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    Characteristics of Patients with COVID-19 Pneumonia Treated with High-flow Oxygen and Non-invasive Ventilation Outside the Intensive Care Unit
    (Galenos Publ House, 2023) Ozdemir, Burcu; Ozdemir, Levent; Celik, Mehmet Murat; Urfali, Senem; Ozdemir, Uyesi Burcu
    Objective: Comparing high-flow oxygen (HFO) and non-invasive ventilation (NIV) treatment methods applied to patients hospitalized in the coronavirus disease-2019 (COVID-19) service outside the intensive care unit. Materials and Methods: Demographic characteristics, duration of hospitalization and application times, acute phase reactants, ROX index, comorbid conditions, radiological scores and results were evaluated retrospectively in patients treated with HFO (n=26) and NIV (n=23) who were hospitalized in the COVID service outside the intensive care unit of the state hospital between November 2020 and June 2021. Results: A total of 49 patients, 27 males and 22 females, were included in the study. The mean age was 55.6 +/- 14.6 years. The most common comorbidities were hypertension (n=27), diabetes (n=15). Patients in the HFO group were hospitalized for 16.6 +/- 9.4 days, HFO was applied for 6 +/- 4.6 days. Patients in the NIV group were hospitalized for 9.4 +/- 6.4 days, NIV was applied for 5.8 +/- 4.2 days. The saturation of the patients who were administered HFO (84.1 +/- 4.6) were found to be lower than those who received NIV (88.7 +/- 2). It was determined that 18.37% of 49 patients e.g. 5 of whom were treated with HFO and 4 of them were those who received NIV treatment. The ROX index was found to be significantly lower in the death group (n=9) compared to the survivors (n=40). In radiological imaging, there was no significant difference in the severity of pneumonia in patients treated with HFO and NIV. Lactate dehydrogenase and C-reactive protein from acute phase reactants at the time of hospitalization were significantly higher in the group who ex. Conclusion: It was determined that HFO or NIV was not different in terms of mortality in thr non-intensive care COVID service.
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    Comparison of epidural anesthesia with the combination adductor canal and ipack block in knee arthroplasty patients
    (Anestezi Dergisi, 2024) Celik, Mehmet Murat; Fakioglu, Onur; Urfali, Senem; Celik, Omer Faruk
    Objective: Motor function-preserving peripheral nerve blocks have begun to play an important role in multimodal analgesic approaches of the patients with total knee arthroplasty (TKA). The aim of this study is to compare the effects of anesthesia methods on postoperative analgesia and early rehabilitation of patients after total knee arthroplasty. Methods: In this retrospective study, in which patients with unilateral TKA were screened, two groups were formed from selected patients. Group EA was administered 0.03 mg kg-1 of morphine with 10 cc saline through the epidural catheter in the postoperative period. In Group Adductor Canal Block (ACB)+ infiltration of local anesthetic between the popliteal artery and capsule of the knee block (IPACK), 10 mL 0.5% bupivacaine, 10 mL 2% lidocaine and 20 mL local anesthetic mixtures were made separately for ACB and IPACK blocks at one time. Primary postoperative outcome was Visual Analogue Scale (VAS), secondary outcomes were physical therapy ambulation test results. Results: In this study, postoperative pain score rates as the primary outcome were measured as follows: VAS8: 5 / 4 (p=0.041); VAS12: 5 / 4 (p=0.004) and VAS24: 4 / 3 (p=0.001) and lower pain scores were obtained in the ACB + IPACK group. In timed up to go (TUG) tests, TUG24 was 36/34 (p=0.001), TUG48 32.5/30 (p=0.012) and TUG72 20/12. Better ROM measurements were recorded in group ACB+IPACK at both 24 and 48 hours. Conclusion: In the ACB + IPACK group, better pain scores, more significant ambulation values, and less side-effect profile were obtained. © 2024 Anestezi Dergisi. All rights reserved.