Challenge Journal of Perioperative Medicine最新文献

{"title":"Perioperative complications in patients undergoing urological surgery with spinal anesthesia: A prospective, observational study","authors":"Dilan Akyurt, H. Yazıcıoğlu, Candan Haytural, Berna Demir, A. Özgök","doi":"10.20528/cjpm.2024.02.001","DOIUrl":"https://doi.org/10.20528/cjpm.2024.02.001","url":null,"abstract":"Background: Spinal anesthesia is widely used as the primary anesthesia method in urological surgeries, and this prospective observational study aimed to evaluate the associated complications.Materials and Method: Demographic data, procedures, and spinal anesthesia-related complications (e.g., hypotension, bradycardia, and headache) of patients who underwent urological surgery with spinal anesthesia were recorded perioperatively. Patients were questioned about complications on the 5th and 14th postoperative days.Results: Mean arterial pressure decreases in those administered intraoperative hyperbaric bupivacaine were higher at the 5th (p=0.010), 10th (p=0.003), and 15th minute (p=0.001) than in those administered levobupivacaine and lidocaine. In patients administered crystalloid and colloid solutions, an increase in hypotension was observed at the intraoperative 10th minute (systolic arterial pressure (SAP): p=0.008, diastolic arterial pressure (DAP): p=0.011) and 15th minute (SAP: p=0.017). Post-dural puncture headache (PDPH) occurred on days 1 and 2 in 7 patients and resolved within 3 days. Two patients reported leg pain and one patient reported gluteal numbness with bupivacaine. A majority of the patients (83%) stated that they would prefer spinal anesthesia if they were to have surgery again.Conclusions: Identifying perioperative complications in urological surgeries performed under spinal anesthesia helps in effective management and has implications for clinical practice.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141675100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyzing the educational quality of YouTube videos on paravertebral block techniques","authors":"Muhammed Halit Satıcı, Mahmut Sami Tutar","doi":"10.20528/cjpm.2024.02.003","DOIUrl":"https://doi.org/10.20528/cjpm.2024.02.003","url":null,"abstract":"Aim: People can learn new skills, explore content related to their interests, and get to know different cultures through YouTube videos. It is important to be conscious when using platforms such as YouTube and to take care to obtain information from verified and reliable sources. Students especially watch medical videos on YouTube, which can improve their medical knowledge. Our aim in this study is to evaluate the educational content and quality of paravertebral block videos on YouTube.Materials and Method: Videos were recorded by typing the term 'paravertebral block ultrasound' into the YouTube search engine. In filtering, sorting was done according to the number of views. 100 videos on the first 5 pages were watched and evaluated. To evaluate the videos on YouTube, we used two different surveys, evaluating the educational content of the videos (Survey 1) and evaluating the quality of the videos (Survey 2).Results: Our study revealed that only a third of paravertebral block education videos met relevant criteria, with just (33) 18.2% demonstrating both good educational quality and preparation. There was a positive correlation between the video educational quality score and all parameters, with significant differences found for “video duration” and “video preparation quality score” (r=0.506, p=0.003, and r=0.84, p<0.001, respectively). Similarly, the video preparation quality score showed a positive correlation with all parameters, with significant differences found for “number of video likes” and “video duration” (r=0.373, p=0.033, and r=0.413, p=0.017, respectively).Conclusions: Paravertebral block videos on YouTube are inadequate in terms of educational and preparation quality. According to our analysis, we do not recommend using YouTube videos for educational purposes.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of dexmedetomidine dosing strategies based on Bispectral Index (BIS) and Ramsay Sedation Scale (RSS) in patients undergoing infraumbilical surgeries under spinal anesthesia: A prospective comparative study","authors":"Suna Kara Gormus, Tulay Cardakoz, Kamil Toker","doi":"10.20528/cjpm.2024.02.002","DOIUrl":"https://doi.org/10.20528/cjpm.2024.02.002","url":null,"abstract":"Objectives and Aim: This study aimed to evaluate the impact of dexmedetomidine infusion dosage adjustment strategies guided by BIS and RSS on total consumption in patients undergoing infraumbilical surgeries under spinal anesthesia.Materials and Method: Eighty patients aged between 18-70 years, classified as American Society of Anesthesiologists (ASA) I and II, who underwent orthopaedic, urological, and plastic surgery under spinal anesthesia were included. Patients received spinal anesthesia in the lateral position through the L3-4 interval using a median approach. Following the observation of free flow of cerebrospinal fluid, spinal anesthesia was induced with 10 mg (2 ml of 5% hyperbaric bupivacaine) bupivacaine and 25 µg of intrathecal fentanyl. When the sensory block reached the T10 level, all patients were administered a dexmedetomidine loading dose of 1 µg/kg IV over 10 min for sedation, and the maintenance drug infusion dose was titrated to maintain BIS values between 60-80 in the first group and RSS at 3-4 in the second group. Throughout the surgery, hemodynamic variables (heart rate and blood pressure), respiratory parameters (respiratory rate), SpO2, sedation scores (BIS and RSS), and drug infusion doses and perioperative complications were recorded. Drug infusion was stopped 5 min before the end