Browsing by Author "Unal, H."

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Nursing Care of a Patient with Coronary Anomaly Undergoing Aortic Dissection Surgery: A Case Report
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Unal, H.; Gür, A.K.; Akyol, M.E.; Baydar, C.Y.; Baykal, D.Ç.
Type I and Type II Aortic Dissection is a condition that requires urgent surgical treatment. Because of its potential to affect all organs, these patients should be operated on without delay. Patients may experience other symptoms such as myocardial infarction (MI), abdominal pain, fainting, confusion, hemiparesis, hemiplegia, severe pain in the lower extremity, shortness of breath, or difficulty in swallowing. A 56-year-old male patient with no known diseases was admitted to the emergency department with a sudden onset of severe pain radiating to the back. In the first examination, he was conscious and cooperative, blood pressure was 190/100 mmHg, heart rate was 110/minute, and temperature was 37o C. There was no MI finding in the electrocardiogram of the patient. On echocardiography, the diameter of the ascending aorta was large and there was a flap inside. The patient was diagnosed with Type I aortic dissection after hemogram and CT angiography taken after biochemistry results. The Roper, Logan, and Tierney Model of Nursing has been implemented in this case report for the patient's diagnosis. The patient was discharged with full recovery on the 12th postoperative day after he was admitted to the cardiovascular surgery service. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Results of Coronary Artery Bypass Grafting Surgery in Female Smokers and Female Patients Who Make Tandoori Who Had Chronic Obstructive Pulmonary Disease
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Gür, A.K.; Şahinalp, Ş.; Unal, H.
Among the risk factors for coronary artery disease, the most important is smoking. Another major risk factor for coronary artery disease is the smoke from tandoor ovens, to which many rural women are exposed over a period of years. Of 856 patients who underwent elective CABG surgery in our clinic between January 2011 and January 2017, 345 female patients were investigated retrospectively. The patients were divided into two groups: Group 1 (smokers, n=47) and Group 2 (tandoor bakers, n=91). The mean age was 59.4 ± 5.2 years for Group 1 and 62.3 ± 4.2 years in Group 2. The mean duration of extubation of the patients in intensive care unit was 5.4 ± 2.1 in Group 1, and 8.2 ± 2.4 hours in Group 2 (p <0.001). The average length of stay in the intensive care unit was 2.1 ± 1.5 days for Group 1 and 4.4 ± 2.2 days for Group 2 (p <.05). Chronic obstructive pulmonary disease is an independent risk factor for CABG. Aside from smoking, which frequently results in COPD, pulmonary functions are exacerbated in people (usually women) who bake using tandoor ovens. In these patients, the duration of postoperative intubation, length of stay in the intensive care unit and in the hospital are extended, and the need for Continuous Positive Airway Pressure (CPAP) machines in the intensive care unit increases. Therefore, women who use tandoor ovens should be considered high risk patients for CABG surgery, and these patients should be managed and followed up with caution. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.