1
|
Sarıtaş A, Sarıtaş PU, Uzun U. Effectiveness of the oxygen reserve index in detecting and preventing hyperoxia in critically ill patients on mechanical ventilation: a randomized controlled trial. Croat Med J 2023; 64:404-412. [PMID: 38168521 PMCID: PMC10797238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Accepted: 11/21/2023] [Indexed: 01/05/2024] Open
Abstract
AIM To assess the effectiveness of fraction of inspired oxygen (FiO2) titration guided by oxygen reserve index (ORi) in preventing hyperoxia in intensive care unit (ICU) patients receiving mechanical ventilator support. METHODS Patients aged 18 years and older who were admitted to a tertiary ICU and required mechanical ventilator support were randomly divided into two groups: the control group (n=30) and the oxygen saturation (SpO2) +ORi group (n=30). In the SpO2+ORi group, the goal was to maintain SpO2 between 95% and 98% and ORi at 0.00. In both groups, SpO2, ORi, partial pressure of oxygen (PaO2), partial pressure of carbon dioxide, positive end-expiratory pressure, FiO2, and hemodynamic parameters were recorded every six hours for two consecutive days. RESULTS A very strong positive linear correlation was found between PaO2 and ORi (r=0.937; P<0.001). In the ORi+SpO2 group, PaO2 values were significantly lower and decreased with FiO2 titration over time. Severe hyperoxia was observed in 24.8% of the control group and in only 3.3% of the ORi+SpO2 group. When PaO2>120 mm Hg, FiO2>0.40 was found in 83.5% of the control group, and in 40% of the ORi+SpO2 group. CONCLUSION FiO2 titration guided by ORi+SpO2 effectively prevents hyperoxia and reduces the exposure time to hyperoxia in critically ill patients.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- Aykut Sarıtaş, Department of Anesthesiology and Reanimation, Health Sciences University, İzmir Faculty of Medicine, Tepecik Training and Research Hospital, Güney Mahallesi 1140/1 sokak no: 1 Yenişehir, 35000 Izmir, Turkey,
| | | | | |
Collapse
|
2
|
Güngör S, Ediboğlu Ö, Yazıcıoğlu Moçin Ö, Adıgüzel N, Tuncay E, Ekiz İşcanlı İG, Er B, Karakurt Z, Turan S, Kosovalı BD, Mutlu NM, Kayar D, Gökbulut Bektaş Ş, Uysal E, Seğmen F, Alp G, Erdem D, Has Selmi N, Güven P, Özçelik Z, Ocakcıoğlu M, Yazıcı Özgür C, Yılmaz R, Bilgi Özel D, Cebeci H, Güler B, Cansever C, Çakırca M, İnceöz H, Solmaz İ, Özkan Sipahioğlu F, Aydın EM, Dayanır H, Öner SF, Karatepe U, Özen S, Boran M, Ergül DF, Kasapoğlu US, Delen LA, Toy E, Altun K, Albayrak T, Yanal H, Zaim G, Yarar V, Kılınç G, Deniz M, Özdemir E, Soylu VG, Yılmaz A, Saygılı SM, Öztürk EK, Ergan B, Eyüpoğlu S, Şahin Y, Yüksel B, Bulut A, Sarıtaş A, Yeniay H, Genç M, Kargın F, Özcan O, Karakoç E, Karaca Ü, Sözütek D, Sarı S, Şenoğlu N, Aygün H, Yiğit AC, Kavruk N, Uzan ÇA, Bıçakcıoğlu M, Solak S, Kutbay Özçelik H, Uluç K, Yıldırım İ, Arar MC, Demirel İ, Küver SU, Özgür ES, Aydın K, Erdal Dönmez G, Aygencel G, Esmaoğlu A, Sebil Aydın B, Tokur ME, Korkmaz Ekren P, Aydemir Y, Çakır Güney B, Erdil ÖY, Tünay A, Bahadır T, Uçkun S, Kocaoğlu N, Pınar HU, Kutluer Karaca N, Gültekin H, Ayvat P, Belin Özer A, Eroğlu A, Kuyrukluyıldız U, Baytar Ç, Ayoğlu H, Mızrakçı S, Metin H, Zanbak Mutlu ÖP, Yılmaz H, Tüzüner F. Evaluation of Patients with COVID-19 Followed Up in Intensive Care Units in the Second Year of the Pandemic: A Multicenter Point Prevalence Study. Thorac Res Pract 2023. [PMID: 37994835 DOI: 10.5152/thoracrespract.2023.23024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2023]
Abstract
OBJECTIVE A 1-day point prevalence study was planned to obtain country data by determining the clinical characteristics, follow-up and treatment methods of coronavirus disease 2019 (COVID-19) cases that required intensive care unit (ICU) treatment in the second year of the pandemic. MATERIAL AND METHODS All patients who were hospitalized in the ICUs due to COVID-19 between March 11, 2022, 08.00 am, and March 12, 2022, 08.00 am, were included in the study. Demographic characteristics, intensive care and laboratory data, radiological characteristics, and follow-up results of the patients were recorded. RESULTS A total of 811 patients from 59 centers were included in the study, 59% of the cases were male, and the mean age was 74 ± 14 years. At least one comorbid disease was present in 94% of the cases, and hypertension was the most common. When ICU weight scores were examined, Acute Physiology and Chronic Health Evaluation-II: 19 (15-27) and Sequential Organ Failure Assessment: 7 (4-10) were seen. Sepsis was present in 37% (n = 298) of cases. PaO2/FiO2 ratios of the patients were 190 the highest and 150 the lowest and 51% of the cases were followed via invasive mechanical ventilation. On the study day, 73% bilateral involvement was seen on chest x-ray, and ground-glass opacities (52%) were the most common on chest tomography. There was growth in culture in 40% (n = 318) of the cases, and the most common growth was in the tracheal aspirate (42%). CONCLUSION The clinical course of COVID-19 is variable, and ICU follow-up was required due to advanced age, comorbidity, presence of respiratory symptoms, and widespread radiological involvement. The need for respiratory support and the presence of secondary infection are important issues to be considered in the follow-up. Despite the end of the second year of the pandemic and vaccination, the high severity of the disease as well as the need for follow-up in ICUs has shown that COVID-19 is an important health problem.
