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Article ; Online: What We Know About Anesthesia During Caesarean Section in COVID-19 Patients

Antigona Hasani / Rajmonda Nallbani / Ayten Saraçoğlu

Southern Clinics of Istanbul Eurasia, Vol 31, Iss 4, Pp 393-

2021 Volume 396

Abstract: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), sometimes referred to as an invisible killer, has changed all of our lives, including the daily practices of medical personnel and the approach to anesthesia. We must wear protective equipment ...

Abstract	Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), sometimes referred to as an invisible killer, has changed all of our lives, including the daily practices of medical personnel and the approach to anesthesia. We must wear protective equipment and special suits, aprons, and 2 or 3 pairs of gloves. Our faces are obscured by masks and goggles and shields. We move with difficulty and have limited vision. Communication with patients is limited; they cannot see our facial expressions of smiles or concern. They only hear our voice, which may also be muffled. We look more like robots than someone demonstrating assistance, love, or compassion. We are strangers to our infected patients. When thinking about the type of anesthesia for pregnant patients who have the disease caused by SARS-CoV-2, coronavirus2019 (COVID-19), 3 factors taken into consideration ranked according to importance are the safest method for healthcare providers, ease of application, and difficulties associated with movement and vision. The patient's wishes are secondary. Have priorities changed?
Keywords	caesarean section ; covid-19 ; obstetric anesthesia ; pregnancy ; Medicine ; R
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	KARE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Preoperative Airway Management Checklist

Tahsin Şimşek / Mehmet Yılmaz / Ayten Saraçoğlu / Kemal Tolga Saraçoğlu

Southern Clinics of Istanbul Eurasia, Vol 31, Iss 1, Pp 26-

The Transfer of Knowledge Into Clinical Practice by Video-based Feedback

2020 Volume 30

Abstract: INTRODUCTION[|]A preoperative checklists guide was issued in 2008 by the American Society of Anesthesiologists (ASA) to improve patient safety. We aimed to determine the applicability and effectiveness of video-based feedback for the transfer of ... ...

Abstract	INTRODUCTION[\|]A preoperative checklists guide was issued in 2008 by the American Society of Anesthesiologists (ASA) to improve patient safety. We aimed to determine the applicability and effectiveness of video-based feedback for the transfer of knowledge into clinical practice by using this guide.[¤]METHODS[\|]Ten anesthesia residents were divided into two groups according to their seniority, under two years and over two years. Once the preparation, anesthesia induction and airway management steps were completed, video-based feedback was given according to the ASA checklist. The knowledge level and skills of the residents were evaluated. Two months after the video-based feedback, all steps were repeated in another patient. The results were compared with a checklist score. Each guideline item was analyzed.[¤]RESULTS[\|]The ages of participants varied between 27–34 years (28.9+-2.28 years), five were female, and five were male. Results of the pre and post video-based feedback evaluations of the residents were statistically similar in the senior and junior groups. The post-feedback achievement score in both groups was significantly higher than the pre-feedback achievement score (p<0.05).[¤]DISCUSSION AND CONCLUSION[\|]It has been shown that the ASA Checklist Procedure before airway management during general anesthesia induction can be successfully put into clinical practice with video-based feedback. We concluded that patient safety could be increased by the integration of this method into the routine anesthesia resident training program.[¤]
Keywords	anesthesia ; checklist ; education ; feedback ; Medicine ; R
Subject code	796
Language	English
Publishing date	2020-03-01T00:00:00Z
Publisher	KARE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients

Elif Bombacı / Kemal Tolga Saraçoğlu / Ömer Aydıner / Fulya Ciyiltepe / Ayten Saraçoğlu / Ebru Dülger İliş / Recep Demirhan

Türk Yoğun Bakim Derneği Dergisi, Vol 20, Iss Suppl 1, Pp 99-

2022 Volume 107

Abstract: Objective: Although thoracic computed tomography (T-CT) has high sensitivity in the diagnosis of coronavirus disease-2019 (COVID-19), a specific involvement type or region for COVID- 19 has not yet been identified in images consistent with viral ... ...

