- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Neurotoxicity Research
- Anesthesia and Sedative Agents
- Cardiac and Coronary Surgery Techniques
- Intensive Care Unit Cognitive Disorders
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Hemodynamic Monitoring and Therapy
- Congenital Heart Disease Studies
- Cardiac Arrest and Resuscitation
- Cardiac Ischemia and Reperfusion
- Respiratory Support and Mechanisms
- Anesthesia and Pain Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac Structural Anomalies and Repair
- Airway Management and Intubation Techniques
- Blood transfusion and management
- Cardiac Health and Mental Health
- Blood donation and transfusion practices
- Enhanced Recovery After Surgery
- Renal function and acid-base balance
- Cardiovascular and Diving-Related Complications
- Organ Donation and Transplantation
- Sepsis Diagnosis and Treatment
- Coronary Artery Anomalies
Sağlık Bilimleri Üniversitesi
2019-2024
Dr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma Hastanesi
2005-2024
University of Health Sciences Antigua
2024
Haydarpaşa Numune Eğitim ve Araştırma Hastanesi
2022
Türk Anesteziyoloji ve Reanimasyon Derneği
1985-2020
İstanbul Eğitim ve Araştırma Hastanesi
2015-2020
Marmara University
2019
Sakarya Eğitim ve Araştırma Hastanesi
2013
Importance Red blood cell (RBC) transfusion is common among patients admitted to the intensive care unit (ICU). Despite multiple randomized clinical trials of hemoglobin (Hb) thresholds for transfusion, little known about how these are incorporated into current practice. Objective To evaluate and describe ICU RBC practices worldwide. Design, Setting, Participants International, prospective, cohort study that involved 3643 adult from 233 ICUs in 30 countries on 6 continents March 2019 October...
Background: We evaluated the use of dexmedetomidine to facilitate weaning delirious postoperative patients from mechanical ventilation.Methods: included 72 consecutive who underwent elective cardiac surgery in this prospective observational study. Each patient had failed at least 1 trial continuous positive airway pressure (CPAP) and agitation. Patients were assessed with Richmond Agitation-Sedation Scale (RASS) Confusion Assessment Method for Intensive Care Unit (CAMICU) 12 18 hours after...
To determine the incidence of and identify risk factors for sternal surgical site infection (SSI).Prospective cohort study. Data on potential factors, including type operating theater data, were collected prospectively analyzed by multivariate analysis.Siyami Ersek Thoracic Cardiovascular Surgery Hospital, a 700-bed teaching hospital largest center cardiac surgery in Turkey. The cardiothoracic unit performs approximately 3,000 operations per year.All adult patients who underwent with...
Background: The aim of this retrospective study was to compare the results between general and local anesthesia (LA) for carotid endarterectomy (CEA). Methods: Three hundred twenty-nine patients in whom 365 CEA procedures were performed January 1990 September 2001, included study. Results: Operation time, shunt usage rates, hospitalization time ( P < .0001), permanent stroke rates .05) significantly lower group with LA. For long-term period (121.3 ± 37.45 vs 98.6 28.98 months), no...
Introduction Vasoplegia denotes a state of low tissue perfusion characterized by hypotension, tachycardia, and systemic vascular resistance. This results in increased mortality morbidity following cardiac surgery. A better understanding the associated risk factors will guide surgical team patient management. The aim this study is to determine which are involved its emergence. Methods prospective observational included adult surgery patients between February - September 2018 at single...
The aim of this study was to investigate the intra-abdominal pressure changes and risk factors associated with increased in patients undergoing cardiac surgery.Between July 2016 January 2017, a total 100 (74 males, 26 females; mean age 55.9±14.3 years; range, 19 75 years) who underwent surgery under cardiopulmonary bypass were included study. Patients" data including demographic clinical characteristics intra- postoperative recorded. Intra-abdominal measured via urinary catheter after...
Emergency re-revascularization and invasive/noninvasive interventions in intensive care unit (ICU) are two main treatment methods cardiac arrest following coronary artery bypass grafting (CABG). We evaluated the short- long-term consequences of these discussed indications for re-revascularization.Between 1998 2004, a total 148 CABG patients, who were complicated with arrest, treated emergency (n = 36, group R) ICU procedures 112, ICU). Re-revascularizations mostly blind operations depending...
