Turkish journal of anaesthesiology and reanimation最新文献

Erratum. 勘误表。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 DOI: 10.4274/TJAR.2025.e001

引用次数: 0

Assessing Caudal Epidural Anatomy in Children: A Comparison of Palpation and Ultrasound for Sacral Cornua Identification. 评估儿童尾侧硬膜外解剖：触诊与超声鉴别骶骨角的比较。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-05-27 DOI: 10.4274/TJAR.2025.251980

Celal Kaya, Pınar Kendigelen, Ayşe Çiğdem Tütüncü, Güner Kaya

{"title":"Assessing Caudal Epidural Anatomy in Children: A Comparison of Palpation and Ultrasound for Sacral Cornua Identification.","authors":"Celal Kaya, Pınar Kendigelen, Ayşe Çiğdem Tütüncü, Güner Kaya","doi":"10.4274/TJAR.2025.251980","DOIUrl":"10.4274/TJAR.2025.251980","url":null,"abstract":"Objective: The aim of this study is to compare the identification of the sacral cornua using palpation and ultrasound, and to evaluate the sacrococcygeal area via ultrasound across different age groups of children.Methods: This study included 348 children aged 1 to 84 months, who were divided into three age groups: 1-24 months, 25-48 months, and 49-84 months. Sacral cornua were assessed using both palpation and ultrasound imaging. Palpation findings were categorized as \"good\", \"difficult\", or \"non-palpable\". Ultrasound imaging of the sacral cornua was classified as \"clear\", \"unclear\", or \"invisible\". Measurements taken included the inter-cornual distance, the anteroposterior diameter of the sacral canal, the distance from the skin to the sacral canal, and the distance from the dural sac to the cornua level.Results: Palpation of the sacral cornua was rated as \"good\" in 75.9% of patients, \"difficult\" in 22.4%, and \"non-palpable\" in 1.7%. All patients with \"good\" cornua palpation were also classified as \"clear\" on ultrasound imaging. Among the cases with \"difficult\" palpation, 76% showed a \"clear\" ultrasound image, while 24% were \"unclear\". Only one patient had \"invisible\" cornua on ultrasound. The mean distance from the dural sac to the cornua level was 3.72±1.64 cm, and this distance increased significantly with age (P < 0.01).Conclusion: Ultrasound is a valuable tool for identifying the sacral cornua, especially when palpation is difficult, and offers reliable, detailed information on sacral anatomy.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"107-113"},"PeriodicalIF":0.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151739","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}

引用次数: 0

Perioperative Anaesthetic Approaches to Paediatric Patients: A National Survey. 儿科患者围手术期麻醉方法：一项全国调查。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-05-27 DOI: 10.4274/TJAR.2025.252053

Ayşe Çiğdem Tütüncü, Zehra Hatipoğlu, Halil Cebeci, Elif Çopuroğlu, Dilek Altun, Serpil Zehra Ustalar Özgen

引用次数: 0

Fluid Selection in Renal Transplant Patients: Considerations for Hyperkalemia Management. 肾移植患者的液体选择：高钾血症管理的考虑。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-05-12 DOI: 10.4274/TJAR.2025.251963

Furkan Tontu

引用次数: 0

National Trends in Hospitalizations for Appendectomy in Children, 2001-2017. 2001-2017年全国儿童阑尾切除术住院趋势

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-05-16 DOI: 10.4274/TJAR.2025.241755

Ludmilla Candido Santos, Jingya Gao, Ronaldo C Fabiano Filho, Piero F Mejia, Lacey B Robinson, Carlos A Camargo

{"title":"National Trends in Hospitalizations for Appendectomy in Children, 2001-2017.","authors":"Ludmilla Candido Santos, Jingya Gao, Ronaldo C Fabiano Filho, Piero F Mejia, Lacey B Robinson, Carlos A Camargo","doi":"10.4274/TJAR.2025.241755","DOIUrl":"10.4274/TJAR.2025.241755","url":null,"abstract":"Objective: Appendectomy for acute appendicitis is the most common acute surgical procedure in children. Recent changes in appendicitis management have likely modified the nature and cost of hospitalizations for this condition.Methods: Using data from the National Inpatient Sample from 2001 to 2017, we performed a cross-sectional study and identified the temporal changes in hospitalization for appendectomy. Changes in relative hospitalization cost and length-of-stay were also studied to assess their associations with the changes in procedure incidence. Patient and hospital characteristics were considered to understand outcome disparities between groups. Geographic variation in the outcomes was also identified at the United States region and division levels.Results: The incidence of appendectomy hospitalization decreased from 11.2 to 6.4 per 10,000 person-years between 2001 and 2017. Conversely, the median procedure cost increased 61% during this same period. The temporal changes in appendectomy hospitalization varied according to patient and hospital characteristics, as well as geographic locations.Conclusion: The overall incidence of appendectomies in children decreased substantially from 2001 to 2017, yet the trend for costs was in the opposite direction. The data on the clinical factors driving these trends can be useful in guiding policies with evidence-based guidelines that help optimize clinical decisions and the effective use of resources in the management of appendicitis.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"122-131"},"PeriodicalIF":0.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080726","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}

