The objective of this study was to improve the patient comfort and safety during procedures done under anaesthesia sedation. analgesia nociception index (ANI) noninvasively provides information on nociception-antinociception balance, it can be used assess objectively. We aimed compare effects management with conventional methods ANI monitoring total opioid consumption, sedation levels in patients who underwent colonoscopy using sedo-analgesia.Adult (n=102), scheduled for procedural sedation,...

Background: Laryngoscopy and tracheal intubation may cause undesirable increases in blood pressure, heart rate (HR) intraocular pressure (IOP). Gabapentin has been used effectively to attenuate the pressor response laryngoscopy intubation. We investigated whether pre‐treatment with gabapentin attenuates IOP addition a haemodynamic Methods: Sixty ASA I–II patients were randomly allocated into two groups who received either (800 mg) or placebo 2 h before surgery. IOP, mean arterial (MAP) HR...

Sepsis, enfeksiyona karşı sistemik enflamatuvar yanıtın yol açtığı ve belli bir oranda organ fonksiyon bozukluklarını içeren klinik tablodur (1).Sepsis tanısı alan hastalarda akut miyokardiyal depresyon sol ventrikül disfonksiyonu geliştiği 1980'lerden beri bilinmektedir.Septik şoktaki hastaların yarısına yakınında ejeksiyon fraksiyonunda azalma olduğu gösterilmiştir

Introduction Liver transplantation operation is the only absolute therapy for end stage liver diseases. The postoperative severe complications may compromise patient survival. We aimed to evaluate early of operations performed in our institution. Methods medical records recipients during 2012 May - 2017 March period at Marmara University Hospital have been evaluated retrospectively. Postoperative surgical, heamodynamic, pulmonary and renal were recorded. Data analyzed by descriptive...

Objective: To evaluate the prognostic performance of lactate–albumin difference (LAD), maximum lactate levels, and Sequential Organ Failure Assessment (SOFA) score taken on first day in critically ill patients with sepsis, in-hospital mortality 90-day survival.Patients Methods: Data from Medical Information Mart for Intensive Care III (MIMIC III) version 1.4 were evaluated retrospectively. The data adult sepsis diagnosed according to Third International Consensus Definitions Sepsis Septic...

Organ donation is the most important stage for organ transplant. Studies reveal that attitudes of families brain-dead patients toward play a significant role in their decision. We hypothesized supporting family awareness about meaning donation, including saving lives while losing loved one, combined with being informed brain death and process must be maintained by intensive care unit physicians through standardized interviews questionnaires to increase rate.We retrospectively evaluated final...

Introduction Organ donation is the most important stage for organ transplantation. Studies reveal that brain-dead patients’ families’ attitude towards plays a significant role in decision-making Add Reference 1. The main reasons denial of were insufficient knowledge about brain death, religious beliefs and breaching body integrity 2. We hypothesized supporting family awareness meaning donation, saving lives while losing loved one, combined with being informed death process must be maintained...

Objective: Limited data are available on the use of perfusion index (PI) and pleth variability (PVI) during laparoscopicbariatric surgery. We investigated effects pneumoperitoneum reverse Trendelenburg position these indices.Materials Methods: PI, PVI, heart rate (HR), blood pressure, SpO2 ventilation parameters were recorded before anaesthesiainduction (T0), 5 min after endotracheal intubation (T1), immediately surgery, patient had been in reverseTrendelenburg for (T2), inflating abdomen...

Transözefageal Ekokardiyografide Artefakt İnsidansı ve Etiyolojisi The Incidence and Etiology of Artifacts in Transesophageal EchocardiographyObjectives: encountered during perioperative TEE may lead to misdiagnosis or underdiagnosis, which ultimately result wrong treatment surgical referral.In our study, we aimed investigate the incidence, type, etiology artifacts imaging.Methods: images that were acquired cardiovascular surgeries are retrieved from echocardiography machine archives...

Abstract Purpose Serum lactate levels are considered a biomarker of tissue hypoxia. In sepsis or septic shock patients as suggested by The Surviving Sepsis Campaign serum should be assessed and early clearance-directed therapy is associated with decreased mortality. Monitoring patient's vital parameters repeatedly done blood analysis may have deleterious effects on the patient brings an economical burden. Machine learning algorithms trend gaining importance to overcome these unwanted facts....

Amaç: Laparoskopik cerrahide kullanılan hasta pozisyonu ve pnömoperitonyum intratorasik basıncı değiştirerek hemodinamik monitörizasyon parametrelerini etkileyebilmektedir. Bu çalışmanın amacı, laparoskopik kolesistektomi ameliyatlarında uygulanan ters trendelenburg pnömoperitonyumun perfüzyon indeksi (PI) Pleth değişkenlik indeksini (PVI) nasıl etkilediğini araştırmaktır

Introduction: Organ donation from living family members still composes the majority of organ source in our country. Living donor hepatectomy (LDH) is often associated with significant acute and chronic postoperative pain outcomes are effected by perception. Our analgesia regimen includes a thoracic epidural (bupivacaine 0.125%, fentanyl 0.1 mg/mL; 4 mL/h, bolus 5 mL, lockout 30 min) or intravenous (morphine, 0.1mg/kg, 10 min,) patient-controlled infusion. Two anaesthesiologists dedicated to...

Background: Acute kidney injury (AKI) is a serious complication after liver transplantation (LT) and associated with increased mortality morbidity. It frequently encountered during perioperative operations in which hemodynamic instability, intraoperative blood transfusion and/or positive fluid balance occurs, are known risk factors for postoperative AKI. In addition, nephrotoxic effects of some drugs contribute to AKI development. Tacrolimus widely used as an immunosuppressant but suspected...

Abstract Purpose Serum lactate levels are considered a biomarker of tissue hypoxia. In sepsis or septic shock patients as suggested by The Surviving Sepsis Campaign serum should be assessed and early clearance-directed therapy is associated with decreased mortality. Monitoring patient's vital parameters repeatedly done blood analysis may have deleterious effects on the patient brings an economical burden. Machine learning algorithms trend gaining importance to overcome these unwanted facts....