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    A Prospective Randomized Clinical Study on Comparative Analysis of SaCo VLM LMA and Endotracheal Intubation in Patients Undergoing Tympanoplasty
    (Lippincott Williams and Wilkins, 2026) Selcuk kusderci, Hatice; Oterkuş, Mesut; Ozdemir, Dogukan; Doger, Cihan; Akdeniz, Sevda; Kayikci, Ebru
    To overcome these issues, video-assisted laryngeal masks (VLMAs) have been developed, allowing for real-time visualization of glottic structures through integrated camera systems. Data can be provided for patient longevity and durability, comparing ETT and SaCoVLM LMA placement times, number of attempts, hemodynamic responses, stability in head and neck positions, and postoperative changes (throat guarantee, dysphagia, dysphonia, and laryngospasm) across sections in tympanoplasty procedures. In our randomized prospective clinical search, after cases were divided into 2 groups, demographic and operation information, airway device placement trial and duration, hemodynamic data, and postoperative complications were recorded. Patient demographics were homogeneous. Anesthesia duration, operative times, insertion times, and the number of attempts were shorter in the SaCoVLM LMA group. Hemodynamic data showed higher arterial pressures and heart rates immediately after insertion, at 1-minute and 5-minute postinsertion. Postoperative complications were less widespread in the SaCoVLM LMA group. In conclusion, our data analysis suggests that the SaCo VLM LMA may be advantageous over the ETT regarding insertion time, cardiovascular stability, and postoperative complications. However, it should be noted that the placement may shift during use, especially during head rotation, potentially leading to ventilation problems. © 2026
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    Relationship between C-reactive protein/albumin ratio and lactate/albumin ratio and mortality in traumatic brain injury
    (2025) Oterkus, Mesut; Kuşderci, Hatice; Akdeniz, Sevda; Genc, Caner; Kayıkçi, Ebru
    We aimed to evaluate whether C-Reactive Protein/Albumin Ratio (CAR) and Lactate/Albumin ratio (LAR), which include acute phase reactants that are indicators of secondary brain injury processes such as inflammatory process, cytokine release, and hypoxia that develop after primary injury, are predictors of mortality in patients with traumatic brain injury (TBI). Patients who were admitted to the emergency department with a diagnosis of traumatic brain injury and stayed in the intensive care unit for more than 24 hours were included in the study. It was conducted by scanning the retrospective records of patients diagnosed with TBI between January 2022 and December 2023 in our hospital. As a result of our study, acute physiology and chronic health assessment II (APACHE II) and Injury Severity Score (ISS) were independent risk factors for mortality in TBI, while CAR and LAR were not independent variables in terms of mortality. Similar findings were valid for Glasgow Outcome Score (GOS). In addition, in patients who died; LAR, hypertension, high APACHE II score, low Glasgow Coma Scale (GCS), high ISS, mechanical ventilation requirements vasopressor requirements at first admission to intensive care, high lactate level, and low albumin levels were meaningful of the results. APACHE II and ISS were independent risk factors for mortality in TBI, while CAR and LAR were not independent variables in terms of mortality. Similar findings were valid for GOS. In addition, LAR levels were significantly higher in patients with ex. These results show us that LAR may be a parameter in mortality prediction.