Abstract	Objective: Although thoracic computed tomography (T-CT) has high sensitivity in the diagnosis of coronavirus disease-2019 (COVID-19), a specific involvement type or region for COVID- 19 has not yet been identified in images consistent with viral pneumonia. This study determined the relationship between the degree of involvement in T-CT and mortality in patients with COVID- 19. Materials and Methods: One hundred and fifteen COVID-19 patients admitted to our intensive care unit were included in this study. Obtained T-CTs were evaluated according to the T-CT severity scoring system. Patients were divided into two groups as the mortality and the survival group. The two groups were compared in terms of age and gender, the presence and localization of abnormal T-CT findings and total CT score. Results: The total CT score was significantly higher in the mortality group than in the survival group (10.88±5.67 vs 8.53±4.89, p=0.048). Bilateral involvement in the T-CT scan was found to be significantly higher in the mortality group. Conclusion: Total CT scoring has predictive value in determining the survival of patients with a critical COVID-19. Bilateral involvement in the T-CT scans performed in the early period of disease and a total CT score of ≥10 may be indicative of mortality in COVID-19 patients.
Keywords	covid-19 ; thoracic computed tomography ; mortality ; intensive care ; Medicine ; R ; Internal medicine ; RC31-1245 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
Subject code	310
Language	English
Publishing date	2022-09-01T00:00:00Z
Publisher	Galenos Yayinevi
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Effects of the Multidisciplinary Team Approach on Blood Transfusion

Ayten Saraçoğlu / Mehmet Ezelsoy / Aylin Ordu / Kemal Tolga Saraçoğlu

Southern Clinics of Istanbul Eurasia, Vol 30, Iss 4, Pp 331-

2019 Volume 336

Abstract: INTRODUCTION[|]The Joint Commission and the American Medical Association-Convened Physician Consortium for Performance Improvement reported that the blood transfusions are among the top five overused treatments in modern medicine. Optimal management of ... ...

Abstract	INTRODUCTION[\|]The Joint Commission and the American Medical Association-Convened Physician Consortium for Performance Improvement reported that the blood transfusions are among the top five overused treatments in modern medicine. Optimal management of blood transfusion is one of the most important factors that increase patient safety, and special education is increasing all over the world in this regard. In this retrospective cohort study, our goal was to investigate the effects of periodic consensus meetings and training on perioperative blood transfusion by a team of different branches of medicine.[¤]METHODS[\|]Patients over the age of 18 undergoing cardiac surgery and required blood transfusion were included in this study. The transfusions were calculated cumulatively; the change concerning years was determined, as well as side effects and complications associated with transfusion. Patients' cardiac reserves, laboratory values, anticoagulant drug use frequency, transfused blood volume, complications and mortality rates were recorded. The types of surgery, reexploration rate, length of intensive care and hospital stay were recorded.[¤]RESULTS[\|]Patients' age, BMI, comorbidity ratio and antimicrobial drug use did not differ between years (p>0.05). The length of intensive care and hospital stay, amount of bleeding, mortality rate did not differ (p> 0.05). Cardiopulmonary Bypass time and Cross Clamp time in 2016, were significantly higher (p<0.05) than in 2014 and 2015. The amount of blood transfusion did not differ significantly (p>0.05). Besides, after 2014, an increase was observed in platelet transfusion. The change in Hb, Htc, platelet and INR did not differ significantly in the pre-postoperative period.[¤]DISCUSSION AND CONCLUSION[\|]Training on the restrictive use of blood products did not have a positive influence on blood transfusion in our study. It has been demonstrated that there are challenges in sufficiently transferring the knowledge to the clinical environment.[¤]
Keywords	blood transfusion ; cardiac surgical procedures ; education ; Medicine ; R
Subject code	610
Language	English
Publishing date	2019-12-01T00:00:00Z
Publisher	KARE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Effects of Preoperative Oral Pregabalin and Perioperative Intravenous Lidocaine Infusion on Postoperative Morphine Requirement in Patients Undergoing Laparatomy

Senniye Ulgen Zengin / Ayten Saracoglu / Zeynep Eti / Tumay Umuroglu / Fevzi Yilmaz Gogus

Pain Research and Management, Vol 20, Iss 4, Pp 179-

2015 Volume 182

Abstract: OBJECTIVES: To evaluate and compare the effects of preoperative oral pregabalin and perioperative intravenous lidocaine infusion on postoperative morphine requirement, adverse effects, patients’ satisfaction, mobilization, time to first defecation and ... ...

