Turkish journal of anaesthesiology and reanimation最新文献

{"title":"Imaging in chronic thromboembolic pulmonary hypertension: review of the current literature.","authors":"Koray Hekimoglu, Deepa Gopalan, Mehmet Ruhi Onur, Gökhan Kahraman, Tankut Akay","doi":"10.4274/dir.2025.253249","DOIUrl":"10.4274/dir.2025.253249","url":null,"abstract":"<p><p>Chronic thromboembolic pulmonary hypertension (CTEPH) is a severe, life-threatening complication of pulmonary embolism with pulmonary hypertension (PH). The combination of insufficient resolution of thrombi following pulmonary emboli and accompanying microvascular disease results in PH. Advances in imaging can offer better insight into CTEPH diagnosis and management, but lack of disease awareness among radiologists has been shown to be a cause of CTEPH misdiagnosis or delayed diagnosis. This review highlights features pertinent to CTEPH diagnosis. The primary focus is on different modalities with their distinctive signs and newly developed technologies employing artificial intelligence systems.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"291-303"},"PeriodicalIF":0.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Practices, and Awareness Regarding Out-of-operating Room Sedation Among Non-anaesthesia Health Professionals: A Questionnaire Study.","authors":"Yaşar Gökhan Gül, Selçuk Alver, Burak Ömür, Ayşe Nurmen Akın, Birzat Emre Gölboyu, Bahadır Çiftçi","doi":"10.4274/TJAR.2025.252044","DOIUrl":"10.4274/TJAR.2025.252044","url":null,"abstract":"<p><strong>Objective: </strong>The efficacy and safety of sedation administered by non-anaesthesia healthcare professionals should be evaluated within the framework of evidence-based protocols, and approaches should be adopted to ensure patient safety at the highest level. We aimed, with a scientific approach, to evaluate non-operating-room anaesthesia applications performed by non-anaesthesia health professionals in terms of patient safety, quality, and consistency, and to identify areas of deficiency.</p><p><strong>Methods: </strong>After obtaining ethical approval, a questionnaire was prepared to evaluate practitioners' awareness of the anaesthesia and sedation processes administered to patients during procedures performed in their clinics. An electronic questionnaire (Google Form) was used to collect data.</p><p><strong>Results: </strong>This study revealed that non-operating-room sedation applications are widely practiced across various specialties in our country, but levels of knowledge and skill regarding these applications are not standardized. Extending in-service training, developing practical skills in managing complications, and using objective criteria for patient follow-up after sedation are of great importance for patient safety and clinical efficacy.</p><p><strong>Conclusion: </strong>Standardization of sedation practices can be achieved through multidisciplinary cooperation and the adoption of protocols based on current guidelines. In this context, it is recommended that structured training programs and clinical guidelines be established for non-anaesthesia healthcare professionals.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"83-88"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Intraoperative Bronchoscopy in Diagnosing Bronchus Related Complications Following VATS.","authors":"Sathish K, Senthilkumar Sukumar, Raja Siddhartha K S","doi":"10.4274/TJAR.2026.252260","DOIUrl":"10.4274/TJAR.2026.252260","url":null,"abstract":"<p><p>We report the case of a 60-year-old female with adenocarcinoma of the right upper lobe who underwent a video-assisted thoracoscopic surgery (VATS) upper lobectomy and subsequently presented with complete right lung collapse in the immediate postoperative period. Urgent bronchoscopy revealed complete stapling of the right mainstem bronchus. Hence, emergency re-exploration and bronchoplasty of the right mainstem bronchus and the right lower-lobe bronchus were done. While bronchoscopy following VATS lobectomy for lung cancer poses technical challenges and represents an independent risk factor for postoperative pulmonary complications, it remains a valuable tool for the early detection of complications such as lung collapse, which may result from thick mucus, a foreign body, iatrogenic injury, or the tumour itself.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"134-137"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Motor-sparing Paradigm in Knee Analgesia: Advancing Multi-block Strategies with the BiFeS Block as A New Player.","authors":"Tayfun Et, İlke Dolğun, Muhammet Korkusuz, İbrahim Tülüce","doi":"10.4274/TJAR.2026.252351","DOIUrl":"10.4274/TJAR.2026.252351","url":null,"abstract":"","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"143-145"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflection on the Integration of Artificial Intelligence in Anaesthesiology: Beyond Algorithmic Performance.","authors":"Hamza Najout, Mustapha Bensghir","doi":"10.4274/TJAR.2026.262383","DOIUrl":"10.4274/TJAR.2026.262383","url":null,"abstract":"","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"146-147"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147390755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Analysis of Totally Implantable Venous Access Ports which was Performed using the Patient's Height as a Guide, and the Effect of Catheter Tip Position on Complications.","authors":"Hakkıcan Akpolat, Serdar Demirgan, Sezen Kumaş Solak, Emine Sönmez, Rasim Onur Karaoğlu, Ayşin Selcan","doi":"10.4274/TJAR.2026.252308","DOIUrl":"10.4274/TJAR.2026.252308","url":null,"abstract":"<p><strong>Objective: </strong>Totally implantable venous access ports (TIVAP) provide safe and com-fortable venous access for chemotherapy. This study evaluates the reliability of Lum's measurement technique for central venous catheter tip positioning and its impact on complications.