Collapse
Affiliation(s)
- Sinem Güngör
- Department of Respiratory Intensive Care, University of Health Sciences Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Özlem Ediboğlu
- Department of Intensive Care Unit, University of Health Sciences İzmir Dr. Suat Şeren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey
| | - Özlem Yazıcıoğlu Moçin
- Department of Respiratory Intensive Care, University of Health Sciences Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Nalan Adıgüzel
- Department of Respiratory Intensive Care, University of Health Sciences Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Eylem Tuncay
- Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey
| | - İnşa Gül Ekiz İşcanlı
- Department of Respiratory Intensive Care, University of Health Sciences Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Berrin Er
- Medical Intensive Care Unit, Ankara City Hospital, Ankara, Turkey
| | - Zuhal Karakurt
- Department of Respiratory Intensive Care, University of Health Sciences Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Sema Turan
- Medical Intensive Care Unit, Ankara City Hospital, Ankara, Turkey
| | | | - Nevzat Mehmet Mutlu
- Department of Critical Care, University of Health Sciences Ankara City Hospital, Ankara, Turkey
| | - Duygu Kayar
- Medical Intensive Care Unit, Ankara City Hospital, Ankara, Turkey
| | | | - Elmas Uysal
- Medical Intensive Care Unit, Ankara City Hospital, Ankara, Turkey
| | - Fatih Seğmen
- Medical Intensive Care Unit, Ankara City Hospital, Ankara, Turkey
| | - Gürayalp Alp
- Department of Intensive Care, University of Health Sciences Ankara City Hospital, Ankara, Turkey
| | - Deniz Erdem
- Department of Intensive Care, University of Health Sciences Ankara City Hospital, Ankara, Turkey
| | - Nazan Has Selmi
- Medical Intensive Care Unit, Ankara City Hospital, Ankara, Turkey
| | - Pınar Güven
- Department of Intensive Care, Prof. Dr. Feriha Öz Emergency and Pandemic Hospital, İstanbul, Turkey
| | - Zerrin Özçelik
- Department of Intensive Care, Prof. Dr. Feriha Öz Emergency and Pandemic Hospital, İstanbul, Turkey
| | - Merve Ocakcıoğlu
- Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey
| | - Canan Yazıcı Özgür
- İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Rabia Yılmaz
- Department of Intensive Care, University of Health Sciences Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Deniz Bilgi Özel
- University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Halil Cebeci
- University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Bahar Güler
- Department of Intensive Care, University of Health Sciences Bakırköy Sadi Konuk Training and Research Hospital, İstanbul, Turkey
| | - Canan Cansever
- University of Health Sciences Ankara City Hospital, Ankara, Turkey
| | | | - Hansa İnceöz
- University of Health Sciences Gülhane Training and Research Hospital, İstanbul, Turkey
| | - İlker Solmaz
- University of Health Sciences Gülhane Training and Research Hospital, İstanbul, Turkey
| | - Fatma Özkan Sipahioğlu
- Department of Intensive Care, Clinic of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey
| | - Eda Macit Aydın
- Department of Intensive Care, Clinic of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey
| | - Hakan Dayanır
- University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | | | | | - Serkan Özen
- Elazığ Fethi Sekin City Hospital, Elazığ, Turkey
| | - Maruf Boran
- Department of General Intensive Care Unit, Amasya University Sabuncuoğlu Şerafettin Training and Research Hospital, Amasya, Turkey
| | - Dursun Fırat Ergül
- Department of General Intensive Care Unit, Amasya University Sabuncuoğlu Şerafettin Training and Research Hospital, Amasya, Turkey
| | - Umut Sabri Kasapoğlu
- Department of Intensive Care, Marmara University Faculty of Medicine, İstanbul, Turkey
| | - Leman Acun Delen
- Department of Anesthesiology and Reanimation, Malatya Training and Research Hospital, Malatya, Turkey
| | - Erol Toy
- Karabük Training and Research Hospital, Karabük, Turkey
| | - Koray Altun
- Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
| | | | - Hülya Yanal
- Department of Anesthesiology and Reanimation, İlhan Özdemir Public Hospital, Giresun, Turkey
| | - Gizem Zaim
- Giresun Prof. Dr. A. İlhan Özdemir Public Hospital, Giresun, Turkey
| | - Volkan Yarar
- Balıkesir Atatürk City Hospital, Balıkesir, Turkey
| | | | - Mustafa Deniz
- Department of Intensive Care, İzzet Baysal State Hospital, Bolu, Turkey
| | | | - Veysel Garani Soylu
- Department of General Intensive Care, Kastamonu University, Kastamonu, Turkey
| | - Ayşe Yılmaz
- Kastamonu Training and Research Hospital, Kastamonu, Turkey
| | - Saba Mukaddes Saygılı
- Department of Intensive Care Unit, University of Health Sciences İzmir Dr. Suat Şeren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey
| | - Ejder Kamil Öztürk
- Department of Intensive Care, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Begüm Ergan
- Department of Intensive Care, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | | | - Yiğit Şahin
- Giresun University Training and Research Hospital, Giresun, Turkey
| | - Beyza Yüksel
- Giresun Training and Research Hospital, Giresun, Turkey
| | - Azime Bulut
- Giresun Training and Research Hospital, Giresun, Turkey
| | - Aykut Sarıtaş
- Department of Intensive Care Unit, University of Health Sciences İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Hicret Yeniay
- Department of Intensive Care Unit, University of Health Sciences İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Mürşide Genç
- University of Health Sciences Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Turkey
| | - Feyza Kargın
- Department of Intensive Care, University of Health Sciences Kartal Lütfi Kırdar Training and Research Hospital, İstanbul, Turkey
| | - Osman Özcan
- Department of Anesthesiology and Reanimation, Eskişehir Osmangazi University, Eskişehir, Turkey
| | - Ebru Karakoç
- Department of Anesthesiology and Reanimation, Eskişehir Osmangazi University, Eskişehir, Turkey
| | - Ümran Karaca
