17 results on '"Aydınlı, Bahar"'
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2. 10 cm H2O PEEP application in laparoscopic surgery and cerebral oxygenation: a comparative study with INVOS and FORESIGHT
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Kemerci, Perihan Uçar, Demir, Aslı, Aydınlı, Bahar, Güçlü, Çiğdem Yıldırım, Karadeniz, Ümit, Çiçek, Ömer Faruk, Taşoğlu, İrfan, and Özgök, Ayşegül
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- 2016
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3. Obesity and postoperative early complications in open heart surgery
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Demir, Aslı, Aydınlı, Bahar, Güçlü, Çiğdem Yıldırım, Yazıcıoğlu, Hija, Saraç, Ahmet, Elhan, Atilla H., and Erdemli, Özcan
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- 2012
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4. Peri-operative blood transfusion in elective major surgery: incidence, indications and outcome – an observational multicentre study
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Aydınlı, Bahar, Küçükgüçlü, SEMİH, Büyülçoban, Sibel, Bermede, Ahmet Onat, Ömür Arça, Dilek, Ünal, Dilek, Şenaylı, Yeşim, Polat, Reyhan, Spahn, Donat Rudolf, Toraman, Fevzi, Alkış, Neslihan, and Alanoğlu, Zekeriya
- Abstract
Background - Patients’ demographic and epidemiological characteristics,local variations in clinicians’ knowledge and experience and types of surgerycan influence peri-operative transfusion practices. Sharing data on transfusionpractices and recipients may improve patients’ care and implementation ofPatient Blood Management (PBM).Materials and methods - This was a multicentre, prospective, observational,cross-sectional study that included 61 centres. Clinical and transfusion dataof patients undergoing major elective surgery were collected; transfusionpredictors and patients’ outcomes were analysed.Results - Of 6,121 patients, 1,579 (25.8%) received a peri-operative transfusion.A total of 5,812 blood components were transfused: red blood cells (RBC),fresh-frozen plasma and platelets in 1,425 (23.3%), 762 (12.4%) and 88(1.4%) cases, respectively). Pre-operative anaemia was identified in 2,019(33%) patients. Half of the RBC units were used by patients in the age group45-69 years. Specific procedures with the highest RBC use were coronaryartery bypass grafting (16.9% of all units) and hip arthroplasty (14.9%).Low haemoglobin concentration was the most common indication forintra-operative RBC transfusion (57%) and plasma and platelet transfusionswere mostly initiated for acute bleeding (61.3% and 61.1%, respectively).The RBC transfusion rate in study centres varied from 2% to 72%. RBCtransfusion was inappropriate in 99% (n=150/151) of pre-operative, 23%(n=211/926) of intra-operative and 43% (n=308/716) of post-operative RBCtransfusion episodes. Pre-operative haemoglobin, increased blood loss, opensurgery and duration of surgery were the main independent predictors ofintra-operative RBC transfusion. Low pre-operative haemoglobinconcentration was independently associated with post-operative pulmonarycomplications.Conclusions - These findings identified areas for improvement inperi-operative transfusion practice and PBM implementation in Turkey.Keywords: Blood components, patient blood management, peri-operative, transfusion
- Published
- 2020
5. Peri-operative blood transfusion in elective major surgery: incidence, indications and outcome – an observational multicentre study
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Donat, Ramazan, Buget, Mehmet, Yıldırım Güçlü, Çigdem, Bilgin, Hülya, Bermede, Ahmet Onat, Aydınlı, Bahar, Alanoğlu, Zekeriyya, Alkış, Neslihan, Abitağaoğlu, Suheyla, Yüzkat, Nureddin, Şentürk, Mert, Polat, Reyhan, Toraman, Fevzi, Şenaylı, Yesim, Ünal, Dilek, Abutt, Yeşim, Toprak, Hüseyin İlksen, Tezcan, Buşra, Coşkunfırat, Nesil, Orhan Sungur, Mukadder, Demir, Aslı, Gören, Suna, and Güner Can, Meltem
- Published
- 2020
6. Re: Can Pre-Operative HbA1c Values in Coronary Surgery be a Predictor of Mortality
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Aydınlı, Bahar, Demir, Aslı, Özmen, Harun, Vezir, Özden, Ünal, Utku, and Özdemir, Mustafa
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Letter to the Editor - Published
- 2019
7. A New Current to The Armamentarium: Is the CHA2DS2-Vasc-HS Score Predictive of Low Left Internal Mammary Artery (LIMA) Flow in Patients Underwent Coronary Bypass Surgery?
