Person: OLGUN YILDIZELİ, ŞEHNAZ
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OLGUN YILDIZELİ
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ŞEHNAZ
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Publication Metadata only İlerı ve son evre akciğer hastalığına ikincil solunum yetmezliği olan hastaların bakım verenlerinde bakım verici yükü ve depresyon ilişkisi(2018-04-18) OLGUN YILDIZELİ, ŞEHNAZ; KASAPOĞLU, UMUT SABRİ; KOCAKAYA, DERYA; ERYÜKSEL, SEMİHA EMEL; CEYHAN, BERRİN; KARAKURT, SAİT; ARIKAN, HÜSEYİN; OLGUN YILDIZELİ Ş., ARIKAN H., KASAPOĞLU U. S., KOCAKAYA D., ERYÜKSEL S. E., CEYHAN B., KARAKURT S.Publication Metadata only Clinical Experience Receiving ECMO for Acute Respiratory Distress Syndrome(AVES, 2017) AK, KORAY; Eryuksel, Emel; Yalcin, Aslihan; Guven, Pinar; Turan, Can; Yildizeli, Sehnaz Olgun; Ispir, Selim; Ak, Koray; Karakurt, SaitAcute respiratory distress syndrome (ARDS) is characterized by pulmonary edema caused by sudden increase in alveolocapillary membrane permeability, hypoxemia, and bilateral lung infiltration. Despite improvement in ICU treatment modalities, the mortality rate among ARDS patients is still considerably high. In the treatment of ARDS, in addition to the treatment of underlying cause, low-tidal volume, lung-protective mechanical ventilation is recommended. However, in patients who cannot attain target oxygen level or develop high plateau pressure despite low-tidal volume ventilation and who cannot tolerate high carbon dioxide and low pH levels, extracorporeal membrane oxygenation (ECMO) may be considered as a good treatment option. In this article, cases of ARDS patients treated with ECMO in our clinic during 2013-14 have been retrospectively documented and discussed in line with the literature.Publication Metadata only Akut hipoksemik solunum yetmezliğinde yüksek akım oksijen tedavisinin başarısını etkileyen faktörler(2018-05-15) ERYÜKSEL, SEMİHA EMEL; ARIKAN, HÜSEYİN; KASAPOĞLU, UMUT SABRİ; YALÇINKAYA, ERDEM; OLGUN YILDIZELİ, ŞEHNAZ; KARAKURT, SAİT; ERYÜKSEL S. E., ARIKAN H., KASAPOĞLU U. S., YALÇINKAYA E., ERER A., OLGUN YILDIZELİ Ş., KARAKURT S.Publication Open Access Determination of Factors Affecting Mortality of Patients with Sepsis in a Tertiary Intensive Care Unit(BILIMSEL TIP PUBLISHING HOUSE, 2015-07-06) BALCAN, MEHMET BARAN; Balcan, Baran; Olgun, Sehnaz; Torlak, Fatih; Sagmen, Seda Beyhan; Eryuksel, Emel; Karakurt, SaitOBJECTIVES: Sepsis is a disease with high mortality that is frequently observed in intensive care units. This study aimed to determine the risk factors affecting mortality of patients with sepsis who were followed up in the intensive care unit (ICU). We aimed to contribute to literature by evaluating the relationship between mortality and pro-brain natriuretic peptide (pro-BNP9), C-reactive protein (CRP), thrombocyte count, Acute Physiology and Chronic Health Evaluation (APACHE) II score, Sequential Organ Failure Assessment (SOFA) score, duration of hospitalization in the intensive care unit, and the presence of multidrug-resistant microorganism. MATERIAL AND METHODS: Patients hospitalized in ICU because of the diagnosis of sepsis and septic shock between December 2010 and June 2012 were included in this retrospective study. RESULTS: A total of 141 patients, including 74 male (52.5%) and 67 female (47.5%) patients, were involved in the study, and the median age was 66.8 +/- 17.9 years. Sixty-nine patients (48.9%) were discharged from the ICU; however, 72 patients (51.1%) were exitus. Multi-drug-resistant microorganism was detected in 34 patients (24.1%). The patients' median SOFA score was 9.16 +/- 3.16, median APACHE-II score was 24.9 +/- 7.83, and median duration of hospitalization in the ICU was 8.44 +/- 11.61 days. It was found that mortality rate significantly increased in patients with the APACHE-II score of 24.5 and over, SOFA score of 8.5 and over, pro BNP value of 7241 ng/L and over, and CRP value of 96.5 mg/dL and over. Mortality rate was detected to be higher in patients undergoing invasive mechanical ventilation than in patients undergoing non-invasive mechanical ventilation. When thrombocyte count and mortality were associated with each other, it was found that the median value was 86000 mg/dL in exitus patients, whereas it was 185000 mg/dL in patients discharged from the ICU. CONCLUSION: It was revealed that increased APACHE-II score, increased SOFA score, increased pro BNP score, increased CRP, the presence of multidrug-resistant microorganism, and decreased thrombocyte count elevated the rate of mortality. However, no relationship was observed between the duration of hospitalization in the ICU and