson+%281958+-+2009%29<\/a>  <\/figcaption><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large\"><p>Yaz\u0131y\u0131 okumadan \u00f6nce muhakkak \u00e7o\u011funuz ba\u015fl\u0131kla yukar\u0131daki foto\u011fraf\u0131n aras\u0131ndaki ili\u015fkinin ne oldu\u011funu anlayamad\u0131. Ama hat\u0131rlayacak olursan\u0131z, 2009 y\u0131l\u0131nda d\u00fcnyaca \u00fcnl\u00fc \u015fark\u0131c\u0131 Michael Jackson&#8217;\u0131n  ani \u00f6l\u00fcm haberi t\u00fcm d\u00fcnyada \u015fok etkisi b\u0131rakm\u0131\u015ft\u0131. \u00d6l\u00fcm\u00fcn\u00fcn ard\u0131ndan \u00e7ok k\u0131sa bir s\u00fcre sonra neden \u00f6ld\u00fc\u011f\u00fcne dair bir\u00e7ok iddia ortaya at\u0131lm\u0131\u015ft\u0131. Ortaya at\u0131lan iddialardan bir tanesi varki, otopsi raporunca da do\u011frulanm\u0131\u015ft\u0131. Peki neydi o iddia? Laf\u0131 uzatmadan hemen s\u00f6yleyeyim: <\/p><p>PROPOFOL BA\u011eIMLILI\u011eI<\/p><p>Michael Jackson&#8217;dan dolay\u0131 &#8220;Propofol Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131&#8221; dillerimize pelesenk olmu\u015f olsa da, asl\u0131nda \u00e7o\u011fu sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131n\u0131n da bu durumdan muzdarip oldu\u011funu hatta baz\u0131 sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n bu y\u00fczden \u00f6ld\u00fc\u011f\u00fcn\u00fc bas\u0131n yoluyla ve birtak\u0131m \u00e7al\u0131\u015fmalar sayesinde de biliyoruz.<\/p><p>Peki nedir propofol? \u00c7o\u011funuzun bildi\u011fi gibi kendisi k\u0131rm\u0131z\u0131 re\u00e7eteyle sat\u0131lan  g\u00fc\u00e7l\u00fc bir anestetik  ila\u00e7t\u0131r.<\/p><p>Peki  \u00e7o\u011fu sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 bu ilac\u0131  <br>neden kullan\u0131yor?<\/p><p>Propofolun kullananlara sa\u011flad\u0131\u011f\u0131 faydalar ve zararlar nelerdir?<\/p><p>Neden \u00f6l\u00fcme yol a\u00e7\u0131yor?<\/p><p>Ki\u015filerin bu ilac\u0131 kullanmalar\u0131na mani olmak i\u00e7in nas\u0131l tedbirler al\u0131nabilir?<\/p><p> Sa\u011fl\u0131k bakanl\u0131\u011f\u0131 nas\u0131l bir politika uygulayabilir? <\/p><p><\/p><p>Bug\u00fcn sizinle birlikte bu sorular\u0131n cevaplar\u0131n\u0131 ararken  propofolun ne oldu\u011funu da ele alaca\u011f\u0131m.<\/p><\/blockquote>\n\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:58px\">K\u0131saca Propofol<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-drop-cap has-medium-font-size\">Propofol ,  yo\u011fun bak\u0131mda solunum makinesine ba\u011fl\u0131 ki\u015filerde sedasyon, ameliyathanelerde ise genel anesteziyi ind\u00fcklemek ve s\u00fcrd\u00fcrmek amac\u0131yla kullan\u0131lan k\u0131sa etkili intraven\u00f6z verilen bir ila\u00e7t\u0131r. Propofol g\u00fcn\u00fcm\u00fczde anestezi ind\u00fcklemede en s\u0131k ba\u015fvurulan y\u00f6ntem olsa da, yan etkilerinden dolay\u0131 yerini ba\u015fka ila\u00e7lara b\u0131rakmaya ba\u015flam\u0131\u015ft\u0131r. Propofol \u00e7ok h\u0131zl\u0131 s\u00fcrede etki eden, beyni ve sinir sistemini yava\u015flatarak \u00e7al\u0131\u015fan bir ila\u00e7t\u0131r.  Propofolun uyguland\u0131\u011f\u0131 hasta, kendisine y\u00f6neltilen b\u00fct\u00fcn sorulara cevap verir ama prosed\u00fcr sonras\u0131nda olanlar\u0131n hi\u00e7birini hat\u0131rlamaz.  Propofol uyguland\u0131\u011f\u0131 s\u0131rada ki\u015fi a\u011fr\u0131y\u0131 hisseder ama yine prosed\u00fcr sonras\u0131nda bu a\u011fr\u0131y\u0131 hat\u0131rlamaz.