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Söylemez, Nihat, Ballı, Mehmet, Köksal, Fatma, Yılmaz, Mahmut, Sağ, Fazilet Ertürk, Tekin, Esra Ertürk, Yeşiltaş, Mehmet Ali, Vezir, Özden, Aydınlı, Bahar, and Özkan, Buğra
- Published
- 2021
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8. Comparison of Propofol, Propofol-Remifentanil, and Propofol-Fentanyl Administrations with Each Other Used for the Sedation of Patients to Undergo ERCP.
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Haytural, Candan, Aydınlı, Bahar, Demir, Berna, Bozkurt, Elif, Parlak, Erkan, Dişibeyaz, Selçuk, Saraç, Ahmet, Özgök, Ayşegül, and Kazancı, Dilek
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ANALGESIA , *ANALGESICS , *ANESTHESIA , *ANESTHESIOLOGISTS , *COMBINATION drug therapy , *CUSTOMER satisfaction , *ENDOSCOPIC retrograde cholangiopancreatography , *FENTANYL , *HEMODYNAMICS , *MEDICAL societies , *NARCOTICS , *PAIN , *PROPOFOL , *PHARMACODYNAMICS - Abstract
Introduction. Using single anesthetic agent in endoscopic retrograde cholangiopancreatography (ERCP) may lead to inadequate analgesia and sedation. To achieve the adequate analgesia and sedation the single anesthetic agent doses must be increased which causes undesirable side effects. For avoiding high doses of single anesthetic agent nowadays combination with sedative agents is mostly a choice for analgesia and sedation for ERCP. Aim. The aim of this study is to investigate the effects of propofol alone, propofol + remifentanil, and propofol + fentanyl combinations on the total dose of propofol to be administered during ERCP and on the pain scores after the process. Materials and Method. This randomized study was performed with 90 patients (ASA I-II-III) ranging between 18 and 70 years of age who underwent sedation/analgesia for elective ERCP.The patients were administered only propofol (1.5mg/kg) in Group I, remifentanil (0.05 µg/kg) + propofol (1.5mg/kg) combination in Group II, and fentanyl (1 µg/kg) + propofol (1.5mg/kg) combination inGroup III. All the patients' sedation levels were assessed with the Ramsey Sedation Scale (RSS). Their recovery was assessed with the Aldrete and Numerical Rating Scale Score (NRS) at 10 min intervals. Results. The total doses of propofol administered to the patients in the three groups in this study were as follows: 375mg in Group I, 150mg in Group II, and 245mg in Group III. Conclusion. It was observed that, in the patients undergoing ERCP, administration of propofol in combination with an opioid provided effective and reliable sedation, reduced the total dose of propofol, increased the practitioner satisfaction, decreased the pain level, and provided hemodynamic stability compared to the administration of propofol alone. [ABSTRACT FROM AUTHOR]
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- 2015
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9. Investigation of the Effects of Preoperative Hydration on the Postoperative Nausea and Vomiting.
- Author
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Selçuk Yavuz, M., Kazanci, Dilek, Turan, Sema, Aydınlı, Bahar, Selçuk, Gıkçe, özgök, AyGegöl, and Coşar, Ahmet
- Abstract
Introduction. Postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy operations still continue to be a serious problem. Intravenous fluid administration has been shown to reduce PONV. Some patients have higher risk for PONV described byAPFEL score. In this study, our aim was to determine the effects of preoperative intravenous hydration on postoperative nausea and vomiting in high Apfel scored patients undergoing laparoscopic cholecystectomy surgery. Patients and Methods. This study is performed with 50 female patients who had APFEL score 3-4 after ethics committee approval and informed consent was taken from patients. The patients were divided into 2 groups: group 1 (P
1 ): propofol + preoperative hydration and group 2 (P2 ): propofol + no preoperative hydration. Results. When the total nausea VAS scores of groups P1 and P2 to which hydration was given or not given were compared, a statistically significant difference was detected at 8th and 12th hours (ρ = 0.001 and ρ = 0.041). It was observed that in group P1, which was given hydration, the nausea VAS score was lower. When the total number of patients who had nausea and vomiting in P1 and P2 , more patients suffered nausea in P2 group. Discussion. Preoperative hydrationmay be effective in high Apfel scored patients to prevent postoperative nausea. [ABSTRACT FROM AUTHOR]- Published
- 2014
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10. Influence of Temperature and pH Changes on Propofol Injection Pain.
