The decision-making process for red blood cell transfusion (RBCT) in critically ill patients the intensive care unit (ICU) remains primarily guided by hemoglobin-based thresholds. However, as a component of personalized medicine, innovative and individualized criteria should be developed to optimize RBCT decisions. This study aims assess impact RBCTs on oxygenation parameters patient outcomes, with specific focus oxygen extraction ratio (O2ER). prospective observational included 77 receiving...

There are limited data about nosocomial coinfections of COVID-19 cases monitored in the intensive care unit. This study aims to investigate patients followed an unit a university hospital.This analyzed retrospectively 351 period 28.02.2020-15.01.2021 tertiary hospital.Bacterial were present 216 cases. One hundred and thirty these evaluated as infections. On third day Sequential Organ Failure Assessment Score, usage invasive mechanical ventilation presence septic shock significantly higher...

The patient's age, gender and the presence of certain concomitant diseases have been reported to play a part in course progression COVID-19 literature. In this study, we aimed compare comorbidities causing mortality critically ill Intensive Care Unit (ICU)-patients diagnosed with COVID-19.The data as regards cases followed up ICU were retrospectively reviewed. 408 patients positive PCR test included study. addition, subgroup analysis was performed treated invasive mechanical ventilation....

Objectives: This study aimed to evaluate the effects of previous coronavirus disease 2019 (COVID-19) infection on mortality, factors influencing and potential postoperative complications in on-pump cardiac surgery.Methods: single-center, retrospective, observational included 233 adult patients who underwent surgery between June 2021 February 2022.Patients with preoperative history COVID-19 confirmed by nasopharyngeal swab polymerase chain reaction (PCR) test were compared those without...

In this study, postoperative cardiac functions were observed in patients undergoing coronary artery bypass grafting (CABG) surgery following preoperative administration of the anti-ischemic drug trimetazidine.The study included a total 50 CABG patients; 25 administered with trimetazidine preoperatively and did not receive trimetazidine. A retrospective evaluation was made parameters age, gender, echocardiography (ECHO) results, cross-clamping durations, inotropic requirements, 4th-h...

Amac: Calismamizda, elektif koroner arter baypas greft (KABG) ameliyatlarinda off-pump ve kardiyopulmoner (KPB) tekniklerinin deliryum gelisimi uzerine etkilerinin karsilastirilmasini amaclandi.Gerec Yontem: 20-80 yas arasi KPB teknigi ile ameliyat olacak 40 olgu (Grup 1) teknikle 30 2) calismaya alindi. Ameliyattan birgun once “Hastane Anksiyete Depresyon Olcegi” testi psikiyatri klinigi tarafindan “Kisa Kognitif Muayene uygulanip puanlari kaydedildi. Postoperatif donemde hastalara 24. 72....

Haemoglobin transfusion thresholds have been used in the intensive care unit (ICU) to guide red blood cell (RBCT) decisions. Recent research has also focused on physiological indicators of tissue oxygenation as trigger points for transfusion. This study aims assess oxygen extraction rate (O2ER) a critical indicator delivery-consumption balance tissues and investigate its potential reliable ICU patients by analysing clinical outcomes. The utilisation may expedite decision-making process RBCT...

Objective: We aimed to analyze the knowledge level of surgical residents regarding preoperative assessment and increase their collaboration with other teams in optimizing general medical status patients reduce duration hospital stay complication rates. Method:Our study included 80 residents.The 2018 update European Society Anesthesiology (ESA) was used during preparation survey questions.The questions were categorized on basis specific clinical conditions medications noted ESA...

Postoperatif atriyal fibrilasyon (POAF) kardiyak cerrahi sonrası % 30-50 sıklıkla görülmektedir.Atriyal (AF)'da normal uyarının kaynağı olan sinoatriyal düğüm yerine, çok sayıda uyarı atriyumlarda hızlı ve karmaşık bir ritim ortaya çıkarır

Introduction: Urine analysis is an important part of patient follow-up in intensive care unit (ICU). In this case report we aimed to examine the green colored urine image see our ICU and conditions that may cause this. Case: A 70-year-old male was admitted due multilobar pneumonia. During follow-up, he intubated respiratory distress and15 mcg-1kg-1min propofol infusion started for sedation. It observed after 16 hours. Factors could color change were evaluated. Infusion stopped similar cases...

Objective: Thromboelastography (TEG) is a diagnostic modality that gives information about coagulation. Despite all blood-preserving precautions in open heart surgery there are blood losses and the use of products becomes inevitable. TEG mostly not available every center habits, trends clinical experience create possibility causing unnecessary products. In this study, it was aimed to determine effect thromboelastography on cardiac surgery. Methods: Two hundred patients between 18-70 years...

Miyastenya Gravis (MG), sinir kas kavsaginda asetilkolin (ACH) reseptorlerinin yikimi ile karekterize, otoimmun bir hastaliktir. Tedavisinde basta anti kolinesterazlar olmak uzere, pek cok medikal ilac grubu uygulanmasi yani sira timektomi onemli yer tutmaktadir. Suksinilkoline beklenmeyen yanit, non depolarizan gevseticilere asiri duyarlilik ve postoperatif solunum yetmezligi riski nedeniyle anestezi yonetimi ozellik gostermektedir. Biz, eszamanli KABG cerrahisi yapilan MG’li olguda...

Amaç: Spinal anestezi uygulamasında kullanılan lokal anestezik ajanların sıcaklık ve dansitelerindeki değişim ile bu ilaçların beyin omurlik sıvısında yayılımları arasında ilişki olduğu gösterilmiştir.Spinal ilişkili olarak görülen titreme, hastaları oldukça rahatsız eden etiyolojisi tam anlaşılamamış bir durumdur.Spinal amaçlı 23 ºC'de oda sıcaklığında saklanan bupivakain 37 bupivakainin spinal blok karakteristiklerine titremeye olan etkilerinin karşılaştırmayı amaçladık.Gereç Yöntem:...

Duchenne Muskuler Distrofi (DMD); X’e bagli resesif olarak gecis gosteren ilerleyici kas zayifligi ve kontrakturleri ile karakterize kalitimsal bir hastaliktir. En sik cocukluk yaslarinda 3.500 erkek dogumda 1 gorulmektedir. Bu hastalarda anestezi yonetimi ozellik gostermektedir. Cunku inhalasyon anestezikleri suksinilkolin gibi ajanlar, hipermetabolik klinik tablo seyreden malign hipertermi olumcul komplikasyonlara yol acabilir. Biz ventrikuler septal defekt (VSD) nedeniyle opere olan...

Abstract Background Restrictive and liberal transfusion approaches to hemoglobin targets have used when deciding on red blood cell transfusions in patients who do not acute bleeding a hemodynamically stable course the ICU. However, physiologic trigger points that evaluate tissue oxygenation also been among important topics of research recent years. In this study, we will O 2 ER, which is an indicator balance between oxygen delivery consumption tissues. Whether extraction rate can be as for...

Aim: The aim of this study is to identify the risk variables for mortality in patients undergoing venoarterial extracorporeal membrane oxygenation (VA ECMO) order better predict their prognosis.Material and Methods: Following a retrospective analysis VA ECMO treated between January 2013 April 2021, they were classified into survival groups.Those over age 18 on more than 24 hours included study.Results: A total 50 study, rate was found be 84%.VA support lasted an average 5.8± 4.61 (1-18)...