Person: BİLGİN, HÜLYA
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BİLGİN
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HÜLYA
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Publication Inadverdent perioperative hypothermia(Galenos Yayıncılık, 2017-06-01) Bilgin, Hülya; BİLGİN, HÜLYA; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı; 0000-0001-6639-5533; A-7338-2016Publication Neurophysiology(Galenos Yayincilik, 2005-01-01) Bilgin, Hülya; BİLGİN, HÜLYA; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı.; 0000-0001-7332-5568Better knowledge of cerebral cytologic metabolism, cerebral blood flow and volume, dynamics of cerebrospinal fluid and association among physiologic alterations leads easier and more successful treatment of neurologic problems after trauma and ischemia. In this review, structure of neuron and neuronal transmission, cerebral metabolism and cerebral circulation, dynamics of cerebrospinal fluid, brain edema and intracranial pressure are going to be discussed.Publication Mobbing exposure of anaesthesiology residents in Turkey(Aves, 2016-08-01) Aykut, Gülnihal; Efe, Esra Mercanoğlu; Bayraktar, Selcan; Şentürk, Sinem; Başeğmez, İrem; Özkumit, Özlem; Kabak, Elmas; Yavascaoğlu, Belgin; Bilgin, Hülya; Aykut, Gülnihal; Efe, Esra Mercanoğlu; Bayraktar, Selcan; Şentürk, Sinem; Başeğmez, İrem; Özkumit, Özlem; Kabak, Elmas; YAVAŞCAOĞLU, BELGİN; BİLGİN, HÜLYA; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.; 0000-0001-6639-5533; HRC-4365-2023; A-7338-2016; ENT-8289-2022; CMY-6041-2022; EKO-8143-2022; FYQ-5276-2022; CDL-1118-2022; FPM-3480-2022; FFB-8990-2022Objective: In recent years, psychological problems that are caused by working conditions, like burn out syndrome, are more commonly observed. In our study, we aimed to evaluate mobbing exposure, factors causing mobbing and precautions for mobbing in residency students who are educated in anaesthesiology and reanimation clinics in Turkey.Methods: After obtaining consent from the ethics committee, we sent our questionnaires to the secretariats of the departments by postal mail. Completed questionnaires were collected in our department's secretariat blindly and randomly mixed. One hundred and one participants were returned the questionnaires. Data was statistically analysed in SPSS 21.0 software programme.Results: During residency programme, sated to have experienced mobbing one or more time. Interestingly, 5.9% participants complained of physical mobbing. Mobbing exposure was more common in females. The most serious new onset psychosomatic symptoms stated during residency were committing suicide (2%), addiction (16%), severe depression (18%), panic attack (8%), more accidents (7%) and tendency of violence (15%). In mobbing group there was statistically significant dissatisfaction rate.Conclusion: In professions where mobbing is common, incidences of psychiatric diseases and suicide attempts are high are increased. Who are under risk for experiencing mobbing should be noticed carefully to ensure good judgement and problems should be inspected objectively in a detailed manner. Anesthesiology societies and other medical professional societies should establish mobbing committees. Thus, mobbing problems can be resolved and healthy career oppurtunities can be presented to residents.Publication Retrospective investigation of difficult airway cases encountered in Bursa Uludağ University Medical Faculty operating room(AVES, 2023-04) Alemdar, Didem; Akesen, Selcan; Bilgin, Hülya; AKESEN, SELCAN; BİLGİN, HÜLYA; Uludağ Üniverstesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı; 0000-0001-7332-5568; ELR-9087-2022; R-8285-2017Objective: Ensuring airway patency and proper management of ventilation by anticipating difficulties that can occur in airway control are vital in prevent-ing anaesthesia-related complications. We aimed to determine the role of preoperative assessment findings in difficult airway management.Methods: In this study, critical incident records of difficult airway patients between 2010 and 2020 in the operat-ing room of Bursa Uludag. University Medical Faculty were retrospectively analysed. A total of 613 patients, whose records were fully accessible, were grouped as paediatric (under 18 years old) and adult (18 years and over).Results: The success rate for maintaining an airway in all patients was 98.7%. Pathological situations which cause difficult airways were head and neck region malignancies in adult patients and congenital syndromes in pae-diatric patients. Anatomical reasons that cause difficult airway were anterior larynx (31.1%) and short muscular neck (29.7%) in adult patients and small chin (38.0%) in paediatric patients. A significant statistical relationship was found between difficult mask ventilation and increased body mass index, male gender, modified Mallampati class 3-4, and thyromental distance <6 cm (P =.001, P <.001, P <.001, and P <.001, respec-tively). The correlation of Cormack-Lehane grading with modified Mallampati classification, upper lip bite test, and mouth opening distance was statistically significant (P <.001, P <.001, and P <.001, respectively).Conclusion: In male patients with increased body mass index, modified Mallampati test class of 3-4 and thyromental distance of <6 cm should suggest the possibility of difficult mask ventilation. In modified Mallampati classification and upper lip bite tests, the possibility of difficult laryngoscopy should be considered as class increases and mouth opening distance becomes shorter. Preoperative assessment, including a good history taken from the patient and a complete physical examination, is crucial to provide solutions for difficult airway management.