</p><p><strong>Methods: </strong>Clinical and radiologic data of 297 patients under-going TIVAP implantation were analyzed. The primary endpoint was optimal catheter tip positioning (within 2 cm above to 1 cm below the cavoatrial junction) and its effect on complications. Secondary endpoints included the impact of catheterization site and tip position relative to the carina.</p><p><strong>Results: </strong>Among 297 patients, 59.9% had catheter tips in the target zone, and 93.9% were below the carina. Target zone positioning did not significantly affect catheter occlusion or thromboembolism (<i>P</i>=0.066, <i>P</i>=0.773). However, thromboembolism (1/18; 5.6% vs. 1/279; 0.4%, <i>P</i>=0.009) and catheter occlusion (2/18; 11.1% vs. 3/279; 1.1%, <i>P</i>=0.001) were more frequent when the tip was above the carina. Patients with tips in the target zone and below the carina had similar complication rates (<i>P</i>=0.565, <i>P</i>=0.748, <i>P</i>=0.644). Catheterisation was performed via the internal jugular vein (IJV) or subclavian vein (SCV). Target zone positioning was more frequent with IJV catheterization (<i>P</i>=0.047), while catheter occlusion was higher with SCV access (<i>P</i>=0.024).</p><p><strong>Conclusion: </strong>Positioning the catheter tip below the carina and preferring IJV as the first-choice catheterization site may reduce complications.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"54 2","pages":"107-116"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General and Regional Anaesthesia in Cancer Surgery: A 20-year Bibliometric Analysis.","authors":"Gökçen Kültüroğlu","doi":"10.4274/TJAR.2025.2083","DOIUrl":"10.4274/TJAR.2025.2083","url":null,"abstract":"<p><strong>Objective: </strong>In recent years, there has been growing interest in the potential effects of anaesthetic agents in cancer surgery. Although the impact of anaesthetic management on long-term oncological outcomes has yet to be definitively established, emerging studies are increasingly exploring interactions with the tumour microenvironment and epigenetic mechanisms. This bibliometric analysis aims to evaluate the existing literature on the use of general and regional anaesthesia in cancer surgery, thereby identifying prevailing trends and informing future research directions.</p><p><strong>Methods: </strong>This was a retrospective bibliometric study designed to examine publications addressing both \"cancer\" and \"anaesthesia\" between 2005 and 2024. A search of the Web of Science database using specified keywords retrieved relevant articles, which were subsequently analysed based on parameters such as publication year, authors, journal, citation count, and country. Data were visualized using software, with network analyses conducted to reveal trends, collaboration networks, and research foci in the literature.</p><p><strong>Results: </strong>The analysis reviewed 391 articles; the highest number of publications was recorded in 2021 and 2022. These articles collectively garnered 9,068 citations. The most frequently cited studies came from Ireland and the United States, with Dr. Donal Buggy emerging as the leading researcher in the field. The mapping analysis indicated that journals such as Anesthesiology and the British Journal of Anaesthesia were the dominant publication venues.</p><p><strong>Conclusion: </strong>This study provides valuable insights into the evolving relationship between cancer and anaesthesia over the past two decades. The findings provide a significant foundation for future research and guide scientific development in this field.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"89-96"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Three Different Doses of Dexmedetomidine for Attenuation of the Pressor Response to Laryngoscopy and Intubation by Assessment of Haemodynamic Parameters and Plasma Catecholamine Levels Under Bi-spectral Index Guided Anaesthesia - A Randomised Double Blind Controlled Study.","authors":"Michell Gulabani, Medha Mohta, Nitesh Kumar, Diwesh Chawla, Seema Garg, Shashank Tripathi, Abhay Singh Chauhan","doi":"10.4274/TJAR.2026.252245","DOIUrl":"10.4274/TJAR.2026.252245","url":null,"abstract":"<p><strong>Objective: </strong>Dexmedetomidine has been studied for attenuation of laryngoscopy and intubation response with varied results, however the depth of anaesthesia and plasma catecholamine levels have not been measured. Considering the lacunae, this study was planned with three doses of dexmedetomidine: 0.5, 0.75 and 1 μg kg^-1 under bi-spectral index monitoring and plasma catecholamine assessment.</p><p><strong>Methods: </strong>One hundred sixty-eight consenting adult patients of either sex were divided into 3 groups (56 each) to receive I/V dexmedetomidine 0.5, 0.75 or 1 μg kg^-1 prior to induction. A baseline sample of catecholamines was taken and study drug was infused over 10 minutes. Thereafter, standard anaesthesia induction followed and haemodynamic parameters were noted at designated time intervals. Another sample of catecholamines was drawn at 3 minutes after intubation. The primary outcome was to compare the change in heart rate and systolic blood pressure. Secondary outcomes included: change in catecholamine levels, sedation scores, propofol dose and adverse events.