Abstract	OBJECTIVES: To evaluate and compare the effects of preoperative oral pregabalin and perioperative intravenous lidocaine infusion on postoperative morphine requirement, adverse effects, patients’ satisfaction, mobilization, time to first defecation and time to discharge in patients undergoing laparotomy.
Keywords	Medicine (General) ; R5-920
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Hindawi Publishing Corporation
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Anesthesia management after inadvertent dural puncture during application of epidural blockage

Mine Çelik / Ayten Saraçoğlu / Kemal Tolga Saraçoğlu

Dicle Medical Journal, Vol 37, Iss 4, Pp 394-

2010 Volume 396

Abstract: Accidentally dural puncture during the application of epidural blockage is a rare complication. There are some treatment methods in anesthesia management of this complication. Inserting the epidural needle to another intervertebral disc space, replacing ... ...

Abstract	Accidentally dural puncture during the application of epidural blockage is a rare complication. There are some treatment methods in anesthesia management of this complication. Inserting the epidural needle to another intervertebral disc space, replacing subarachnoid catheter, injection of spinal anesthetic solution wherein epidural needle or implementing general anesthesia are some of the methods that physicians applicate.We report a cesarean delivery patient’s case in which we have composed an accidental dural puncture. We drew back the epidural needle till the level that no free cerebrospinal fluid (CSF) flow is seen. We confirmed this by injection aspiration technique. In this case, we revised the maneuvers of the anesthetist after unintentional dural puncture with protective and therapeutic methods of the most frequent complication postdural puncture headache (PDPH).
Keywords	Epidural anesthesia ; dural puncture ; postdural headache ; blood patch ; complication ; Medicine ; R ; Medicine (General) ; R5-920
Language	English
Publishing date	2010-12-01T00:00:00Z
Publisher	Dicle University Medical School
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Delayed treatment of appendectomy that causes systemic inflammatory response syndrome

Ayten Saracoglu / Kemal Tolga Saracoglu / Belkis Aylu / Vural Fidan

Health, Vol 03, Iss 02, Pp 116-

a rare complication

2011 Volume 117

Abstract: When acute appendicitis is present and lately treated, further complications will occur against patients. This case report describes an unusual presentation of acute appendicitis in a young patient and demonstrates a unique late compli- cation of ... ...

Abstract	When acute appendicitis is present and lately treated, further complications will occur against patients. This case report describes an unusual presentation of acute appendicitis in a young patient and demonstrates a unique late compli- cation of perforated appendicitis. A 15 year old female acute appendicitis patient had lapara- tomy accompanied systemic inflammatory re- sponse syndrome (SIRS) symptoms. After treatment of 6 days in the intensive care unit (ICU), the patient was healed. We emphasize the importance of early treatment for acute appen- dicitis and septic complications.
Keywords	Sepsis; SIRS ; Apendectomy; Apses; Complication ; Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	2011-02-01T00:00:00Z
Publisher	Scientific Research Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Unavoidable myomectomy during cesarean section

Mehmet Aksoy / Kemal Tolga Saracoglu / Ayse Nur Aksoy / Ayten Saracoglu

Health, Vol 03, Iss 03, Pp 156-

a case report

2011 Volume 158

Abstract: Since myomectomy throughout cesarean deliv- ery may lead to hemorrhage and uterinal atony, it is not recommended. But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large in- tramural myoma who was ... ...

Abstract	Since myomectomy throughout cesarean deliv- ery may lead to hemorrhage and uterinal atony, it is not recommended. But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large in- tramural myoma who was diagnosed at 34 weeks of pregnancy and operated with an unavoidable cesarean-combined myomectomy. A 33-year-old unpursued primigravida was referred to emer- gency department with abdominal pain and amenorrhea of 34 weeks duration. A sonographic diagnosis of myoma in pregnancy was made. Cesarean section was required for fetal distress and alive 2300 g weighted male infant with Ap- gar score of 6 at one minute, was born. As uterine incision could not be closed because of the myoma, myomectomy was performed dur- ing cesarean section unavoidably. A single 970 g and 15 × 18 cm sized myoma was removed. The physical examinations were unremarkable in the postoperative period. Although there are case series that have demonstrated the safety of myomectomy during cesarean section, we con-cluded that myomectomy during cesarean section is not a safe procedure accept inevitable situa-tions.
Keywords	Pregnancy ; Cesarean Section ; Myoma ; Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	2011-03-01T00:00:00Z
Publisher	Scientific Research Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Influence of Integrated Nutrients on Growth, Yield and Quality of Maize (Zea mays L.)

