Dexmedetomidine as an alternative to general anesthesia in vertebroplasty and kyphoplasty: a safety and efficacy study Hande Gungor, Mehmet A. Cacan, Yunus O. Atalay BMC Anesthesiology, 2026 To evaluate the effectiveness and safety of dexmedetomidine during vertebroplasty and kyphoplasty surgery in patients with vertebral compression fractures due to malignancy and osteoporosis. This retrospective study included 41 patients, comprising 22 with osteoporosis and 19 with malignant conditions. Perioperative systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), oxygen saturation (SpO2), Visual Analog Scale (VAS) scores, complications, as well as the duration of the operation and anesthesia, were recorded. Additionally, the investigators’ satisfaction scores were documented. All parameters (SBP, DBP, HR, and SpO2) showed statistically significant temporal variations from baseline values (p < 0.001). SBP decreased significantly from the 5th minute onward, while DBP and HR exhibited significant reductions beginning at the 10th minute. These decreases, although statistically significant, were clinically expected and manageable, aligning with the known pharmacodynamic profile of dexmedetomidine. In contrast, SpO2 values demonstrated significant increases at the 15th and 30th minutes, indicating preserved respiratory stability. The median preoperative VAS score was 6 (range: 1–10), while the median score at 60 min postoperatively was 1 (range: 0–3). The median operator satisfaction score was 3 (range: 1–3). In minimally invasive surgery for vertebral compression fractures, particularly in elderly patients with comorbidities, dexmedetomidine sedoanalgesia appeared to be a well-tolerated and feasible option for achieving adequate sedation and pain control. Nevertheless, due to the retrospective design and limited sample size, further prospective and controlled studies are required to confirm these findings and better define its role in clinical practice.
Comparison of ketamine and fentanyl in pediatric tonsillectomy: Impact on pain control and emergence delirium Yunus O. Atalay, Ayse Ince, Elif K. Koc, Hande Gungor, Yasar G. Gul, Tamara Toklu, Mehmet Kocak, Joseph D. Tobias Saudi Journal of Anaesthesia, 2026 Background: Effective pain control following tonsillectomy in children remains challenging. Traditionally, opioids such as fentanyl have been used for pain control, but its adverse effect profile makes it a less ideal option for children, particularly those with obstructive sleep apnea. The curent study investigates the perioperative effects of ketamine on postoperative pain and delirium in children. Methods: In this prospective trials, patients 3–8 years of age were randomized to receive either fentanyl or ketamine for pain management. Pain was assessed using the face, legs, activity, crying, consolability (FLACC) scale, and emergence delirium was evaluated with the pediatric anesthesia emergence delirium (PAED) scale. Postoperative outcomes, including recovery time and analgesic requirements, were also recorded. Results: The study cohort include 59 pediatric patients. The ketamine group exhibited higher pain scores in the first 15 min post-surgery compared to the fentanyl group. However, pain scores between the two groups were comparable by 30 min. The incidence of emergence delirium was higher with ketamine than fentanul (19.35% versus 3.57%). The groups had similar recovery and post-anesthesia care unit (PACU) times, as well as supplemental analgesia requirements. Conclusion: Although ketamine demonstrated delayed pain relief and a higher incidence of emergence delirium, it showed potential as part of a multimodal analgesic approach. The combination of fentanyl and ketamine may optimize pain management in pediatric tonsillectomy, reducing opioid use while minimizing adverse effects. Further studies are needed to refine dosing strategies and assess long-term outcomes.
The Erector Spinae Plane Block with 20 or 30 mL of 0.25% Bupivicaine Provides Equivalent Postoperative Analgesia after Mastectomy: A Prospective Randomized Trial Merve Bıdak, Bahadır Çiftçi, Pelin Basım, Birzat Emre Gölboyu, Yunus Oktay Atalay Turkish Journal of Anaesthesiology and Reanimation, 2025 Objective Analgesia management following breast surgery is a critical concern. The erector spinae plane block (ESPB) is a regional anaesthesia technique that is frequently used for analgesia after breast surgery. However, there is no consensus on the volume. Therefore, the aim of this study was to compare ESPB performed using 20 mL vs. 30 mL. Methods The study included 43 female patients with American Society of Anesthesiologist class I-II physical status. Participants were randomized into two groups: 20 mL ESPB and 30 mL ESPB. Ibuprofen (400 mg) 3x1 was ordered, and a fentanyl patient-controlled analgesia device was attached intravenously to the participants. If the pain score was ≥4, meperidine (0.5 mg kg-1) was administered. Results Postoperative fentanyl use was similar between the groups. There was no difference in the amount of rescue analgesic use between the groups. The static and dynamic numerical rating scores were similar between the groups. No statistical difference was noted in terms of nausea, vomiting, or itching between the groups. Conclusion A similar analgesic effect is achieved by performing ESPB using 20 or 30 mL of local anaesthetic at the same concentration.
