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  1. Article ; Online: Preprocedural Ultrasonography Versus Landmark-Guided Spinal Anesthesia in Geriatric Patients with Difficult Anatomy

    Yasin Uyel / Alper Kilicaslan

    Eurasian Journal of Medicine, Vol 53, Iss 1, Pp 9-

    A Prospective Randomized Trial

    2021  Volume 14

    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher AVES
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article: Preprocedural Ultrasonography Versus Landmark-Guided Spinal Anesthesia in Geriatric Patients with Difficult Anatomy: A Prospective Randomized Trial.

    Uyel, Yasin / Kilicaslan, Alper

    The Eurasian journal of medicine

    2020  Volume 53, Issue 1, Page(s) 9–14

    Abstract: Objective: This study was aimed to determine whether preprocedural ultrasonography (USG) affects the technical performance of spinal anesthesia in elderly patients with difficulty in palpating landmarks, scoliosis, or previous spine surgery.: ... ...

    Abstract Objective: This study was aimed to determine whether preprocedural ultrasonography (USG) affects the technical performance of spinal anesthesia in elderly patients with difficulty in palpating landmarks, scoliosis, or previous spine surgery.
    Materials and methods: This prospective study was conducted in 156 elderly patients scheduled for elective orthopedic lower extremity surgery. The patients were randomly divided into 2 groups to receive spinal anesthesia by the preprocedural USG examination (group U) or conventional landmark palpation technique (group P). The primary finding of our study was the rate of successful access to the subarachnoid space on initial needle insertion attempt. Secondary achievements included number of needle insertion attempts, number of needle redirections, total procedure time, needle pain scores, patient satisfaction, and complications of spinal anesthesia.
    Results: The rate of successful access to the subarachnoid space at the first needle insertion attempt was significantly higher in group U than in group P (74.4% vs 53.8%, p=0.008). Medians (interquartile range) of both needle insertion attempts (group P, 2 [1-3] vs group U, 1 [1-2]; p=0.038) and needle redirections (group P, 3 [2-5] vs group U, 2 [1-4]; p=0.028), requiring to achieve dural puncture, were significantly higher among the patients in group P than those in group U. No statistically significant difference was found between the groups regarding total procedure time, pain scores, patient satisfaction scores, and spinal anesthesia-induced complications (p>0.05).
    Conclusion: Our study findings showed that preprocedural neuroaxial USG improves technical performance of spinal anesthesia in elderly patients with difficult anatomy.
    Language English
    Publishing date 2020-11-23
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2577670-8
    ISSN 1308-8742 ; 1308-8734
    ISSN (online) 1308-8742
    ISSN 1308-8734
    DOI 10.5152/eurasianjmed.2020.20215
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Novel lumbosacral approach for erector spinae plane block (LS-ESPB) in hip surgery.

    Kilicaslan, Alper / Uyel, Yasin

    Journal of clinical anesthesia

    2019  Volume 60, Page(s) 83–84

    MeSH term(s) Humans ; Nerve Block ; Paraspinal Muscles/diagnostic imaging ; Spine
    Language English
    Publishing date 2019-08-30
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.08.040
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  4. Article ; Online: Ultrasonography in the Diagnosis of Pneumothorax Not Detected by Chest Radiography

    Funda Gök / Alper Kılıçaslan / Alper Yosunkaya

    Türk Yoğun Bakım Dergisi, Vol 17, Iss 2, Pp 106-

    Case Report

    2019  Volume 111

    Abstract: In patients with acute respiratory distress syndrome (ARDS), many factors, especially barotrauma may cause pneumothorax. Early detection of pneumothorax is critical in ARDS patients. When pneumothorax is suspected, chest radiography is usually preferred ... ...

    Abstract In patients with acute respiratory distress syndrome (ARDS), many factors, especially barotrauma may cause pneumothorax. Early detection of pneumothorax is critical in ARDS patients. When pneumothorax is suspected, chest radiography is usually preferred as the first line imaging modality. Recently, ultrasonography has been used by intensive care physicians in many fields, even in imaging of pneumothorax. We present a 75-year-old female patient with ARDS complicated by pneumothorax, in whom chest radiography was not diagnostic but ultrasound was used for diagnosis and follow-up.
    Keywords Ultrasound ; pneumothorax ; ARDS ; Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Language Turkish
    Publishing date 2019-06-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Diaphragm and Lung Ultrasonography During Weaning From Mechanical Ventilation in Critically Ill Patients.

    Gok, Funda / Mercan, Aysel / Kilicaslan, Alper / Sarkilar, Gamze / Yosunkaya, Alper

    Cureus

    2021  Volume 13, Issue 5, Page(s) e15057

    Abstract: Aim: Optimum timing is crucial to avoid negative outcomes of weaning. We aimed to investigate predictive values of diaphragmatic thickening fraction (DTF), diaphragmatic excursion (DE), and anterolateral lung ultrasound (LUS) scores in extubation ... ...

