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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.
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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
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Gül F, Kasapoğlu US, Sabaz MS, Ay P, Doruk Oktay B, Çalışkan G, Demir N, Sayan İ, Kabadayı F, Altuntaş G, Gümüş A, Kırca H, Şanlı D, Acil F, Dedeoğlu A, Ural SG, Akın Şen İ, Macit Aydın E, Dayanır H, Yelken B, Ceylan İ, Aydın OÖ, Eskidemir G, Aytekin A, Cengiz M, Arslan Ü, Akdağ D, Alay GH, Tekin E, Yarar V, Saracoğlu KT, Gök F, Alparslan V, Tuna V, Yıldız M, Şenoğlu N, Kıraklı C, Yıldırım S, Saçar Kübüç K, Erer A, Gültekin H, Özmen Süner K, Kuzgun Ö, Öztürk ÇE, Karahan A, Deveci O, Ay M, Tüfek Öztan D, Akıncı SB, Solak MY, Bozbay S, Özçiftçi S, Gönderen K, Küçük AO, Uyan B, Elay G, Boyacı N, Timurkaan M, Karakoç E, Doğan L, Yalçınkaya E, Kazancıoğlu L, Erdal Dönmez G, Yılmaz B, Ergül DF, Boran M, Özkarakaş H, Karakaş B, Ergin Özcan P, Anaklı İ, Bayar MK, Yüksel D, Akdağ Ş, Pişkin Ö, Temur S, Eyüpoğlu S, Tekir Yılmaz E, Avcı GZ, Turan R, Alkan Bayburt F, Şahintürk H, Güçyetmez B, Alparslan MM, Yarıcı M, Yıldırım F, Yektaş A, Yaman G, Demirkıran O, Cinel İ. The Impact of CoronaVac Vaccination on 28-day Mortality Rate of Critically Ill Patients with COVID-19 in Türkiye. Balkan Med J 2023; 40:435-444. [PMID: 37867428 PMCID: PMC10613737 DOI: 10.4274/balkanmedj.galenos.2023.2023-6-90] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 10/03/2023] [Indexed: 10/24/2023] Open
Abstract
Background Vaccines against coronavirus disease-19 (COVID-19) have been effective in preventing symptomatic diseases, hospitalizations, and intensive care unit (ICU) admissions. However, data regarding the effectiveness of COVID-19 vaccines in reducing mortality among critically ill patients with COVID-19 remains unclear. Aims To determine the vaccination status and investigate the impact of the COVID-19 vaccine on the 28-day mortality in critically ill patients with COVID-19. Study Design Multicenter prospective observational clinical study. Methods This study was conducted in 60 hospitals with ICUs managing critically ill patients with COVID-19. Patients aged ≥ 18 years with confirmed COVID-19 who were admitted to the ICU were included. The present study had two phases. The first phase was designed as a one-day point prevalence study, and demographic and clinical findings were evaluated. In the second phase, the 28-day mortality was evaluated. Results As of August 11, 2021, 921 patients were enrolled in the study. The mean age of the patients was 65.42 ± 16.74 years, and 48.6% (n = 448) were female. Among the critically ill patients with COVID-19, 52.6% (n = 484) were unvaccinated, 7.7% (n = 71) were incompletely vaccinated, and 39.8% (n = 366) were fully vaccinated. A subgroup analysis of 817 patients who were unvaccinated (n = 484) or who had received two doses of the CoronaVac vaccine (n = 333) was performed. The 28-day mortality rate was 56.8% (n = 275) and 57.4% (n = 191) in the unvaccinated and two-dose CoronaVac groups, respectively. The 28-day mortality was associated with age, hypertension, the number of comorbidities, type of respiratory support, and APACHE II and sequential organ failure assessment scores (p < 0.05). The odds ratio for the 28-day mortality among those who had received two doses of CoronaVac was 0.591 (95% confidence interval: 0.413-0.848) (p = 0.004). Conclusion Vaccination with at least two doses of CoronaVac within six months significantly decreased mortality in vaccinated patients than in unvaccinated patients.