mortality.Publication Metadata only Endobronchial ultrasound transbronchial needle aspiration in elderly patients: safety and performance outcomes EBUS-TBNA in elderly(TAYLOR & FRANCIS LTD, 2020) TUFAN ÇİNÇİN, ASLI; Yildizeli, Sehnaz Olgun; Tufan, Asli; Bozkurtlar, Emine; Arikan, Huseyin; Kocakaya, Derya; Eryuksel, Emel; Ceyhan, Berrin; Karakurt, SaitAim Complication rates are low and endobronchial ultrasound guided needle aspiration (EBUS-TBNA) is generally regarded as a safe procedure, but there is a very limited number of studies evaluating the efficacy and safety of the procedure in advanced ages. The aim of this study is to assess the safety and performance outcomes of EBUS-TBNA in elderly. Methods It was a retrospective observational study; patients who received EBUS-TBNA between September 2016 and January 2018 were evaluated. We analyzed patient's characteristics, doses of midazolam, and lidocaine used, regions of lymph node biopsies, and complications. Also, functionality and general physical status of patients over 65 years of age were evaluated. Results During study period 132 cases of EBUS-TBNA were evaluated. 39 (29.5%) cases were aged 70 years, and over. There were more comorbidities in older group. Performance status of older group was worse. Furthermore, when evaluated according to American College of Cardiology (ACC)/American Heart Association (AHA) and American Society of Anesthesiologists (ASA), the older group was found to be composed of the riskier patients. When patients aged between 65 and 69, and over 70 compared, older patient's Barthel, EQ 5-D, SGA, and G8 scores were found to be worse. Despite that, there was no difference in the frequency, and types of complications between both groups. Diagnostic performance was not different between age groups. Conclusions Independent from comorbidities, general health status, and functionality EBUS-TBNA procedure in 70-year-old and over patients is a safe minimally invasive procedure.Publication Metadata only Akut hipoksemik solunum yetmezliğinde yüksek akım oksijen tedavisinin başarısını etkileyen faktörler(2018-04-18) ERYÜKSEL, SEMİHA EMEL; KASAPOĞLU, UMUT SABRİ; OLGUN YILDIZELİ, ŞEHNAZ; KARAKURT, SAİT; ARIKAN, HÜSEYİN; ERYÜKSEL S. E., ARIKAN H., KASAPOĞLU U. S., YALÇINKAYA E., ERER A., OLGUN YILDIZELİ Ş., KARAKURT S.Publication Open Access Akut solunum sıkıntısı sendromunda ekstrakorporal membran oksijenasyonu (ECMO) kullanımı: Klinik deneyimlerimiz(2017-01-01) ERYÜKSEL, SEMİHA EMEL; OLGUN YILDIZELİ, ŞEHNAZ; AK, KORAY; KARAKURT, SAİT; ERYÜKSEL S. E., YALÇIN A., GÜVEN P., Turan C., OLGUN YILDIZELİ Ş., İspir S., AK K., KARAKURT S.Akut Solunum Sıkıntısı Sendromu (ARDS) ani gelişen alveolokapiller membran geçirgenliğinde artışa bağlı pulmoner ödem, hipoksemi ve bilateral akciğer infiltrasyonlarıyla karakterize bir sendromdur. Yoğun bakım tedavilerindeki gelişmelere rağmen, ARDS ye bağlı mortalite hala çok yüksektir. ARDS de, altta yatan hastalığın tedavisi yanında, mekanik ventilasyon yöntemi olarak düşük tidal volümlü akciğer koruyucu ventilasyon önerilmektedir. Ancak, bu tedaviye rağmen, hedef oksijen değerine ulaşılamayan hastalarda ya da düşük tidal volum uygulanmasına rağmen yüksek plato basınçlarının geliştiği, yüksek karbondioksit seviyeleri ve düşük Ph değerini tolere edemeyen hastalarda ECMO bir tedavi seçeneği olabilir. Bu yazıda, kliniğimizde 2013-2014 yılları arasında ARDS nedeniyle izlenen ve Ekstrakorporal membran oksijenizasyonu (ECMO) kullanılan hastalar retrospektif olarak incelenmiş ve literatür eşliğinde tartışılmıştır.Publication Metadata only Comparison of neutrophil to lymphocyte ratio with other prognostic factors affecting short term mortality in acute pulmonary embolism(2019-04-14) KASAPOĞLU, UMUT SABRİ; OLGUN YILDIZELİ, ŞEHNAZ; ERYÜKSEL, SEMİHA EMEL; ÇİMŞİT, NURİ ÇAGATAY; KARAKURT, SAİT; KASAPOĞLU U. S., OLGUN YILDIZELİ Ş., ARIKAN H., ERER A., KABADAYI F., YALÇINKAYA E., SÜZER ASLAN M., ÇİMŞİT N. Ç., ERYÜKSEL S. E., KARAKURT S.Publication Metadata only Artmış D-Dimer ve pulmoner arter çapı değerleri, Türk COVID-19 hastalarında hastalık progresyonu ve artmış mortalite ile ilişkilidir(2021-05-18) OLGUN YILDIZELİ, ŞEHNAZ; KOCAKAYA, DERYA; ERTÜRK ŞENGEL, BUKET; KARAKURT, SAİT; ERYÜKSEL, SEMİHA EMEL; MERCANCI Z., ILGIN C., OLGUN YILDIZELİ Ş., KOCAKAYA D., BALCAN M. B. , ERTÜRK ŞENGEL B., KARAKURT S., ERYÜKSEL S. E.Publication Metadata only KOAH hastalarında diafragm kalınlığı ve semptomlarla ilişkisi(2014-04-02) ARIKAN, HÜSEYİN; OLGUN YILDIZELİ, ŞEHNAZ; KARAKURT, SAİT; BEKİR M., ÇİMŞİT C., ARIKAN H., KOCAKAYA D., OLGUN YILDIZELİ Ş., ERYÜKSEL E., KARAKURT S.
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