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  1. Article ; Online: Envenomation by Trachinus draco and Pain Management.

    Gulen, Muge / Sari, Sezai

    Wilderness & environmental medicine

    2020  Volume 31, Issue 3, Page(s) 332–336

    Abstract: We report a case of a 42-y-old female patient who sustained a sting to the neck from a Trachinus draco fish. She subsequently developed complications including arytenoid membrane edema secondary to either the local anesthetic agent administered to the ... ...

    Abstract We report a case of a 42-y-old female patient who sustained a sting to the neck from a Trachinus draco fish. She subsequently developed complications including arytenoid membrane edema secondary to either the local anesthetic agent administered to the wound or the dracotoxin itself. The patient was examined in the emergency department after the sting. Local anesthesia with lidocaine was administered to the areas of injury at another hospital before presenting to our hospital emergency department. The patient reported that her pain partially decreased but hoarseness developed and she had difficulty breathing after the local anesthetic was administered. Laryngeal examination by our hospital's otolaryngologist revealed edema of the patient's right arytenoid membrane without evidence of vocal cord swelling. Computed tomography of the neck revealed edema in the right arytenoid membrane on the side of the neck where the local anesthetic had been injected. The patient, who was given supplementary treatment, was discharged without any complications on the seventh day of hospitalization. The principle treatment for these types of stings includes immersion in hot water, analgesic therapy, and observation for signs of local and systemic envenomation. We recommend using caution when injecting local anesthetic agents in the neck because of underlying vital structures.
    MeSH term(s) Adult ; Analgesics/adverse effects ; Analgesics/therapeutic use ; Animals ; Bites and Stings/drug therapy ; Bites and Stings/pathology ; Edema/chemically induced ; Edema/diagnosis ; Edema/drug therapy ; Female ; Fish Venoms/adverse effects ; Fishes ; Humans ; Injections, Subcutaneous ; Pain Management ; Vocal Cords/pathology
    Chemical Substances Analgesics ; Fish Venoms
    Language English
    Publishing date 2020-08-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1238909-2
    ISSN 1545-1534 ; 1080-6032
    ISSN (online) 1545-1534
    ISSN 1080-6032
    DOI 10.1016/j.wem.2020.04.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3025: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Check the diastolic blood pressure twice in aortic dissection as it is associated with prognosis.

    Sari, Sezai / Sener, Kemal / Calis, Mustafa / Polat, Mustafa / Kaya, Adem / Yolcu, Sadiye

    Pakistan journal of medical sciences

    2021  Volume 37, Issue 2, Page(s) 339–344

    Abstract: Objective: In this study we aimed to determine the prediction level of admission diastolic blood pressure (DBP) on the prognosis and mortality in aortic dissection patients over 65 years old and under 65 years old.: Methods: We included 72 patients ... ...

    Abstract Objective: In this study we aimed to determine the prediction level of admission diastolic blood pressure (DBP) on the prognosis and mortality in aortic dissection patients over 65 years old and under 65 years old.
    Methods: We included 72 patients in this retrospective study and study groups were divided into two groups according to 65 age. Demographic data, dissection type (Stanford A-B), DBP, systolic blood pressure (SBP), mean arteriel pressure (MAP), heart rate (/min) main complaints, preoperative length of stay, hospitalisation clinic (clinic/intensive care unit), length of hospitaliisation, complications during hospitalisation (renal failure etc..) and the outcome (death/dischargement) results were noted. Preoperative lenth of stay, hospitalisation length, outcome and complications were compared between groups according to SBP, DBP, MAP and heart rate.
    Results: Mean blood pressure values of the Stanford type B patients over 65 years old were higher than the other group (p<0.05). Fifty percent of patients under 65 years old were discharged but this ratio was 26.9% in the elder group. DBP was positively correlated with preoperative length of stay and hospitalisation length and negatively correlated with mortality. DBP under 65 mmHg was significantly related with high mortality (p<0.05). When the age and presentation time heart rate is added to each other, the values over 142 were significantly related with high mortality (p<0.05).
    Conclusions: The presentation time vital signs especially the DBP may be helpful for emergency clinicians to predict the prognosis and outcome in aortic dissection patients which has high mortality ratio in patients over 65 years of age.
    Language English
    Publishing date 2021-02-19
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 2032827-8
    ISSN 1681-715X ; 1682-024X ; 1017-4699
    ISSN (online) 1681-715X
    ISSN 1682-024X ; 1017-4699
    DOI 10.12669/pjms.37.2.2877
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3948: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: The prediction levels of emergency clinicians about the outcome of the ambulance patients and outpatients.

