7 results on '"Ozenc, Ecder"'
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2. Effects of Lithotomy and Prone Positions on Hemodynamic Parameters, Respiratory Mechanics, and Arterial Oxygenation in Percutaneous Nephrolithotomy Performed under General Anesthesia.
- Author
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Yucepur, Serkan, Kepekci, Ali Bestami, Erbin, Akif, and Ozenc, Ecder
- Published
- 2023
- Full Text
- View/download PDF
3. Type of anesthesia affects neonatal wellbeing and frequency of transient tachypnea in elective cesarean sections
- Author
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Ozden Omaygenc, Derya, primary, Dogu, Tugba, additional, Omaygenc, Mehmet Onur, additional, Ozmen, Ferda, additional, Albayrak, Merih Dilan, additional, Babur Guler, Gamze, additional, Kocer Gur, Emel, additional, and Ozenc, Ecder, additional
- Published
- 2014
- Full Text
- View/download PDF
4. Factors associated with acute and chronic pain after inguinal herniorraphy
- Author
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Erdogan, Elif and Ozenc, Ecder
- Abstract
Objectives: The aim of this study was to analyse the relationship between types of anaesthesia, patients’ demographic variables, preoperative emotional states and the prevalence of postoperative pain. Method: In this randomized prospective study, postoperative pain was assessed in 100 patients, who were ASA (American Society of Anaesthesiologist) I-II and between 18-65 years old, undergoing inguinal herniorrhaphy with either general or spinal anaesthesia. In addition, postoperative pain compared with patients’ demographic properties and psychological conditions in each group was also considered. Acute pain was evaluated at 1, 2, 4, 6, 12 and 24thhours with the Numerical Rating Scale (NRS) and chronic neuropathic pain was at 1, 2 and 3rdmonths with Douleur Neuropathique 4 Questions (DN4). All patients were treated with the same analgesics after operation. Results: Group spinal anaesthesia had lower acute pain at 1 and 2nd hours but they felt more severe pain at the 24thhour. Also patients’ anxieties were correlated with acute and chronic postoperative pain. Ten patients complained about postoperative chronic pain after 3 months and there was no significant difference between groups. Conclusion: Spinal anaesthesia decreased acute pain intensity at the first postoperative hours. Patients with anxiety felt high pain levels and they had an increased chronic pain prevalence.
- Published
- 2018
- Full Text
- View/download PDF
5. Intensive care in cases with thoracic and extrathoracic malignant solid tumours: Indications and survival.
- Author
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Kekecoglu, Aybuke, Dalar, Levent, Omaygenc, Derya Ozden, Yigitbas, Burcu Arpinar, Ozenc, Ecder, and Kosar, Filiz
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CANCER patients ,LUNG cancer prognosis ,INTENSIVE care units - Abstract
AIM: The patients with thoracic and extra-thoracic solid organ tumours hospitalized in the intensive care unit (ICU) were retrospectively analyzed and the effects of their ICU stays on survival rates were investigated. METHODS: Medical files of the patients hospitalized in the adult ICUs between January 2010 and September 2013 were retrospectively investigated. ICU stays of the cases with solid organ tumours were evaluated and survival related factors were analyzed. The correlation between available parametres and survival rates was analyzed. RESULTS: A total of 87 patients (74 males) with a mean age of 64.07 ± 11.90 years were included in the study. The cases were divided into 2 groups as those with thoracic (n = 52; 59.8%) and extrathoracic (n = 35; 40.2%) malignancies. Thoracic malignancies were divided within themselves into two subgroups as SCLC (n = 11; 21.2%) and NSCLC (n = 41; 78.8%) and their survival rates were compared. Respiratory failure (n = 35; 40.2%), respiratory failure and additional indications (n = 37; 42.5%) and other indications (n = 15; 17.2%) were main indications. Mean duration of ICU stays was 12.95 ± 16.48 days (range 1-105). Fifty (57.5%) cases died, 6 (6.9%) patients transferred to another center and 31 cases (35.6%) were discharged. Hospitalization times of the cases with respect to mortality rates were significantly different (p = 0.014). Mean survival was 6.78 ± 1.81 months and six month-survival rate was 29.7%. CONCLUSION: Treatment of patients with thoracic and extra-thoracic solid organ tumours in the ICU increases their survivals; however, admission of cancer patients into an ICU should be based on certain objective criteria. [ABSTRACT FROM AUTHOR]