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote\"><p><strong>Propofol \u00e7ok h\u0131zl\u0131 hareket eder ve beyin dalgas\u0131 aktivitelerini yava\u015flatarak  \u00e7al\u0131\u015f\u0131r.<\/strong><\/p><cite>Anestezi Uzman\u0131 Dr. John Dombrowski, Washington A\u011fr\u0131 Merkezi <\/cite><\/blockquote>\n\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:44px\">Propofol Metabolizmas\u0131 ve Etki Mekanizmas\u0131<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol, karaci\u011ferde kapsaml\u0131 bir  \u015fekilde metabolize edildikten sonra, idrar ve d\u0131\u015fk\u0131 yoluyla at\u0131lan bir ila\u00e7t\u0131r. Uygulanm\u0131\u015f propofolun \u00e7o\u011fu, idrarda glukuronit konjugat\u0131 olarak ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/imgsrv.png\" alt=\"\" class=\"wp-image-2873\" width=\"303\" height=\"303\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/imgsrv.png 300w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/imgsrv-150x150.png 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/imgsrv-250x250.png 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/imgsrv-125x125.png 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/imgsrv-110x110.png 110w\" sizes=\"(max-width: 303px) 100vw, 303px\" \/><figcaption>Propofol kimyasal yap\u0131s\u0131<br> (3D yap\u0131s\u0131n\u0131 incelemek i\u00e7in alttaki kaynaktan yararlanabilirsiniz.)<br>Kaynak :  <br><a href=\"https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Propofol#section=2D-Structure\">https:\/\/pubchem.ncbi.nlm.nih.gov\/compound\/Propofol#section=2D-Structure<\/a> <\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\">Propofolun nas\u0131l \u00e7al\u0131\u015ft\u0131\u011f\u0131 tam olarak bilinmese de, di\u011fer anestetik ila\u00e7lar gibi \u00e7al\u0131\u015ft\u0131\u011f\u0131 yani GABA (Gamma-amino b\u00fctirik asit) resept\u00f6rleriyle etkile\u015fime ge\u00e7ti\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir. Propofolun  GABA-A resept\u00f6rleri yoluyla  etkisini g\u00f6sterdi\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Rekombinant insan GABA-A resept\u00f6rleri \u00fczerinde yap\u0131lan deneylerle propofolun etki mekanizmas\u0131 ayd\u0131nlat\u0131lmaya \u00e7al\u0131\u015f\u0131lmaktad\u0131r.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:44px\">Propofolun Farmakodinamisi<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofolun farmakodinamisini anlatmadan \u00f6nce, farmakodinami\u011fin ne oldu\u011fundan k\u0131saca bahsetmemde yarar var. Farmakodinamik, ilac\u0131n v\u00fccutta sebep oldu\u011fu etkileri inceleyen bilim dal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Bilim insanlar\u0131n  propofolun v\u00fccuttaki etkilerini incelerken 4 sisteme yo\u011funla\u015fla\u015fm\u0131\u015flard\u0131r. Bunlar, Merkezi Sinir Sistemi, Solunum Sistemi,Kardiyovask\u00fcler Sistem ve Hepatorenal Sistemdir.<\/p>\n\n\n\n<p class=\"has-large-font-size\">1.Merkezi Sinir Sistem<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol hipnotik etkilerini, inhibit\u00f6r n\u00f6rotransmitter olan GABA&#8217;n\u0131n etkilerinin potensiyasyonunu sa\u011flayarak g\u00f6sterir.Propofolun molek\u00fcler seviyedeki etkileri bilinse de, bu etkilerin h\u00fccresel, sinaptik ve sinirsel ba\u011flant\u0131 fonksiyonlar\u0131nda hangi \u015fekilde de\u011fi\u015fikli\u011fe yol a\u00e7t\u0131\u011f\u0131 bilinmiyor.