- University of Health Sciences Bursa Yüksek İhtisas Traning and Research Hospital, Bursa, Turkey
| | - Didem Sözütek
- Department of Intensive Care, University of Health Sciences Adana City Hospital, Adana, Turkey
| | - Sema Sarı
- Niğde Training and Research Hospital, Çankaya, Turkey
| | - Nimet Şenoğlu
- Bakırçay University Çiğli Training and Research Hospital, İzmir, Turkey
| | - Hakan Aygün
- Bakırçay University Çiğli Training and Research Hospital, İzmir, Turkey
| | | | - Nilgün Kavruk
- Department of Anesthesiology and Reanimation, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
| | | | - Murat Bıçakcıoğlu
- Department of Anaesthesiology and Reanimation, İnönü University Faculty of Medicine, Malatya, Turkey
| | | | - Hatice Kutbay Özçelik
- University of Health Sciences Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, İstanbul, Turkey
| | - Kamuran Uluç
- Department of Anesthesiology and Reanimation, University of Health Sciences Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - İlker Yıldırım
- Tekirdağ Namık Kemal University Hospital, Tekirdağ, Turkey
| | | | | | | | - Eylem Sercan Özgür
- Department of Chest Diseases, Mersin University Faculty of Medicine, Mersin, Turkey
| | | | - Gül Erdal Dönmez
- University of Health Sciences Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Gülbin Aygencel
- Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Aliye Esmaoğlu
- Department of Anesthesiology and Reanimation, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | - Berrak Sebil Aydın
- Department of Anesthesiology and Reanimation, Karadeniz Ereğli Public Hospital, Ereğli, Turkey
| | | | - Pervin Korkmaz Ekren
- Department of Pulmonary Disease, Ege University Faculty of Medicine, İzmir, Turkey
| | - Yusuf Aydemir
- Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Başak Çakır Güney
- University of Health Sciences Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Turkey
| | - Ömer Yavuz Erdil
- Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Turkey
| | - Abdurrahman Tünay
- University of Health Sciences İstanbul Training and Research Hospital, İstanbul, Turkey
| | | | - Serkan Uçkun
- Department of Anaesthesiology and Reanimation, Balıkesir University Faculty of Medicine, Balıkesir, Turkey
| | - Nazan Kocaoğlu
- Department of Anaesthesiology and Reanimation, Balıkesir University Faculty of Medicine, Balıkesir, Turkey
| | - Hüseyin Ulaş Pınar
- Department of Anaesthesiology and Reanimation, KTO Karatay University Faculty of Medicine, Konya, Turkey
| | - Nurcan Kutluer Karaca
- Department of Anaesthesiology and Reanimation, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Turkey
| | - Hamza Gültekin
- Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Pınar Ayvat
- İzmir Democracy University Faculty of Medicine, İzmir, Turkey
| | - Ayşe Belin Özer
- Department of Anesthesiology and Reanimation, İnönü University Faculty of Medicine, Malatya, Turkey
| | - Ahmet Eroğlu
- Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
| | | | - Çağdaş Baytar
- Department of Anaesthesiology and Reanimation, Zonguldak Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey
| | - Hilal Ayoğlu
- Department of Anaesthesiology and Reanimation, Zonguldak Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey
| | | | - Hatice Metin
- Erciyes University Faculty of Medicine, Kayseri, Turkey
| | | | - Hakan Yılmaz
- Department of Anesthesiology and Reanimation, Ufuk University Faculty of Medicine, Ankara, Turkey
| | - Filiz Tüzüner
- Department of Anesthesiology and Reanimation, Ufuk University Faculty of Medicine, Ankara, Turkey
| |
Collapse
|
3
|
Yıldırım S, Erkoyun E, Alpdoğan Ö, Yılmaz HO, Yılmaz B, Erdal Dönmez G, Sarıtaş A, Gökmen N, Ergan B, Bayrak V, Yakar MN, Kılıç Ö, Kılınç A, Saygılı S, Gaygısız Ü, Aydın K, Özel Yeşilyurt A, Cankar Dal H, Bayındır Dicle Ç, Turan S, Binay S, Yarıcı M, Yıldırım F, Hancı P, İnal MT, Akbaş T, Eyüpoğlu S, Albayrak T, Koçak G, Çakır T, Yüksel RC, Sarı A, Güneş M, Menteş O, Yamanel HL, Kirakli C. Vaccination status of COVID-19 patients followed up in the ICU in a country with heterologous vaccination policy: A multicenter national study in Turkey. J Infect Chemother 2023; 29:959-964. [PMID: 37343924 PMCID: PMC10278896 DOI: 10.1016/j.jiac.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 06/07/2023] [Accepted: 06/18/2023] [Indexed: 06/23/2023]
Abstract
OBJECTIVE Vaccination against severe acute respiratory syndrome coronavirus-2 (SARS-2) prevents the development of serious diseases has been shown in many studies. However, the effect of vaccination on outcomes in COVID-19 patients requiring intensive care is not clear. METHODS This is a retrospective multicenter study conducted in 17 intensive care unit (ICU) in Turkey between January 1, 2021, and December 31, 2021. Patients aged 18 years and older who were diagnosed with COVID-19 and followed in ICU were included in the study. Patients who have never been vaccinated and patients who have been vaccinated with a single dose were considered unvaccinated. Logistic regression models were fit for the two outcomes (28-day mortality and in-hospital mortality). RESULTS A total of 2968 patients were included final analysis. The most of patients followed in the ICU during the study period were unvaccinated (58.5%). Vaccinated patients were older, had higher Charlson comorbidity index (CCI), and had higher APACHE-2 scores than unvaccinated patients. Risk for 28-day mortality and in-hospital mortality was similar in across the year both vaccinated and unvaccinated patients. However, risk for in-hospital mortality and 28-day mortality was higher in the unvaccinated patients in quarter 4 adjusted for gender and CCI (OR: 1.45, 95% CI: 1.06-1.99 and OR: 1.42, 95% CI: 1.03-1.96, respectively) compared to the vaccinated group. CONCLUSION Despite effective vaccination, fully vaccinated patients may be admitted to ICU because of disease severity. Unvaccinated patients were younger and had fewer comorbid conditions. Unvaccinated patients have an increased risk of 28-day mortality when adjusted for gender and CCI.
