Croatian Medical Journal最新文献

The effect of cooled endotracheal tubes on postoperative sore throat: a randomized controlled study. 冷却气管内管对术后喉咙痛的影响：一项随机对照研究。

IF 2.3 4区医学

Croatian Medical Journal Pub Date : 2025-08-31

Sibel Çatalca, Özlem Özmete, Oya Yalçın Çok, Caner İncekaş, Nesrin Bozdoğan Özyılkan

{"title":"The effect of cooled endotracheal tubes on postoperative sore throat: a randomized controlled study.","authors":"Sibel Çatalca, Özlem Özmete, Oya Yalçın Çok, Caner İncekaş, Nesrin Bozdoğan Özyılkan","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To evaluate the effect of cooled endotracheal tubes on the incidence of postoperative sore throat, hoarseness, coughing, and dysphagia after endotracheal intubation.Methods: This randomized controlled trial enrolled patients undergoing elective surgery under general anesthesia with endotracheal intubation at Adana Dr Turgut Noyan Hospital between April and September 2023. The patients were randomly assigned to be intubated with endotracheal tubes refrigerated at +4 °C for 4-6 hours before intubation (n=66) or with endotracheal tubes kept at the operating room temperature (+20-23 °C) (n=70). The incidence of sore throat, hoarseness, coughing, and dysphagia was recorded at 1, 4, 12, and 24 hours postoperatively.Results: The groups did not significantly differ in the incidence of sore throat, hoarseness, and coughing at 1 hour and 24 hours. They also did not differ in the incidence of dysphagia at 24 hours.Conclusion: Cooled endotracheal tubes are not superior to tubes kept at operating room temperature in reducing postoperative sore throat, hoarseness, coughing, or dysphagia.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"66 4","pages":"256-264"},"PeriodicalIF":2.3,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast lump as the initial presentation of metastatic uterine leiomyosarcoma. 乳房肿块为转移性子宫平滑肌肉瘤的初始表现。

IF 2.3 4区医学

Croatian Medical Journal Pub Date : 2025-08-31

Ilker Sengul, Demet Sengul

引用次数: 0

The effect of sleep-oriented non-pharmacological interventions in preventing delirium: a systematic review of randomized controlled trials. 以睡眠为导向的非药物干预在预防谵妄中的作用：随机对照试验的系统回顾。

IF 2.3 4区医学

Croatian Medical Journal Pub Date : 2025-08-31

Ezgi Mutluay Yayla, Emine Kaplan Serin

{"title":"The effect of sleep-oriented non-pharmacological interventions in preventing delirium: a systematic review of randomized controlled trials.","authors":"Ezgi Mutluay Yayla, Emine Kaplan Serin","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To systematically review randomized controlled trials evaluating the efficacy of sleep-oriented non-pharmacological interventions for delirium prevention in intensive care units.Methods: We searched PubMed, Web of Science, Scopus, and the Cochrane Library for randomized controlled trials evaluating the efficacy of sleep-oriented, non-pharmacological interventions for delirium prevention in intensive care units published in English between 2019 and 2024. The methodological quality of the included studies was independently evaluated by two researchers using the Joanna Briggs Institute tool.Results: This review included eight randomized controlled trials (n = 649). Six studies assessed the effect of earplugs and masks on delirium prevention in intensive care patients. Three studies indicated that earplugs and eye masks effectively prevented delirium, while three studies found no effect. One study assessed the use of earplugs and masks as part of a bundle of interventions and reported a positive effect. Four studies showed an effect on sleep. None of the sleep-oriented non-pharmacological interventions assessed in these studies reported any harmful effects.Conclusion: Although several high-quality studies showed that these interventions significantly lowered delirium incidence, some trials found no effect, highlighting variability in outcomes.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"66 4","pages":"289-298"},"PeriodicalIF":2.3,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does the effectiveness of neuraxial morphine administration vary across different patient populations, dosing strategies, and delivery techniques? 神经轴向吗啡给药的有效性是否因不同的患者群体、给药策略和给药技术而异？

IF 1.5 4区医学