    Çalis, Mustafa / Sener, Kemal / Kaya, Adem / Sari, Sezai / Polat, Mustafa / Yolcu, Sadiye

    The American journal of emergency medicine

    2020  Volume 38, Issue 7, Page(s) 1463–1465

    Abstract: Aim: The increased number of emergency clinic patients causes the length of stay in the emergency department, low patient satisfaction and dismiss of real emergency patients. In this study, we aimed to determine the prediction levels of emergency ... ...

    Abstract Aim: The increased number of emergency clinic patients causes the length of stay in the emergency department, low patient satisfaction and dismiss of real emergency patients. In this study, we aimed to determine the prediction levels of emergency clinicians according to working year on the outcome of the ambulance patients and outpatients presented to the emergency department (ED).
    Materials & methods: This prospective study included patients over 18 years old. The triage of outpatients was made by a senior nurse and patients were divided into three triage categories such as green, yellow and red. Then these patients were evaluated by the emergency physician at the examination areas. Ambulance patients were directly evaluated by the emergency physician. These ambulance patients were noted as yellow or red according to triage categories. The main complaints, triage category, presentation method, vital signs, predicted outcome noted by the clinicians.
    Results: The correct prediction levels of hospitalisation (clinic/intensive care unit) were higher in clinicians whose working year is between 6 and 10 years (p < 0.05). There was no significant difference between 6-10 year and >10 year group according to prediction level (p > 0.05). Prediction of dischargement was higher in 0-5 year group than 6-10 year (p < 0.05) and >10 year (p < 0.05) group.
    Conclusion: Experienced clinicians can make much more accurate prediction on length of stay and the prognosis of the emergency patients so crowded follow-up areas of the emergency room can be planned much more effectively.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Clinical Competence ; Emergency Medical Services ; Emergency Service, Hospital ; Female ; Humans ; Intensive Care Units ; Male ; Medical Staff, Hospital ; Middle Aged ; Outpatient Clinics, Hospital ; Patient Admission ; Patient Discharge ; Prognosis ; Prospective Studies ; Triage ; Young Adult
    Language English
    Publishing date 2020-02-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.02.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2005: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Comparison of high-flow oxygen treatment and standard oxygen treatment in patients with hypertensive pulmonary edema.

    Şener, Kemal / Çalış, Mustafa / Köseoğlu, Zikret / Sarı, Sezai / Polat, Mustafa / Üzücek, Durdu Mehmet / Yolcu, Sadiye

    Anatolian journal of cardiology

    2020  Volume 24, Issue 4, Page(s) 260–266

    Abstract: Objective: The aim compares the blood gases, vital signs, mechanical ventilation requirement, and length of hospitalization in patients with hypertensive pulmonary edema treated with standard oxygen therapy (SOT) and high-flow oxygen therapy (HFOT).: ... ...

    Abstract Objective: The aim compares the blood gases, vital signs, mechanical ventilation requirement, and length of hospitalization in patients with hypertensive pulmonary edema treated with standard oxygen therapy (SOT) and high-flow oxygen therapy (HFOT).
    Methods: This prospective observational study was conducted in patients with tachypneic, hypoxemic, hypertensive pulmonary edema. The patients' 0th, 1st, and 2nd hour blood gas results; 0th, 1st, and 2nd hour vital signs; requirement of endotracheal intubation, length of hospitalization, and the prognosis were recorded on the study form.
    Results: A total of 112 patients were included in this study, of whom 50 underwent SOT and 62 received HFOT. The initial blood gas analysis revealed significantly lower levels of pH, PaO2, and SpO2 and significantly higher levels of PaCO2 in the HFOT group. Patients in the HFOT group had significantly higher respiratory rate and pulse rate and significantly lower SpO2 values. The recovery of vital signs was significantly better in the HFOT group (p<0.05). Similarly, follow-up results of arterial blood gas analysis were better in the HFOT group (p<0.05). Both length of stay in the emergency department (p<0.05) and length of intensive care unit hospitalization s significantly shorter in the HFOT group (p<0.05).
    Conclusion: HFOT can be much more effective in patients with hypertensive pulmonary edema than SOT as it shortens the length of stay both in the emergency service and in the intensive care unit. HFOT also provides better results in terms of blood gas analysis, heart rate, and respiratory rate in the follow-up period.
    MeSH term(s) Aged ; Aged, 80 and over ; Blood Gas Analysis ; Female ; Humans ; Hypertension ; Male ; Middle Aged ; Oxygen Inhalation Therapy ; Prospective Studies ; Pulmonary Edema/therapy
    Language English
    Publishing date 2020-10-01
    Publishing country Turkey
    Document type Comparative Study ; Journal Article
    ZDB-ID 2278670-3
    ISSN 2149-2271 ; 2149-2263
    ISSN (online) 2149-2271
    ISSN 2149-2263
    DOI 10.14744/AnatolJCardiol.2020.50680
    Database MEDical Literature Analysis and Retrieval System OnLINE

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