6 results on '"Haydin, Sertaç"'
Search Results
2. Use of extracorporeal membrane oxygenation in postcardiotomy pediatric patients: parameters affecting survival.
- Author
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Ergün, Servet, Yildiz, Okan, Güneş, Mustafa, Akdeniz, Halil Sencer, Öztürk, Erkut, Onan, İsmihan Selen, Güzeltaş, Alper, and Haydin, Sertaç
- Subjects
CHI-squared test ,CONFIDENCE intervals ,CONGENITAL heart disease ,CARDIOPULMONARY resuscitation ,DISEASE complications ,EXTRACORPOREAL membrane oxygenation ,CARDIAC surgery ,HEART ventricles ,MULTIVARIATE analysis ,PATIENTS ,RESPIRATORY insufficiency ,RISK assessment ,SURGERY ,SURGICAL complications ,SURVIVAL analysis (Biometry) ,TREATMENT effectiveness ,RETROSPECTIVE studies ,DATA analysis software ,DESCRIPTIVE statistics ,HOSPITAL mortality ,ODDS ratio ,MANN Whitney U Test ,CHILDREN - Abstract
Aim: We aimed to investigate the risk factors affecting survival after extracorporeal membrane oxygenation use in pediatric postcardiotomy patients. Methods: One hundred thirty-three consecutive patients who underwent surgery for congenital heart disease who needed extracorporeal membrane oxygenation support were retrospectively analyzed. Results: In all, 3,082 patients were operated, of which 140 patients (4.54% of the total number of operations) needed extracorporeal membrane oxygenation. Eighty (60.1%) patients were successfully weaned and 51 (38.3%) patients were discharged. Of the 50 patients discharged during the mean follow-up period of 34.8 (0-192.4) months, 6 (12%) patients died. The extracorporeal membrane oxygenation support was instituted in 29 (21.8%) patients for extracorporeal membrane oxygenation cardiopulmonary resuscitation, in 44 (33.1%) patients due to the inability to be separated from cardiopulmonary bypass, in 19 (14.3%) patients due to respiratory failure, and in 41 patients due to low cardiac output syndrome. Eighty patients (60.2%) were successfully weaned from extracorporeal membrane oxygenation support. The remaining 53 (39.8%) patients died on extracorporeal membrane oxygenation. Mortality was observed in 29 (21.8%) of the 80 patients in the successful weaning group, while the remaining 51 (38.3%) patients were discharged from the hospital. Multivariate analysis showed that double-ventricular physiology increased the rate of successful weaning (odds ratio: 3.4, 95% confidence interval lower: 1.5 and upper: 8, p = 0.004) and prolonged extracorporeal membrane oxygenation durations were a risk factor in successful weaning (odds ratio: 0.9, 95% confidence interval lower: 0.8 and upper: 0.9, p = 0.007). The parameters affecting mortality were the presence of syndrome (odds ratio: 3.8, 95% confidence interval lower: 1.0 and upper: 14.9, p = 0.05), single-ventricular physiology (odds ratio: 5.3, 95% confidence interval lower: 1.8 and upper: 15.3, p = 0.002), and the need for a second extracorporeal membrane oxygenation (odds ratio: 12.9, 95% confidence interval lower: 1.6 and upper: 104.2, p = 0.02). While 1-year survival was 15.2% and 3-year survival was 12.1% in patients with single-ventricular physiology, the respective survival rates were 43.9% and 40.8%. Conclusion: Parameters affecting mortality after extracorporeal membrane oxygenation support in pediatric postcardiotomy patient group were the presence of a syndrome, multiple runs of extracorporeal membrane oxygenation, and single-ventricular physiology. Timing of extracorporeal membrane oxygenation initiation, appropriate patient selection, appropriate reintervention or reoperation for patients with correctable pathology, the use of an appropriate cannulation strategy in single-ventricle patients, management of shunt flow, and appropriate interventions to reduce the incidence of complications play key roles in improving survival. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
