Search

Your search keyword '"Banu Tütüncüler"' showing total 7 results
Start Over Author "Banu Tütüncüler"
7 results on '"Banu Tütüncüler"'

1. The relationship between anti-seizures medications and metabolic acidosis in craniotomy operations: is topiramate or zonisamide the cause of metabolic acidosis?

Author

Sevtap H. Şahin, Onur Küçük, and Banu Tütüncüler

Subjects
Anti-seizures medications, Antiepileptic drugs, Metabolic acidosis, Craniotomy, Topiramate, Zonisamide, Anesthesiology, RD78.3-87.3
Abstract

Abstract Background/aim The most commonly prescribed anti-seizures medications (ASMs) for the treatment of epilepsy are currently topiramate, zonisamide, lacosamide, carbamazepine and levetiracetam. The objective of this study was to examine the correlation between preoperative, intraoperative, and postoperative metabolic acidosis and the use of ASMs prior to craniotomy operations. Materials and methods This retrospective cross-sectional study evaluated patients who underwent intracranial surgery with craniotomy under general anaesthesia between May 2020 and April 2023 and used ASMs. The patients were classified into four groups based on the pharmacological mechanisms of action of the ASMs administered before intracranial surgery (Group-I, zonisamide or topiramate; Group-II, lacosamide; Group-III, carbamazepine; Group-IV, levetiracetam). Metabolic acidosis severity was defined based on base excess (BE) levels: mild (-3 to -5), moderate (-5 to -10), and severe (below − 10). The study investigated the correlation between ASMs and the severity of metabolic acidosis in preoperative, intraoperative, and postoperative blood gas measurements. Results Out of 35 patients, 24 patients underwent intracranial surgery and 11 patients underwent epilepsy surgery. There were statistically significant differences in the severity of metabolic acidosis between preoperative (p

Published
2024
Full Text
View/download PDF

2. Mucormycosis in a Patient with Uncontrolled Diabetes Mellitus

Author

Mehmet Turan İnal, Dilek Memiş, Pervin Hancı, Gökhan Günbay, Samet Keleş, Habibe Tülin Elmaslar Mert, Rüveyde Garip, Selis Gülseven Güven, Emre Hocaoğlu, and Banu Tütüncüler

Subjects
mucormycosis, diabetic ketoacidosis, mortality, Medicine, Internal medicine, RC31-1245, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Mucormycosis; is a rapidly progressive fungal infection due to filamentous fungi of the mucoraceae family. In this case report, we aimed to present the diagnosis and treatment modalities of a patient who developed rhinoorbital mucormycosis. A 54-year-old patient with a history of hypertension applied to the emergency department with a complaint of wound in the mouth that started four days ago. In the examinations performed here, the patient was diagnosed with diabetic ketoacidosis. In the examination of the patient, it was found that there was a necrotic wound on the left hard palate, a necrotic wound extending from the left inferior turbinate to the nasopharynx, and hyphae in the nasal passage. The patient underwent an aggressive debridement operation on the third day, due to the growth in the fungal culture. In the following clinical examination of the patient, ketone in the urine became negative, and his acidosis status improved. On the same day, the patient was treated with a positive coronavirus disease-2019 (COVID-19) polymerase chain reaction. After 15 days of treatment, the patient died due to COVID-19 pneumonia. Mucormycosis should be doubtful in patients presenting with uncontrolled diabetes mellitus and severe sino-orbital infection. All physicians following diabetic ketoacidosis should be vigilant against this rapidly progressing disease with high mortality.

Published
2022
Full Text
View/download PDF

5. The effects of the early and ultra-early intervention on the outcome in aneurysmatic subarachnoid hemorrhage

Author

Banu Tütüncüler, Ahmet Tolgay Akinci, Metin Orakdöğen, Yener Aktürk, and Osman Şimşek

Subjects
Adult, Male, medicine.medical_specialty, Pediatrics, Subarachnoid hemorrhage, Psychological intervention, Disease, Time-to-Treatment, Interquartile range, Intervention (counseling), medicine, Humans, Aged, Retrospective Studies, business.industry, Glasgow Outcome Scale, Retrospective cohort study, Middle Aged, Subarachnoid Hemorrhage, medicine.disease, Anesthesiology and Pain Medicine, Treatment Outcome, Emergency Medicine, Surgery, Female, Neurosurgery, business
Abstract