Comparison of postoperative analgesic efficacy between erector spinae plane block and rhomboid intercostal block in breast-conserving surgery and sentinel lymph node biopsy: A randomized non-inferiority clinical trial Bahadır Çiftçi Agri, 2025 OBJECTIVES Breast-conserving surgery is a common breast operation type in the world. Patients may feel severe postoperative pain after the surgery. Several regional anesthesia methods are used for postoperative pain control as a part of multimodal analgesia management after breast surgery. Erector spinae plane block (ESPB) and rhomboid intercostal plane block (RIB) are commonly used techniques for this purpose. The studies that compare these methods are limited. Therefore, we aimed to compare the efficacy of ESPB and RIB. METHODS This prospective, randomized study included sixty female patients with ASA class I-II physical status in the study. All patients underwent general anesthesia. We performed the blocks at the end of the surgery before extubation. Participants were randomized into two groups between the operation: the Group ESPB (n=30) and the Group RIB (n=30). We performed 30 ml volume of 0.25% bupivacaine for the blocks. 400 mg ibuprofen 3x1 was ordered postoperatively, and a fentanyl PCA device (2 ml bolus, 0 ml infusion, 20 min lock time, 4 hour limit) was attached intravenously to the participants. If the pain score was ≥4, meperidine (0.5 mg/kg) was performed. RESULTS There were no differences in terms of demographical data. The postoperative opioid use, pain scores, adverse events, and the need for rescue analgesia were similar between groups. CONCLUSION Both RIB and ESPB are effective regional anesthesia techniques following breast surgery. They are simple and safe methods. Anesthesiologists may prefer one or the other based on their clinical experience.
Ultrasound-guided bilateral erector spinae plane block in the management of postoperative analgesia in living liver donors: a randomized, prospective study Tumay ULUDAG YANARAL, Hande GUNGOR, Ayşe INCE, Erkan C. CELIK, Onur YAPRAK, Yunus O. ATALAY, Bahadir CIFTCI, Pelin KARAASLAN Minerva Anestesiologica, 2024 BACKGROUND Living donor hepatectomy is a procedure associated with notable postoperative pain, impacting patient recovery and satisfaction. Addressing this challenge, we aimed to examine the effect of ultrasound-guided bilateral erector spinae plane block (ESPB) in postoperative analgesia management of patients undergoing living donor hepatectomy for liver transplantation. METHODS A single-center prospective, randomized, controlled study was conducted on ASA I-II patients aged 18-65 who underwent elective living donor hepatectomy. Participants were randomized into ESPB (N.=20) and control (N.=21) groups. ESPB was performed under ultrasound guidance with 0.25% bupivacaine (20 mL bilaterally) at T7-T9 levels. The control group received no block. Postoperative analgesia included IV acetaminophen, opioids, alongside fentanyl patient-controlled analgesia. Pain intensity was assessed using Numeric Rating Scale (NRS) at various time intervals. Primary outcome was to compare postoperative opioid consumption levels and secondary outcomes were to evaluate postoperative pain scores, requirement of rescue analgesia, and opioid-related side effects. RESULTS Patients in ESBP group exhibited lower total fentanyl consumption (P=0.023) and lower meperidine use for rescue analgesia (P=0.001) compared to controls. While static pain scores showed no significant difference, Group ESPB reported lower dynamic pain scores in the immediate postoperative period (P=0.047). The incidence of nausea was lower in Group ESPB (6 vs. 17, P=0.002) with no observed complications. CONCLUSIONS ESPB displayed promise in effectively managing post-living donor hepatectomy pain, resulting in decreased opioid consumption, improved pain relief, and reduced rescue analgesia requirements. This technique holds potential to enhance recovery and patient satisfaction following donor hepatectomy.