    Abstract Aim: Optimum timing is crucial to avoid negative outcomes of weaning. We aimed to investigate predictive values of diaphragmatic thickening fraction (DTF), diaphragmatic excursion (DE), and anterolateral lung ultrasound (LUS) scores in extubation success and compare with rapid shallow breathing index (RSBI) in patients extubated under traditional parameters.
    Methods: Patients undergoing mechanical ventilation for >48 hours were included in the study. In patients planned for extubation, sonographic evaluations of the diaphragm and lung were performed at the T-tube stage. RSBI was achieved in the pressure support (PS) ventilation stage. Predictive values of DTF, DE, and anterolateral LUS scores were compared with RSBI in extubation success.
    Results: Sixty-two patients were enrolled in the study. The study population consisted mostly of trauma patients (77%). A cut-off value of 64 was obtained for RSBI. The positive predictive value (PPV) was found at 97% in extubation success. Cut-off values of 27.5 for DTF, 1.3 cm for the DE, and 6.5 for LUS scores were obtained at the T-tube stage, respectively. PPVs of all sonographic parameters were found over 90%. At the first stage, weaning and extubation failures were determined as 35 and 9.6%, respectively. RSBI was found as a powerful parameter in determining extubation success (r=0.774, p≤0.001) and moderately correlated with sonographic parameters.
    Conclusion: Investigating the lung and diaphragm via ultrasound provides real-time information to increase extubation success. Cut-off values of 64 for RSBI, 27.5 for DTF, 1.3 cm for the DE, and 6.5 for LUS scores were obtained, respectively, and PPVs of all sonographic parameters were found over 90%. We consider that sonographic evaluations accompanied by an RSBI will increase extubation success in the weaning process.
    Language English
    Publishing date 2021-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.15057
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  6. Article ; Online: Combination of Lumbar Erector Spinae Plane Block (LESP) and Pericapsullar Nerve Group (PENG) block in hip surgery.

    Ince, Ilker / Kilicaslan, Alper

    Journal of clinical anesthesia

    2019  Volume 61, Page(s) 109672

    MeSH term(s) Humans ; Nerve Block ; Paraspinal Muscles/diagnostic imaging
    Language English
    Publishing date 2019-11-26
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.109672
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  7. Article ; Online: Awake thoracic spine surgery under bilateral ultrasound guided multiple midpoint transverse process to pleura (MTP) blocks.

    Kilicaslan, Alper / Kacira, Burkay Kutluhan

    Journal of clinical anesthesia

    2019  Volume 58, Page(s) 132–133

    MeSH term(s) Humans ; Male ; Middle Aged ; Nerve Block/methods ; Pleura ; Thoracic Vertebrae/surgery ; Ultrasonography, Interventional ; Wakefulness
    Language English
    Publishing date 2019-08-12
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.07.008
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  8. Article ; Online: Ultrasound guided fascia lata plane block: A novel anesthetic technique for percutaneous endovascular procedures.

    Kilicaslan, Alper / Ince, Ilker / Sarkilar, Gamze / Dereli, Yuksel

    Journal of clinical anesthesia

    2019  Volume 61, Page(s) 109624

    MeSH term(s) Anesthetics ; Endovascular Procedures/adverse effects ; Fascia Lata ; Humans ; Ultrasonography ; Ultrasonography, Interventional
    Chemical Substances Anesthetics
    Language English
    Publishing date 2019-10-23
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.09.018
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  9. Article ; Online: Combined pericapsular nerve block (PENG) and lumbar erector spinae plane (ESP) block for congenital hip dislocation surgery.

    Ince, Ilker / Kilicaslan, Alper / Kutlu, Esra / Aydin, Ali

    Journal of clinical anesthesia

    2019  Volume 61, Page(s) 109671

    MeSH term(s) Hip Dislocation, Congenital ; Humans ; Nerve Block ; Paraspinal Muscles/diagnostic imaging
    Language English
    Publishing date 2019-11-27
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.109671
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  10. Article ; Online: A novel ultrasound-guided technique in peri-paravertebral area: Subtransverse process interligamentary (STIL) plane block: The game has not ended yet.

    Kilicaslan, Alper / Sarkilar, Gamze / Altınok, Tamer / Tulgar, Serkan

    Journal of clinical anesthesia

    2019  Volume 60, Page(s) 76–77

    MeSH term(s) Humans ; Nerve Block ; Ultrasonography
    Language English
    Publishing date 2019-08-30
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.08.047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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