Browsing by Author "Yüzkat, N."

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Attitudes of Anesthesiology and Reanimation Specialists Towards Pediatric Anesthesia Outside of the Operating Room Practices: a Survey Analysis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Soyalp, C.; Yüzkat, N.
There is a growing demand for safe and effective sedation/anesthesia of pediatric patients outside the operating room. This study was designed to investigate the practices and resources of pediatric anesthesia outside the operating room. A total of 219 anesthesiology and reanimation specialists (mean±SD age: 38.3±7.2 years, 50.7% female) voluntarily completed this online questionnaire survey. The questionnaire included items on demographic data, professional characteristics, type of hospital, and the characteristics of anesthesia applied outside the operating room. Most respondents reported that they performed pediatric anesthesia outside the operating room frequently, ranging from a couple of days per week (47.2%) to every day (27.3%), mostly for MRI (87.7%), endoscopy (60.1%), pediatric angiography (58.9%) and biopsy (54.6%) procedures. Overall, 60.1% and 25.8% of the anesthetists stated that they use ASA criteria (inclusion of ASA I-II patients, 39.9%) and age criteria for candidacy, respectively. The professors were determined to be the group with the highest rates for the procedure (66.7%) on a daily basis, while state hospitals were associated with less frequent implementation of the procedure (p<0.001 for each). In conclusion, this questionnaire-based survey revealed frequent and guideline-adherent application of pediatric anesthesia outside the operating room by anesthesiology and reanimation specialists. Together with the likelihood of professional training and hospital type influencing the frequency of the procedure and recovery strategies, these findings emphasize the need for improved practice regarding consideration of appropriate candidacy for ASA physical status and patient age as well as a uniform and standardized recovery practice among anesthesiology and reanimation specialists. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Comparison of the Error Rates of an Anesthesiologist and Surgeon in Estimating Perioperative Blood Loss in Major Orthopedic Surgeries: Clinical Observational Study
(Anestezi Dergisi, 2019) Yüzkat, N.; Soyalp, C.; Gülhas, N.
Objective: Since the anesthesiologist and surgeon have different observation angles in the intraoperative period, their predictions based on clinical observation vary greatly. Whether these predictions accurately reflect actual blood loss is still a matter of debate. The aim of this study was to compare the clinical observations of anesthesiologists and surgeons on perioperative blood loss and transfusion requirements with laboratory results. Methods: Sixty patients who were scheduled for major orthopedic surgery were included in the study. Same anesthesiologist and the same surgeon were asked to estimate the amount of blood loss, and whether blood transfusion was needed during the perioperative period. The amount of blood loss was calculated synchronously using the perioperative hemoglobin value and the total blood volume. The blood loss estimates of the anesthesiologist and the surgeon were compared, with blood loss calculated in the laboratory. Results: The anesthesiologist's and the surgeon's estimates of perioperative mean blood loss volume were found to be lower than the blood volume calculated in the laboratory (p=0.01). When the estimated blood loss was less than 600 mL, it was considered as overestimation, and when it was more than 600 mL then it was interpreted as 20% underestimation (p=0.01). According to our findings, the rate of error in the perioperative blood loss estimates was 28.72%. When the blood loss was more than 1000 mL, the error rate of predictions was 34.03%; when it was less than 1000 mL, the error rate of predictions was 25.18%. Conclusion: We believe that when blood loss is more than 1000 mL in major orthopedic surgeries, the error in the estimation is increased, the amount of blood loss is difficult to predict, and the anesthesiologist makes a better prediction than the surgeon. © Copyright Anesthesiology and Reanimation Specialists' Society.
Comparison of Ultrasound Guided Brachial Plexus Blockage With General Anesthesia and Cost Analysis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Kahraman, A.; Yüzkat, N.; Çeğin, M.B.; Baydi, V.
Peripheral block practices are becoming the primary choice of anaesthesiologists among anaesthesia practices. In peripheral nerve block practices, anaesthesia is limited to the area in which nerves innervate and the cardiopulmonary system is minimally affected. Besides these, vigilance of the patient is another advantage. In this study, we aimed to make in patients who underwent upper extremity surgery, comparisons between the brachial plexus block and general anaesthesia in terms of patient and surgeon satisfaction, postoperative complications and cost analysis. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Our Anesthesia Experiences in Pediatric Congenital Heart Surgery: Preliminary Results
(Turkish Anaesthesiology and Intensive Care Society, 2015) Yüzkat, N.; Çeʇin, M.B.; Polat, V.; Soyoral, L.; Göktaş, U.; Kunt, A.S.
Introduction: To investigate pediatric cases undergoing open heart surgery due to congenital heart disease. Material and Method: Pediatric cases undergoing congenital open heart surgery between November '2013 and March 2015 were retrospectively reviewed. Result: The study population consisted of 17 male and 23 female children and 52.5% of them were newborns. Surgery was performed in 50% of all cases with cardiopulmonary bypass. In 75% of the cases operated with CBP blood cardioplegia while in 25% of them histidinetryptophan-ketoglutarate solution were used. Discussion and Conclusion: Anesthetic problems encountered in a center with newly practised pediatric cardiac surgery were related to lack of experienced technicians, medical supplies, and catheterization procedure problems.
Retrospective Analysis of Anesthesia Methods in Orthopaedics and Traumatology Surgery
(Anestezi Dergisi, 2015) Er, S.; Çeʇin, M.B.; Gökyaş, U.; Güner, S.; Yüzkat, N.
Objective: In this study, the cases which were operated in our Orthopaedics and Traumatology clinic were retrospectively analyzed. However, we aimed to investigate retrospectively the effect of the anesthesia methods on perioperative mortality and morbidity. Method: In this study, age, gender, diagnosis, type of anesthesia, ASA clinical classification, intraoperative blood tranfusion requirement, type of surgery, emergency or elective, the presence of comorbid diseases, perioperative complications, postoperative transfer of the patients to the intensive care unit (ICU) requirement was analyzed in cases of orthopedics and traumatology surgery, between the dates of 2006-2012. Results: Between the dates of 2006-2012, 2814 patients had Orthopaedics and Traumatology surgery. Sixty two point one percent of these patients were male and 37,9% were female, 68,5% of the cases were operated with general anesthesia, 31,5% of the cases with regional anesthesia. After the surgery 97,4% of the patients were transferred to service, 2,6% were transferred to intensive care unit. The patients who received intensive care were 23,6% of ASA 1,14% ASA II, 62,5% ASA III. In 10% of all cases at least one complication was observed. The incidence of complications is, 10,3% in general anesthesia, 9,1% in regional anesthesia. In 12,4% of all patients blood transfusion was peiformed. Of the all cases, 182 patients had additional diseases, whereas 2632 patients had no additional disease. Postoperatively, 69% of patients with comorbid disease was transferred to service and 31% of them were transferred to the ICU. The most common complication during the operation was hypotension, latter was bradycardia. Conclusion: In orthopaedic and traumatology surgery, regional anesthesia techiques may decrease the risk of perioperative complications but the medical risk factors of patients must be the basic predictor for the decision making of the anesthesia techniques. In the complex surgery of the patients with high ASA class or with accompanying diseases, anesthesia decisions should be made keeping in mind that there may be a need for blood transfusion. Postoperative follow up of the intensive care should definitely be evaluated as well.