Collapse
Affiliation(s)
- Süleyman Yıldırım
- University of Health Sciences Turkey, Dr. Suat Seren Chest Disease and Surgery Training and Research Hospital, Intensive Care Unit, İzmir, Turkey.
| | | | - Özcan Alpdoğan
- University of Health Sciences, İzmir Tepecik Training and Research Hospital, Intensive Care Unit, İzmir, Turkey
| | | | - Barış Yılmaz
- University of Health Sciences, Istanbul Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Gül Erdal Dönmez
- University of Health Sciences, Istanbul Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Aykut Sarıtaş
- University of Health Sciences, İzmir Tepecik Training and Research Hospital, Intensive Care Unit, İzmir, Turkey
| | - Necati Gökmen
- Dokuz Eylül University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, İzmir, Turkey
| | - Begüm Ergan
- Dokuz Eylül University, Faculty of Medicine, Department of Chest Disease, Division of Intensive Care, İzmir, Turkey
| | - Vecihe Bayrak
- Dokuz Eylül University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, İzmir, Turkey
| | - Mehmet Nuri Yakar
- Dokuz Eylül University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, İzmir, Turkey
| | - Özgür Kılıç
- On Dokuz Mayıs University, Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care, Samsun, Turkey
| | - Ahmet Kılınç
- On Dokuz Mayıs University, Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care, Samsun, Turkey
| | - Saba Saygılı
- University of Health Sciences Turkey, Dr. Suat Seren Chest Disease and Surgery Training and Research Hospital, Intensive Care Unit, İzmir, Turkey
| | - Ümmügülsüm Gaygısız
- Gazi University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Ankara, Turkey
| | - Kaniye Aydın
- Çukurova University, Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care Medicine, Adana, Turkey
| | - Aysun Özel Yeşilyurt
- Çukurova University, Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care Medicine, Adana, Turkey
| | - Hayriye Cankar Dal
- University of Health Sciences, Ankara City Hospital, Intensive Care Unit, Ankara, Turkey
| | - Çilem Bayındır Dicle
- University of Health Sciences, Ankara City Hospital, Intensive Care Unit, Ankara, Turkey
| | - Sema Turan
- University of Health Sciences, Ankara City Hospital, Intensive Care Unit, Ankara, Turkey
| | - Songül Binay
- University of Health Sciences, Ankara Dr Abdurrahman Yurtaslan Oncology Training and Research Hospital, Intensive Care Unit, Ankara, Turkey
| | - Metin Yarıcı
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of General Surgery, Intensive Care Unit, Ankara, Turkey
| | - Fatma Yıldırım
- University of Health Sciences, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Department of Chest Diseases, Pulmonary Intensive Care Unit, Ankara, Turkey
| | - Pervin Hancı
- Trakya University Faculty of Medicine, Department of Pulmonology, Division of Intensive Care, Edirne, Turkey
| | - Mehmet Turan İnal
- Trakya University Faculty of Medicine, Department of Pulmonology, Division of Intensive Care, Edirne, Turkey
| | - Türkay Akbaş
- Düzce University, Faculty of Medicine, Department of Internal Medicine, Division of Intensive Care, Düzce, Turkey
| | - Selin Eyüpoğlu
- Giresun Training and Research Hospital, Intensive Care Unit, Giresun, Turkey
| | - Tuna Albayrak
- Giresun University, Giresun Training and Research Hospital, Department of Anesthesiology and Reanimation, Giresun, Turkey
| | - Gamze Koçak
- Mersin City Hospital, Intensive Care Unit, Mersin, Turkey
| | - Tümay Çakır
- Muğla Training and Research Hospital, Intensive Care Unit, Muğla, Turkey
| | - Recep Civan Yüksel
- Ministry of Health, Kayseri City Hospital, Intensive Care Unit, Kayseri, Turkey
| | - Ali Sarı
- Gaziantep Abdulkadir Yüksel State Hospital, Intensive Care Unit, Gaziantep, Turkey
| | - Murat Güneş
- Gümüşhane State Hospital, Intensive Care Unit, Gümüşhane, Turkey
| | - Oral Menteş
- Gülhane Training and Research Hospital, Intensive Care Unit, Ankara, Turkey
| | - H Levent Yamanel
- Gülhane Training and Research Hospital, Intensive Care Unit, Ankara, Turkey
| | - Cenk Kirakli
- University of Health Sciences Turkey, Dr. Suat Seren Chest Disease and Surgery Training and Research Hospital, Intensive Care Unit, İzmir, Turkey
| |
Collapse
|
4
|
Ayvat P, Türkan H, Kupeli İ, Sarıtaş A, Atılgan AZ, Gül F, Demirkıran O. Overseas Experience and Requests in Intensive Care Doctors. tybd 2023. [DOI: 10.4274/tybd.galenos.2023.62687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
|
5
|
Sarıtaş A, Uzun U, Sarıtaş PU. Safe Hugs in Palliative Care. Turk J Anaesthesiol Reanim 2022; 50:238-245. [PMID: 35979969 PMCID: PMC9524468 DOI: 10.5152/tjar.2022.21308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Mnemonics are word formulations that aid physicians in recalling instances hidden among typical applications and may be neglected due to workload. Mnemonic abbreviations that benefit not only physicians but the entire care team are widely used throughout the world. Given that palliative care is the work of a multidisciplinary team, these mnemonics become even more significant. The aim of this study is to introduce the acronym “SAFE HUGS IN PC” (Sleep patterns, Analgesia, Feeding, Environment, Hospital Discharge-Home Care, Ulcer, Gastrointestinal, Social Support-Spiritual, Infection, Need of Religion, Physiotherapy-Psychotherapy, Goals of Care), which we believe will meet the requirements in the palliative care. The following databases were searched: CINAHL, Cochrane, Embase, MEDLINE, and Pubmed for studies exploring experiences of palliative care. With this mnemonic, which we use in our own clinic, patients’ and patients’ relatives’ satisfaction and end-of-life quality have increased. We believe this simple mnemonic will encourage teamwork and help improve the quality of life on palliative care.
