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Anesteziyoloji ve Reanimasyon Anabilim Dalı Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12514/4188

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Browsing Anesteziyoloji ve Reanimasyon Anabilim Dalı Koleksiyonu by Language "en"

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    Article
    Bacterial Isolation and Antibiotic Susceptibility Test Results from Burn Wound Infection in the Southeastern Anatolia Region of Turkey
    (2023) Akelma,Hakan; Demir Yiğit,Yasemin; Yiğit,Ebral
    This study was conducted to find the bacterial profile isolated from the wound areas of the patients hospitalized in our burn center, which is the only one in our region and to find the sensitive antibiotics to be used in the treatment. In this study, the culture reports of 395 patients, whose wound culture results were (+), obtained from 1415 patients hospitalized in Gazi Yaşargil Training and Research Hospital burn center between January 2010 and January 2020, were included. Of the 394 patients, 217 (55%) were male and 117 (45%) were female. The average age of the patients is 12,86±17,34 years. The average burn degree is 2,67. In the wound culture results, 70,55% of gram (+) and 28,68% of gram (-) bacteria were found. Candida albicans were found in wound culture growth results with a rate of 0,07%. The most common gram (+) pathogen is Staphylococcus aureus with 23,09% (n: 91). In our study, the resistance rate of Staphylococcus aureus to methicillin was 20,31%. The most common gram (-) pathogen was E. coli with 9,13% (n: 36) and Pseudomonas aeruginosa with 9,13% (n: 36). Gram (+) organisms were mostly isolated with a rate of 78,95% in the culture results of patients who needed intensive care clinically due to infection. Staphylococcus aureus is the most common bacteria with 21,05%. As a result of our study, it was found that the most common cause of burn infection in our region was S. aureus, P. aeruginosa, and E. coli. We hope that the use of broad-spectrum antibiotics that can be effective against these bacteria will contribute to clinical treatment until culture results are available.
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    Could the Umbilical Cord Suggest the Method of Anesthesia?
    (Galenos Publishing House, 2023)
    Objective: We aimed to investigate changes in aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), creatine kinase-myocardial band (CK-MB), and troponin I levels, which were biochemical parameters that gave an idea regarding clinical conditions such as tissue damage and asphyxia, according to the anesthesia type, to compare their levels in mothers who gave birth with normal spontaneous vaginal delivery (NSVD) and to investigate whether the type of anesthesia applied caused a change in biochemical parameters. Methods: Of the 90 patients included in the present study, 30 (33.3%) underwent general anesthesia, while 30 (33.3%) underwent spinal anesthesia, and 30 (33.3%) gave birth with NSVD. AST, ALT, LDH, CK-MB, and troponin I levels were measured in all pregnant women before they were taken to the operating room or delivery room. After the baby was delivered, a blood sample was taken from the umblical artery to measure AST, ALT, LDH, CKMB, and troponin I levels. The APGAR scores, the need for oxygen, positive pressure ventilation, and intubation after delivery of the newborns were recorded. Results: Statistically significant increases were found in AST, ALT, LDH, and troponin I levels in umblical artery in all groups when compared with their levels in pregnant women before delivery. Conclusion: An increase in umbilical artery CK-MB and ALT levels was observed in the NSVD group. Due to the increase in umbilical artery CK-MB and ALT levels in the NSVD group, it was found that it was not appropriate to evaluate the effects of anesthesia on the newborn with these markers
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    The Effect of Lumbar Disc Hernia Operations in Prone Position on Endotracheal Cuff Pressure and Tracheal Morbidity
    (2023) İpek,Yusuf; Baysal Yıldırım,Zeynep; Çelik,Enes; Akelma,Hakan
    Background: When the cuffs of endotracheal tubes are inflated with high pressure, serious morbidities are encountered. The aim of our study is to monitor the values of endotracheal tube cuff pressure, which can change in different positions, during the operation and to investigate its effects on tracheal morbidity. Materials and Methods: Prospective observational study. The age at which general anesthesia with endotracheal intubation was applied to the study; Sixty randomly selected patients in the ASA 1-2 group, 18-80 years old, and Mallampati class 1-2 were included between July 2016 and July 2017. Thirty patients with lumbar disc herniation surgery were divided into 2 groups as group 1 in the prone position, and group 2 in the supine position of 30 patients with lower or upper extremity surgery. After the patients in both groups were intubated in the supine position, the pilot balloon was inflated with an endotracheal cuff manometer between 28-30 cmH2O. Endotracheal tube cuff pressure was continuously monitored throughout the entire operation and recorded every 5 minutes. The patients were evaluated in terms of cough, dysphonia and sore throat at 1, 8 and 24 hours postoperatively. Results: Hemodynamic and respiratory parameters and temperature values of the groups were recorded during the operation. Cuff pressures, postoperative cough, hoarseness and sore throat were statistically significantly higher in group 1 (p:0.0001). Conclusion: In order to minimize tracheal morbidity and related complications that may develop due to endotracheal intubation, it was concluded that cuff pressure monitoring should become standard and continuous measurement is required, especially in operations in the prone position.
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    Hydrogel burn dressing effectiveness in burn pain
    (Elsevier, 2023) Çelik, Enes; Akelma, Hakan
    Severe burns are painful and dramatic injuries. Studies show that pain is underestimated and often not adequately treated. This study aims to evaluate the analgesic efficacy of hydrogel burn dressing and silver sulfadiazine, which are two agents commonly used in first-aid dressings for burn patients. This study, designed as a prospective, observational, and cross-sectional study. Study included 64 pediatric patients admitted to our burn center between 01.03.2020 and 01.09.2020 who were examined by our burn service after their first treatment in the emergency dressing room. Two groups of patients were included in the study. Pain level was assessed in the dressing room before and 10 min after the procedure using the Visual Analog Scale and FLACC (Face, Legs, Activity, Cry, Consolability) pain assessment scales.During the study period, Burnaid® was applied to 62.5% of patients (40 patients) and silver sulfadiazine to 37.5% (24 patients). In terms of pain scores, pre-dressing FLACC values were higher in Group B (p = 0.039); post-dressing VAS and FLACC values were significantly lower in group B (p 0.001; p 0.001). In terms of additional analgesia, we found more patients in Group S received analgesics (p 0.001).We believe that its effect on burn wound pain is superior to that of silver sulfadiazine.