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181 results on '"KUVAKİ BALKAN, BAHAR"'

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

7. 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

16. The Association of Intraoperative driving pressure with postoperative pulmonary complications in open versus closed abdominal surgery patients - a posthoc propensity score-weighted cohort analysis of the LAS VEGAS study

Author

Hedenstierna, G, Jaber, S, Hiesmayr, M, Hollmann, MW, Mills, GH, Vidal Melo, MF, Pearse, RM, GÜNENÇ, SAKİZE FERİM, KUVAKİ BALKAN, BAHAR, KÜÇÜKGÜÇLÜ, SEMİH, Serpa, Neto A, Hemmes SNT, SNT, Mazzinari, G, and ÖZBİLGİN, ŞULE

Abstract

Background It is uncertain whether the association of the intraoperative driving pressure (Delta P) with postoperative pulmonary complications (PPCs) depends on the surgical approach during abdominal surgery. Our primary objective was to determine and compare the association of time-weighted average Delta P (Delta P-TW) with PPCs. We also tested the association of Delta P-TW with intraoperative adverse events. Methods Posthoc retrospective propensity score-weighted cohort analysis of patients undergoing open or closed abdominal surgery in the 'Local ASsessment of Ventilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study, that included patients in 146 hospitals across 29 countries. The primary endpoint was a composite of PPCs. The secondary endpoint was a composite of intraoperative adverse events. Results The analysis included 1128 and 906 patients undergoing open or closed abdominal surgery, respectively. The PPC rate was 5%. Delta P was lower in open abdominal surgery patients, but Delta P-TW was not different between groups. The association of Delta P-TW with PPCs was significant in both groups and had a higher risk ratio in closed compared to open abdominal surgery patients (1.11 [95%CI 1.10 to 1.20], P < 0.001 versus 1.05 [95%CI 1.05 to 1.05], P < 0.001; risk difference 0.05 [95%CI 0.04 to 0.06], P < 0.001). The association of Delta P-TW with intraoperative adverse events was also significant in both groups but had higher odds ratio in closed compared to open abdominal surgery patients (1.13 [95%CI 1.12- to 1.14], P < 0.001 versus 1.07 [95%CI 1.05 to 1.10], P < 0.001; risk difference 0.05 [95%CI 0.030.07], P < 0.001).Conclusions Delta P is associated with PPC and intraoperative adverse events in abdominal surgery, both in open and closed abdominal surgery.Trial registrationLAS VEGAS was registered at clinicaltrials.gov (trial identifier NCT01601223).

Published
2021

24. 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

25. Comparison of different stylets used for intubation with the C-MAC D-Blade® Videolaryngoscope: a randomized controlled study

Author

ÖZBİLGİN, ŞULE, ÖMÜR ARÇA, DİLEK, KUVAKİ BALKAN, BAHAR, HANCI, VOLKAN, and BAYRAM, BAŞAK

Subjects
Videolaringoscópio C-MAC D-Blade®, C-MAC D-Blade® videolaryngoscopy, Intubação, 030208 emergency & critical care medicine, General Medicine, Estilete, Manikin, lcsh:RD78.3-87.3, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, lcsh:Anesthesiology, Stylet, Intubation, Manequim
Abstract

Objective: The angle of the C-MAC D-Blade® videolaryngoscope, which is used for difficult airway interventions, is not compatible with routinely used endotracheal tubes. Methods: A prospective randomized crossover study was performed comparing five intubation methods for use with standardized airways, including using different stylets or no stylet: Group HS, hockey-stick stylet; Group DS, D-blade type stylet; Group CS, CoPilot® videolaryngoscope rigid stylet®; Group GEB, gum elastic bougie; and Group NS, no stylet. A manikin was used to simulate difficult intubation with a Storz C-MAC D-Blade® videolaryngoscope. The duration of each intubation stage was evaluated. Results: Participants in this study (33 anesthesiology residents and 20 anesthesiology experts) completed a total of 265 intubations. The number of attempts made using no stylet was significantly greater than those made for the other groups (p

Published
2017

47. 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

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