Collapse
|
6
|
Rollas K, Emgin Ö, Çalışkan T, Güldoğan IK, Zincircioğlu Ç, Ersan G, Sahar İ, Sarıtaş A, Uzun U, Senoğlu N. Convalescent plasma for COVID-19 in the intensive care unit. Anaesthesiol Intensive Ther 2021; 53:398-402. [PMID: 35100797 PMCID: PMC10172937 DOI: 10.5114/ait.2021.111551] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 11/22/2021] [Indexed: 10/21/2023] Open
Abstract
INTRODUCTION We aimed to investigate the clinical features and mortality of critically ill patients treated with convalescent plasma for COVID-19 in the intensive care unit (ICU). MATERIAL AND METHODS We retrospectively collected clinical and laboratory data of COVID-19 patients treated in the ICU. The patients were divided into two groups: those who received convalescent plasma and those who did not. We evaluated changes in the laboratory parameters and PaO2/FiO2 of the patients in the convalescent plasma group on days 0, 7, and 14. RESULTS A total of 188 patients were included, 89 of whom received convalescent plasma. There were no significant differences in length of hospitalization [median: 17 vs. 16 days, P = 0.13] or 28-day mortality between the two groups (59% vs. 65%, P = 0.38). The ICU stay of patients who received convalescent plasma was longer (P = 0.001). The dynamics of the laboratory parameters of 44 patients in the convalescent plasma group, who were still in intensive care on the 14th day, were analysed. There was no differences in CRP or PaO2/FiO2 on day 0, 7 or 14 (P = 0.12; P = 0.10, respectively). CONCLUSIONS Convalescent plasma treatment was not associated with shorter hospitalisation or lower mortality in patients diagnosed with COVID-19. However, the ICU stay was longer in patients who received convalescent plasma.
Collapse
Affiliation(s)
- Kazım Rollas
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Ömer Emgin
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Taner Çalışkan
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Işıl K. Güldoğan
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Çiler Zincircioğlu
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Gürsel Ersan
- Department of Infectious Diseases and Clinical Microbiology, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - İsa Sahar
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Aykut Sarıtaş
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Uğur Uzun
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| | - Nimet Senoğlu
- Department of Anaesthesiology Intensive Care, S.B.Ü. Tepecik Training and Research Hospital, İzmir, Turkey
| |
Collapse
|
7
|
Zincircioglu C, Yavuz T, Sarıtaş A, Çakmak M, Güldoğan IK, Uzun U, Şenoğlu N. Is Procalcitonin a Marker of Neurologic Outcome or Early Infection in Patients Treated with Targeted Temperature Management? Indian J Crit Care Med 2020; 24:327-331. [PMID: 32728323 PMCID: PMC7358853 DOI: 10.5005/jp-journals-10071-23418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objectives Although high procalcitonin (PCT) levels are associated with poor neurological outcomes and increased mortality rates in patients treated with targeted temperature management (TTM) in the postcardiac arrest (CA) period, there are limited data about the correlation between PCT levels and infection. The aim of our study was to assess the relationship of PCT levels in the first 48 hours with early period infections, late period neurological prognosis, and mortality in patients treated with TTM after CA. Materials and methods Serum PCT was measured on admission days 1 and 2. The early onset infection diagnosis before the seventh day in the intensive care unit (ICU) was made according to the criteria of infection centers for disease control and prevention. Mortality and neurologic outcomes were assessed 90 days after CA according to cerebral performance category (CPC) score. Results There was no statistically significant correlation between early period infection diagnosis and PCT levels at the time of admission, 24th, and 48th hours. Patients with poor neurologic outcomes on the 90th day had significantly high PCT levels at 24 (p = 0.044) and 48 hours (p = 0.004). There was no statistically significant correlation between admission PCT levels and neurological prognosis. While the correlation between mortality and PCT levels at 24 (p = 0.049) and 48 (p = 0.004) hours was significantly high, no statistically significant correlation was found between admission PCT levels and mortality. Conclusion In patients treated with TTM after CA, increased PCT levels were significantly correlated with poor neurologic outcomes and mortality. However, the elevated PCT levels were not significantly correlated with early period infections. How to cite this article Zincircioglu C, Yavuz T, Sarıtaş A, Çakmak M, Güldoğan IK, Uzun U, et al. Is Procalcitonin a Marker of Neurologic Outcome or Early Infection in Patients Treated with Targeted Temperature Management? Indian J Crit Care Med 2020;24(5):327–331.