A Case Series of Deep Subgluteal Block: A New Block Targeting the Missed Portion of the Hip for Analgesia After Total Hip Replacement Yunus Oktay Atalay, Bahadir Ciftci, Bahar Tekin, Gamze Ansen, Bayram Ufuk Sakul, Mehmet Akif Cacan, Ibrahim Azboy, Bilge Yilmaz, Haci Ahmet Alici A and A Practice, 2024 The study aimed to evaluate the effectiveness of deep subgluteal block (DSGB) for pain relief after posterolateral-approached total hip replacement. The cadaver study and observational case series assessed the spread and outcomes of ultrasound-guided DSGB. Results showed low postoperative pain scores, minimal opioid requirements, and no complications related to DSGB. Anatomical dissection revealed effective spread of the injected substance. These findings suggest that DSGB could be a promising regional analgesic technique for postoperative pain management after posterolateral-approached total hip replacement.
Hantavirus infection in Istanbul, Turkey Oral Oncul, Yunus Atalay, Yalcin Onem, Vedat Turhan, Ali Acar, Yavuz Uyar, Dilek Y. Caglayik, Sezai Ozkan, Levent Gorenek Emerging Infectious Diseases, 2011
Methemoglobinemia detected by pulse oximetry Journal of Chinese Clinical Medicine, 2011
RECENT SCHOLAR PUBLICATIONS
Dexmedetomidine as an alternative to general anesthesia in vertebroplasty and kyphoplasty: a safety and efficacy study H Gungor, MA Cacan, YO Atalay BMC anesthesiology 26 (1), 86 , 2026 2026
Comparison of ketamine and fentanyl in pediatric tonsillectomy: Impact on pain control and emergence delirium YO Atalay, A Ince, EK Koc, H Gungor, YG Gul, T Toklu, M Kocak, ... Saudi Journal of Anaesthesia 20 (1), 131-136 , 2026 2026 Citations: 1
Efficacy of USG-guided circumpsoas block for postoperative analgesia and early mobilization in hip replacement surgery: a case study. EK Koc, MA Ayazoglu, YO Atalay Minerva Anestesiologica , 2025 2025
Modified thoracoabdominal nerves block through perichondrial approach block for pediatric kidney transplantation V Özen, EI Turan, B Aydoğdu, AS Şahin Minerva anestesiologica 91 (4), 350-351 , 2025 2025
The Erector Spinae Plane Block with 20 or 30 mL of 0.25% Bupivicaine Provides Equivalent Postoperative Analgesia after Mastectomy: A Prospective Randomized Trial M Bıdak, B Çiftçi, P Basım, BE Gölboyu, YO Atalay Turkish Journal of Anaesthesiology and Reanimation 53 (1), 5 , 2025 2025 Citations: 2
Anatomical spread of local anesthetic in circumpsoas block: a cadaveric study. YO Atalay, EK Koc, SB Sozcu, B Tekin, G Ansen, G Cingoz, BU Sakul, ... Minerva Anestesiologica 91 (3), 225-226 , 2025 2025
OBSTETRİK ANESTEZİ VE ANALJEZİDE KANITA DAYALI KLİNİK UYGULAMALAR D Günaydın, Y Atalay Nobel Yayınevi , 2025 2025
Comparison of postoperative analgesic efficacy between erector spinae plane block and rhomboid intercostal block in breast-conserving surgery and sentinel lymph node biopsy: A … B Çiftçi, P Basım, H Güngör, S Alver, EG Birzat, YO Atalay Aǧrı 37 (1), 42 , 2025 2025 Citations: 4
Is the femoral nerve affected by iliopsoas block? A cadaveric volume study YO Atalay, B Tekin, G Ansen, EK Koc, TU Yanaral, BU Sakul, HA Alici Minerva anestesiologica 91 (1-2), 107-108 , 2025 2025
Ultrasound-guided bilateral erector spinae plane block in the management of postoperative analgesia in living liver donors: a randomized, prospective study. H Gungor, A Ince, EC Celik, O Yaprak, YO Atalay, B Ciftci, P Karaaslan Minerva Anestesiologica 90 (12), 1082-1089 , 2024 2024 Citations: 8