- Published
- 2015
6. Type of anesthesia affects neonatal wellbeing and frequency of transient tachypnea in elective cesarean sections.
- Author
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Ozden Omaygenc, Derya, Dogu, Tugba, Omaygenc, Mehmet Onur, Ozmen, Ferda, Albayrak, Merih Dilan, Babur Guler, Gamze, Kocer Gur, Emel, and Ozenc, Ecder
- Subjects
ANESTHESIA ,ANESTHETICS ,PHARMACODYNAMICS ,CESAREAN section ,TACHYPNEA ,APGAR score - Abstract
Objective: We aimed to assess whether the type of anesthesia in cesarean section (C/S) (spinal anesthesia, SA versus general anesthesia, GA) has an effect or not on umblical vein blood gas analysis and APGAR scores of term neonates and development of transient tachypnea of the newborn (TTN). Methods: The data of 172 procedure (85, GA versus 87, SA) were collected retrospectively. Results of umblical vein blood gas analysis, APGAR scores at first and fifth minutes and presence of TTN from in-hospital files' of neonates were examined. Results: Neonates in the SA group had significantly higher first and fifth minute APGAR scores (8, 7 versus 9, 2, p < 0.001 and 9, 3 versus 10, 2, p = 0.017, respectively). The pH value of umblical vein samples were higher (7.30 ± 0.05 versus 7.32 ± 0.05, p = 0.029) and pO
2 and SaO2 levels were significantly lower in the SA group (34.8 ± 13.8 mmHg versus 27.6 ± 14.5 mmHg; p = 0.001 and 56.6% ± 18.7 versus 49.8% ± 21.4; p = 0.029, respectively) as compared to the GA group. Thirteen neonates in the GA group (15.3%) and five in the SA group (5.7%) were diagnosed as TTN ( p = 0.048). Conclusion: In our study, considerable determinants of fetal wellbeing was stated to be higher in C/S performed under SA in comparison to GA. Furthermore, our findings favor SA for avoidance of TTN. [ABSTRACT FROM AUTHOR]- Published
- 2015
- Full Text
- View/download PDF
7. Even lower is possible: Impact of flow rate on safety ıssues in low flow anaesthesia
- Author
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İbrahim Karaca, Ali Bestami Kepekçi, Serkan Telli, Ecder Özenç, Derya Özden Omaygenç, Serkan Yücepur, Tıp Fakültesi, Kepekci, Ali Bestami Yeni Yuzyil Univ, Gaziosmanpasa Hosp, Vocat Sch Hlth Serv, Clin Anesthesia, Istanbul, Turkey, Omaygenc, Derya Ozden Yedikule Chest Dis & Chest Surg Training & Res Ho, Clin Anesthesiol, Istanbul, Turkey, Karaca, Ibrahim Oguz Istanbul Medipol Univ Hosp, Clin Cardiol, Istanbul, Turkey, Telli, Serkan Ataturk Univ, Res Hosp, Clin Anesthesiol & Reanimat, Istanbul, Turkey, Yucepur, Serkan Amasya Suluova State Hosp, Clin Anesthesiol & Reanimat, Istanbul, Turkey, and Ozenc, Ecder Univ Hlth Sci, Haseki Training & Res Hosp, Clin Anesthesiol & Reanimat, Istanbul, Turkey
- Subjects
Inhalasyon ,business.industry ,Sevofluran ,Recovery Period ,General Medicine ,Anestezi ,Volumetric flow rate ,Sevoflurane ,Inhalation ,Low flow anaesthesia ,Anesthesia ,Derlenme Dönemi ,Medicine ,business - Abstract
