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Permanent URI for this collectionhttps://hdl.handle.net/11443/932
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Item Measuring potassium level in packed red blood cells before using: Word of caution for congenital cardiac surgery(WILEY, 2022-01-01) Altun, Dilek; Arnaz, Ahmet; Dogan, Abdullah; Yalcinbas, Yusuf; Turkoz, Riza; Yuksek, Adnan; Altun, Demet; Abdullah, Taner; Ozgen, Serpil Ustalar; Toraman, Fevzi; Sarioglu, TayyarBackground and Aim of the Study Transfusion-associated hyperpotassemia is a serious complication of packed red blood cell (PRBC) transfusion after congenital cardiac surgery. Our study aimed to identify risk factors and potential preventive measures of transfusion-associated hyperpotassemia in neonates and infants after congenital cardiac surgery. Methods Pediatric patients who underwent congenital cardiac surgery and need transfusion were enrolled in this prospective study. The potassium concentration of PRBC was checked from the sample taken from the segment. The volume of transfusion, age of PRBC, potassium concentration of unit were recorded. The estimated increment of potassium level in patients after PRBC transfusion was calculated. Results Seventy-four individual patients, 95 distinct transfusions, 112 blood products were evaluated. The mean age of the blood unit was 3.8 +/- 1.4 days. The mean potassium concentration in the PRBCs was 9.9 +/- 2.4 mmol/L. A weak correlation was observed between the potassium value of the PRBC and the age of PRBC (p = 0.049, r = 0.2, y = 0.24 x x + -0.68). There was a weak correlation between the potassium value of PRBCs and the age of the unit (p < 0.001, r = 0.37, y = 2.8 x x + -3.6). Conclusions Before transfusion, even PRBC is fresh, measuring the potassium level of PRBC and the potassium that will be given to the pediatric patient with transfusion can prevent transfusion-related hyperpotassemia and related complications. Otherwise, high potassium levels, which may be overlooked despite being fresh, may cause serious complications, even cardiac arrest, especially in neonates and infants.Item Incidence and treatment of pulmonary vein stenosis after repair of total anomalous pulmonary venous connection(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2019-01-01) Erek, Ersin; Suzan, Dilek; Aydin, Selim; Hesenov, Ramal; Temur, Bahar; Kirat, Bans; Yildiz, Okan; Demir, Ibrahim Halil; Odemis, EnderBackground: In this study, we aimed to investigate the incidence and treatment of pulmonary vein stenosis after repair of total anomalous pulmonary venous connection. Methods: Between December 2010 and December 2016, a total of 40 patients (25 males, 15 femalesItem Outcomes of truncus arteriosus repair with bovine jugular vein conduit(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2018-01-01) Erek, Ersin; Temur, Bahar; Suzan, Dilek; Aydin, Selim; Yildiz, Okan; Kirat, Bans; Demir, Ibrahim Halil; Odemis, EnderBackground: In this study, we aimed to evaluate the outcomes of truncus arteriosus repair in patients undergoing Rastelli type truncus arteriosus. Methods: A total of 13 patients (7 males, 6 femalesItem Possible Risk Factors Associated with Allergic Diseases Among Perinatal and Infancy Period(AVES, 2019-01-01) Aktas, Selma; Say, AysuObjective: The aim of the study was to investigate perinatal and early-chihdood risk factors which facilitate development of allergic diseases. Methods: This study was held between the years 2009-2010 among allergic children (n=188) aged 1-16 years, followed in the Allergy Immunology outpatient clinic. The control group was composed of healthy chidren of healthcare personnel and healthy children followed in the outpatient clinic (n=72). A survey which examined the risk factors associated with asthma, allergic rhinitis, atopic dermatitis and urticaria-angioedema was used. Results: The number of male children in the case and control group was 106 (56.4\%) and 37 (48.6\%), respectively. The mean age of case and control group was 7.73 +/- 3.31 and 7.06 +/- 2.86 years, respectively. The mean age of patients diagnosed atopic dermatitis, asthma and allergic rhinitis was 1.77 +/- 1.30