BACKGROUND The optimal timing of intervention for aneurysmatic subarachnoid hemorrhage is one of the historically controversial issues in neurosurgery. Although numerous studies investigated the subject, they had many limitations due to the nature of the disease. Early and ultra-early interventions have gained more and more supporters in recent decades. Nevertheless, the effects of the early and ultra-early intervention on the outcome of the disease are far from clarity. METHODS A single-center retrospective cohort study was carried out at Trakya University Medical Faculty Training and Practice Hospital. The study includes data on all patients admitted with an aneurysmal subarachnoid hemorrhage between January 1, 2001, and December 31, 2005. Patients were divided into two groups according to their WFNS grade status: Good (I-III) or poor (IV-V) grades. Patients are also classified according to their Glasgow Outcome Scale score: Unfavorable (1-2) or favorable (3-5) outcomes. Data were analyzed statistically, and the effects of the early and ultra-early intervention on the outcome were assessed. RESULTS A total of 580 patients were admitted in the study period. Among them, 494 were eligible for the study. The median age (interquartile range) was 55 (18) years. While 244 (49.4%) patients were women, 250 (50.6%) patients were men. Three hundred and fourteen (63.6%) patients were operated, and 25 patients (5.1%) were undergone endovascular treatment. The ultra-early intervention was achieved in 60 (12.1%) patients and 142 patients (28.7%, including the previous ultra-early intervention group) early intervention was achieved. A meaningful outcome difference was present between the poor-grade ultra-early treatment group and the rest (p=0.007). Analogously, a meaningful outcome difference was present between the poor-grade early treatment group and the rest (p

Published
2021

6. Endotracheal intubation for penetrating neck trauma

Author

Sevtap Hekimoglu Sahin, Hakan Tagrikulu, Banu Tütüncüler, Tolgay Akıncı, Hüseyin Uğur, Beyhan Karamanlioglu, and Mehmet Turan Ina

Subjects
medicine.diagnostic_test, business.industry, Direct laryngoscopy, medicine.medical_treatment, Laryngoscopy, Tracheal intubation, Case Report, neck trauma, 030208 emergency & critical care medicine, Endotracheal intubation, General Medicine, general anesthesia, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, Anesthesia, medicine, Intubation, Airway management, Airway, business, Neck trauma, Daily routine
Abstract

Tracheal intubation is performed as part of daily routine in the operating room, rarely with complications. However, management of airway for cases such as a penetrating neck trauma case might constitute exceptions, in which cases the stabilization of the neck to prevent any further neural damage is a significant source of concern for the anesthesiologist. Generally, intubation techniques for penetrating neck trauma were planned according to the initial position of patients. To our knowledge, this is the first case report of alterated the position of the patient during the anesthesia induction for direct laryngoscopy. We report a case of successful airway management of a patient with penetrating neck trauma, by endotracheal intubation with direct laryngoscopy (DL) technique.

Published
2018
Full Text
View/download PDF

7. Bypass to the intracranial giant or large internal carotid artery aneurysms: superficial temporal artery to middle cerebral artery bypass re-visited

Author

Galip Zihni, Sanuş, Ziya, Akar, Taner, Tanriverdi, Banu, Tütüncüler, Mustafa, Uzan, Civan, Işlak, and Naci, Koçer

Subjects
Adult, Carotid Artery Diseases, Male, Middle Cerebral Artery, Intracranial Aneurysm, Middle Aged, Neurosurgical Procedures, Cerebral Angiography, Temporal Arteries, Treatment Outcome, Humans, Tomography, X-Ray Computed, Ligation, Vascular Surgical Procedures, Carotid Artery, Internal, Follow-Up Studies
Abstract

Hunterian ligation of the internal carotid artery is an acceptable treatment modality for inoperable intracranial carotid aneurysms. Despite the risk of thrombo-embolic complications, ligation together with superficial temporal artery-middle cerebral artery (STA-MCA) bypass surgery is vital in some patients. Our aim is to present our experience in five patients in whom STA-MCA bypass and balloon occlusion were performed due to inoperable intracranial carotid artery aneurysms.During the last five years, five patients with inoperable internal carotid artery (ICA) aneurysms were treated by STA-MCA bypass surgery followed by permanent endovascular ICA occlusion. Patients were selected for bypass surgery on the basis of failing balloon test occlusion. Patients were managed in the intensive care unit after surgical and endovascular procedures.Clinical improvement was noted in all patients and no major complication during the follow-up was seen. Aneurysmal thrombosis was confirmed in all patients.Hunterian ligation associated with bypass surgery is an effective treatment method in selected patients. The following points should be considered for a good outcome: (1) experienced surgeon for bypass surgery, (2) experienced neuroradiologist for endovascular occlusion of the parent vessel as close to the aneurysm neck as possible, and (3) judicious postoperative management by means of anticoagulation, fluid replacement, and pressure control.

Published
2007

Catalog

Books, media, physical & digital resources
See catalog results