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Affiliation(s)
- Fethi Gül
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Marmara University Faculty of Medicine, İstanbul, Türkiye
| | - Umut Sabri Kasapoğlu
- Clinic of Critical Care Medicine, Malatya Training and Research Hospital, Malatya, Türkiye
| | - Mehmet Süleyman Sabaz
- Clinic of Critical Care Medicine, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye
| | - Pınar Ay
- Department of Public Health, Marmara University Faculty of Medicine, İstanbul, Türkiye
| | - Burçin Doruk Oktay
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Marmara University Faculty of Medicine, İstanbul, Türkiye
| | - Gülbahar Çalışkan
- Department of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Bursa Faculty of Medicine, Bursa, Türkiye
| | - Nalan Demir
- Division of Critical Care Medicine, Clinic of Chest Diseases, University of Health Sciences Türkiye, Ankara City Hospital, Ankara, Türkiye
| | - İsmet Sayan
- Clinic of Critical Care Medicine, Sancaktepe Training and Research Hospital, İstanbul, Türkiye
| | - Feyyaz Kabadayı
- Clinic of Critical Care Medicine, Sancaktepe Training and Research Hospital, İstanbul, Türkiye
| | - Gülsüm Altuntaş
- Clinic of Critical Care Medicine, Elazığ City Hospital, Elazığ, Türkiye
| | - Ayça Gümüş
- Clinic of Critical Care Medicine, Antalya Kepez State Hospital, Antalya, Türkiye
| | - Hülya Kırca
- Clinic of Critical Care Medicine, Antalya Kepez State Hospital, Antalya, Türkiye
| | - Deniz Şanlı
- Clinic of Critical Care Medicine, Batman Training and Research Hospital, Batman, Türkiye
| | - Fatma Acil
- Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyabakır, Türkiye
| | - Andaç Dedeoğlu
- Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyabakır, Türkiye
| | - Sedef Gülçin Ural
- Clinic Critical Care Medicine, University of Health Sciences Türkiye, Erzurum City Hospital, Erzurum, Türkiye
| | - İrem Akın Şen
- Clinic Critical Care Medicine, University of Health Sciences Türkiye, Erzurum City Hospital, Erzurum, Türkiye
| | - Eda Macit Aydın
- Division of Critical Care Medicine, Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
| | - Hakan Dayanır
- Division of Critical Care Medicine, Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
| | - Birgül Yelken
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Türkiye
| | - İlkay Ceylan
- Clinic of Critical Care Medicine, University of Health Sciences Türkiye, Bursa High Specialization Training and Research Hospital, Bursa, Türkiye
| | - Osman Özcan Aydın
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Türkiye
| | - Güneş Eskidemir
- Clinic of Critical Care Medicine, Gaziosmanpaşa Training and Research Hospital, İstanbul, Türkiye
| | - Ahmet Aytekin
- Clinic of Anesthesiology and Reanimation, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul, Türkiye
| | - Melike Cengiz
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Akdeniz University Faculty of Medicine, Antalya, Türkiye
| | - Ülkü Arslan
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Akdeniz University Faculty of Medicine, Antalya, Türkiye
| | - Devrim Akdağ
- Clinic of Critical Care Medicine, University of Health Sciences Türkiye, Adana City Hospital, Adana, Türkiye
| | - Gülçin Hilal Alay
- Department of Anesthesiology and Reanimation, University of Health Sciences Türkiye, İstanbul Başakşehir Çam and Sakura City Hospital, İstanbul, Türkiye
| | - Esra Tekin
- Clinic of Critical Care Medicine, Denizli State Hospital, Denizli, Türkiye
| | - Volkan Yarar
- Clinic of Critical Care Medicine, Balıkesir Atatürk City Hospital, Balıkesir, Türkiye
| | - Kemal Tolga Saracoğlu
- Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Kartal Lütfi Kırdar Training and Research Hospital, İstanbul, Türkiye
| | - Funda Gök
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Necmettin Erbakan University Faculty of Medicine, Konya, Türkiye
| | - Volkan Alparslan
- Clinic of Critical Care Medicine, Hatay Training and Research Hospital, Hatay, Türkiye
| | - Verda Tuna
- Clinic of Critical Care Medicine, Adıyaman Training and Research Hospital, Adıyaman, Türkiye
| | - Murside Yıldız
- Clinic of Critical Care Medicine, Ağrı Training and Research Hospital, Ağrı, Türkiye
| | - Nimet Şenoğlu
- Division of Critical Care Medicine, Clinic of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Tepecik Training and Research Hospital, İzmir, Türkiye
| | - Cenk Kıraklı
- Department of Critical Care Medicine, University of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Türkiye
| | - Süleyman Yıldırım
- Department of Critical Care Medicine, University of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Türkiye
| | - Kübra Saçar Kübüç
- Clinic of Critical Care Medicine, University of Health Sciences Türkiye, Van Training and Research Hospital, Van, Türkiye
| | - Ayşen Erer
- Clinic of Critical Care Medicine, Tekirdağ İsmail Fehmi Cumalioğlu City Hospital, Tekirdag, Türkiye
| | - Hamza Gültekin
- Clinic of Critical Care Medicine, Şırnak State Hospital, Şırnak, Türkiye
| | - Kezban Özmen Süner
- Clinic of Critical Care Medicine, Sakarya Training and Research Hospital, Sakarya, Türkiye
| | - Özge Kuzgun
- Clinic of Critical Care Medicine, Sakarya Training and Research Hospital, Sakarya, Türkiye
| | - Çağatay Erman Öztürk
- Clinic of Critical Care Medicine, University of Health Sciences Türkiye, Samsun Training and Research Hospital, Samsun, Türkiye
| | - Aydın Karahan
- Clinic of Critical Care Medicine, Mersin City Hospital, Mersin, Türkiye
| | - Okan Deveci
- Clinic of Critical Care Medicine, Mersin City Hospital, Mersin, Türkiye
| | - Mustafa Ay
- Clinic of Anesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Türkiye
| | - Dilara Tüfek Öztan
- Clinic of Anesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Türkiye
| | - Seda Banu Akıncı
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Melahat Yalçın Solak
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Süha Bozbay
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Hitit University Faculty of Medicine, Çorum, Türkiye
| | - Serhat Özçiftçi
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Hitit University Faculty of Medicine, Çorum, Türkiye
| | - Kamil Gönderen
- Department of Critical Care Medicine, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, İzmir, Türkiye
| | - Ahmet Oğuzhan Küçük