of surgery, and the duration of surgery, anesthesia, and total drug consumption were recorded. Statistical analyses were performed, and a p-value of less than 0.05 was considered statistically significant.Results: Desired sedation was achieved by dexmedetomidine administration. A decrease in BIS values and an increase in RSS were observed with the loading dose. In both groups, the heart rate and systolic and diastolic blood pressures were significantly lower at all measurement times than the control values. There was no significant difference in the mean blood pressure between groups B and R (p>0.05). The average blood pressure for B group was 92 ± 14.12 mmHg, while the average blood pressure for R group was 90 ± 12.73 mmHg. There was no statistically significant difference between the two groups in terms of dexmedetomidine infusion doses required to achieve the desired sedation and total drug consumption 110 ± 20 (µg) in B group and 111 ± 22 µg in R group (p>0.05).Conclusions: Dexmedetomidine provides a targeted level of sedation in patients undergoing spinal anesthesia without causing significant respiratory depression. Monitoring sedation depth using the BIS did not change the total drug consumption.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141675305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anaphylaxis following unfractionated heparin administration: How safe is this drug in the treatment of thromboembolism?","authors":"Kıvanç Öncü, Yasir İlyas","doi":"10.20528/cjpm.2024.02.004","DOIUrl":"https://doi.org/10.20528/cjpm.2024.02.004","url":null,"abstract":"Heparin, a naturally occurring polysaccharide belonging to the glycosaminoglycans (GAG) family, is ubiquitously found in mast cells. Unfractionated heparin is the least processed form of natural GAG, purified from animal tissue. In a 67-year-old female patient diagnosed with hypertension and asthma, who suffered a femoral fracture due to a fall, intravenous heparin sodium was administered for thromboembolic treatment in the postoperative period following closed reduction. Subsequently, respiratory distress, loss of consciousness, and cardiac arrest occured following profound hypotension. The patient, whose clinical findings were evaluated as anaphylaxis, was successfully resuscitated with prompt intervention. Despite immune-mediated reactions and Heparin-Induced Thrombocytopenia (HIT) being commonly encountered side effects in clinical practice, it is crucial for all healthcare professionals to recognize that widely used anticoagulant agents such as heparin sodium can lead to fatal complications.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"120 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141674204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative ventricular dysrhythmia management in ranula cyst excision surgery","authors":"M. Yaman, Tayfun Aydın, Osman Pala","doi":"10.20528/cjpm.2024.02.005","DOIUrl":"https://doi.org/10.20528/cjpm.2024.02.005","url":null,"abstract":"Ranula cyst is one of the most common pathologies of the sublingual salivary gland. It is formed as a result of damage to the gland ducts and is a retention cyst filled with mucus. Methods such as drainage, excision or cryosurgery are used in the treatment. During surgical treatment, it may cause various dysrhythmias due to its anatomical relationship with the vagus nerve. In this study, we aimed to present our response to arrhythmias seen during ranula cyst excision and resistant to IV administration with local lidocaine administration.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141675676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Block combinations: The answer sought or a waste of effort?","authors":"B. Altıparmak, A. I. Uysal","doi":"10.20528/cjpm.2024.02.006","DOIUrl":"https://doi.org/10.20528/cjpm.2024.02.006","url":null,"abstract":"<jats:p>...</jats:p>","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141676610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and importance of herbal use among presurgical patients: A prospective cohort study","authors":"Ayse Zeynep Turan Cıvraz, Sema Candan","doi":"10.20528/cjpm.2023.02.005","DOIUrl":"https://doi.org/10.20528/cjpm.2023.02.005","url":null,"abstract":"Aim: Herbal medicine has been used by humankind since ancient times. However, its popularity has increased in the last 20-30 years. In addition to the production, presentation and marketing of herbal medicines, their effects on the body are also very complex. Uncertainty about the effects of these drugs on the body has increased the importance of pre-anesthetic evaluation. To determine the frequency of herbal drug use in patients presenting for preoperative evaluation and to highlight its importance in anesthetic practice.Method: It was designed as a prospective study with observational-analytical character. Patients over 12 years of age presenting to the Anesthesia Outpatient Clinic of our hospital for pre-anesthetic assessment were interviewed about their use of herbal medicines for 2 months. Patients who used herbal medicines were asked about the medicines they used.Results: A total of 2712 patients were evaluated. Of the patients attending the outpatient clinic, 2367 were over 12 years of age. The use of herbal drugs was found to be 1.18% (n=28). Among the patients who used herbal medicines, 53.6% were female and the mean age was 52.18±15.87 years. The most commonly used herbal medicines were black cumin, green tea, ginger, turmeric, cinnamon, and olive leaf.Conclusions: The use of herbal medicines may be much higher than detected in patients presenting for pre-anesthetic examination. As the effects of herbal products are very uncertain, they may interact with anesthetic drugs. They can prolong bleeding time, increase blood pressure and cause heart problems. For these reasons, they should be closely questioned in the pre-anesthetic examination and discontinued before surgery.