Collapse
Affiliation(s)
- Ciler Zincircioglu
- Department of Anaesthesiology and Reanimation, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Tunzala Yavuz
- Department of Anesthesiology and Reanimation, Intensive Care Unit, Afyonkarahisar Health Sciences University, İzmir, Turkey
| | - Aykut Sarıtaş
- Department of Anesthesiology and Reanimation, Intensive Care Unit, SBU Tepecik Training and Research Hospital, Izmir, Turkey
| | - Meltem Çakmak
- Department of Anesthesiology and Reanimation, Intensive Care Unit, SBU Tepecik Training and Research Hospital, Izmir, Turkey
| | - Işıl Köse Güldoğan
- Department of Anesthesiology and Reanimation, Intensive Care Unit, SBU Tepecik Training and Research Hospital, Izmir, Turkey
| | - Uğur Uzun
- Department of Anesthesiology and Reanimation, Intensive Care Unit, SBU Tepecik Training and Research Hospital, Izmir, Turkey
| | - Nimet Şenoğlu
- Department of Anesthesiology and Reanimation, Intensive Care Unit, SBU Tepecik Training and Research Hospital, Izmir, Turkey
| |
Collapse
|
8
|
Sarıtaş A, Zincircioğlu Ç, Uzun Sarıtaş P, Uzun U, Köse I, Şenoğlu N. Comparison of inferior vena cava collapsibility, distensibility, and delta indices at different positive pressure supports and prediction values of indices for intravascular volume status. Turk J Med Sci 2019; 49:1170-1178. [PMID: 31340632 PMCID: PMC7018330 DOI: 10.3906/sag-1810-52] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background/aim To compare the inferior vena cava (IVC) indices, identify their variation rates at positive pressure values and accurate predictive values for the volume status in patients with spontaneous respiration receiving different positive pressure support. Material and methods The study included 100 patients who were divided into 4 pressure support groups, according to the different pressure supports received, and 3 volume groups according to their CVP values. Ultrasonography was applied to all of the patients to define their IVC diameters at different pressure supports. Dynamic parameters were derived from the ultrasonographic assessment of the IVC diameter [collapsibility (CI-IVC), distensibility (dIVC), and delta (ΔIVC) indices]. Results There were significant differences between the 3 indices (CI-IVC, dIVC, and ΔIVC) according to the pressure groups [(10/5), (10/0), (0/5), (t tube 0/0)]. The median value for the dIVC percentages was ≤18% for all of the positive pressure support hypervolemic groups, apart from the hypervolemic t tube group (19%). For the hypervolemic groups, the best estimation according to the cut-off value appeared to be for the dIVC. Values with the highest sensitivity for differentiation of the hypovolemic individuals were calculated with the dIVC. Conclusion The dIVC had a more accurate predictive role in predicting the volume status when compared with the CI-IVC and ΔIVC, and may be used reliably with positive pressure supports.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- Department of Anesthesiology and Reanimation, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Çiler Zincircioğlu
- Department of Anesthesiology and Reanimation, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Pelin Uzun Sarıtaş
- Department of Anesthesiology and Reanimation, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Uğur Uzun
- Department of Anesthesiology and Reanimation, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Işıl Köse
- Department of Anesthesiology and Reanimation, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Nimet Şenoğlu
- Department of Anesthesiology and Reanimation, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| |
Collapse
|
9
|
Sarıtaş A, Çinleti BA, Zincircioğlu Ç, Uzun U, Köse I, Şenoğlu N. Effect of regional cerebral oximetry to estimate neurologic prognostic outcomes in patients administered targeted temperature management. Am J Emerg Med 2018; 36:2236-2241. [PMID: 29655502 DOI: 10.1016/j.ajem.2018.04.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 04/04/2018] [Accepted: 04/07/2018] [Indexed: 01/29/2023] Open
Abstract
PURPOSE The aim of our study is to research the role and efficacy of cerebral oximetry in predicting neurologic prognosis when applied during TTM to patients experiencing coma after CA. METHODS This study was performed on surviving adult comatose patients after CA treated with TTM. The average scores of rSO2 was measured at 6h intervals for the first 2days and once a day for the following 3days with a NIRS device during TTM. The CPC scale was used to define the neurologic outcomes of patients. We compared the correlations of rSO2 values between good (CPC 1-2) and poor (CPC 3-5) neurologic outcomes in CA patients. RESULTS There was no statistically significant difference identified between the prognosis groups in terms of rSO2, CPR durations, hemoglobin values and admission body temperature (p>0.05). When the variation in rSO2 values over time is investigated, though there was no significant difference between the good and poor prognosis groups, it appeared to fall in the first 6h in both prognosis groups. The median NT-proBNP and lactate values were observed to be higher in the poor prognosis group. CONCLUSION There is no significant correlation between rSO2 values and neurologic outcomes. Multimodal monitoring methods may be useful and further studies with a larger patient population are necessary in this area.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- Tepecik Training and Research Hospital, Department of Anesthesiology and Reanimation İzmir, Turkey.