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Demir, Aslı, Aydınlı, Bahar, Tezcan, Büşra, Uçar, Perihan, İnce, Eslem, Öztuna, Derya, Dönmez, Aslı, and Erdemli, Özcan
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PROPOFOL , *TEMPERATURE , *ANESTHESIOLOGY , *INJECTIONS , *REFRIGERATION & refrigerating machinery , *GASTROINTESTINAL system , *UROLOGICAL surgery , *THERAPEUTICS - Abstract
Objective: Propofol has been widely used for anaesthesiology, although about 60%-70% of patients experience pain on injection. The aim of our study was to compare two storage patterns of propofol, namely room temperature versus refrigeration, in terms of their effect on incidence and severity of pain caused by its injection. Methods: Two hundred patients referred to gastrointestinal or urologic surgery with general anaesthesiology were included in a prospective randomized, double-blind study. After routine monitoring, 5 mL of propofol at room temperature and 5 mL of propofol kept in the fridge was administered within 10 seconds to patients in Group 1 and Group 2, respectively. An investigator assessed pain intensity. Propofol temperature-pH were measured by another researcher. Results: The overall incidence of pain on injection of propofol was 73.7% in Group 1, and 83.2% in Group 2. There was no significant difference between groups regarding the incidence of pain. There was a significant difference between groups in terms of pain severity based on a 6-point verbal rating scale. While the median VRS value for Group 1 was 2, it was 3 in Group 2. Conclusion: Cold application has a local anesthetic effect of its own. In the present study it was observed that cold application of propofol caused pain more frequently, although it was statistically not significant; moreover, it was found that it statistically significantly increased the severity of pain. These findings indicate that propofol should be kept at room temperature instead of in the refrigerator in order to reduce injection pain. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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- View/download PDF
11. Re: Can Pre-Operative HbA1c Values in Coronary Surgery be a Predictor of Mortality.
- Author
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Aydınlı B, Demir A, Özmen H, Vezir Ö, Ünal U, and Özdemir M
- Published
- 2019
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12. Can Pre-Operative HbA1c Values in Coronary Surgery be a Predictor of Mortality?
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Aydınlı B, Demir A, Özmen H, Vezir Ö, Ünal U, and Özdemir M
- Abstract
Objective: One of the most frequently studied parameters in terms of outcome estimation in cardiac surgery is HbA1c. Several studies in literature suggest that high HbA1c value increases mortality and morbidity, but there is no relation between them. The primary aim of the present study is to investigate whether HbA1c value in diabetic patients undergoing coronary bypass graft surgery is an independent predictor for post-operative mortality and morbidity, and our secondary goal was to determine independent risk factors that cause mortality and morbidity in the same patient population., Methods: 380 diabetic patients diagnosed with diabetes who underwent coronary surgery with cardiopulmonary bypass in Mersin State hospital between July 2014 to December 2016 after the approval of the Mersin University Faculty of medicine ethics committee were included in this retrospective, observational, and cross-sectional study. Patient demographic and perioperative information were obtained from the electronic information operating system and from anesthesia-intensive care follow-up forms. The HbA1c threshold was accepted as 7%, which was reported to be more appropriate for evaluating high-risk groups., Results: Three hundred and fifty-four patients with complete access to the data were included in the study. The mean age of the patients was 60.8±9.4 years. 37% of the patients (131 patients) were female. The number of patients with HbA1c≥7 was 194 (54,8%) in the entire patient population. In this study, high HbA1c (≥7) values in diabetic patients undergoing isolated coronary bypass graft surgery were not found to be independent predictors of post-operative mortality and morbidity. Mortality was seen in 28 patients (7.9%). Ejection fraction (EF) was found to be an independent predictor factor for pre-operative factors in logistic regression models constructed according to mortality predictors (OR:0.94; 95% CI: 0.90-0.99; p=0.016). Complications were seen in 50 patients (14.1%). In the models formed from the point of view of the complication predicators, only EF was found to be independent predictor (OR:0.95; 95% CI: 0.92-0.98; p=0.004). It was found that HbA1c was not predictive in all models for mortality and complication (p>0.05)., Conclusion: There are reports in the literature that mortality increases 4-fold when HbA1c value is higher than 8.6% in coronary surgery. However, there is a view that HbA1c alone cannot predict mortality in coronary surgery if diabetes associated factors are excluded. In this study, high HbA1c (≥7) values in diabetic patients undergoing isolated coronary bypass graft surgery were not found to be independent predictors of post-operative mortality and morbidity. Pre-operative low ejection fraction was found as an independent risk factor for post-operative mortality and morbidity in the general patient population., Competing Interests: Conflict of Interest: No conflict of interest was declared by the authors.
