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1. POST-TRANSPLANT HASTA GRUBUNDA NUTRISYONEL RISK INDEKSI VE TÜM NEDENLERE BAĞLI MORTALITE ARASINDAKI ILIŞ

Author

Çavdar, Caner, Değer, Serpil Müge, İyilikçi Karaoğlan, Leyla, Aksu Erdost, Hale, and Özkardeşler Özgül, Sevda

Abstract

Amaç: Kronik hastalıklarda malnutrsiyon değerlendirilmesi için basit belirteçler hala araştırma aşamasındadır. Bu çalışmada, böbrek ve karaciğer nakli yapılmış hasta grubunda malnutrisyon belirteci olarak son dönemlerde çalışılan geriatric nutrisyon risk indeksi (GNRI) ile birlikte diğer bilinen vücut kitle indeksi (VKİ) ve serum albümin düzeylerinin post-transplant mortalite arasındaki ilişkiyi incelemeyi hedefledik.Yöntem: Bu retrospektif çalışmaya, nakil öncesi, laboratuvar ve demografik verilerine ulaşılamayan hastalar dışlanarak , 540 hasta ( 440 karaciğer nakli, 100 böbrek nakli) dahil edilmiştir. GNRI hesaplaması [1,489X albumin (g/L)]+ [41,7 x (kilo/ ideal kilo)] denklemine göre yapılmıştır. Mortalite istatistiğinde Diabetes mellitus (DM), yaş ve hipertansiyon (HT) ile ayarlanmış çoklu cox regresyon analizi kullanılmıştır.Bulgular: Hastalrın ortalama (±ss) yaşı 46± 12 yıl ve %69’u erkekti. Hastaların nakil öncesi ortanca VKİ 24.7(IQR, 22.3, 27.7), ortalama (±ss) serum albumin düzeyi 3.1±0.7, ortanca GNRI düzeyi 51.2 (IQR, 46.5, 57.2) saptandı. Karaciğer ve böbrek nakli yapılan hastaların karşılaştırılmasında VKI(kg/m2) ve GNRI düzeyleri açısından far yokken, [ VKI: (Karaciğer nakli; 24.9 (IQR, 22.5, 27.9) Böbrek nakli 24.0 (IQR, 21.0, 27.2 ) p=0.06 ], [GNRI:(Karaciğer nakli; 51.2 (IQR, 46.8, 57.0) Böbrek nakli 51.7 (IQR, 45.1, 58.4 ) p=0.81 ], serum albumin (g/dL)düzeyi karaciğer nakli grubunda istatistiksel olarak anlamlı düşük saptandı [(Karaciğer nakli; 2.9±0.6 Böbrek nakli 4.0±0.5 p

Published
2023

4. Configuration of the Anesthesia Clinic in COVID-19 Pandemic: Dokuz Eylul Faculty of Medicine Anesthesiology and Reanimation Department

Author

HANCI, VOLKAN, ÖZKARDEŞLER ÖZGÜL, SEVDA, YURTLU, BÜLENT SERHAN, HEPAĞUŞLAR, HASAN, AKSU ERDOST, HALE, OLGUNER, ÇİMEN GÜLBEN, GÜNENÇ, SAKİZE FERİM, ERKİN, YÜKSEL, TAŞDÖĞEN, AYDIN, ÖÇMEN, ELVAN, ÖZBİLGİN, ŞULE, KÜÇÜKGÜÇLÜ, SEMİH, KARCI, AYŞE, KUVAKİ BALKAN, BAHAR, GÖKMEN, ALİ NECATİ, İYİLİKÇİ KARAOĞLAN, LEYLA, KOCA, UĞUR, GÖKEL, EROL, and MALTEPE, FİKRET

Published
2022

5. Double Balloon Enteroscopy in a Pregnant Woman with Peutz-Jeghers Syndrome

Author

ÖNEM, SONER, AKARSU, MESUT, DOLU, SÜLEYMAN, HTWAY, ZARNİ, CENGİZ, OZAN, and İYİLİKÇİ KARAOĞLAN, LEYLA

Subjects
General Medicine
Abstract

Peutz-Jeghers syndrome is an autosomal dominant disorder characterised by multiple hamartomatous polyps and muco-cutaneous pigmentation. Most polyps are found in the small intestine, especially in the jejunum. Enteroscopy with polypectomy is a reliable method to prevent polyp-related complications. A pregnant woman, who was diagnosed as a case of Peutz-Jeghers syndrome with a history of intestinal resection, was admitted to our clinic. Termination was recommended to the patient due to the possibility of polyps, causing obstruction during pregnancy. She underwent double balloon enteroscopy in the second trimester. Large polyps that could cause intussusception were removed and post-polypectomy bleeding was successfully controlled. This procedure was the first double balloon enteroscopy during pregnancy, reported in the literature. The procedure should be performed by experienced endoscopists, who can cope well with the complications in expert centres, as the procedure carries a high risk.