| | - Burcu Acar Çinleti
- Dr Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Turkey
| | - Çiler Zincircioğlu
- Tepecik Training and Research Hospital, Department of Anesthesiology and Reanimation İzmir, Turkey
| | - Uğur Uzun
- Tepecik Training and Research Hospital, Department of Anesthesiology and Reanimation İzmir, Turkey
| | - Işıl Köse
- Tepecik Training and Research Hospital, Department of Anesthesiology and Reanimation İzmir, Turkey
| | - Nimet Şenoğlu
- Tepecik Training and Research Hospital, Department of Anesthesiology and Reanimation İzmir, Turkey
| |
Collapse
|
10
|
Sarıtaş A, Acar Çinleti B, Zincircioğlu Ç, Uzun U, Köse I, Şenoğlu N. Brain Death in Intensive Care Units: Problems, Differences in Methods of Diagnosis, and Donor Care. EXP CLIN TRANSPLANT 2018. [PMID: 29607780 DOI: 10.6002/ect.2017.0293] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES Our aim was to investigate the most common problems in diagnosing brain death, the care of the organ donor, and organ donation after death. MATERIALS AND METHODS A survey was sent randomly to clinicians working in national intensive care units in Turkey. The survey, which consisted of 17 questions for clinicians, had 163 responders. RESULTS The most common cause of brain death was traumatic brain injury. Although 22% of clinicians found the apnea test necessary for brain death diagnosis, 78% stated that it could be used as an optional confirmatory test. However, 65.6% of the clinicians were not familiar with the modified apnea test. The most frequently used vasoactive agent for hypotension in patients with brain death was noradrenaline (54.6%) and dopamine (41.6%). Regarding time of death, 50.3% of clinicians considered it as the time and date when the patient was diagnosed with brain death and 47.8% as the time and date of cardiac arrest. When asked whether they terminate the treatment of a patient with brain death when organ donation is rejected, only 16.1% discontinued all advanced life support. According to the survey, the most common reason for not accepting organ transplant was for religious reasons. CONCLUSIONS In intensive care units, differences in definitions and care of patients with brain death continue to be a complication. There has been a lack of progress in criterion standards of brain death diagnosis and donor care, as verified by our survey.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- From the Department of Anesthesiology and Reanimation, Medical Sciences University Tepecik Training and Research Hospital, Izmir, Turkey
| | | | | | | | | | | |
Collapse
|
11
|
Sarıtaş A, Kurnaz MM. Comparison of Bronchoscopy-Guided and Real-Time Ultrasound-Guided Percutaneous Dilatational Tracheostomy: Safety, Complications, and Effectiveness in Critically Ill Patients. J Intensive Care Med 2017; 34:191-196. [PMID: 28446075 DOI: 10.1177/0885066617705641] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To compare the efficacy, safety, and incidence of complications between fiber-optic bronchoscopy-guided percutaneous dilatational tracheostomy (FOB-PDT) and ultrasound-guided percutaneous dilatational tracheostomy (US-PDT) and to determine whether US-PDT is a viable alternative to FOB-PDT. METHODS This randomized prospective study was carried out in 80 patients who were randomly divided into US-PDT and FOB-PDT groups. Demographic data and Acute Physiology and Chronic Health Evaluation II (APACHE II), procedure duration, hemorrhage status, complications, procedure difficulty, displacement of entry location after US, and hemodynamic data were evaluated in both groups. Tracheal incision was performed with real-time US and a transverse probe position in the out-of-plane mode. RESULTS No significant differences were observed between the 2 groups in terms of demographic data, oral intubation time, APACHE II values, difficulty of the procedure, or the number of needle interventions ( P > .05). The mean hemorrhage ratio of the FOB-PDT group was significantly higher than that of the US-PDT group ( P < .05). The entry location was changed in 6 patients in the US-PDT group following neck examination with US. The mean duration of the procedure for the FOB-PDT group was significantly longer than that for the US-PDT group ( P < .05). CONCLUSION Ultrasound-guided percutaneous dilatational tracheostomy is a safe procedure for critically ill patients and has the advantages of a low complication rate, short duration of procedure, being informative with regard to neck anatomy, and facilitating prevention of vascular puncture. Thus, US-PDT can be used as an alternative to FOB-PDT.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- 1 Department of Anesthesiology and Reanimation İzmir, Tepecik Training and Research Hospital, Konak, İzmir, Republic of Turkey
| | - Muhammed M Kurnaz
- 2 Department of Anesthesiology, Prof. Dr A.İlhan Özdemir State Hospital, Anesthesiology and Reanimation, Giresun, Republic of Turkey
| |
Collapse
|
12
|
Kurnaz MM, Sarıtaş A. Comparison of the effects of Truview PCD™ video laryngoscopy and Macintosh blade direct laryngoscopy in geriatric patients. J Clin Anesth 2016; 35:268-273. [DOI: 10.1016/j.jclinane.2016.09.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Revised: 08/24/2016] [Accepted: 09/06/2016] [Indexed: 10/20/2022]
|
13
|
Sarıtaş A, Sarıtaş PU, Kurnaz MM, Çelik A. Spectrum and Prevalence of Thyroid Disorders in Patients Admitted to the Anaesthesiology Outpatient Clinic for Surgery. Turk J Anaesthesiol Reanim 2016; 43:240-5. [PMID: 27366505 DOI: 10.5152/tjar.2015.03206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Accepted: 12/12/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE An anaesthetic approach and surgery are important treatment strategies in patients with thyroid dysfunction due to potential complications. We investigated the prevalence of thyroid disorders, the significance of thyroid function tests (TFTs) with respect to anaesthesia in the preoperative period and the need for routine examinations. METHODS A total of 10,600 patients who were admitted to the anaesthesiology outpatient clinic for surgery were retrospectively screened and enrolled between 2011 and 2013. Evident hypothyroidism was defined as free tetra-iodothyronine (fT4) <0.7 ng dL(-1) and thyroid-stimulating hormone (TSH) >4 mIU mL(-1), and subclinical hypothyroidism was defined as TSH >4 mIU mL(-1) with normal free hormone levels. Evident hyperthyroidism was defined as fT4 >1.7 ng dL(-1) and TSH <0.1 mIU mL(-1), and subclinical hyperthyroidism was defined as TSH <0.1 mIU mL(-1) with normal free hormone levels. Statistical analysis was conducted using the Statistical Package for the Social Sciences (SPSS) version 17.0. Independent samples t-test and one-way analysis of variance were used to compare the difference between groups. RESULTS Of the participants, 8.5% were found to have hypothyroidism, 2.5% had hyperthyroidism, 3.5% received treatment and 2.5% had their treatment postponed. The likelihood of hypothyroidism was greater among females, and no difference was found between genders with respect to hyperthyroidism. CONCLUSION We believe that TFTs are important because of regional factors. However, given the high cost of TFTs and because thyroid dysfunction risk increases with age, we concluded that routine TFTs in young patients with normal physical examination findings are not mandatory.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- Department of Anaestesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey
| | - Pelin Uzun Sarıtaş
- Department of Anaestesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey
| | - Muhammed Murat Kurnaz
- Department of Anaestesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey
| | - Abdullah Çelik
- Department of Cardiothoracic Surgery, Giresun University Faculty of Medicine, Giresun, Turkey
| |
Collapse
|
14
|
Beyaz SG, Sarıtaş A, Ülgen AM, Bayar F. Use of bilateral glossopharyngeal nerve neurolysis in a patient with cancer of the tongue base. Pain Pract 2016; 16:E21-2. [PMID: 26776740 DOI: 10.1111/papr.12401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Serbülent Gökhan Beyaz
- Department of Anesthesiology and Pain Medicine, Sakarya University Medical School, Sakarya, Turkey.
