TY  - JOUR
T1  - Kardiyopulmoner Bypass Sırasında Hemofiltrasyon/Ultrafiltrasyon Kullanımının Perioperatif Sonuçlar Üzerine Etkisi
TT  - Effect of Hemofiltration/Ultrafiltration Use on Perioperative Outcomes During Cardiopulmonary Bypass
AU  - Amaç, Bişar
AU  - Bağış, Murat Ziya
PY  - 2024
DA  - April
Y2  - 2024
DO  - 10.58605/bingolsaglik.1400943
JF  - Bingöl Üniversitesi Sağlık Dergisi
JO  - BÜSAD
PB  - Bingol University
WT  - DergiPark
SN  - 2717-7653
SP  - 105
EP  - 113
VL  - 5
IS  - 1
LA  - tr
AB  - Bu çalışmada kardiyopulmoner bypass (KPB) sırasında konvansiyonel hemofiltrasyon/ultrafiltrasyon kullanımının intraoperatif ve postoperatif kan kullanımı, sistemik inflamatuar yanıt sendromu ve böbrek fonksiyonları üzerine olan etkilerini araştırmak amaçlandı.KPB eşliğinde kardiyak cerrahisi uygulanmış, toplam 60 hasta retrospektif olarak çalışmaya dahil edildi. Operasyon sırasında KPB ekipmanı üzerinde konvansiyonel hemofiltrasyon/ultrafiltrasyon kullanılmamış ve kullanılmış olan hasta verileri gruplandırılarak karşılaştırıldı. Hastaların biyokimyasal, hematolojik ve diğer verileri gruplar arasında karşılaştırıldı. Grupların demografik, tanımlayıcı ve preoperatif kan parametre verileri benzerdi (p>0,05). Grupların postoperatif 1.gün hemoglobin, hematokrit, üre, kreatinin, lökosit (WBC-White Blood Cell) ve C-reaktif protein (CRP) değerleri ve peroperatif değişkenlerinden; kan transfüzyon miktarı, peroperatif drenaj miktarı ve akut böbrek yetmezliği (ABY) oranı arasında anlamlı fark vardı (p0,05).KPB eşliğinde kardiyak cerrahi operasyonu yapılan hastalarda KPB sırasında hemofiltrasyon/ultrafiltrasyon kullanımının intraoperatif ve postoperatif kan kullanımı, sistemik inflamatuar yanıt sendromu ve böbrek fonksiyonları üzerinde olumlu etkileri olduğunu düşünmekteyiz
KW  - Kardiyopulmoner Bypass
KW  - Perfüzyon
KW  - Hemofiltrasyon
KW  - Ultrafiltrasyon.
N2  - In this study, it was aimed to investigate the effects of conventional hemofiltration/ultrafiltration use on intraoperative and postoperative blood use, systemic inflammatory response syndrome and kidney functions during cardiopulmonary bypass (CPB).A total of 60 patients who underwent CPB-guided cardiac surgery were included in the study retrospectively. The data of patients who did not use conventional hemofiltration/ultrafiltration on CPB equipment and which were used during the operation were grouped and compared. Biochemical, hematological and other data of the patients were compared between the groups.Demographic, descriptive and preoperative blood parameterdata of the groups were similar (p>0.05). From the postoperative 1st day hemoglobin, hematocrit, urea, creatinine, leukocyte (WBC-White Blood Cell) and C-reactive protein (CRP) values and perioperative variables of the groups; there was a significant difference between the amount of blood transfusion, the amount of peroperative drainage and the rate of acute renal failure (ARF) (p0.05).We think that the use of hemofiltration/ultrafiltration during CPB has positive effects on intraoperative and postoperative blood use, systemic inflammatory response syndrome and renal functions in patients undergoing CPB-guided cardiac surgery.
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UR  - https://doi.org/10.58605/bingolsaglik.1400943
L1  - https://dergipark.org.tr/en/download/article-file/3581894
ER  -