Person: KAYA, FATMA NUR
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KAYA
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FATMA NUR
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Publication Comparison of esmolol to nitroglycerine in controlling hypotension during nasal surgery(Aves, 2012-08-01) Güney, Ayla; Kaya, Fatma Nur; Yavaşcaoğlu, Belgin; Gurbet, Alp; Selmi, Nazan Has; Kaya, Şener; Kutlay, Oya; Güney, Ayla; KAYA, FATMA NUR; GURBET, ALP; YAVAŞCAOĞLU, BELGİN; Selmi, Nazan Has; Kaya, Şener; Kutlay, Oya; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.; 0000-0003-4820-2288; 0000-0002-6503-8232; EXO-4828-2022; HPG-2667-2023; AAG-9356-2021; A-7994-2018; FVA-4074-2022; CYU-8986-2022; FFP-7118-2022Objective: The aim of this study was to compare esmolol to nitroglycerine in terms of effectiveness in controlling hypotension during nasal surgery.Materials and Methods: After approval by our institutional Ethics Committee, 40 patients were recruited and randomized into two drug groups: esmolol (Group E) and nitroglycerine (Group N). In group E, a bolus dose of 500 mu g/kg esmolol was administered over 30 sec followed by continuous administration at a dose of 25-300 mu g/kg/min to maintain systolic arterial pressure at 80 mmHg. In group N, nitroglycerine was administered at a dose of 0.5-2 mu g/kg/min.Results: During the hypotensive period, systolic arterial pressure, diastolic arterial pressure, mean arterial pressure, and heart rate were decreased 24%, 33%, 27% and 35%, respectively, in group E (p<0.001, p<0.001, p<0.001, p<0.001) and were decreased 30%, 33%, 34% and 23%, respectively, in group N (p<0.001, p<0.001, p<0.001, p<0.001). The decrease in heart rate was higher in group E during the hypotensive period (p=0.048). During the recovery period, diastolic arterial pressure and heart rate were decreased 9% and 18%, respectively, in group E (p=0.044, p<0.001). Systolic arterial pressure, diastolic arterial pressure, and mean arterial pressure were decreased 7%, 3% and 7%, respectively, in group N (p=0.049, p=0.451, p=0.045).Conclusion: Esmolol provides hemodynamic stability and good surgical field visibility and should be considered as an alternative to nitroglycerine.Publication Thoracoscopic bullectomy and pleural abrasion in the treatment of primary spontaneous pneumothorax(Turkish Assoc Tuberculosis & Thorax, 2008-01-01) Bayram, Ahmet Sami; Erol, Muharrem; Kaya, Fatma Nur; Özcan, Metin; Koprücüoğlu, Mustafa; Gebitekin, Cengiz; BAYRAM, AHMET SAMİ; Erol, Muharrem; KAYA, FATMA NUR; Özcan, Metin; Koprücüoğlu, Mustafa; GEBİTEKİN, CENGİZ; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı.; 0000-0003-0684-0900; AAE-1069-2022; AAI-8213-2021; JCE-0097-2023; ABB-7580-2020; JEN-3243-2023; JKB-5632-2023; FGE-6493-2022Although spontaneous pneumothorax is the most common problem seen by the thoracic surgeon, there is no universal agreement in its management. Thoracoscopic bullectomy is preferred to open bullectomy because of minimal trauma, less pain, early recovery and discharge with comparable results. Seventy thoracoscopic bullectomy and apical pleural abrasion in 65 patients with spontaneous pneumothorax were retrospectively reviewed. All but 8 (13%) patients were male with a mean age of 24 years (range 17-55). Only the patients who had a prolonged air leak (> 4 days), reccurence/ bilateral pneumothorax occupational reasons and bilateral pneumothorax were the indications for surgical treatment. The patients who had conversion to open thoracotomy were not included in the study. Computerized tomography was performed in all cases prior to the surgery. Endo-GIA 45-60 mm (4.8) staplers (Auto Suture, Tyco, USA) were used for bullectomy using three port access. The apical pleural abrasion following thoracoscopic bullectomy was performed in all cases. One patient developed haematoma on the first postoperative day and underwent open thoracotomy and evacuation of the haematoma. The median hospital stay was 3 (1-11) days. Recurrent pneumothorax was observed in 5 (7.1%) patients. Although thoracoscopic bullectomy is an expensive procedure that requires experience, however reduced pain, shorter hospital stay and early recovery makes it preferred method in such cases.Publication Cricothyroidotomy performed by seldinger method in the management postoperative sputum retention and atelectasis after lung resection(Bayçınar Medikal Yayın, 2015-01-01) Melek, Hüseyin; Çetinkaya, Gamze; Erol, Mehmet Muharrem; Kaya, Fatma Nur; Bayram, Ahmet Sami; MELEK, HÜSEYİN; Çetinkaya, Gamze; Erol, Mehmet Muharrem; KAYA, FATMA NUR; BAYRAM, AHMET SAMİ; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı; Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı; 0000-0003-0684-0900; 0000-0002-4848-1566; JDW-2654-2023; AAI-5039-2021; ABB-7580-2020; KHE-8874-2024; CXE-4995-2022Mini-tracheotomy is a safe and effective method in the prevention and treatment of postoperative sputum retention and atelectasis. It can be applied under general anesthesia or local anesthesia. Minitracheotomy-related complications are usually preventable and are rare. In