Challenge Journal of Perioperative Medicine最新文献

{"title":"Anesthesia in patients with electrical burn: A retrospective study","authors":"Asuman Mehel, Sevda Akdeniz, Nevzat Gumus, Rumeysa Karacuha Surucu, Serife Secgin, Ozgur Komurcu, Mustafa Suren","doi":"10.20528/cjpm.2023.02.006","DOIUrl":"https://doi.org/10.20528/cjpm.2023.02.006","url":null,"abstract":"Aim: We aimed to share our anesthesia experiences with patients hospitalized for electrical burns and underwent surgical intervention under anesthesia in the burn clinic of our hospital.Method: Data gained from our hospital's patient files and medical information system were retrospectively evaluated. The study included patients diagnosed with electrical burns hospitalized in our burn clinic in 2018-2022.Results: The study involved files of a total of 694 patients. Fifty (7.2%) patients were treated for electrical burns. The required data from 3 of the patients could not be accessed, therefore the study was completed including 47 patients. We found that 22 patients did not need surgical treatment. Twenty-five were given anesthesia for different surgical procedures: 20 of those received general anesthesia, while five underwent neuraxiel anesthesia/regional anesthesia. There were no anesthesia-related complications in any patients in the perioperative period.Conclusions: Anesthesia applications should be carefully planned against possible complications in patients with electrical burns.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"5 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136263449","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 ultrasound-guided genicular block vs. intrathecal morphine for postoperative analgesia in patients undergoing knee arthroplasty: A randomised prospective study","authors":"Ebru Canakci, Ilker Coskun","doi":"10.20528/cjpm.2023.02.003","DOIUrl":"https://doi.org/10.20528/cjpm.2023.02.003","url":null,"abstract":"Aim: Total knee arthroplasty (TKA) is a major orthopedic surgical procedure often necessitating effective postoperative analgesia. This study aimed to compare the analgesic efficacy of ultrasound-guided genicular block (GB) and intrathecal morphine (ITM) in patients undergoing THA under spinal anesthesia.Method: A prospective, randomized, single-blind study was conducted at Ordu University Training and Research Hospital from October 1, 2022, to April 1, 2023. Eligible patients aged 18 to 90 undergoing knee surgery with spinal anesthesia were randomized into two groups: Group ITM received intrathecal morphine, while Group GB underwent ultrasound-guided triple genicular block. Pain scores, rescue opioid consumption, time to initial mobilization, and Modified Bromage Scale (MBS) scores were assessed at five time points (0, 2, 6, 12, and 24 hours) within the first 24 hours post-surgery.Results: At the 24-hour mark, cumulative tramadol consumption was significantly lower in Group ITM compared to Group GB (35.45±54.84 vs. 63.37±37.7 mg, respectively, p = 0.028). Group ITM also exhibited statistically lower Numeric Rating Scale (NRS) scores at 12 hours (p = 0.005) but had similar scores at other time points. Additionally, time to first ambulation and MBS scores were consistent across all intervals (p < 0.05).Conclusions: In patients undergoing knee arthroplasty with spinal anesthesia, those receiving ultrasound-guided genicular blocks demonstrated higher opioid consumption over a 24-hour period compared to those receiving intrathecal morphine. However, regarding postoperative pain scores, both groups exhibited similar outcomes. These findings provide valuable insights into the selection of postoperative analgesic modalities for TKA patients.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"200 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136311678","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":"Instagram: A platform for caudal epidural injection?","authors":"Keisher Hoyte, Gemma Summons, Parineeta Ghosh, H. C. Kose","doi":"10.20528/cjpm.2023.01.004","DOIUrl":"https://doi.org/10.20528/cjpm.2023.01.004","url":null,"abstract":"Aim: Caudal epidural injection (CEI) is a widely used procedure in pediatric anesthesia for perioperative pain and in adults for chronic radicular pain. Social media platforms, including Instagram, are being increasingly utilized for the dissemination of information in various fields, including medicine. The aim of this study was to evaluate the information content and sources of CEI on Instagram.Method: This study presents an analysis of Instagram contents containing the keywords #caudalepiduralinjection, #caudalepidural, #caudalepiduralblock, #caudalinjection, and #caudalblock on May 1, 2023. The results were classified into four groups based on the source: posts generated by physicians, organizations, patients, or unspecified sources. The posts were further classified into two categories: educational or experience. User influence was also assessed based on the number of followers and posts.Results: A total of 204 posts were assessed. 72 different accounts were identified and the distribution of these accounts is as follows: physicians accounted for 29.16% (n=21), patients accounted for 51.38% (n=37), medical organizations accounted for 11.11% (n=8), and the remaining 8.33% (n=6) were not otherwise specified. Among the posts, 92 (45.09%) were posted by the patients, 71 (34.80%) were posted by physicians, 25 (12.25%) by medical organizations, and 16 (7.84%) were not specified. There was a significant difference in the number of posts created by patients versus physicians (p=0.036). Furthermore, there was a significant difference in the number of followers between physicians and all other groups analyzed. There were no posts regarding the use of CEI in pediatric anesthesia when searching for posts on CEIs.Conclusions: When searching for posts related to CEIs, it is more likely to encounter posts authored by patients, thus resulting in the educational content created by physicians being overshadowed and buried among numerous other posts. We suggest posting educational medical content with the hashtag #MedEd in an attempt to make educational content more easily accessible. These findings highlight the importance of raising awareness about CEIs on Instagram. Pain medicine societies and specialists should actively contribute by sharing credible posts on CEIs.