Introduction Community-acquired pneumonia remains a common condition worldwide.It is associated with significant morbidity and mortality.The aim of this study was to evaluate conditions that could predict poor outcome.Design Retrospective analyse 69 patients admitted the ICU from 1996 2003.Demographic data included age, sex medical history.Etiologic agents, multiorgan dysfunction, nosocomial infections, SAPS II PORT scores were recorded for each patient.For statistical analysis we used t...
Background/Aim: Our aim was to determine serum TLR-9 levels in sepsis and evaluate the relationship between levels. Materials Methods: The study group consisted of 80 consecutive patients with 100 healthy individuals. demographic characteristics, co-morbidities hemodynamic data all were recorded. Results: statistically significantly lower compared control group. It also seen that when lactate level >5 mmol/l group, substantially higher. Conclusion: There is a sepsis-induced...
Introduction Although organ donation rates have been increasing over the years, lack of remains most important problem in transplantation. By changing strategies, Cekirge City Hospital Bursa/Osmangazi has achieved a cadaveric donor rate 24.9 per one million individuals 2016; this is 21.5 England, 20.9 Norway, 14.7 Netherlands, and 10.6 Germany. Methods Brain death cases were retrospectively evaluated between January 1, 2011, December 31, 2016. Results There total 137 brain cases. Three eight...
Introduction:The aim of this study was to compare sugammadex and neostigmine in terms reversing time, recovery time extubation reversal rocuronium-induced neuromuscular block patients undergoing lung resection surgery.Method: A total 60 under 75 years age with an ASA status II-III elective pulmonary (lobectomy, pneumectomy, wedge resection) who had adequate left ventricle function (EF >40%), normal renal, hepatic, mental functions, were included Patients assigned into (Group N, n=30) (Grup...
Immediately after undergoing coronary bypass grafting using the left internal thoracic artery, a 59-year-old man developed leg ischemia. Right-to-left femoral artery crossover was performed and ischemia resolved. A 72-year-old calf pain 12 days similar procedure; peripheral angiography revealed stenosis of abdominal aorta distal arteries, which did not require intervention.
Pneumonia after cardiac surgery have an important role among the infections that originate from hospitals as they increase mortality, morbidity and costs. To decrease pneumonia incidence open heart surgery, we should analyse risk factors correctly eliminate preventable factors.
Vasospasm is often faced after the operative preparation of internal thoracic artery. Different vasodilating pharmacological agents are being used to eliminate this problem. During artery, normal, local, and systemic temperatures lost. We aimed find out effect decrease in temperature on free flow artery.We investigated effects normal saline solution at 20 degrees C (group I), papaverine II) 37 III). Each group contained patients undergoing coronary bypass. Free left artery was measured...
Objective: In this study we aimed to compare the effects of paracetamol, diclofenac sodium, and tramadol administration on postoperative pain during period patients who underwent coronary artery bypass grafting (CABG). Material Method: After acquirement approval ethics committee informed consent patients, 200 with normal renal liver functions an ejection fraction value 40 % whowould undergo CABG were included in study.The randomly divided into four groups: Group I (n=50) paracetamol group...
Current guidelines discourage prophylactic plasma use in non-bleeding patients. This study assesses global transfusion practices the intensive care unit (ICU) and their alignment with current guidelines.
Objective(s): To evaluate the use of bilevel positive airway pressure (BiPAP) ventilation in early extubation after fast-track cardiac surgery.Design: Prospective observational study.Setting: Postoperative intensive care.Patients: Sixty consecutive patients eligible for surgery. Patients were predominantly male (42 men [70%]) and middle aged (54.62 ± 10.66 years).Interventions: randomly assigned to continuous or BiPAP (Group I Group II, respectively) extubated as soon possible.Measurements:...
Aim: Sepsis is a disease in which an abnormal immune response triggered by infection causes mortality.Matrix metalloproteinases (MMPs), addition to their proteolytic activity physiological conditions, contribute inflammation resulting from this sepsis.The aim of the study was investigate effect MMP-3 gene variation on risk sepsis development Turkish population. Study Design: A case-control studyMaterial and Methods: In study, E45K T102T polymorphisms were examined polymerase chain reaction...
This study aimed to investigate the relationship between acquired antithrombin deficiency in patients undergoing postcardiotomy extracorporeal membrane oxygenation (PC-ECMO) and thromboembolic or haemorrhagic events such as bleeding, peripheral arterial thromboembolism, ischemic cerebrovascular events.