- Division of Critical Care Medicine, Department of Chest Diseases, Karadeniz Technical University Faculty of Medicine, Trabzon, Türkiye
| | - Berna Uyan
- Department Critical Care Medicine, Gaziantep Şehit Kamil State Hospital, Gaziantep, Türkiye
| | - Gülseren Elay
- Division of Critical Care Medicine, Department of Internal Medicine, Gaziantep University Faculty of Medicine, Gaziantep, Türkiye
| | - Nazlıhan Boyacı
- Division of Critical Care Medicine, Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, Türkiye
| | - Mustafa Timurkaan
- Clinic of Critical Care Medicine, Elazığ City Hospital, Elazığ, Türkiye
| | - Ebru Karakoç
- Department of Critical Care Medicine, Çankırı State Hospital, Çankırı, Türkiye
| | - Lerzan Doğan
- Department of Critical Care Medicine, Altunizade Acıbadem Hospital, İstanbul, Türkiye
| | - Erdem Yalçınkaya
- Department of Critical Care Medicine, Sivas Numune Hospital, Sivas, Türkiye
| | - Leyla Kazancıoğlu
- Department of Anesthesiology and Reanimation, Recep Tayyip Erdoğan University Faculty of Medicine, Rize, Türkiye
| | - Gül Erdal Dönmez
- Department of Critical Care Medicine, University of Health Sciences Türkiye, İstanbul Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Barış Yılmaz
- Department of Critical Care Medicine, University of Health Sciences Türkiye, İstanbul Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Dursun Fırat Ergül
- Department of Critical Care Medicine, Amasya University Sabuncuoğlu Şerafettin Training and Research Hospital, Amasya, Türkiye
| | - Maruf Boran
- Department of Critical Care Medicine, Amasya University Sabuncuoğlu Şerafettin Training and Research Hospital, Amasya, Türkiye
| | - Hüseyin Özkarakaş
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, University of Health Sciences Türkiye, İzmir Bozyaka Training and Research Hospital, İzmir, Türkiye
| | - Buğra Karakaş
- Clinic of Critical Care Medicine, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Türkiye
| | - Perihan Ergin Özcan
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, İstanbul University Capa Faculty of Medicine, İstanbul, Türkiye
| | - İlkay Anaklı
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, İstanbul University Capa Faculty of Medicine, İstanbul, Türkiye
| | - Mustafa Kemal Bayar
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Ankara University Faculty of Medicine, Ankara, Türkiye
| | - Didem Yüksel
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Ankara University Faculty of Medicine, Ankara, Türkiye
| | - Şükriye Akdağ
- Department of Anesthesiology and Reanimation, Yasar Eryılmaz Ağrı Doğubeyazıt State Hospital, Ağrı, Türkiye
| | - Özcan Pişkin
- Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University Faculty of Medicine, Zonguldak, Türkiye
| | - Sibel Temur
- Department of Anesthesiology and Reanimation, Yeditepe University Faculty of Medicine, İstanbul, Türkiye
| | - Selin Eyüpoğlu
- Clinic of Critical Care Medicine, Giresun Training and Research Hospital, Giresun, Türkiye
| | - Elvan Tekir Yılmaz
- Clinic of Anesthesiology and Reanimation, Giresun University Faculty of Medicine, Giresun Training and Research Hospital, Giresun, Türkiye
| | - Gizem Zaim Avcı
- Clinic of Anesthesiology and Reanimation, Giresun Prof. Dr. İlhan Özdemir State Hospital, Giresun Türkiye
| | - Raziye Turan
- Clinic of Anesthesiology and Reanimation, Giresun Prof. Dr. İlhan Özdemir State Hospital, Giresun Türkiye
| | - Fatma Alkan Bayburt
- Clinic of Anesthesiology and Reanimation, Giresun Prof. Dr. İlhan Özdemir State Hospital, Giresun Türkiye
| | - Helin Şahintürk
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Başkent University Faculty of Medicine, Ankara, Türkiye
| | - Bülent Güçyetmez
- Department of Anesthesiology and Reanimation, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, İstanbul, Türkiye
| | - Mustafa Muhlis Alparslan
- Clinic of Anesthesiology and Reanimation, Aksaray University Training and Research Hospital, Aksaray, Türkiye
| | - Metin Yarıcı
- Department of Critical Care Medicine, University of Health Sciences Türkiye, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
| | - Fatma Yıldırım
- Department of Chest Diseases, University of Health Sciences Türkiye, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
| | - Abdulkadir Yektaş
- Department of Anesthesiology and Reanimation, Siirt University Faculty of Medicine, Siirt, Türkiye
| | | | - Oktay Demirkıran
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, İstanbul, Türkiye
| | - İsmail Cinel
- Division of Critical Care Medicine, Department of Anesthesiology and Reanimation, Marmara University Faculty of Medicine, İstanbul, Türkiye
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3
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Bahar İ, Oksuz H, Şenoğlu N, Demirkiran H, Aydoğan M, Tomak Y, Çömez M, Bayrakçı S, Gönüllü E, Berktaş M. Compliance With the Surviving Sepsis Campaign Bundle: A Multicenter Study From Turkey. Cureus 2021; 13:e14989. [PMID: 34131534 PMCID: PMC8195543 DOI: 10.7759/cureus.14989] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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] [Accepted: 04/30/2021] [Indexed: 12/29/2022] Open
Abstract
Objectives Sepsis bundle compliance is not clear. We evaluated rates of compliance with sepsis bundle protocols among health care providers in Turkey. Methods Our study was carried out retrospectively. Forty-five intensive care units (ICU) participated in this study between March 2, 2018 and October 1, 2018. Results One hundred thirty-eight ICUs were contacted and 45 ICUs agreed to participate. The time taken for the diagnosis of sepsis was less than six hours in 384 (59.8%) patients, while it was more than six hours in 258 (40.2%) patients. The median [interquartile range (IQR)] times for initial antibiotic administration, culturing, vasopressor initiation, and second lactate measurement were 120.0 (60-300) minutes, 24 (12-240) minutes, 40 (20-60) minutes, and 24 (18-24) hours, respectively. The rate of compliance with tissue and organ perfusion follow-up in the first six hours was 0%. The rates of three- and six-hour sepsis bundle protocol compliance were both 0%. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. Conclusions The rate of compliance with sepsis bundle protocols was evaluated in Turkey for the first time and determined to be 0%.
