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YÜKSEL, MUSTAFA

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2011 - 201932020 - 20212
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Author: YILDIZELİ, BEDRETTİN ×

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Now showing 1 - 5 of 5
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    PublicationOpen Access
    No Adverse Outcomes of Video-Assisted Thoracoscopic Surgery Resection of cT2 Non-Small Cell Lung Cancer during the Learning Curve Period
    (2017-08-05) YILDIZELİ, BEDRETTİN; Bilgi, Zeynep; Batırel, Hasan Fevzi; Yıldızeli, Bedrettin; Bostancı, Korkut; Laçin, Tunç; Yüksel, Mustafa
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    Thymic Neuroendocrine Carcinoma Presenting as Cushing's Syndrome: Treatment with Octreotide Combined with Surgery and Radiotherapy
    (KARGER, 2011) VELİOĞLU, ARZU; Asicioglu, Ebru; Gonenli, Gokhan; Kahveci, Arzu; Yildizeli, Bedrettin; Deyneli, Oguzhan; Yavuz, Dilek; Yuksel, Mustafa; Akalin, Sema
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    Oxygen reserve index guided oxygen titration in one lung ventilation with low fresh gas flow
    (TUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY, 2021) SARAÇOĞLU, AYTEN; Saracoglu, Ayten; Sirzai, Esra Yamansavci; Yildizeli, Bedrettin; Yuksel, Mustafa; Aykac, Zeynep Zuhal
    Background/aim: Continuous oxygen reserve index (ORI) measurement with multiple wave pulse co-oximetry is a noninvasive measurement. The decrease in the ORI trend provides a prediction for the development of hypoxemia and provides information on hyperoxia. Our aim is to determine the effect of ORI-guided oxygen titration on hyperoxemia-mediated morbidity. Materials and methods: Consecutive 120 ASA I-III patients, 18-70 years of age, without severe obstruction or restriction, undergoing one lung ventilation (OLV), were included in the study. Patients were divided into 4 groups. Oxygen titration without ORI monitoring with low-flow anesthesia (1 L/min, Group 1, n = 25) and high-flow anesthesia (4 L/min, Group 2, n = 28). Oxygen titration by ORI monitoring with low flow anesthesia (1 L/min, Group 3, n = 25) and high flow anesthesia (4 L/min, Group 4, n = 25). FiO(2) increased up to 100% if necessary. OLV time, duration of surgery and anesthesia, FiO(2) applied during OLV, oxygen application time (T) over 60%, vital signs, hospital and ICU stay time, and complications were recorded. Results: There was a statistically significant difference in terms of FiO(2) used during OLV (p < 0.05). There was no difference in ORI values (p < 0.05). In Group 3, both PaO2 and SpO(2) were significantly lower than the others both before and during OLV. There was no significant difference in terms of ORI parameters between low flow and high flow anesthesia groups. There was a strong, positive correlation between the duration of hospital stay and FiO(2) used above 80% during OLV. Conclusion: We concluded that ORI-guided thoracic anesthesia may reduce hospital stay and increase patient safety.
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    PublicationOpen Access
    Comparison of postoperative pain and pain control techniques in uniportal and biportal VATS and open surgery patients
    (MARMARA UNIV, FAC MEDICINE, 2021-10-29) YILDIZELİ, BEDRETTİN; Cetinkaya, Cagatay; Bilgi, Zeynep; Lacin, Tunc; Bostanci, Korkut; Yildizeli, Bedrettin; Yuksel, Mustafa; Batirel, Hasan Fevzi
    Objectives: Thoracotomy causes intense postoperative pain which may become chronic. Video-assisted thoracic surgery (VATS) leads to less postoperative pain compared with thoracotomy. In this study, we analyzed pain scores in patients who underwent lung resections with VATS or thoracotomy. Patients and Methods: Patients who underwent lung resections with uniportal, biportal VATS or thoracotomy between May 2015 - May 2017 were included in the study. Visual Analogue Scale (VAS) pain scores were recorded on postoperative day 1, 5 (or at discharge), 2nd week, 1st and 3rd months. Patients were classified in 3 groups, uniportal VATS (n=178), biportal VATS (n=15), thoracotomy (n=60). Demographics, resection type, mortality, morbidity and epidural catheter use were recorded. Results: Two hundred and fifty-three patients (average age was 57.3 +/- 12.7, 94 females) were included in the study. Median hospital stay was 5 days. Uniportal and biportal groups had significantly lower pain scores in all intervals compared with thoracotomy. No chronic pain was seen in VATS groups. Uniportal and biportal groups had similar pain scores at all times. Epidural use or size of specimen did not affect pain in VATS patients (p=0.18 vs p=0.68). Conclusion: Video-assisted thoracic surgery decreases the need for epidural patient control analgesia. Specimen size does not affect postoperative pain and chronic pain is rare.
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    PublicationOpen Access
    Anesthesia Management for a Patient Undergoing Pulmonary Endarterctomy without Cardiopulmonary Bypass
    (SOC BRASIL CIRURGIA CARDIOVASC, 2019) SARAÇOĞLU, AYTEN; Saracoglu, Ayten; Ermerak, Onur; Sirzai, Esra Yaman Savci; Yuksel, Mustafa; Aykac, Zuhal; Yildizeli, Bedrettin
    Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperative anesthesia and surgical management of pulmonary endarterectomy which was successfully managed without Cardiopulmonary Bypass.