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":" 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113951683","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":"Efficacy of bilateral ultrasonography-guided transversus abdominis plane block after laparoscopic sleeve gastrectomy: Prospective, randomized, controlled study","authors":"S. Alver, T. Umutoglu, I. Sümer, Senniye Ulgen Zengin, U. Topuz, M. Bakan, K. Idin, S. Bozkurt, Z. Salihoğlu","doi":"10.20528/cjpm.2023.01.003","DOIUrl":"https://doi.org/10.20528/cjpm.2023.01.003","url":null,"abstract":"Aim: Transversus Abdominis Plan (TAP) block is an interfascial plane block, commonly used as an analgesic technique   in abdominal surgeries. The aim of this study is to investigate the postoperative analgesic efficacy of bilateral ultrasonography (US) guided TAP block in patients scheduled for laparoscopic sleeve gastrectomy.Method: In this randomized prospective study; 48 patients, 18-65 years, ASA I-II, morbidly obese (BMI>35), underwent laparoscopic sleeve gastrectomy were included. The patients randomized into two groups: TAP block Group (group TAP) and Control Group (group C). At the end of the operation, bilateral TAP block were performed to 24 patients in Group TAP with a total 40 ml of local solution. 20 ml of local solution was injected into the trocar incision lines of all patients. Patient-controlled analgesia was administered to all patients at a dose of 5 mg/ml tramadol. Tramadol consumption, visual analogue scores (VAS) and the need of rescue analgesia (paracetamol) of the patients at postoperative first 24th hours were recorded.Results: There is no statistical difference in terms of demographic data. Total tramadol consumption and VAS were significantly higher in the Group C (p<0.01). No complications were found in either group.Conclusions: US-guided TAP block provides effective analgesia in patients underwent laparoscopic sleeve gastrectomy surgery.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128979349","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 the postoperative analgesic efficacy of ultrasound-guided suprainguinal fascia iliaca block applied with two different concentrations of bupivacaine in patients undergoing hip surgery under spinal anesthesia","authors":"Kadem Koç, Busra Burcu Kucuk Ordulu, Ramazan Burak Ferli, Busra Yesilyurt, N. Guzel, S. Tulgar, M. Suren","doi":"10.20528/cjpm.2023.01.002","DOIUrl":"https://doi.org/10.20528/cjpm.2023.01.002","url":null,"abstract":"Aim:  Management of postoperative pain in hip surgeries is important for the quality of recovery. When regional anesthesia techniques are added to the multimodal analgesia plan, they increase the effectiveness of the analgesia plan. Supra-inguinal fascia iliaca block (SIFIB) is a technique that has been reported to be effective in hip surgery but requires the use of high-volume local anesthetics. Our aim in this retrospective study is to investigate the efficacy of local anesthetic in SIFIB when administered at a concentration lower than the conventional concentration.Material and Methods: The files of the patients who underwent hip hemiarthroplasty were planned to be evaluated retrospectively. Patients were grouped according to the bupivacaine concentration used in SIFIB (0.25% vs. 0.20%) and statistically evaluated in terms of morphine requirement, pain scores, and time to first analgesic.Results: There was no significant difference between the groups in terms of NRS score and cumulative morphine consumption at the 3rd, 6th, 12th, 18th, and 24th hours (p>0.05). When compared the first analgesia requirement times, there was no significant difference between Groups (p>0.05).Conclusion: A single shot SIFIB administered at a concentration of 0.20% also has analgesic properties, as do the conventional concentration of SIFIB containing 0.25% bupivacaine.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130597076","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":"Pericapsular nerve group (PENG) block as a sole anesthetic method for malignant soft tissue excision","authors":"Ela Nur Medetoglu, Veysel Koksal, Mehmet Akif Yılmaz, E. Oral Ahiskalioglu","doi":"10.20528/cjpm.2023.01.005","DOIUrl":"https://doi.org/10.20528/cjpm.2023.01.005","url":null,"abstract":"Since its first description by Philippe WH Peng in 2018, the Pericapsular Nerve Group (PENG) block, a novel regional anesthetic procedure, has been gaining in popularity. In order to provide appropriate analgesia, an ultrasound-guided local anesthetic injection around the hip joint is performed.We presented, in this case, the successful management of the PENG block for surgical anesthesia in the excision of a malignant soft tissue tumor in the proximal tibia of a 73-year-old female patient. Adequate sensory and motor blocks were obtained, allowing a 70-minute surgery without using additional analgesics. Postoperative pain scores were low, and the patient was discharged without complications.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127662282","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":"Spinal anesthesia in a patient with Darier’s disease: A case report","authors":"I. Boga, T. Can","doi":"10.20528/cjpm.2023.01.006","DOIUrl":"https://doi.org/10.20528/cjpm.2023.01.006","url":null,"abstract":"Darier’s Disease (Darier-White Disease, keratosis follicularis) is a rare genodermatosis characterized by keratinisation defects that affects the skin, nails and mucosal membranes; it is autosomal and dominantly inherited. To the best of our knowledge, only one case has been reported regarding spinal anesthesia management in a patient suffering from Darier’s disease—this was during Cesarean section. Here, we describe a case of spinal anesthesia with standard skin preparation for inguinal hernia surgery in a Darier’s patient. Spinal anesthesia is a safe anesthesia choice when administered in lesion-free areas.","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114552542","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":"Where does the praise for artificial intelligence come to an end? Tolerance for anything is not boundless","authors":"S. Tulgar, A. Ahıskalıoğlu","doi":"10.20528/cjpm.2023.01.001","DOIUrl":"https://doi.org/10.20528/cjpm.2023.01.001","url":null,"abstract":"<jats:p>...</jats:p>","PeriodicalId":118668,"journal":{"name":"Challenge Journal of Perioperative Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125161913","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}