this article, we present the outcomes of Mini-Trach II (R) Portex Seldinger kit application technique under the guidance of rigid bronchoscopy in patients with atelectasis and sputum retention after lung resection.Publication Comparison of intraoperative and post-operative effects of serratus anterior plane block performed with ultrasound and infiltration block in patients undergoing video-assisted thoracoscopic surgery(Kare Publ, 2022-01-01) Dikici, Mustafa; Akesen, Selcan; YAVAŞCAOĞLU, BELGİN; AKESEN, SELCAN; BAYRAM, AHMET SAMİ; Bayram, Ahmet Sami; Kaya, Fatma Nur; KAYA, FATMA NUR; Gurbet, Alp; GURBET, ALP; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.; 0000-0003-0684-0900; 0000-0002-6503-8232; A-7994-2018; ABB-7580-2020Objectives: We aimed to compare the intraoperative and post-operative analgesic activities of the preventive applied serratus anterior plane (SAP) block and infiltration block in patients undergoing video-assisted thoracoscopic surgery (VATS).Methods: The study was carried out in 60 patients aged between 18 and 80 who were eligible for elective VATS, with the American Society of Anesthesiologists classification I-II, following ethical committee approval and written informed consent form. Patients were divided into two groups as SAP (group serratus anterior plane block [SAPB]) and group infiltration block after routine monitoring and general anesthesia induction by recording demographic data after randomization. Hemodynamic data of all patients were recorded before, after induction and within intraoperative 30 min period. Patient controlled analgesia (PCA) prepared with morphine was applied to all patients postoperatively. Intraoperative hemodynamic data and opioid consumption of patients, resting time, and coughing visual analog scale, time to first PCA dose, post-operative opioid consumption, rescue analgesic requirement, mobilization times, opioid side effects, and patient and surgical team's satisfaction were evaluated.Results: Intraoperative hemodynamic data and opioid consumption were similar between the two groups. Post-operative pain scores (0 and 30 min, 1, 2, 4, 8, and 12 h) were lower in the SAPB group (p<0.005) and time to use the first PCA (p=0.002) was longer in the SAPB group. Post-operative PCA and rescue analgesic requirement were lower in the SAPB group (p=0.002, p=0.00). It was found that the first mobilization time was shorter in the SAPB group (p=0.003), and opioid-related side effects were similar in both groups (p=0.067). Patient and surgical team satisfaction was high in the SAPB group (p=0.004, p=0.000).Conclusion: As a result, more effective post-operative analgesia was provided with preventively SAPB, compared to infiltration block in patients undergoing VATS.Publication Comparison of intraarticular bupivacaine and levobupivacaine with morphine and epinephrine for knee arthroscopy(Aves, 2013-06-01) Özdemir, Nurdan; Kaya, Fatma Nur; Gurbet, Alp; Yılmazlar, Aysun; Demirağ, Burak; Mandıracı, Bilgen Onbaşı; Özdemir, Nurdan; KAYA, FATMA NUR; GURBET, ALP; Yılmazlar, Aysun; Demirağ, Burak; Mandıracı, Bilgen Onbaşı; Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.; Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi Anabilim Dalı.; 0000-0002-6503-8232; DKY-7182-2022; HPG-2667-2023; A-7994-2018; GKF-2266-2022; EVT-6166-2022; FIF-3175-2022Objective: To compare the efficacy of intraarticularly injected bupivacaine with levobupivacaine when administered in combination with morphine and adrenaline for post-operative analgesia and functional recovery after knee surgery.Materials and Methods: Sixty American Society of Anesthesiologists physical status I-II patients were randomized into three groups: Group B was administered 30 mL isobaric 0.5% bupivacaine, 2 mg morphine and 100 mu g adrenaline, Group L was administered 30 mL 0.5% levobupivacaine, 2 mg morphine and 100 mu g adrenaline, and Group C was administered 30 mL 0.9% NaCl solution into the knee joint by the surgeon at the end of surgery. The morphine usage and visual analog pain scores were recorded regularly afterwards. We also recorded the time that elapsed before each patients' first mobilization, positive response to straight leg raising, tolerance to 30-50 degrees knee flexion, recovery of quadriceps reflexes and discharge from the hospital. We also recorded patient and surgeon satisfaction.Results: The pain scale values were lower in Groups B and L than in Group C at 2, 4, 6, 8, 12 and 24 hours post-operatively (all p<0.001). In Groups B and L, the time for first analgesic request was longer (p<0.01), the morphine consumption was lower (p<0.001), and the duration of morphine usage was shorter (p<0.001). The times to positive response to straight leg raising, tolerance to 30-50 degrees knee flexion and the first mobilization were shorter in Groups B and L (p<0.001 for all).Conclusion: After arthroscopic knee surgery, intraarticular levobupivacaine combined with morphine and adrenaline decreases analgesic requirements, shortens the postoperative duration of analgesic use and hastens mobilization as effectively as bupivacaine.