| | - Aykut Sarıtaş
- Department of Anesthesiology, Prof A.İlhan Özdemir Training Research Hospital, Giresun, Turkey
| | - Ali Metin Ülgen
- Department of Anesthesiology and Pain Medicine, Sakarya University Medical School, Sakarya, Turkey
| | - Fikret Bayar
- Department of Anesthesiology and Pain Medicine, Sakarya University Medical School, Sakarya, Turkey
| |
Collapse
|
15
|
Karagöz A, Vural A, Günaydın ZY, Bektaş O, Gül M, Çelik A, Uzunoğlu E, Usta S, Sarıtaş A, Elalmış ÖU. The role of neutrophil to lymphocyte ratio as a predictor of diastolic dysfunction in hypertensive patients. Eur Rev Med Pharmacol Sci 2015; 19:433-440. [PMID: 25720715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE Neutrophil to lymphocyte ratio (NLR) is a novel parameter for cardiovascular research area. The higher values of NLR have been found to be associated with worse clinical outcomes in atherosclerotic heart disease, heart failure, heart valve disease and other various cardiovascular disorders. Although the relationship between NLR and almost all cardiovascular disorders have been investigated, the association between NLR and diastolic dysfunction remains unclear. We herein evaluated the association between NLR and diastolic dysfunction. PATIENTS AND METHODS The study population consisted of 41 hypertensive patients with any grade of diastolic dysfunction and 41 hypertensive patients without diastolic dysfunction determined by echocardiographic evaluation constituted the control group. RESULTS Mean NLR value was found to be 2.07 ± 0.82 in the diastolic dysfunction group while the control group had a mean value of 1.69 ± 0.60 (p = 0.020). The patients with diastolic dysfunction had significantly higher values of NLR. When grades of diastolic dysfunction were evaluated, NLR was 1.80 ± 0.82, 2.32 ± 0.73 and 2.75 ± 0.45 in patients with grade 1, grade 2 and grade 3 diastolic dysfunction, respectively. The patients with higher grade of diastolic dysfunction had higher values of NLR (p = 0.001). None of the other hematologic parameters differed significantly in patients with diastolic dysfunction when compared to controls. CONCLUSIONS Patients with diastolic dysfunction had higher values of NLR compared to subjects without diastolic dysfunction. Furthermore higher grades of diastolic dysfunction were associated with higher levels of NLR. Further studies are needed to search the possible use of NLR as a marker for prognostic stratification in diastolic dysfunction which is associated with worse cardiovascular outcomes.
Collapse
Affiliation(s)
- A Karagöz
- Department of Cardiology, Giresun University, Giresun, Turkey.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Sarıtaş A, Güneren G, Sarıtaş PU, Kızılkaya SA, Ugış C. The Decrease of the Duration of Stay in the ICU with Rib Fixation in a Case of Multiple Rib Fracture. Turk J Anaesthesiol Reanim 2014; 42:277-9. [PMID: 27366436 DOI: 10.5152/tjar.2014.67044] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2013] [Accepted: 11/25/2013] [Indexed: 11/22/2022] Open
Abstract
Severe breathing problems arise in multiple rib fractures. As a result, many advantages of the surgical stabilization of the chest wall have been reported. Especially, shortening mechanical ventilation, along with a decrease in the duration of intensive care unit stay, is important for the prevention of possible infection complications. In this study, the dramatic improvement of the breathing pattern, as well as the reduction in ventilator duration after rib fixation time, of a 36-year-old patient with severe respiratory distress who had multiple rib fractures due to a road traffic accident was discussed. Due to this fact, it is concluded that patients could be discharged from the hospital earlier and uncomplicated as a result of fixation of the rib with the right indications.
Collapse
Affiliation(s)
- Aykut Sarıtaş
- Clinic of Anaesthesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey
| | - Gökhan Güneren
- Clinic of Chest Surgery, Milas State Hospital, Muğla, Turkey
| | - Pelin Uzun Sarıtaş
- Clinic of Anaesthesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey
| | | | - Cengiz Ugış
- Clinic of Anaesthesiology and Reanimation, Prof. Dr. A. İlhan Özdemir State Hospital, Giresun, Turkey
| |
Collapse
|
17
|
Sarıtaş A, Debre Ö, Şentürk Y. Influence of sevoflurane on hemodynamic parameters in low flow anesthesia applied without nitrous oxide. J Clin Exp Invest 2014. [DOI: 10.5799/ahinjs.01.2014.01.0351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
|
18
|
Ünal E, Çalışkan A, Songur M, Türkcan B, Kubat E, Sarıtaş A. PP-161 SUBCLAVIAN STEAL SYNDROME CAUSING ANGINA IN A CABG PATIENT. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70365-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|