Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi最新文献

{"title":"The Evaluation of COVID-19 Patients Treated with HFNC in ICU","authors":"A. M. Karcıoğlu, Hatice Atlı, O. Karcıoğlu, Işıl Özkoçak Turan","doi":"10.4274/tybd.galenos.2022.52244","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.52244","url":null,"abstract":"Objective: Since the COVID-19 pandemic caused respiratory failure in many patients, oxygen delivery methods had to be diversified, and their numbers increased. High flow nasal cannula (HFNC), which has been shown beneficial in acute respiratory failure previously, also came to the fore. We aimed to investigate the efficacy of HFNC on patients hospitalized in intensive care units due to COVID-19. Materials and Methods: We retrospectively screened the patients followed in the intensive care unit due to COVID-19. Patients treated with HFNC performed the study group. We analyzed the relationship between demographics, laboratory results, treatment modalities, complications, and outcomes. Results: Among the 330 patients included mean ventilation duration with HFNC was 7.84 days. 170 (51.5%) patients intubated during HFNC treatment. Only 5 of them were extubated. Intubated patients had higher mean HFNC duration (9.74 days - min: 2, max: 49) compared to nonintubated patients (6.05 days - min: 1, max: 30). There was a significant relationship between mortality and age (OR: 1.04), APACHE II score (OR: 1.35), having cancer (OR: 3.89), receiving NIV (OR: 5.94), and presence of secondary bacterial infection (OR: 44.6). Conclusion: HFNC, whose benefit in acute respiratory failure has been proven, is also widely and successfully used in COVID-19 patients. Comprehensive randomized studies are needed to demonstrate the effect of HFNC use on intubation requirement and mortality. [ FROM AUTHOR] Copyright of Turkish Journal of Intensive Care is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78396411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients","authors":"E. Bombacı, K. Saraçoğlu, Ömer Aydıner, F. Çiyiltepe, A. Saraçoğlu, Ebru Dülger İliş, R. Demirhan","doi":"10.4274/tybd.galenos.2022.68552","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.68552","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82942317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Patients with Hematological Malignancies Admitted to the General Intensive Care Unit-Should There Be Dedicated Hematological ICUs?","authors":"Murat Küçük, M. C. Öztürk, B. Yavuz, Bişar Ergün, M. Yakar, Bilgin Cömert, A. Gökmen, I. Alacacıoglu, B. Ergan","doi":"10.4274/tybd.galenos.2022.38358","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.38358","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90230649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"V-V ECMO Vascular Cannula Problems; 3 Case Report","authors":"M. Aslan, Rabia Yılmaz, M. Sabaz, Z. Çukurova","doi":"10.4274/tybd.galenos.2022.05945","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.05945","url":null,"abstract":"The vascular cannulation step is of great importance for the effective and safe implementation of extracorporeal membrane oxygenation (ECMO) support. We experienced various problems associated with ECMO vascular cannulation (malposition, thrombosis, recannulation, collapse) in 3 patients who developed coronavirus disease-2019 acute respiratory distress syndrome and received veno-venous ECMO support, and here we share our experience in their management. Appropriate vascular cannula size, vascular cannula structure, selection of the vascular cannulation site, and precise vascular cannulation can make ECMO support more effective and reliable. (English) [ FROM AUTHOR]","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89032803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Legionella and Other Pathogenic Microorganisms in Different Departments of a University Hospital: A Prospective Study","authors":"F. Orak, E. Kireççi, Y. Orak, K. Yalcinkaya, Hafize Öksüz","doi":"10.4274/tybd.galenos.2022.36449","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.36449","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82554245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stewart’s Approach for Acid-Base Disorders: Does the Strong Ion Difference and Effects Have an Impact on Intensive Care Unit Mortality?","authors":"Furkan Tontu","doi":"10.4274/tybd.galenos.2022.83007","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.83007","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88997626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Early Combined Rehabilitation in Covid 19 Related ARDS Patients After the Successfull Application of Extracorporeal Membrane Oxygenation: Two Case Reports","authors":"Nurel Ertürk, A. Küçük, Merve Özdoğan, Mehtap Pehlivanlar Küçük","doi":"10.4274/tybd.galenos.2022.05706","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.05706","url":null,"abstract":"Many cardiac, pulmonary, and psychiatric complications occur due to long-term bed rest, infection, and critical illness neuropathy/myopathy in extra-corporeal membrane oxygenation (ECMO) applied coronavirus disease-2019 (COVID-19) inpatients in intensive care units. Physiotherapy plays an important role in restoring physical functions in the subacute phase following ECMO decannulation. After being discharged, and with combined rehabilitation, these patients experience