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Affiliation(s)
- İlhan Bahar
- Anesthesiology and Reanimation, Bakırçay University Çiğli Training and Research Hospital, Izmir, TUR
| | - Hafize Oksuz
- Anesthesiology and Reanimation, Kahramanmaraş Sütçü imam University Faculty of Medicine, Kahramanmaraş, TUR
| | - Nimet Şenoğlu
- Anesthesia and Critical Care, Tepecik Training and Research Hospital, Izmir, TUR
| | - Hilmi Demirkiran
- Anesthesiology and Reanimation, University of Van Yuzuncu Yil, Van, TUR
| | - Mustafa Aydoğan
- Anesthesia and Critical Care, İnönü University Turgut Özal Medical Center, Malatya, TUR
| | - Yakup Tomak
- Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Sakarya, TUR
| | - Mehmet Çömez
- Anesthesiology and Reanimation, Mustafa Kemal University Faculty of Medicine, Hatay, TUR
| | - Sinem Bayrakçı
- Anesthesiology and Reanimation, Ersin Aslan Training and Research Hospital, Gaziantep, TUR
| | - Edip Gönüllü
- Anesthesiology and Reanimation, University of Bakırçay, Izmir, TUR
| | - Mustafa Berktaş
- Microbiology, Bakırçay University Faculty of Medicine, Izmir, TUR
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4
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Bülbül Maraş G, Eşer İ, Şenoğlu N, Özkalay Yılmaz N, Karaca Derici Y. Increasing suction pressure during endotracheal suctioning increases the volume of suctioned secretions, but not procedure-related complications: A comparative study in open system endotracheal suctioning. Intensive Crit Care Nurs 2020; 61:102928. [PMID: 32859482 DOI: 10.1016/j.iccn.2020.102928] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 07/17/2020] [Accepted: 07/20/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To compare the effect of three different suction pressures (80 mmHg, 150 mmHg, 250 mmHg) with the open system suction method in terms of the volume of secretions and complications development in intubated intensive care patients. RESEARCH METHODOLOGY/DESIGN This study was planned as a prospective, experimental, self-controlled design. The study sample included 47 patients. Data were collected using a data collection and patient follow-up form from patient records. SETTING Single adult intensive care unit in a university hospital. RESULTS Fifty five percent of the patients were male, 61.7% were older than 65 years and 38.32% had lung infection. The amount of suctioned secretions tended to increase significantly with increasing negative pressure and there was a significant difference between the pressures in terms of the median volume of suctioned secretions (p < 0.001). There was no significant difference between the suction pressures in terms of oxygen desaturation, hypertension rates (p > 0.05). Tachycardia, bradycardia, hypoxaemia, tracheal mucosal damage or mucosal bleeding were not observed during suctioning with three different suction pressures. CONCLUSION It may be assumed that 250 mmHg suction pressure, via compliance with open system suction method related procedures, is being more effective and equally safe for secretion cleaning in comparison to the 80 and 150 mmHg suction pressures.
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Affiliation(s)
- Gül Bülbül Maraş
- Elderly Care Program, Vocational School of Health Service, İzmir Demokrasi University, İzmir, Turkey.
| | - İsmet Eşer
- Department of Fundementals Nursing, Faculty of Nursing, Ege University, İzmir, Turkey
| | - Nimet Şenoğlu
- Department of Anesthesiology and Reanimation, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Nisel Özkalay Yılmaz
- Clinical Microbiology and Infectious Diseases, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Yeşer Karaca Derici
- Clinical Microbiology and Infectious Diseases, Tepecik Training and Research Hospital, İzmir, Turkey
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5
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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.
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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
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6
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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.