- Published
- 2018
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13. Postperfusion Syndrome in Cadaveric Liver Transplantations: A Retrospective Study.
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Aydınlı B, Karadeniz Ü, Demir A, Güçlü ÇY, Kazancı D, Koçulu R, Haytural C, Özgök A, Bostancı EB, and Zorlu A
- Abstract
Objective: To evaluate the factors that affects the postperfusion syndrome in cadaveric liver transplantations and the effect of the postperfusion syndrome on discharge from the hospital., Methods: Patients who underwent cadaveric liver transplantations between 2007 and 2013 were scanned retrospectively. Intraoperative anaesthesia records, intensive care unit follow-up forms and discharge reports were examined from patient files. Overall, 43 patients having complete data were included in the study. The postperfusion syndrome is defined as asystoli or a decrease in mean arterial pressure of more than 30%, which occurred in the first 5 min of reperfusion and continued for 1 min. Patients were divided into two groups: those who had the postperfusion syndrome and those who did not., Results: The number of patients who had the postperfusion syndrome was 25 of 43 (58.1%). The MELD score of patients without the postperfusion syndrome was calculated as 16.9±3.2 and that of patients with the postperfusion syndrome was 19.7±3.6. A statistically significant relationship was detected between the postperfusion syndrome occurrence and a high MELD score (p=0.013). The diastolic blood pressure just before reperfusion was statistically lower in the group with the postperfusion syndrome than in the other group (p=0.023, 50±8 vs. 58±11). According to the logistic regression analysis, the MELD score and the decrease in diastolic blood pressure before reperfusion were defined as independent predictive factors., Conclusion: According to the study, the ratio for having the postperfusion syndrome was found to be 58.1%. The independent predictor factors affecting the postperfusion syndrome were detected as the MELD score and the decrease in diastolic blood pressure before reperfusion. The postperfusion syndrome during orthotropic liver transplantation is an important issue for anaesthesiologists. The awareness of the related factors with the postperfusion syndrome may help in the development of various preventive strategies.
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- 2016
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14. Intraoperative 16-Channel Electroencephalography and Bilateral Near Infrared Spectroscopy Monitorization in Aortic Surgery.
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Demir A, Aydınlı B, Ünal EU, Bindal M, Koçulu R, Sarıtaş A, and Karadeniz Ü
- Abstract
Transient neurologic dysfunction is common after aortic surgery. Major causes of postoperative complications followed by cardiac surgery are due to hypoperfusion states such as selective cerebral perfusion, embolic debris during cardiopulmonary bypass and ulcerated plaque emboli originated from carotid arteries. Neurologic complications prolong periods of intensive care unit and hospital stay, worsens quality of life and unfortunately they are an important cause of morbidity. Anaesthesia during a carotid and aortic surgery constitutes of providing adequate brain perfusion pressure, attenuating cerebral metabolism by anaesthetic agents and monitoring the cerebral metabolic supply and demand relationship during the intraoperative period. We present a monitoring approach with an intraoperative 16-channel electroencephalography and bilateral near infrared spectroscopy during redo aneurysm of the sinus of Valsalva surgery.
- Published
- 2015
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15. The effect of sevoflurane vs. TIVA on cerebral oxygen saturation during cardiopulmonary bypass--randomized trial.