a faster recovery and their quality of life increases. In this article, the effects of the combined physiotherapy program, which was applied to two patients with COVID-19 who received ECMO treatment and were discharged from the intensive care unit, is discussed. Early application of the combined rehabilitation program after discharge resulted in a positive outcome. (English) [ FROM AUTHOR] Yoğun bakım ünitelerinde yatan ve ekstra-korporeal membran oksijenasyonu (ECMO) uygulanan koronavirüs hastalığı-2019 (COVÍD-19) hastalarında uzun süreli yatak istirahati, enfeksiyon ve kritik hastalık nöropatisi/miyopatisi nedeniyle birçok kardiyak, pulmoner ve psikiyatrik komplikasyon ortaya çıkmaktadır. Fizyoterapi, ECMO dekanülasyonunu takiben subakut fazda fiziksel fonksiyonların eski haline getirilmesinde önemli bir rol oynamaktadır. Taburcu olduktan sonra, bu hastalar kombine rehabilitasyon ile daha hızlı iyileşmekte ve yaşam kaliteleri artmaktadır. Bu yazıda, ECMO tedavisi gören ve yoğun bakım ünitesinden taburcu olan COVÍD-19’lu iki hastaya uygulanan kombine fizyoterapi programının etkileri tartışılmaktadır. Kombine rehabilitasyon programının taburcu olduktan sonra erken uygulanması olumlu sonuçlanmıştır. (Turkish) [ FROM AUTHOR] Copyright of Turkish Journal of Intensive Care is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74881265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mucormycosis in a Patient with Uncontrolled Diabetes Mellitus","authors":"M. Inal, D. Memiş, P. Hancı, Gökhan Günbay, Samet Keleş, Habibe Tülin Elmaslar Mert, R. Garip, Selis Gülseven Güven, E. Hocaoğlu, Banu Tütüncüler","doi":"10.4274/tybd.galenos.2022.08831","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.08831","url":null,"abstract":"Mucormycosis;is a rapidly progressive fungal infection due to filamentous fungi of the mucoraceae family. In this case report, we aimed to present the diagnosis and treatment modalities of a patient who developed rhinoorbital mucormycosis. A 54-year-old patient with a history of hypertension applied to the emergency department with a complaint of wound in the mouth that started four days ago. In the examinations performed here, the patient was diagnosed with diabetic ketoacidosis. In the examination of the patient, it was found that there was a necrotic wound on the left hard palate, a necrotic wound extending from the left inferior turbinate to the nasopharynx, and hyphae in the nasal passage. The patient underwent an aggressive debridement operation on the third day, due to the growth in the fungal culture. In the following clinical examination of the patient, ketone in the urine became negative, and his acidosis status improved. On the same day, the patient was treated with a positive coronavirus disease-2019 (COVID-19) polymerase chain reaction. After 15 days of treatment, the patient died due to COVID-19 pneumonia. Mucormycosis should be doubtful in patients presenting with uncontrolled diabetes mellitus and severe sinoorbital infection. All physicians following diabetic ketoacidosis should be vigilant against this rapidly progressing disease with high mortality. (English) [ FROM AUTHOR] Mukormikoz mucoraceae familyasının filamentli mantarlarına bağlı hızla ilerleyen bir mantar enfeksiyonudur. Bu olgu sunumunda rinoorbital mukormikoz gelişen bir hastanın tanı ve tedavi yöntemlerini sunmayı amaçladık. Elli dört yaşında hipertansiyon öyküsü olan hasta, dört gün önce başlayan ağızda yara şikayeti ile acil servise başvurdu. Burada yapılan tetkiklerde hastaya diyabetik ketoasidoz tanısı konuldu. Hastanın muayenesinde sol sert damakta nekrotik yara, sol alt konkadan nazofarenkse kadar uzanan nekrotik yara ve burun pasajında hifa tespit edildi. Üçüncü gün mantar kültüründe üreme olması üzerine hastaya agresif debridman operasyonu uygulandı. Hastanın sonraki klinik muayenesinde idrarda keton negatif çıktı ve asidoz durumu düzeldi. Aynı gün hasta pozitif koronavirüs hastalığı-2019 (COVID-19) polimeraz zincir reaksiyonu ile tedavi edildi. On beş günlük tedaviden sonra hasta COVID-19 pnömonisi nedeniyle eksitus kabul edildi. Kontrolsüz diabetes mellitus ve şiddetli sino-orbital enfeksiyon ile başvuran hastalarda mukormikozdan şüphelenilmelidir. Diyabetik ketoasidoz sonrası tüm hekimler hızla ilerleyen ve mortalitesi yüksek olan bu hastalığa karşı dikkatli olmalıdırlar. (Turkish) [ FROM AUTHOR] Copyright of Turkish Journal of Intensive Care is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78902795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Behaviors and Physiological Parameters During Painful Procedures in Surgical Intensive Care Patients","authors":"Y. Sürme, Hatice Yüceler Kaçmaz, Ö. Ceyhan, Ilker Yilmaz","doi":"10.4274/tybd.galenos.2022.72621","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.72621","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75098589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Secondary Infections on Mortality in Patients with COVID-19 Associated Severe ARDS","authors":"Yasemin Tekdöş Şeker, Z. Yeşilbağ, Ezgi Güngördü, Z. Çukurova","doi":"10.4274/tybd.galenos.2022.78942","DOIUrl":"https://doi.org/10.4274/tybd.galenos.2022.78942","url":null,"abstract":"","PeriodicalId":40562,"journal":{"name":"Turkish Journal of Intensive Care-Turk Yogun Bakim Dergisi","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86768985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}