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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
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7
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Ediboğlu Ö, Moçin ÖY, Özyılmaz E, Saltürk C, Önalan T, Seydaoğlu G, Çelikel T, Arıkan H, Ataman S, Kıraklı C, Özçelik Z, Kultufan S, Kara İ, Kara A, Dağlı E, Bülbül SD, Kahveci K, Dinçer M, Şenoğlu N, Özkarakaş H, Bahar İ, Cengiz M, Ramazanoğlu A, Çelik B, Gaygısız Ü, Kır G, Bindal A, Akan B, Turan IÖ, Yıldırım F, Başarık B, Ulukan ZA, Efe S, Sungur M, Temel Ş, İzdeş S, Hoşgün D, Karadeniz N, Tuncay E, Gökşenoğlu NÇ, Irmak İ, Datlı U, Zerman A, Akdağ D, Özdemir L, Elay G, Karaçayır Y, Topeli A, Hancı P, Kaya EK, Güven P, Sazak H, Aydemir S, Aygencel G, Aydemir Y, Doğanay Z, Kömürcü Ö, Hancı V, Karakoç E, Sözütek D, Coşkun G, Ateş G, Tiryaki C, Soytürk AN, Girgin NK, Çalışkan G, Bıyıklı O, Gökmen N, Koca U, Çiledağ A, Süner KÖ, Cinel İ, Arslantaş MK, Gül F, Ergün R, Yılmaz N, Altıntaş D, Talan L, Yalçınsoy M, Güllü MN, Özcan PE, Orhun G, Savran Y, Tokur ME, Akpınar S, Şen P, Gürsel G, Şerifoğlu İ, Gedik E, Balbay ÖA, Akbaş T, Cesur S, Yolacan H, Sağmen SB, Ekren PK, Bacakoğlu F, Ergan B, Günay E, Sarıaydın M, Sağlam DA, Karakurt S, Eryüksel E, Öztuna F, Mürtezaoğlu ESA, Cinemre H, Nalbant A, Yağmurkaya Ö, Mandal T, İkidağ B. Current Statement of Intensive Care Units in Turkey: Data obtained from 67 Centers. Turk Thorac J 2018; 19:209-215. [PMID: 30322437 PMCID: PMC6196900 DOI: 10.5152/turkthoracj.2018.170104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 12/13/2017] [Accepted: 02/17/2018] [Indexed: 01/28/2023]
Abstract
OBJECTIVES We aimed to obtain information about the characteristics of the ICUs in our country via a point prevalence study. MATERIAL AND METHODS This cross-sectional study was planned by the Respiratory Failure and Intensive Care Assembly of Turkish Thoracic Society. A questionnaire was prepared and invitations were sent from the association's communication channels to reach the whole country. Data were collected through all participating intensivists between the October 26, 2016 at 08:00 and October 27, 2016 at 08:00. RESULTS Data were collected from the 67 centers. Overall, 76.1% of the ICUs were managed with a closed system. In total, 35.8% (n=24) of ICUs were levels of care (LOC) 2 and 64.2% (n=43) were LOC 3. The median total numbers of ICU beds, LOC 2, and LOC 3 beds were 12 (8-23), 14 (10-25), and 12 (8-20), respectively. The median number of ventilators was 12 (7-21) and that of ventilators with non-invasive ventilation mode was 11 (6-20). The median numbers of patients per physician during day and night were 3.9 (2.3-8) and 13 (9-23), respectively. The median number of patients per nurse was 2.5 (2-3.1); 88.1% of the nurses were certified by national certification corporation. CONCLUSION In terms of the number of staff, there is a need for specialist physicians, especially during the night and nurses in our country. It was thought that the number of ICU-certified nurses was comparatively sufficient, yet the target was supposed to be 100% for this rate.