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol serebral metabolizmay\u0131, kan ak\u0131\u015f\u0131n\u0131, intrakranyal bas\u0131nc\u0131 d\u00fc\u015f\u00fcr\u00fcr. Y\u00fcksek dozlarda uyguland\u0131\u011f\u0131 takdirde, sistemik arteryel bas\u0131n\u00e7 d\u00fc\u015fer ve serebral perf\u00fczyonun azalmas\u0131na neden olur.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-large-font-size\">2.Solunum Sistemi<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol, solunum sistemini kuvvetli bir \u015fekilde bask\u0131layan bir ila\u00e7t\u0131r. Merkezi Kemoresept\u00f6r sensitivitesini doza ba\u011fl\u0131 olarak etkileyip, solunumu bask\u0131lar. \u00c7ok y\u00fcksek dozlar uyguland\u0131\u011f\u0131 takdirde apneye sebep olur.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-large-font-size\">3.Kardiyovask\u00fcler Sistem<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofolun kardiyovask\u00fcler sistemde en belirgin etkisi Kardiyak outputu azaltarak sistemik kan bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcrmesidir. Doza ba\u011fl\u0131 olarak g\u00f6r\u00fclen bu etki sedatif dozlarda bile g\u00f6r\u00fcl\u00fcr. Y\u00fcksek dozlarda hem miyokardiyal depresyon hem de sistemik vask\u00fcler resistans\u0131n d\u00fc\u015fmesiyle birlikte kan bas\u0131nc\u0131 d\u00fc\u015fer. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-large-font-size\">4.Hepatorenal Sistem<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol karaci\u011fer taraf\u0131ndan metabolize edilen ve renal sistem yoluyla da elimine edilen bir ila\u00e7 olsa da,  propofol kullan\u0131ld\u0131\u011f\u0131 takdirde karaci\u011ferin ve renal sistemin i\u015flevlerinin etkilenmedi\u011fi tesipt edilmi\u015ftir. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-huge-font-size\">Propofolun Yan Etkileri<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofolun olas\u0131  yan etkilerini incelerken yayg\u0131n ve nadir g\u00f6r\u00fclen olmak \u00fczere 2 gruba kategorize etmekte fayda var.<\/p>\n\n\n\n<p class=\"has-large-font-size\">1.Yayg\u0131n Etkiler <\/p>\n\n\n\n<p class=\"has-medium-font-size\"> Hipotansiyon<\/p>\n\n\n\n<p class=\"has-medium-font-size\">30-60  saniye veya daha uzun s\u00fcre solunumun durmas\u0131<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Enjeksiyon b\u00f6lgesinde a\u011fr\u0131<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Respiratuar Asidoz<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Hipertansiyon<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Kalp At\u0131\u015f h\u0131z\u0131n\u0131n yava\u015flamas\u0131<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Kardiyak outputun azalmas\u0131<\/p>\n\n\n\n<p class=\"has-large-font-size\">2.Nadir G\u00f6r\u00fclen Etkiler<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Arteryel hipotansiyon<\/p>\n\n\n\n<p class=\"has-medium-font-size\">A\u011f\u0131r Alerjik reaksiyonlar<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Asistol ( miyokard\u0131n kas\u0131lmamas\u0131)<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Bronkospazm<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Kalp Krizi<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Pankreatit<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Pulmoner \u00d6dem<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Renal t\u00fcb\u00fcler toksisite<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-huge-font-size\">Propofol Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u00dczerine&#8230;<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol ba\u011f\u0131ml\u0131lar\u0131n\u0131n b\u00fcy\u00fck bir \u00e7o\u011funlu\u011fu sa\u011fl\u0131k sekt\u00f6r\u00fcnde \u00e7al\u0131\u015f\u0131r fakat propofol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n toplumdaki kullan\u0131m\u0131 az\u0131msanamayacak kadar fazlad\u0131r.  