Published
2022

6. Configuration of the Anesthesia Clinic in the COVID-19Pandemic: Dokuz Eylül Faculty of Medicine Anesthesiologyand Reanimation Department

Author

AKSU ERDOST, HALE, İYİLİKÇİ KARAOĞLAN, LEYLA, HANCI, VOLKAN, YURTLU, BÜLENT SERHAN, MALTEPE, FİKRET, ÖZKARDEŞLER ÖZGÜL, SEVDA, ÖZBİLGİN, ŞULE, KOCA, UĞUR, GÖKMEN, ALİ NECATİ, GÜNENÇ, SAKİZE FERİM, ERKİN, YÜKSEL, TAŞDÖĞEN, AYDIN, OLGUNER, ÇİMEN GÜLBEN, KARCI, AYŞE, ÖÇMEN, ELVAN, GÖKEL, EROL, KUVAKİ BALKAN, BAHAR, KÜÇÜKGÜÇLÜ, SEMİH, and HEPAĞUŞLAR, HASAN

Published
2022

17. Structuring the Anesthesia Clinic in COVID-19 Epidemic (Pandemic): DEÜ Anesthesiology Department

Author

Günenç, Sakize Ferim, Yurtlu, Bülent Serhan, Hancı, Volkan, Özkardeşler, Sevda, Maltepe, Fikret, Karcı, Ayşe, Koca, Uğur, Gökmen, Ali Necati, Aksu Erdost, Hale, Öçmen, Elvan, İyilikçi Karaoğlan, Leyla, Olguner, ÇİMEN GÜLBEN, Hepağuşlar, Hasan, Küçükgüçlü, SEMİH, Kuvaki Balkan, BAHAR, Gökel, Erol, Özbilgin, Şule, Taşdöğen, Aydın, and Erkin, Yüksel

Published
2020

43. Comparison of sedation requirements for cataract surgery under topical anesthesia or retrobulbar block

Author

Durak, I, Gunenc, F, KUVAKİ BALKAN, BAHAR, Gokel, E, İYİLİKÇİ KARAOĞLAN, LEYLA, Uzumlu, H, Kara, HC, and Celik, L

Subjects
Male, Pain, Postoperative, Phacoemulsification, Midazolam, Conscious Sedation, Analgesia, Patient-Controlled, Nerve Block, General Medicine, Anesthetics, Combined, Fentanyl, 03 medical and health sciences, Ophthalmology, Instillation, Drug, 0302 clinical medicine, Patient Satisfaction, 030221 ophthalmology & optometry, Humans, Female, Prospective Studies, Anesthetics, Local, Anesthetics, Intravenous, 030217 neurology & neurosurgery, Aged, Anesthesia, Local, Pain Measurement
Abstract

Topical anesthesia is increasingly being used for cataract surgery. However, it is believed that topical anesthesia causes an increased risk of intraoperative complications from unrestricted eye movement and insufficient pain control and more need for sedation. It is difficult to compare pain and anxiety experienced by individual patients; therefore, the authors used the method of patient-controlled sedation to determine whether there is a difference in sedation requirements under topical or retrobulbar anesthesia.In this prospective study, patients received either topical anesthesia (n=87) or retrobulbar block (n=104) and self-administered a mixture of midazolam (0.5 mg) and fentanyl (25 g) in increments using a patient controlled analgesia infuser to achieve sedation. At the end of surgery, patients rated their pain on a 10-point numerical rating scale and their comfort on a 5-point scale. The number of demands and deliveries were noted from the patient controlled analgesia infuser display.Pain scores were between 0 and 2 in 95.4% in the topical and in 94.2% in the retrobulbar group (p0.05). Patient comfort was equal in both groups with 2.94 0.92 in the topical group and 2.92 0.99 in the retrobulbar group (p0.05). Mean sedation requirements were similar in both groups: 26.4% of patients in the topical group and 19.2% in the retrobulbar group did not request any sedation (not significant, p0.05).Sedation requirements were similar for cataract surgery under topical and retrobulbar anesthesia. (Eur J Ophthalmol 2004; 14: #-7).

Published
2017

50. Osteokondroplaziler

Author

Özbilgin, ŞULE and İYİLİKÇİ KARAOĞLAN, LEYLA

Published
2016

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