Belkis Aylu / Kemal Tolga Saracoglu / Ayten Saracoglu / Vural Fidan

American Journal of Plant Sciences , Vol 02, Iss 01, Pp 63-

2011 Volume 69

Abstract: A field experiment was conducted to evaluate the integrated nutrients effect on growth, yield and quality of maize (Zea mays L.) during spring, 2009, at the Agronomic Research Area, University of Agriculture, Faisalabad. The ex-periment was laid out in ... ...

Abstract	A field experiment was conducted to evaluate the integrated nutrients effect on growth, yield and quality of maize (Zea mays L.) during spring, 2009, at the Agronomic Research Area, University of Agriculture, Faisalabad. The ex-periment was laid out in Randomized Complete Block Design (RCBD) having three replications with following treat-ments: T1 (control), T2(recommended NPK @ 200-120-125 kg ha-1), T3 [single spray of multinutrient (a solution mixture of micronutrients i.e; Zn = 2%, Fe = 1%, B = 1%, Mn = 1%, Cu = 0.2% and macronutrients N = 1%, K2O = 2%, S = 2%) @ 1.25Lha-1], T4 (recommended NPK @ 200-120-125 kg ha-1 + single spray of multinutrient @ 1.25L ha-1), T5 (recom-mended NPK @ 200-120-125 kg ha-1 + two spray of multinutrient @1.25Lha-1) and T6 (recommended NPK @ 200-120-125 kg ha-1+ three spray of multinutrient @ 1.25Lha-1).The recommended dose of NPK in addition with single spray of Multi-nutrients substationally improved all growth parameters, ear characteristics and also enhanced macronutrients use efficiency up to 11.5% which induced significant increase in grain yield as compared to control and also in the treatment where recommended dose of NPK was applied alone. The quality parameter of maize (oil contents) significantly improved by foliar application of multinutrients solution but recommended dose of fertilizer in addition to single spray of Multi-nutrients was economical.
Keywords	Multi-Nutrients ; Foliarapplication ; Nutrients Use Efficiency ; Oil Content ; Plant culture ; SB1-1110 ; Agriculture ; S ; DOAJ:Plant Sciences ; DOAJ:Agriculture and Food Sciences
Subject code	580
Language	English
Publishing date	2011-03-01T00:00:00Z
Publisher	Scientific Research Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The comparative study of epidural levobupivacaine and bupivacaine in major abdominal surgeries

Ali Uzuner / Kemal Tolga Saracoglu / Ayten Saracoglu / Ozcan Erdemli

Journal of Research in Medical Sciences, Vol 16, Iss 9, Pp 1159-

2011 Volume 1167

Abstract: Background: Opioid and local anesthetic infusion by an epidural catheter is widely used as a postoperative pain management method after major abdominal surgeries. There are several agents nowadays to provide sufficient analgesia. The agents which cause ... ...

Abstract	Background: Opioid and local anesthetic infusion by an epidural catheter is widely used as a postoperative pain management method after major abdominal surgeries. There are several agents nowadays to provide sufficient analgesia. The agents which cause less side effects but better quality of analgesia are more valuable. We aimed to postoperatively compare the analgesic, hemodynamic and arrhythmogenic effects of epidural levobupivacaine-fentanyl and bupivacaine-fentanyl solutions. Methods: Fifty patients were scheduled to undergo major abdominal surgery in this clinical trial. The parameters were recorded pre- and post-operatively. In Group I (n=25), bupivacaine with fentanyl solution and in Group II (n=25), levobupivacaine with fentanyl solution was infused via epidural patient-controlled analgesia (PCA). According to the preoperative and postoperative holter recording reports, the arrhythmogenic effects were examined in four catagories: ventricular arrhythmia (VA), supraventricular arrhythmia (SVA), atrioventricular conduction abnormalities and pauses longer than two seconds. Results: Mean visual analog scale (VAS) values of groups did not differ at all time. They were 6 at the end of the surgery (0. Min, p = 0.622). The scores were 5 in Group I and 4 in Group II in 30. min (p = 0.301). The frequency of SVA was higher in bupivacaine group. Conclusions: The results of our study suggest that same concentration of epidural levobupivacaine and bupivacaine with fentanyl provide stable postoperative analgesia and both were found safe for the patients undergoing major abdominal surgery.
Keywords	Epidural ; Bupivacaine ; Levobupivacaine ; Analgesia ; Abdominal Surgery ; Medicine ; R
Subject code	610
Language	English
Publishing date	2011-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
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