Propofol kullan\u0131ma dair vaka sunumlar\u0131 1992&#8217;den beri var olsa da, propofol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131na kar\u015f\u0131 fark\u0131ndal\u0131k 2009 y\u0131l\u0131nda Michael Jackson&#8217;\u0131n propofola ba\u011fl\u0131 solunum durmas\u0131 nedeniyle \u00f6lmesiyle ancak ivme  kazanabilmi\u015ftir. Halbuki, Amerika Birle\u015fik Devletleri&#8217;nde yap\u0131lan anket \u00e7al\u0131\u015fmas\u0131 sonucunda propofolun toplumda k\u00f6t\u00fcye kullan\u0131m\u0131 %3&#8217;e kadar ula\u015fm\u0131\u015ft\u0131r. Bir anestetik ila\u00e7 olan propofolun ABD gibi y\u00fcksek n\u00fcfuslu bir \u00fclkede kullan\u0131m oran\u0131n\u0131 hesaplad\u0131\u011f\u0131m\u0131zda bu say\u0131 kesinlikle k\u00fc\u00e7\u00fcmsenemeyecek b\u00fcy\u00fckl\u00fcktedir.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Haritada y\u00f6n\u00fcm\u00fcz\u00fc do\u011fuya \u00e7evirdi\u011fimizde, propofola dair \u00e7al\u0131\u015fmalar\u0131n Kore&#8217;de yo\u011funl\u015fat\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcr. Korede yap\u0131lan \u00e7al\u0131\u015fmalarda propofol y\u00fcz\u00fcnden \u00f6len ki\u015filerin %70&#8217;ten fazlas\u0131n\u0131n sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131 oldu\u011fu ortaya \u00e7\u0131km\u0131\u015ft\u0131r. <\/p>\n\n\n\n<p class=\"has-medium-font-size\">Yine Kore&#8217;de yap\u0131lan ba\u015fka bir \u00e7al\u0131\u015fmaya g\u00f6re, propofolun sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 aras\u0131ndaki kullan\u0131m y\u00fczdesi a\u00e7\u0131klanmasa da, tahmin edildi\u011finden daha y\u00fcksek oldu\u011fu s\u00f6ylenmektedir.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Kore G\u0131da ve \u0130la\u00e7 \u0130daresi&#8217;nin yapt\u0131\u011f\u0131 bir a\u00e7\u0131klamaya g\u00f6re 2011 y\u0131l\u0131ndaki propofol kullan\u0131m\u0131 2009 y\u0131l\u0131ndaki propofol kullan\u0131m\u0131n\u0131 ikiye katlam\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Her ne kadar propofol kullan\u0131m\u0131 \u00e7o\u011funlukla sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda g\u00f6r\u00fclse de, \u00f6zellikle e\u011flence sekt\u00f6r\u00fcnde \u00e7al\u0131\u015fan ki\u015filer aras\u0131nda da kullan\u0131m\u0131 yayg\u0131nd\u0131r. <\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol kullan\u0131m\u0131n\u0131n ameliyathane ve yo\u011fun bak\u0131m d\u0131\u015f\u0131nda kullan\u0131lmas\u0131n\u0131n hatta ba\u011f\u0131ml\u0131l\u0131\u011fa d\u00f6n\u00fc\u015fmesinde sebep olan fakt\u00f6r, ilac\u0131 kullanan ki\u015filerin hayatlar\u0131nda uyku problemiyle m\u00fccadele ediyor olmalar\u0131. Yaz\u0131n\u0131n ba\u015f\u0131ndan beri bahsetti\u011fim Michael Jackson da uyku problemi \u00e7eken biriydi, hatta \u00f6l\u00fcm\u00fcnden sonra a\u00e7\u0131lan davalarda MJ&#8217;in 60 g\u00fcn boyunca hi\u00e7 uyumad\u0131\u011f\u0131 belirtildi.