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91 results on '"Çopuroğlu, Elif"'

2. Effect of Preoperative Anxiety on Depth of Anaesthesia and In Vitro Fertilization Success.

Author

Şahin, Sevtap Hekimoğlu, Çopuroğlu, Elif, Altınpulluk, Ece Yamak, Süt, Necdet, Karamanlıoğlu, Beyhan, Elter, Koray, and Yaman, Özge

Subjects
*ANXIETY, *ANESTHESIA, *HUMAN in vitro fertilization, *FENTANYL, *POSTOPERATIVE period
Abstract

Objective: Infertility anxiety may have a harmful effect on embryo quality and fertilization during in vitro fertilization (IVF). Monitoring brain function gives real-time information about the depth of anaesthesia of a patient. This study examined the effect of preoperative anxiety on the depth of anaesthesia and IVF success. Methods: One hundred thirty-one patients who had undergone oocyte retrieval were divided into two groups according to the Beck Anxiety Inventory (BAI): the low-anxious Group L (n = 71) and high-anxious Group H (n = 60). Hemodynamic stability, intraoperative total propofol and fentanyl consumption, good quality embryo (GQE) rate, and fertilization rate were recorded. Results: Fertilization and GQE rates were not significant between groups L and H. Total propofol consumption was significantly higher in group H than in group L. Heart rate (HR) preoperatively and postoperatively and systolic arterial pressure (SAP) preoperatively and diastolic arterial pressure (DAP) postoperatively were significantly increased in group H than in group L. The time for the modified Aldrete score to reach 9 (MAS 9) in group H was significantly higher than that in group L. The effect of variables that were found significantly in the univariate analysis (Propofol, HRpreop, HRpostop, SAPpreop, DAPpostop, and MAS 9) on BAI score. Conclusion: Total propofol consumption was higher in patients with high anxiety levels, but it did not have a negative effect on IVF success. [ABSTRACT FROM AUTHOR]

Published
2023
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3. Ortopedi ve Travmatoloji

Author

Sağıroğlu, Gönül and Çopuroğlu, Elif

Abstract

Ortopedi anestezisi. Ortopedi ve Travmatoloji&nbsp

Published
2022

4. Pulmonary Embolism During Hepatoblastoma Resection

Author

Çolak, Alkin, Başaran, Ümit Nusret, Çopuroğlu, Elif, Sağ, Fatih, Çakıcı, Zafer, and Kıray, Güven

Subjects
Bradycardia, medicine.medical_specialty, Chemotherapy, Hepatoblastoma, pulmonary embolism, business.industry, medicine.medical_treatment, Paediatric Anaesthesia, Case Report, Heart arrest, Heparin, hepatoblastoma, medicine.disease, Thrombosis, Pulmonary embolism, Surgery, medicine, Cardiopulmonary resuscitation, Hepatectomy, medicine.symptom, business, medicine.drug
Abstract

Although hepatoblastoma is rare, it is the most malignant tumour of childhood. Treatment is usually done by surgical resection and chemotherapy. The mortality and morbidity have decreased due to improvements in the treatments. In this process, hepatic resection has a risk of pulmonary embolism, and this condition could be fatal. In this case, a 9-month-old patient who was treated with chemotherapy and then underwent hepatectomy was presented. We used non-invasive methods such as the perfusion index (PI), the plethysmographic variability index (PVI) (Massimo Radical 7) and non-invasive total haemoglobin measurement (SpHb) rather than invasive measurements. During closure of the surgical skin incision, the end-tidal CO2 (ETCO2) value dropped, after which arrhythmia and bradycardia resulted in cardiac arrest. Cardiopulmonary resuscitation (CPR) was initiated. However, the patient did not respond to CPR. We concluded that heparin may be administered to reduce the risk of thrombosis in patients undergoing liver surgery.

Published
2020

8. Predicting mortality and morbidity of geriatric femoral fractures using a modified frailty index and perioperative features: A prospective, multicentre and observational study

Author

Aksoy, Şemsi Mustafa, Sarıcaoğlu, Fatma, Yılmazlar, A., Özkan, Derya, Çopuroğlu, Elif, Ünlüsoy, Eser Özlem, Süzer, Mehmet Anıl, Argun, Güldeniz, Sunul, Hasibe, Demirel, İsmail, Eroğlu, Ahmet, Alkaya, Filiz Solmaz, Yüce, Deniz, Hayran, Mutlu, Ekmekci, Perihan Elif, Aksoy, Şemsi Mustafa, Sarıcaoğlu, Fatma, Yılmazlar, A., Özkan, Derya, Çopuroğlu, Elif, Ünlüsoy, Eser Özlem, Süzer, Mehmet Anıl, Argun, Güldeniz, Sunul, Hasibe, Demirel, İsmail, Eroğlu, Ahmet, Alkaya, Filiz Solmaz, Yüce, Deniz, Hayran, Mutlu, and Ekmekci, Perihan Elif

Abstract

Femoral fracture is associated with high geriatric mortality. Frailty is the increased vulnerability to stressors resulting from aging-associated decreases in physiological reserve. We aimed to predict 30-365-day postoperative mortality and morbidity rates using modified frailty index and perioperative characteristics in geriatric femoral fractures. Materials and Method: Using a prospective observational design, data were collected from patients >65 years undergoing femoral fracture surgery from 13 different hospitals in 2016 and 2017. Post-discharge follow-up periods were 30, 90, 180, and 365 days. Age, sex, modified frailty index and anaesthesia types used during surgery were recorded. Renal markers, troponin I and haemoglobin levels were examined preoperatively and postoperatively at 24 and 72 hours. Results: We included 392 patients in this study. The age of the patients were between 65 and 101 (mean, 79±11.9). Median modified frailty index was 5 (interquartile range, 2–7). Increase in modified frailty index increased mortality rate. Mortality rate at postoperative 30 days was 9.8%, while overall study mortality rate was 23%. Spinal anaesthesia was administered in 205 patients (52.3%, most frequent), followed by general in 110 (28.1%), peripheral nerve blocks in 21 (5.4) and spinal-epidural in 43 (11%). Anaesthesia type affected both intensive care unit (p0.001) and total hospitalization (p0.012) duration. A logistic regression model revealed that frailty index, preoperative creatinine and centre type were independent mortality predictors. Conclusion: Increased modified frailty index was associated with higher postoperative mortality risk, thus providing an additional way for improving risk stratification. Preoperative creatinine increase and centre types are determining factors in mortality.

Published
2019

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