- Author
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Güçlü ÇY, Ünver S, Aydınlı B, Kazancı D, Dilber E, and Özgök A
- Subjects
- Aged, Biomarkers blood, Cardiac Surgical Procedures, Female, Humans, Male, Middle Aged, Oximetry, Sevoflurane, Spectroscopy, Near-Infrared, Time Factors, Turkey, Anesthetics, Inhalation administration & dosage, Anesthetics, Intravenous administration & dosage, Cardiopulmonary Bypass, Cerebrovascular Circulation, Fentanyl administration & dosage, Methyl Ethers administration & dosage, Midazolam administration & dosage, Monitoring, Intraoperative methods, Oxygen blood
- Abstract
Background: Neuropsychological and neurological deficits are still major causes of mortality and morbidity after cardiac surgery. These complications are thought to be caused by embolisms and cerebral hypoxia. Thus, continuous neuromonitoring is essential during cardiac surgery due to cerebral oxygen desaturation during different periods. Near-infrared spectrophotometry (NIRS), a non-invasive method, appears to offer many advantages for monitoring cerebral oxygenation and hemodynamics. Desaturation of cerebral oxygen may occur at the beginning of cardiopulmonary bypass (CPB) or during the low perfusion and rewarming stages if not corrected., Objectives: This study was designed to assess the effects of sevoflurane on cerebral protection during CPB., Material and Methods: Eighty patients were divided into two groups. Anesthesia was maintained either with fentanyl and midazolam (total intravenous anesthesia, TIVA) or with one minimum alveolar concentration of sevoflurane and fentanyl. Cerebral desaturation was defined as an absolute decrease in saturation of 20% from baseline cerebral saturation. When desaturation occurred, PaCO2, hematocrit and PaO2 levels were checked and corrected. If desaturation continued, anesthetic depth was increased to reserve saturation with 50-100 mg of propofol. NIRS values and hemodynamics were recorded at predetermined time intervals., Results: Cerebral oxygen saturation values on the right side were higher in the sevoflurane group than in the TIVA group. The values on the left side were higher in the sevoflurane group than in the TIVA group, and meaningful differences were seen at the lowest temperature and at 36°C., Conclusions: Oxygen saturation was higher in the sevoflurane group than in the TIVA group. Thus, the effect of sevoflurane was useful for maintaining cerebral oxygen saturation during CBP.
- Published
- 2014
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16. Investigation of the effects of preoperative hydration on the postoperative nausea and vomiting.
- Author
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Yavuz MS, Kazancı D, Turan S, Aydınlı B, Selçuk G, Özgök A, and Coşar A
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- Demography, Female, Humans, Metoclopramide therapeutic use, Pain Measurement, Postoperative Nausea and Vomiting drug therapy, Fluid Therapy, Postoperative Nausea and Vomiting therapy, Preoperative Care
- Abstract
Introduction: Postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy operations still continue to be a serious problem. Intravenous fluid administration has been shown to reduce PONV. Some patients have higher risk for PONV described by APFEL score. In this study, our aim was to determine the effects of preoperative intravenous hydration on postoperative nausea and vomiting in high Apfel scored patients undergoing laparoscopic cholecystectomy surgery., Patients and Methods: This study is performed with 50 female patients who had APFEL score 3-4 after ethics committee approval and informed consent was taken from patients. The patients were divided into 2 groups: group 1 (P1): propofol + preoperative hydration and group 2 (P2): propofol + no preoperative hydration., Results: When the total nausea VAS scores of groups P1 and P2 to which hydration was given or not given were compared, a statistically significant difference was detected at 8th and 12th hours (P = 0.001 and P = 0.041). It was observed that in group P1, which was given hydration, the nausea VAS score was lower. When the total number of patients who had nausea and vomiting in P1 and P2, more patients suffered nausea in P2 group., Discussion: Preoperative hydration may be effective in high Apfel scored patients to prevent postoperative nausea.
- Published
- 2014
- Full Text
- View/download PDF
17. Monitoring Cardiac Output and Transesophageal Echocardiography during Removal of a Ventricular Assist Device.
- Author
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Demir A, Karadeniz Ü, Aydınlı B, Taş M, and Erdemli Ö
- Abstract
A ventricular assist device (VAD) is a mechanical pump used to support heart function and blood flow in patients with poor heart functions. For selected patients who are too ill to wait for a heart transplant or are not eligible for a heart transplant because of age or other medical problems, ventricular assist devices offer life-saving therapy. This device has also become a life-saving approach for patients with acute viral myocarditis. Following the acute illness phase, when heart function has improved, the VAD is carefully removed. It is very important to continuously monitor myocardial functions during this period. In this paper, we present a patient who underwent cardiac output and transesophageal echocardiography monitoring during VAD removal.
- Published
- 2013
- Full Text
- View/download PDF
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