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol sonras\u0131n ki\u015fi uykudan uyand\u0131\u011f\u0131 zaman kendini dinlenmi\u015f ve enerjik hisseder. Propofol uykusu, etkili bir o kadar da h\u0131zl\u0131 bir uykudur.  Fakat bu ila\u00e7 ameliyathane ortam\u0131nda uygulanmad\u0131\u011f\u0131 takdirde ciddi sonu\u00e7lara yol a\u00e7abilir. \u00c7\u00fcnk\u00fc propofol solunumu bask\u0131layabilen, tanisyonu  d\u00fc\u015f\u00fcren ve kardiyak outputu yani kalp at\u0131m\u0131n\u0131 durdurabilen bir ila\u00e7t\u0131r.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-huge-font-size\">Propofol Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131 \u00d6nlemek \u0130\u00e7in&#8230;<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Normalde bu yaz\u0131lar\u0131 yazarken kendi yorumumuzu yapmam\u0131z hi\u00e7bir \u015fekilde do\u011fru de\u011fil. Fakat okuduklar\u0131mdan, ara\u015ft\u0131rd\u0131klar\u0131mdan \u00e7\u0131kard\u0131\u011f\u0131m bir tak\u0131m \u015feyler var.  <\/p>\n\n\n\n<p class=\"has-medium-font-size\">Baz\u0131 \u00fclkelerde doktorlar workshop gibi e\u011fitimlere kat\u0131l\u0131p propofol sedasyonu uygulama iznini alabiliyor. Fakat baz\u0131 \u00fclkelerde ise sedasyon izni sadece anestezi uzmanlar\u0131na veriliyor. B\u00f6ylece propofol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebiliyor.  E\u011fer \u00e7o\u011fu \u00fclke bu e\u011fitimlere izin vermezse bunun \u00f6n\u00fcne ge\u00e7ilebilir.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"> Propofolun uyku ilac\u0131 niyetine kullan\u0131lmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmesi i\u00e7in sa\u011fl\u0131k bakanl\u0131\u011f\u0131n\u0131n\u0131n ve gerekli t\u0131p otoritelerinin \u00e7al\u0131\u015fmalar y\u00fcr\u00fctmesinin gerekiyor.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmesi i\u00e7in yap\u0131lan vaka sunumlar\u0131n\u0131n da artmas\u0131 gerekiyor.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Propofol hakk\u0131nda bilin\u00e7lendirme politikalar\u0131n\u0131n y\u00fcr\u00fct\u00fclmesi elzem bir duruma gelmi\u015ftir.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-1024x1024.jpg\" alt=\"\" class=\"wp-image-2899\" width=\"342\" height=\"342\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-1024x1024.jpg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-150x150.jpg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-250x250.jpg 250w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-125x125.jpg 125w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-110x110.jpg 110w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2019\/08\/doktorlarin_hastanedeki_sir_olumleri_aydinlandi_h682-768x768.jpg 768w\" sizes=\"(max-width: 342px) 100vw, 342px\" \/><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\">Propofol kullan\u0131m\u0131 y\u00fcz\u00fcnden \u00f6len doktorlar\u0131n haberini okuman\u0131z i\u00e7in;  <br><a href=\"http:\/\/www.hurriyet.com.tr\/gundem\/3-doktorun-olumundeki-buyuk-sir-aydinlandi-19343467\">http:\/\/www.hurriyet.com.tr\/gundem\/3-doktorun-olumundeki-buyuk-sir-aydinlandi-19343467<\/a> <\/p>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color\">Kaynaklar:<br><\/p>\n\n\n\n<ol><li><a href=\"http:\/\/www.firattipdergisi.com\/text.php3?id=747\">http:\/\/www.firattipdergisi.com\/text.php3?id=747<\/a><\/li><li><a href=\"https:\/\/www.kimyadersi.org\/propofol.html\">https:\/\/www.kimyadersi.org\/propofol.html<\/a><\/li><li><a