</p><p><strong>Results: </strong>All doses of dexmedetomidine successfully obtunded the haemodynamic response; however, no significant difference was seen on inter-group comparison (<i>P</i> >0.05). A significant fall in nor-adrenaline values compared with baseline was noted in all groups, without any significant difference among groups for both catecholamines. Sedation scores reduced from baseline in all groups without any difference on inter- group comparison. Statistically significant reduction in propofol requirement and higher incidence of bradycardia with 1 μg kg^-1 (<i>P</i>=0.014) were observed.</p><p><strong>Conclusion: </strong>0.5 μg kg^-1 of dexmedetomidine can be used for pressor response attenuation as the incidence of bradycardia was higher with 1 μg kg^-1 and 0.75 μg kg^-1 had no added advantage.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"125-133"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy and Motherhood Experiences of Turkish Women Anaesthesiologists in Training and Work Life.","authors":"Aslıhan Güleç Kılıç, Beyza Büyükgebiz Yeşil, Selin Erel","doi":"10.4274/TJAR.2026.252337","DOIUrl":"10.4274/TJAR.2026.252337","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the experiences and perceived obstacles related to pregnancy and motherhood among Turkish women anaesthesiologists and to identify work-related factors associated with considering resignation during pregnancy.</p><p><strong>Methods: </strong>This cross-sectional survey targeted female anaesthesiologists working in or trained in Türkiye. Participants responded to 39 items across five domains: (1) demographics and professional background, (2) fertility intentions and childbearing decisions, (3) pregnancy history and obstetric outcomes, (4) impact of pregnancy on training, work-life, and academic productivity, and (5) breastfeeding practices and workplace support. Responses were collected over a two-week period without reminder emails and subsequently analyzed.</p><p><strong>Results: </strong>A total of 334 women anaesthesiologists completed the survey; 55.7% had at least one child and 36.8% were childless. Among those without children, 41.3% still desired motherhood, and working conditions were significantly associated with uncertainty or reluctance toward childbearing (<i>P</i> < 0.001). 39.8% of participants delayed antenatal visits due to workload. Most participants (84.2%) returned early from maternity leave, and 75.5% reported reduced academic productivity during pregnancy or motherhood. Among those who breastfed or pumped at work, 47.8% discontinued earlier than intended, largely because of work-related constraints. Overall, 35.2% considered resigning during pregnancy, and work-related disruption of antenatal care was the only independent predictor of intent to resign (odds ratio 0.28, 95% confidence interval 0.12-0.61, <i>P</i>=0.001).</p><p><strong>Conclusion: </strong>Turkish pregnant anaesthesiologists frequently experienced disruptions in antenatal care, shortened maternity leave, reduced academic productivity, and inadequate breastfeeding support. Working conditions significantly influence both fertility decisions and intentions to resign.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"117-124"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147390838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flow-controlled One-lung Ventilation During Carinal Sleeve Reconstruction: Anaesthetic Management and Technical Feasibility.","authors":"Cansu Kılınç Berktaş, Emine Şeyda Teloğlu, Funda Gümüş Özcan, Ece Yasemin Demirkol","doi":"10.4274/TJAR.2026.262398","DOIUrl":"10.4274/TJAR.2026.262398","url":null,"abstract":"<p><p>Carinal sleeve resection with reconstruction represents one of the most challenging thoracic surgical procedures and requires meticulous anaesthetic management to maintain adequate gas exchange within a shared and surgically interrupted airway while preserving an unobstructed surgical field. Conventional ventilation strategies, including cross-field ventilation and high-frequency jet ventilation, may interfere with surgical exposure or result in unstable ventilation. We describe the anaesthetic management of a 64-year-old male patient in whom flow-controlled ventilation- one-lung ventilation (FCV-OLV) was employed during carinal sleeve lobectomy with reconstruction. Following initial double-lumen tube ventilation, FCV was established using a Tritube^® connected to an Evone^® ventilator and maintained throughout airway reconstruction. Ventilation was achieved without interruptions, apneic periods, or cross-field ventilation. Oxygenation and carbon dioxide elimination remained stable during 180 minutes of FCV, while the small-lumen tube provided optimal surgical exposure. The patient was extubated uneventfully at the end of surgery and experienced an uncomplicated postoperative course. This case highlights the feasibility of flow-controlled OLV as an anaesthetic strategy during complex airway reconstruction. FCV-OLV enabled uninterrupted ventilation, stable gas exchange, and excellent surgical conditions without the need for extracorporeal support or alternative ventilation techniques.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"54 2","pages":"138-142"},"PeriodicalIF":0.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}