Single-shot sacral erector spinae block: a cadaveric study of dye spreading. YO Atalay, B Tekin, G Ansen, E Uzunoglu, EK Koc, BU Sakul, HA Alici Minerva Anestesiologica 90 (4), 1163-1164 , 2024 2024 Citations: 3
A Case Series of Deep Subgluteal Block: A New Block Targeting the Missed Portion of the Hip for Analgesia After Total Hip Replacement YO Atalay, B Ciftci, B Tekin, G Ansen, BU Sakul, MA Cacan, I Azboy, ... A&A Practice 18 (9), e01848 , 2024 2024
Lung-protective strategy during one-lung ventilation: current and future approaches to quantify the role of positive end-expiratory pressure A Gentili Minerva anestesiologica 90 (1-2), 3-5 , 2024 2024 Citations: 1
Pediatric Anesthesia and Co-Existing Diseases Case Based Approach S Barış, D Altun, Y Atalay, A Tütüncü, P Kendigelen, C Bor, A Saraçoğlu, ... Bhalani Publisher House , 2024 2024
Para-sartorial compartments (Pasc) block for knee surgeries: A report of five cases H Gungor, YO Atalay Minerva anestesiologica 89 (6), 606-608 , 2023 2023 Citations: 2
Para-sartorial compartments block: A cadaveric study of dye spreading YO Atalay, B Tekin, G Ansen, H Gungor, BU Sakul, HA Alici Minerva anestesiologica 89 (4), 363-364 , 2023 2023 Citations: 1
IMPROVED OUTCOMES WITH TARGETED TEMPERATURE MANAGEMENT (TTM): CLINICAL SIGNIFICANCE FOR POST-CARDIAC ARREST PATIENTS: Survival after Targeted Temperature Management (TTM) C ERDOĞAN, D KIZILASLAN, B TUNAY, P KARAASLAN, YO ATALAY, ... Türk RESÜSİTASYON Dergisi 1 (3), 119-138 , 2022 2022
HEDEFE YÖNELİK SICAKLIK YÖNETİMİYLE İYİLEŞTİRİLMİŞ SONUÇLAR (HSY): POST-KARDİYAK ARREST HASTALARDA KLİNİK ÖNEMİ P Karaaslan, C Erdoğan, D Kızılaslan, B Tunay, YO Atalay, H Öz Türk Resüsitasyon Dergisi 1 (3), 119-138 , 2022 2022
QTc interval prolongation due to spinal anesthesia in patients with and without diabetes: an observational study JH Song, C Yang, W Lee, H Kim, Y Kim, H Kim BMC anesthesiology 22 (1), 143 , 2022 2022 Citations: 3
Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy F Kapukaya, M Ekinci, B Ciftci, YO Atalay, BE Gölboyu, E Kuyucu, ... BMC anesthesiology 22 (1), 142 , 2022 2022 Citations: 28
MOST CITED SCHOLAR PUBLICATIONS
Efficacy of an ultrasound-guided erector spinae plane block for postoperative analgesia management after video-assisted thoracic surgery: a prospective randomized study B Ciftci, M Ekinci, EC Celik, IC Tukac, Y Bayrak, YO Atalay Journal of cardiothoracic and vascular anesthesia 34 (2), 444-449 , 2020 2020 Citations: 174
Hantavirus infection in istanbul, Turkey O Oncul, Y Atalay, Y Onem, V Turhan, A Acar, Y Uyar, DY Caglayik, ... Emerging Infectious Diseases 17 (2), 303 , 2011 2011 Citations: 61
Predictive value of bedside tests for difficult intubations S Aktas, YO Atalay, M Tugrul Eur Rev Med Pharmacol Sci 19 (9), 1595-9 , 2015 2015 Citations: 55
High thoracic erector spinae plane block for arthroscopic shoulder surgery: a randomized prospective double-blind study B Ciftci, M Ekinci, BE Gölboyu, F Kapukaya, YO Atalay, E Kuyucu, ... Pain Medicine 22 (4), 776-783 , 2021 2021 Citations: 53
The correlation of the platelet-to-lymphocyte ratio with the severity of stenosis and stroke in patients with carotid arterial disease A İdil Soylu, S Arıkan Cortcu, F Uzunkaya, YO Atalay, T Bekçi, L Güngör, ... Vascular 25 (3), 299-306 , 2017 2017 Citations: 53