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Affiliation(s)
- Özlem Ediboğlu
- Department of Intensive Care Unit, Health Sciences University, İzmir Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey
| | - Özlem Yazıcıoğlu Moçin
- Department of Intensive Care Unit, Health Sciences University, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Ezgi Özyılmaz
- Department of Intensive Care Unit, Çukurova University School of Medicine Balcalı Hospital, Adana, Turkey
| | - Cüneyt Saltürk
- Department of Intensive Care Unit, Health Sciences University, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Tuğba Önalan
- Department of Intensive Care Unit, İzmir Çiğli District Hospital, İzmir, Turkey
| | - Gülşah Seydaoğlu
- Clinic of Biostatistics, Çukurova University School of Medicine, Adana, Turkey
| | - Turgay Çelikel
- Department of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Hüseyin Arıkan
- Department of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Sena Ataman
- Department of Intensive Care Unit, Health Sciences University, İzmir Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey
| | - Cenk Kıraklı
- Department of Intensive Care Unit, Health Sciences University, İzmir Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey
| | - Zerrin Özçelik
- Department of Intensive Care Unit, Balıkesir State Hospital, Balıkesir, Turkey
| | - Sema Kultufan
- Department of Intensive Care Unit, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - İskender Kara
- Clinic of Intensive Care Unit, Konya Numune Hospital, Konya, Turkey
| | - Atilla Kara
- Clinic of Intensive Care Unit, Sivas Numune Hospital, Sivas, Turkey
| | - Emine Dağlı
- Clinic of Intensive Care Unit, Tarsus State Hospital, Mersin, Turkey
| | - Selma Duru Bülbül
- Clinic of Intensive Care Unit, Tarsus State Hospital, Mersin, Turkey
| | - Kadriye Kahveci
- Clinic of Intensive Care Unit, Ankara Ulus State Hospital, Ankara, Turkey
| | - Metin Dinçer
- Clinic of Intensive Care Unit, Ankara Ulus State Hospital, Ankara, Turkey
| | - Nimet Şenoğlu
- Clinic of Intensive Care Unit, Health Sciences University, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Hüseyin Özkarakaş
- Clinic of Intensive Care Unit, Health Sciences University, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - İlhan Bahar
- Clinic of Intensive Care Unit, Van Training and Research Hospital, Van, Turkey
| | - Melike Cengiz
- Clinic of Intensive Care Unit, Akdeniz University Hospital, Antalya, Turkey
| | - Atilla Ramazanoğlu
- Clinic of Intensive Care Unit, Akdeniz University Hospital, Antalya, Turkey
| | - Burcu Çelik
- Clinic of Intensive Care Unit, Akdeniz University Hospital, Antalya, Turkey
| | - Ümmügülsün Gaygısız
- Clinic of Intensive Care Unit, Erzurum District Training and Research Hospital, Erzurum, Turkey
| | - Gülay Kır
- Department of Intensive Care Unit, University of Health Sciences Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul, Turkey
| | - Ahmet Bindal
- Clinic of Intensive Care Unit, Ankara Numune Training and Research Hospital, Ankara, Turkey
| | - Belgin Akan
- Clinic of Intensive Care Unit, Ankara Numune Training and Research Hospital, Ankara, Turkey
| | - Işıl Özkoçak Turan
- Clinic of Intensive Care Unit, Ankara Numune Training and Research Hospital, Ankara, Turkey
| | - Fatma Yıldırım
- Clinic of Intensive Care Unit, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Burcu Başarık
- Clinic of Intensive Care Unit, Denizli State Hospital, Denizli, Turkey
| | - Zeliha Arslan Ulukan
- Clinic of Intensive Care Unit, Medicana International İstanbul Hospital, İstanbul, Turkey
| | - Serdar Efe
- Department of Intensive Care Unit, Trakya University Health Research and Application Hospital, Edirne, Turkey
| | - Murat Sungur
- Department of Intensive Care Unit, Erciyes University School of Medicine, Kayseri, Turkey
| | - Şahin Temel
- Department of Intensive Care Unit, Erciyes University School of Medicine, Kayseri, Turkey
| | - Seval İzdeş
- Clinic of Intensive Care Unit, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Derya Hoşgün
- Clinic of Intensive Care Unit, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Nurhan Karadeniz
- Clinic of Intensive Care Unit, Manisa State Hospital, Manisa, Turkey
| | - Eylem Tuncay
- Department of Intensive Care Unit, Health Sciences University, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Nezihe Çiftarslan Gökşenoğlu
- Department of Intensive Care Unit, Health Sciences University, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - İlim Irmak
- Department of Intensive Care Unit, Health Sciences University, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
| | - Utku Datlı
- Clinic of Intensive Care Unit, Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
| | - Avşar Zerman
- Clinic of Intensive Care Unit, Adana Numune Training and Research Hospital, Adana, Turkey
| | - Devrim Akdağ
- Department of Intensive Care Unit, Çukurova University School of Medicine Balcalı Hospital, Adana, Turkey
| | - Levent Özdemir
- Clinic of Intensive Care Unit, Dörtyol State Hospital, Hatay, Turkey
| | - Gülseren Elay
- Clinic of Intensive Care Unit, Gaziantep Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey
| | - Yücel Karaçayır
- Clinic of Intensive Care Unit, Muğla Sıtkı Koçman University Training and Research Hospital, Muğla, Turkey
| | - Arzu Topeli
- Department of Intensive Care Unit, Hacettepe University School of Medicine Hospital, Ankara, Turkey
| | - Pervin Hancı
- Department of Intensive Care Unit, Hacettepe University School of Medicine Hospital, Ankara, Turkey
| | - Esat Kıvanç Kaya
- Department of Intensive Care Unit, Hacettepe University School of Medicine Hospital, Ankara, Turkey
| | - Pınar Güven
- Clinic of Intensive Care Unit, Bolu İzzet Baysal State Hospital, Bolu, Turkey
| | - Hilal Sazak
- Clinic of Intensive Care Unit, Ankara Atatürk Chest Diseases and Surgery Training and Research Hospital, Ankara, Turkey
| | - Semih Aydemir
- Clinic of Intensive Care Unit, Ankara Atatürk Chest Diseases and Surgery Training and Research Hospital, Ankara, Turkey
| | - Gülbin Aygencel
- Department of Intensive Care Unit, Gazi University School of Medicine Hospital, Ankara, Turkey
| | - Yusuf Aydemir