Objective: Although various issues about low flow anaesthesia had been investigated previously, impact of different flow rates on perioperative follow-up and safety outcomes were not well-addressed. Here, we aimed to assess the influence of different flow rates of low flow fresh gas mixtures on hemodynamic state, gas exchange parameters and recovery time during general anaesthesia of urogenital system operations in a single tertiary centre. Materials and Methods: Sixty-two patients (American Society of Anaesthesiologists score I or II) to whom low flow anaesthesia with sevoflurane had been administered were subsequently gathered in three distinct -A, moderate flow (2 L/minimum), B, low flow (1 L/minimum), C, minimal flow (0.5 L/minimum) -groups. Hemodynamic data before and during anaesthesia, additionally, gas exchange and blood gas analysis parameters at 30th minute and before cessation of anaesthesia were recorded. Recovery period was observed by a second physician and times of interest were noted. Results: Demographic characteristics were similar among study groups. Most of the data regarding vital signs, gas exchange and blood gas analysis at the 30th minute and prior to cessation of anaesthesia were comparable. During operation, inspiratory sevoflurane levels were significantly higher in group A (1.7±0.6 vs 1.3±0.3 vs 1.3±0.3, p=0.043). There were no significant differences between the groups in terms of recovery data [time to spontaneous breathing (p=0.21), time to extubation (p=0.113), time to eye opening (p=0.5), time to verbal response (p=0.518) and time to reach a Modified Aldrete score of 9 or 10 (minimum, 13.7±6.8 vs 13.6±5.2 vs 14.8±4, p=0.717)]. Conclusion: Limiting the flow rate of gas mixture to 0.5 L/minutes in low flow anaesthesia maintenance may facilitate reduced utilization of volatile anaesthetics without a compromise in hemodynamic status and recovery process. Amaç: Düşük akımlı anesteziyle ilişkili birçok araştırma yapılmış olsa da, operasyon sırasında takip verileri ve güvenlik sonlanımları üzerine farklı akım hızlarının etkileri net olarak bilinmemektedir. Üçüncü basamak bir merkezde ürogenital sistem operasyonları sırasında uygulanan genel anestezi için düşük akımlı taze gaz karışımlarının farklı akım hızlarında kullanıldığı bu çalışmada, hemodinami, gaz değişim verileri ve derlenme zamanlarının gruplar arasında farklılık arz edip etmediği araştırılmıştır. Gereç ve Yöntemler: Sevofluran ile düşük akımlı anestezi uygulanan ardışık altmış iki hasta (Amerikan Anestezistler Derneği skoru I veya II) üç grupta toplandı: A, orta akım (2 L/dk), B, düşük akım (1 L/dk), C, minimal akım (0,5 L/dk). Operasyon öncesinde ve sırasında kaydedilen hemodinamik verilere ek olarak, 30. dakika ve anestezi sonlandırılmadan hemen önceki gaz değişim ve arter kan gazı değerleri incelendi. Derlenme ikinci bir hekim tarafından gözlendi ve gerekli süreler not edildi. Bulgular: Çalışma grupları arasında demografik özellikler benzerdi. Otuzuncu dakika ve anestezi sonlanımı öncesi vital bulgular, gaz değişim ve arter kan gazı analizi sonuçlarının çoğunluğu karşılaştırılabilir düzeydeydi. Operasyon sırasında, inspiratuvar sevofluran düzeyleri grup A’da anlamlı olarak daha yüksekti (%, 1,7±0,6 ve 1,3±0,3 ve 1,3±0,3, p=0,043). Derlenme zamanları açısından gruplar arasında fark tespit edilmedi [spontan soluma zamanı (p=0,21), ekstübasyon zamanı (p=0,113), göz açma zamanı (p=0,5), sözel yanıt zamanı (p=0,518) ve Modifiye Aldrete skoru 9 veya 10’a ulaşmaya kadar geçen süre (dk, 13,7±6,8 ve 13,6±5,2 ve 14,8±4, p=0,717)]. Sonuç: Düşük akımlı anestezi idamesinde gaz karışımının akım hızını 0,5 L/dk’ya kadar düşürmek, hemodinamik istikrar ve derlenme sürecine ilişkin herhangi bir taviz vermeden volatil anestetik ajanların tüketiminin azaltılmasına yardımcı olabilir.
- Published
- 2019
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