Bedside ultrasonography for the confirmation of gastric tube placement in the neonate YO Atalay, AV Polat, EO Ozkan, L Tomak, C Aygun, JD Tobias Saudi Journal of Anaesthesia 13 (1), 23-27 , 2019 2019 Citations: 47
Does bedside sonography effectively identify nasogastric tube placements in pediatric critical care patients? YO Atalay, R Aydin, O Ertugrul, SB Gul, AV Polat, MS Paksu Nutrition in Clinical Practice 31 (6), 805-809 , 2016 2016 Citations: 46
Remifentanil protects uterus against ischemia-reperfusion injury in rats YO Atalay, S Aktas, S Sahin, Z Kucukodaci, OB Ozakpinar Acta cirurgica brasileira 30 (11), 756-761 , 2015 2015 Citations: 30
Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy F Kapukaya, M Ekinci, B Ciftci, YO Atalay, BE Gölboyu, E Kuyucu, ... BMC anesthesiology 22 (1), 142 , 2022 2022 Citations: 28
Comparison of ultrasound‐guided type‐II pectoral nerve block and rhomboid intercostal block for pain management following breast cancer surgery: A randomized, controlled trial B Ciftci, M Ekinci, P Basim, EC Celik, IC Tukac, M Zenciroglu, YO Atalay Pain Practice 21 (6), 638-645 , 2021 2021 Citations: 26
Clavipectoral Fascia Plane Block for Analgesia after Clavicle Surgery. YO Atalay, E Mursel, B Çiftçi, G İpteç Revista española de anestesiología y reanimación 66 (10), 562-563 , 2019 2019 Citations: 26
The effectiveness of clavipectoral fascia plane block for analgesia after clavicle surgery: a report of five cases YO Atalay, B Ciftci, M Ekinci, S YEŞİLTAŞ 2020 Citations: 25
Türkiye’de 2000-2014 yılları arasında okul öncesi eğitimi Alanında yapılan yüksek lisans tezlerinin İncelenmesi H Durukan, Y Atalay, SN Şen Dicle Üniversitesi Ziya Gökalp Eğitim Fakültesi Dergisi 26, 62-77 , 2015 2015 Citations: 22
Ultrasound-Guided Erector Spinae Plane Block and Thoracic Paravertebral Block for Postoperative Analgesia Management following Video-Assisted Thoracic Surgery: A Prospective … B Çiftçi, M Ekinci, E ÇELİK, İ Tukac, B Gölboyu, M GÜNLÜOĞLU, ... Anestezi Dergisi 28 (3) , 2020 2020 Citations: 20
A comparison of the ultrasound-guided modified-thoracolumbar interfascial plane block and wound infiltration for postoperative pain management in lumbar spinal surgery patients M Ekinci, B Çiftçi, E ÇELIK, A YAYIK, A Tahta, Y ATALAY Agri 32 (3) , 2020 2020 Citations: 19
Efficacy and safety of intravenous thiopental for sedation during magnetic resonance imaging in pediatric patients: a retrospective analysis YO Atalay, T Leman, JD Tobias Saudi journal of anaesthesia 11 (2), 185-189 , 2017 2017 Citations: 17
Thiopental versus ketofol in paediatric sedation for magnetic resonance imaging: a randomized trial YB Ustun, YO Atalay, E Koksal, C Kaya, F Ozkan, EB Sener, AV Polat J Pak Med Assoc 67 (2), 247-251 , 2017 2017 Citations: 17
A complication of the laryngeal mask airway: pharyngolaryngeal rupture and pneumomediastinum YO Atalay, C Kaya, S Aktas, K Toker European Journal of Anaesthesiology| EJA 32 (6), 439-440 , 2015 2015 Citations: 15
Anesthesia management in a patient with Kabuki syndrome YO Atalay, C Kaya, YB Ustun, AH Sahinoglu Medical Archives 68 (5), 359 , 2014 2014 Citations: 14
An alternative technique for effective pain management in upper extremity surgery: erector spinae plane block. M Ekinci, B Ciftci, YO Atalay Minerva anestesiologica 86 (3), 358-360 , 2019 2019 Citations: 10