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"2 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136234330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of pentoxyphiline on neurocognitive functions and neurobiochemical markers in coronary artery bypass graft surgery","authors":"Cem Erdogan, Cem Sayilgan, Lale Yuceyar, Hulya Erolcay, Dildar Konukoglu, Sinem Firtina, Ibrahim Balcioglu, Suat Omeroglu, Gokhan Ipek","doi":"10.20528/cjpm.2023.02.002","DOIUrl":"https://doi.org/10.20528/cjpm.2023.02.002","url":null,"abstract":"Aim: Neurocognitive dysfunction is a complication of cardiopulmonary bypass (CPB). Neuron-specific enolase (NSE) and S100ß protein are markers of cerebral injury. With its beneficial rheological and anti-inflammatory properties, pentoxyphiline (PTX) is an interesting agent in cardiac surgery patients. The study was designed to evaluate the influence of prophylactic use of PTX on cognitive function and S100ß and NSE in on-pump coronary artery bypass grafting (CABG) patients.Method: In this prospective study, 40 patients undergoing on-pump CABG and received either PTX (bolus of 5 mg kg-1) after induction of anesthesia or saline are included. Neurological examination and neuropsychologic tests, including the mini-mental state examination test (MMSET) and Benton visual retention test (BVRT), were obtained preoperatively and on the seventh postoperative day. Blood samples for analysis of S100ß and NSE were collected before anesthesia, at the end of CPB, at the 3rd hour and 24th hour postoperatively.Results: Demographic and perioperative data were similar for the two groups. Mean cross-clamping times were 67.86±22.22 and 66.32±27.84 min, respectively. In both groups, S100ß and NSE increased significantly (p<0.01) at the end of the CPB and remained slightly increased at T2 (at the CPB exit), and T3 (at the 3rd hour after surgery) than preoperative levels (p>0.05). MMSET and BVRT performances of the two groups were similar and did not change compared to preoperative scores.Conclusions: Coronary artery bypass surgery caused a significant increase in NSE and S100ß serum levels but with no deterioration in neuropsychological outcome assessed in the first postoperative week. Although it was reported that PTX could be a promising agent to prevent post-CPB organ dysfunction in elderly cardiac surgery patients, prophylactic use of PTX appeared to offer no advantage for cerebral protection in the age group involved in this study.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"144 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136234337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Database studies and hemogram derivatives in perioperative medicine research: Does it mean taking shortcuts in the scientific journey?","authors":"Serkan Tulgar, Ali Ahiskalioglu","doi":"10.20528/cjpm.2023.02.001","DOIUrl":"https://doi.org/10.20528/cjpm.2023.02.001","url":null,"abstract":"...","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"53 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136264075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of gender equality among graduates of anesthesiology residency in the last decade: A national data analysis","authors":"Senay Canikli Adiguzel","doi":"10.20528/cjpm.2023.02.004","DOIUrl":"https://doi.org/10.20528/cjpm.2023.02.004","url":null,"abstract":"Aim: Despite the global upward trend in the representation of female doctors, certain medical specialties continue to exhibit a notable gender disparity. The presence of an equitable gender distribution within the healthcare sector has been shown to enhance the overall quality of service provision and has the potential to enhance performance outcomes. The objective of our research is to examine the gender composition of anesthesiology and reanimation professionals in Turkey.Methods: Data was collected regarding physicians who successfully completed their anesthesiology and reanimation specialization training and subsequently participated in the state service obligation lottery since the year 2013. Data provided by the General Directorate of Management Services of the Republic of Turkey Ministry of Health. The gender of the specialist physicians in the specified time period and the type of hospital they trained in were collected.Results: There were 1249 males and 1400 females among the 2649 specialists with no difference in the gender distribution. Upon conducting separate annual evaluations, there were significant increases in the proportions of men in the years 2017 and 2021, as well as women in the years 2019 and 2023. Additionally, 852 of them had received specialization from training hospitals and 1797 from university hospitals. Over the course of a decade, there was an absence of variation in the hospital preferences of anesthesiologists with regards to gender distribution. However, in the subsequent years of 2018, 2021, and 2023, female anesthesiologists exhibited a significantly higher preference for these hospitals. In 2019, a notable trend was observed wherein female anesthesiologists from university hospitals, while in 2021, male anesthesiologists demonstrated a similar inclination.Conclusions: In Turkey, the field of anesthesiology and reanimation demonstrates a balanced gender distribution in terms of expertise. There is no discernible disparity in the gender distribution among anesthesiologist' hospital preferences.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"80 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136263950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}