- Clinic of Intensive Care Unit, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Zahide Doğanay
- Clinic of Intensive Care Unit, Samsun Training and Research Hospital, Samsun, Turkey
| | - Özgür Kömürcü
- Clinic of Intensive Care Unit, Samsun Training and Research Hospital, Samsun, Turkey
| | - Volkan Hancı
- Department of Post-op Anesthesia Care Unit, Dokuz Eylül University School of Medicine Hospital, İzmir, Turkey
| | - Emre Karakoç
- Department of Intensive Care Unit, Çukurova University School of Medicine Balcalı Hospital, Adana, Turkey
| | - Didem Sözütek
- Department of Intensive Care Unit, Çukurova University School of Medicine Balcalı Hospital, Adana, Turkey
| | - Güven Coşkun
- Clinic of Intensive Care Unit, Afyonkarahisar State Hospital, Afyon, Turkey
| | - Güngör Ateş
- Clinic of Intensive Care Unit, Memorial Diyarbakır Hospital, Diyarbakır, Turkey
| | - Civan Tiryaki
- Clinic of Intensive Care Unit, Memorial Diyarbakır Hospital, Diyarbakır, Turkey
| | - Ayşe Nur Soytürk
- Department of Intensive Care Unit, Uludağ University School of Medicine Hospital, Bursa, Turkey
| | - Nermin Kelebek Girgin
- Department of Intensive Care Unit, Uludağ University School of Medicine Hospital, Bursa, Turkey
| | - Gülbahar Çalışkan
- Department of Intensive Care Unit, Uludağ University School of Medicine Hospital, Bursa, Turkey
| | - Oben Bıyıklı
- Clinic of Intensive Care Unit, İzmir Central Hospital, İzmir, Turkey
| | - Necati Gökmen
- Department of Intensive Care Unit, Dokuz Eylül University School of Medicine Hospital, İzmir, Turkey
| | - Uğur Koca
- Department of Intensive Care Unit, Dokuz Eylül University School of Medicine Hospital, İzmir, Turkey
| | - Aydın Çiledağ
- Department of Intensive Care Unit, Ankara University School of Medicine Hospital, Ankara, Turkey
| | - Kezban Özmen Süner
- Clinic of Intensive Care Unit, Konya Training and Research Hospital, Konya, Turkey
| | - İsmail Cinel
- Clinic of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Mustafa Kemal Arslantaş
- Clinic of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Fethi Gül
- Clinic of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Recai Ergün
- Clinic of Intensive Care Unit, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Nafiye Yılmaz
- Clinic of Intensive Care Unit, Atatürk University Health Research and Application Hospital, Erzurum, Turkey
| | - Defne Altıntaş
- Department of Intensive Care Unit, Ankara University School of Medicine Hospital, Ankara, Turkey
| | - Leyla Talan
- Department of Intensive Care Unit, Ankara University School of Medicine Hospital, Ankara, Turkey
| | - Murat Yalçınsoy
- Department of Intensive Care Unit, İnönü University School of Medicine Hospital, Malatya, Turkey
| | - Mehmet Nezir Güllü
- Clinic of Intensive Care Unit, Health Sciences University, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
| | - Perihan Ergin Özcan
- Department of Intensive Care Unit, İstanbul University Istanbul School of Medicine Hospital, İstanbul, Turkey
| | - Günseli Orhun
- Department of Intensive Care Unit, İstanbul University Istanbul School of Medicine Hospital, İstanbul, Turkey
| | - Yusuf Savran
- Department of Intensive Care Unit, Dokuz Eylül University School of Medicine Hospital, İzmir, Turkey
| | - Murat Emre Tokur
- Department of Intensive Care Unit, Dokuz Eylül University School of Medicine Hospital, İzmir, Turkey
| | - Serdar Akpınar
- Clinic of Intensive Care Unit, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Pelin Şen
- Department of Intensive Care Unit, İstanbul Başkent University Hospital, İstanbul, Turkey
| | - Gül Gürsel
- Department of Intensive Care Unit, Gazi University School of Medicine Hospital, Ankara, Turkey
| | - İrem Şerifoğlu
- Department of Intensive Care Unit, Ankara Başkent University Hospital, Ankara, Turkey
| | - Ender Gedik
- Department of Intensive Care Unit, Ankara Başkent University Hospital, Ankara, Turkey
| | - Öner Abidin Balbay
- Clinic of Intensive Care Unit, Düzce University Health Research and Application Hospital, Düzce, Turkey
| | - Türkay Akbaş
- Clinic of Intensive Care Unit, Düzce University Health Research and Application Hospital, Düzce, Turkey
| | - Sinem Cesur
- Clinic of Intensive Care Unit, Düzce University Health Research and Application Hospital, Düzce, Turkey
| | - Hülya Yolacan
- Clinic of Intensive Care Unit, Eskişehir Yunus Emre State Hospital, Eskişehir, Turkey
| | - Seda Beyhan Sağmen
- Clinic of Intensive Care Unit, Health Sciences University, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey
| | - Pervin Korkmaz Ekren
- Department of Intensive Care Unit, Ege University School of Medicine Hospital, İzmir, Turkey
| | - Feza Bacakoğlu
- Department of Intensive Care Unit, Ege University School of Medicine Hospital, İzmir, Turkey
| | - Begüm Ergan
- Department of Intensive Care Unit, Dokuz Eylül University School of Medicine Hospital, İzmir, Turkey
| | - Ersin Günay
- Clinic of Intensive Care Unit, Afyon Kocatepe University Ahmed Necdet Sezer Research and Application Hospital, Afyon, Turkey
| | - Muzaffer Sarıaydın
- Clinic of Intensive Care Unit, Afyon Kocatepe University Ahmed Necdet Sezer Research and Application Hospital, Afyon, Turkey
| | - Dursun Ali Sağlam
- Clinic of Intensive Care Unit, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Sait Karakurt
- Clinic of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Emel Eryüksel
- Clinic of Intensive Care Unit, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
| | - Funda Öztuna
- Department of Intensive Care Unit, Karadeniz Technical University School of Medicine, Trabzon, Turkey
| | | | - Hakan Cinemre
- Clinic of Intensive Care Unit, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Ahmet Nalbant
- Clinic of Intensive Care Unit, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Öznur Yağmurkaya
- Clinic of Intensive Care Unit, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Tuğba Mandal
- Department of Intensive Care Unit, Adıyaman University School of Medicine Hospital, Adıyaman, Turkey
| | - Belgin İkidağ
- Clinic of Intensive Care Unit, American Hospital, Gaziantep, Turkey
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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.