href=\"https:\/\/www.uchicagomedicine.org\/forefront\/research-and-discoveries-articles\/2009\/july\/propofol-a-dangerous-kind-of-rest\">https:\/\/www.uchicagomedicine.org\/forefront\/research-and-discoveries-articles\/2009\/july\/propofol-a-dangerous-kind-of-rest<\/a><\/li><li><a href=\"https:\/\/www.scientificamerican.com\/article\/propofol-michael-jackson-doctor\/\">https:\/\/www.scientificamerican.com\/article\/propofol-michael-jackson-doctor\/<\/a><\/li><li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10637364\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10637364<\/a><\/li><li><a href=\"https:\/\/www.health.harvard.edu\/blog\/propofol-the-drug-that-killed-michael-jackson-201111073772\">https:\/\/www.health.harvard.edu\/blog\/propofol-the-drug-that-killed-michael-jackson-201111073772<\/a><\/li><li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5836055\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5836055\/<\/a><\/li><li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3524421\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3524421\/<\/a><\/li><li><a href=\"https:\/\/www.journalagent.com\/tard\/pdfs\/TARD_43_6_434_436.pdf\">https:\/\/www.journalagent.com\/tard\/pdfs\/TARD_43_6_434_436.pdf<\/a><\/li><li><a href=\"http:\/\/ https:\/\/www.sciencedirect.com\/topics\/neuroscience\/propofol\"> https:\/\/www.sciencedirect.com\/topics\/neuroscience\/propofol <\/a><\/li><li><a href=\"http:\/\/ https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6267518\/\"> https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6267518\/ <\/a><\/li><li><a href=\"http:\/\/ https:\/\/www.rxlist.com\/diprivan-side-effects-drug-center.htm\"> https:\/\/www.rxlist.com\/diprivan-side-effects-drug-center.htm<\/a> <\/li><li> <a href=\"https:\/\/www.rxlist.com\/consumer_propofol_diprivan\/drugs-condition.htm\">https:\/\/www.rxlist.com\/consumer_propofol_diprivan\/drugs-condition.htm <\/a><\/li><li><a href=\"http:\/\/ https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=wilson%20canning%20caravati&amp;cmd=correctspelling\"> https:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=wilson%20canning%20caravati&amp;cmd=correctspelling <br><\/a><br><\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Yaz\u0131y\u0131 okumadan \u00f6nce muhakkak \u00e7o\u011funuz ba\u015fl\u0131kla yukar\u0131daki foto\u011fraf\u0131n aras\u0131ndaki ili\u015fkinin ne oldu\u011funu anlayamad\u0131. Ama hat\u0131rlayacak olursan\u0131z, 2009 y\u0131l\u0131nda d\u00fcnyaca \u00fcnl\u00fc<\/p>\n","protected":false},"author":52,"featured_media":2885,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[167,417,420,415,426,424,423,86,422,150,418,414,425,416,421,419],"acf":[],"views":8129,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/2837"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/52"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=2837"}],"version-history":[{"count":30,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/2837\/revisions"}],"predecessor-version":[{"id":2905,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/2837\/revisions\/2905"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/2885"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=2837"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=2837"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=2837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}