3. Parameters affecting pleural drainage and management strategy after Fontan operation.
- Author
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Ergün, Servet, Yıldız, Okan, Ayyıldız, Pelin, Çilsal, Erman, Öztürk, Erkut, Onan, İsmihan Selen, Güzeltaş, Alper, and Haydin, Sertaç
- Subjects
LENGTH of stay in hospitals ,MEDICAL drainage ,SURGICAL drainage ,BODY weight ,CARDIOPULMONARY bypass ,PLEURAL effusions ,POSTOPERATIVE care ,SURGICAL complications ,TIME ,VENTRICULAR septal defects ,TREATMENT effectiveness ,RETROSPECTIVE studies - Abstract
Background: Prolonged pleural drainage is a common complication after undergoing the Fontan procedure. Although various protocols have been described, there is no definitive consensus for how to treat this complication.Materials and Methods: Our primary aim was to determine the effect of the management strategy protocol on the duration of drainage and length of hospital stay. Our secondary aim was to determine the parameters affecting the need for prolonged drainage after the Fontan procedure. Ninety-two consecutive patients who underwent the Fontan procedure were retrospectively analyzed. A protocol-based postoperative management strategy was adopted in July 2018. Group 1 (n = 48) consisted of patients that underwent the procedure before the protocol was implemented. Group 2 (n = 44) consisted of patients that underwent the procedure after the protocol was implemented.Results: The mean age was 5 years (interquartile range [IQR], 4.0-6.9); the mean body weight was 17.3 kg (IQR, 15.1-21.8). Statistically significant differences were found between the groups in terms of total drainage, duration of pleural drainage, prolonged drainage, and length of hospital stays (LOHS) (P = .05, P = .04, P = .04, P = .04, respectively). The multivariate analysis results showed that the application of the protocol was the only factor impacting prolonged drainage (OR, 2.46, 95% CI lower-upper: 1.03-5.86, P = .04).Conclusion: Standardization and strict application of the medical treatment within a specific protocol without being affected by doctor-, nurse-, or patient-based factors increases the success rate of this procedure. After implementing the changes in the medical management strategy, total drainage and duration of pleural drainage and LOHS decreased, and the costs associated with these factors also decreased. [ABSTRACT FROM AUTHOR]- Published
- 2020
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- View/download PDF
4. Non-coronary Aortic Cusp Rupture in a Child with Ventricular Septal Defect and Aortic Valve Prolapse.
- Author
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Çınar, Betül, Şengül, Fatma Sevinç, Ayyıldız, Pelin, Güzeltaş, Alper, and Haydin, Sertaç
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HEART valve diseases ,PHYSICAL diagnosis ,CHEST X rays ,TREATMENT effectiveness ,ELECTROCARDIOGRAPHY ,POSTOPERATIVE period ,AORTIC valve insufficiency ,HEART murmurs ,HEMODYNAMICS ,VENTRICULAR septal defects ,AORTIC valve - Published
- 2023
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5. Genetik Durum Varlığı ile Konjenital Kalp Hastalıkları Birlikteliği: Cerrahi Sonuçlar Nasıl Etkilenir?
- Author
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Yıldız, Okan, Öztürk, Erkut, Şen, Onur, and Haydin, Sertaç
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CONGENITAL heart disease ,LENGTH of stay in hospitals ,MEDICAL records ,GENETIC mutation ,PHENOTYPES ,DOWN syndrome ,TREATMENT effectiveness ,DIGEORGE syndrome ,ACQUISITION of data methodology ,EVALUATION - Abstract
Copyright of Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi is the property of Harran University Medical Faculty and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
6. The use of neonatal extracorporeal life support in pediatric cardiac intensive care unit.
- Author
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Öztürk, Erkut, Yıldız, Okan, Çine, Nihat, Tüzün, Behzat, Onan, Selen, Ergül, Yakup, Güzeltaş, Alper, Haydin, Sertaç, Yeniterzi, Mehmet, and Bakır, İhsan
- Subjects
NEONATAL abstinence syndrome ,NEONATAL diseases ,CRITICAL care medicine ,EXTRACORPOREAL carbon dioxide removal ,MEDICINE ,THERAPEUTICS ,RESPIRATORY distress syndrome treatment ,CARDIAC output ,CONGENITAL heart disease ,ECHOCARDIOGRAPHY ,EXTRACORPOREAL membrane oxygenation ,HEART diseases ,INTENSIVE care units ,PEDIATRICS ,RESPIRATORY distress syndrome ,TIME ,MECHANICAL ventilators ,TREATMENT effectiveness ,DISEASE complications - Abstract
Aim: The aim of the study is to evaluate extracorporeal life support system (ECLS) employed in neonates in pediatric cardiac intensive care unit.Material and Methods: Twenty-five neonates that required ECLS in between November 2010 and November 2015 were evaluated.Results: The median age was 12 days (range 3-28 days) and the median body weight was 3 kg (range 2.5-5 kg). Venoarterial ECLS was performed in all of the cases. Ascendan aorta-right atrial cannulation in 22 patients and neck cannulation in three patients were performed. The reason for ECLS was E-CPR in two patients, inability to wean from cardiopulmonary bypass (CPB) in seven patients, respiratory insufficiency and hypoxia in nine patients, low cardiac output (LCOS) in seven patients. Median duration of ECLS was four days (range 1-15). Hemorrhagic complications developed in 15, renal complications in 13, pulmonary complications in 12, infectious complications in 11, neurologic complications in three and mechanical complications in two of the patients. Weaning was successful in 15 of the patients. Eleven patients were successfully discharged.Conclusion: ECLS is an important treatment option that is performed successfully in many centers around the world to maintain life support in patients unresponsive to medical treatment. The utilization of this modality especially in newborns with congenital heart disease should be taken into consideration. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
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