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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
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9
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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.
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Affiliation(s)
- Aykut Sarıtaş
- From the Department of Anesthesiology and Reanimation, Medical Sciences University Tepecik Training and Research Hospital, Izmir, Turkey
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10
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Şenoğlu N, Köse I, Zincircioğlu Ç, Erbay RH. Fast Hugs with Intensive Care Unit. tybdd 2014. [DOI: 10.4274/tybdd.69885] [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: 12/01/2022] Open
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11
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Doğu B, Öksüz H, Şenoğlu N, Yavuz C, Gişi G. Postoperative Sudden Hypotension Due to Relative Adrenal Insufficiency. Turk J Anaesthesiol Reanim 2014; 42:283-7. [PMID: 27366438 DOI: 10.5152/tjar.2014.33254] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 08/13/2013] [Accepted: 10/23/2013] [Indexed: 11/22/2022] Open
Abstract
Systemic blood pressure is regulated by three mechanisms: the sympathetic nervous system, the renin-angiotensin system, and the arginine-vasopressin system. Hypotension is a condition that can occur at any stage of management of general anaesthesia, including induction, extubation, and maintenance. Many of the medications used for anaesthesia produce a mild to moderate decrease in systemic vascular resistance (SVR) with a subsequent decrease in arterial blood pressure. Profound and sustained hypotension, however, can have a global impact, resulting in a failure to adequately perfuse systemic capillary networks. The following report describes the case of a 69-year-old man undergoing surgery for total hip replacement who had hypotension that was refractory to fluid administration and inotropic agents at the end of the surgery. In this case study, the role of methylprednisolone therapy in catecholamine-resistant hypotension is also discussed.
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Affiliation(s)
- Birsen Doğu
- Department of Anaesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
| | - Hafize Öksüz
- Department of Anaesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
| | - Nimet Şenoğlu
- Department of Anaesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
| | - Cengizhan Yavuz
- Department of Anaesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
| | - Gökçe Gişi
- Department of Anaesthesiology and Reanimation, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey
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12
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Silay E, Coşkuner İ, Yıldız H, Bakan V, Baykan H, Şenoğlu N, Öksüz H. Anaesthetic Management of a Neonate with Giant Cystic Hygroma. Turk J Anaesthesiol Reanim 2013; 41:185-7. [PMID: 27366368 DOI: 10.5152/tjar.2013.24] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2012] [Accepted: 07/19/2012] [Indexed: 11/22/2022] Open
Abstract
Cystic hygroma, which originates from embryonic lymphoid tissue, is a benign tumour without any potential for malignancy. It is commonly located in the neck area. Anaesthetic management of a large neck mass may be challenging due to difficulty in intubation and the severe haemodynamic effects of surgical removal of a giant tumour. Serious consequences such as sudden airway occlusion resulting in hypoventilation and hypoxemia may arise. We present the anaesthetic management of a 15-day-old infant who underwent surgical removal of a cystic hygroma located on the left side of the neck. Anaesthesia was induced by mask ventilation with sevoflurane in 100% oxygen and intubation was carried out while maintaining spontaneous ventilation. The endotracheal tube was sutured to the tip of the right lip to avoid movement or extubation. In addition to arterial cannulation for invasive blood pressure monitoring, central venous catheterization for perioperative fluid management was put in place. After 6 hours of surgery, the infant was transported to the neonatal intensive care unit and was extubated without difficulty the next day. Facial nerve injury was observed to be temporary.
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Affiliation(s)
- Emin Silay
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - İsmail Coşkuner
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Hüseyin Yıldız
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Vedat Bakan
- Department of Paediatric Surgery, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Halit Baykan
- Department of Plastic Surgery, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Nimet Şenoğlu
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Hafize Öksüz
- Department of Anaesthesiology and Reanimation, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
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