引用次数: 0

Foundations and Advancements in Hemodynamic Monitoring: Part I-Elements of Hemodynamics 血流动力学监测的基础和进展：第一部分-血流动力学的要素。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-03-27 DOI: 10.4274/TJAR.2025.251925

Zeliha Aslı Demir, Emre Sertaç Bingül, Burhan Dost, Gamze Talih, Aslıhan Aykut, Muhammed Enes Aydın, Başak Akça, Ümit Karadeniz

引用次数: 0

Neonatal Severe Hyperparathyroidism: Anaesthetic Considerations for Removal of Pea-size Glands in Children. 新生儿严重甲状旁腺功能亢进：儿童豌豆大小腺体切除的麻醉考虑。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-03-27 DOI: 10.4274/TJAR.2025.241409

Uditi Parmar, Raylene Dias, Gayathri P, Madhuri Bamnote

{"title":"Neonatal Severe Hyperparathyroidism: Anaesthetic Considerations for Removal of Pea-size Glands in Children.","authors":"Uditi Parmar, Raylene Dias, Gayathri P, Madhuri Bamnote","doi":"10.4274/TJAR.2025.241409","DOIUrl":"10.4274/TJAR.2025.241409","url":null,"abstract":"Neonatal severe hyperparathyroidism (NSHPT) is an extremely rare disorder with uncontrolled severe hypercalcemia and its clinical manifestations. It is caused by a mutation in the calcium-sensing receptor (CaSR) gene, which modulates the negative feedback of parathormone. We present anaesthetic management of two children with NSHPT who were posted for total parathyroidectomy as a life saving procedure. Both patients presented with lethargy, failure to thrive, and hypotonia. Intraoperative anaesthetic challenges include susceptibility to bradycardia, prolonged QT interval, precipitation of hypercalcemic crisis in the form of renal failure, hyperkalemia and electrocardiography changes, unpredictable response to neuromuscular blockade, susceptibility to recurrent laryngeal nerve injury, refractory hypocalcemia, which may start developing within six hours after surgery. Anaesthetic goals include preoperative optimisation of serum calcium with subcutaneous. Calcitonin, intravenous pamidronate and tablet cinacalcet, which are calcimimetics, maintenance of hydration and readiness to deal with intraoperative hypercalcemic crises. Anaesthetic management of NSHPT posted for total parathyroidectomy is challenging. To the best of our knowledge, there is no anaesthetic literature published to this day and only four surgical cases have been reported. Genome sequencing in both patients showed a CaSR gene mutation that is homozygous for a suspected pathogenic variant. Management requires a preoperative multidisciplinary approach for severe hypercalcemia and postoperative refractory hypocalcemia. These patients need lifelong calcium and vitamin D supplementation.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"132-135"},"PeriodicalIF":0.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731889","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}

引用次数: 0

Optimizing Paediatric Hypospadias Surgical Repair: Pudendal Nerve Block Versus Caudal Block for Superior Analgesia. 优化儿科尿道下裂手术修复：阴部神经阻滞与尾侧神经阻滞的优势镇痛。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-04-09 DOI: 10.4274/TJAR.2025.241773

Hemachander Sridharan, Nikhil Kesarkar, Raylene Dias

{"title":"Optimizing Paediatric Hypospadias Surgical Repair: Pudendal Nerve Block Versus Caudal Block for Superior Analgesia.","authors":"Hemachander Sridharan, Nikhil Kesarkar, Raylene Dias","doi":"10.4274/TJAR.2025.241773","DOIUrl":"10.4274/TJAR.2025.241773","url":null,"abstract":"Objective: Postoperative pain control after hypospadias surgery can be challenging, and the effectiveness of caudal block (CB) for analgesia is limited. This study evaluated the analgesic efficacy of pudendal nerve block (PNB) using both ultrasound and a peripheral nerve stimulator (PNS), compared to a CB performed using landmark guidance, in paediatric patients undergoing hypospadias surgical repair.Methods: A total of 40 patients scheduled for hypospadias surgery were included in this prospective, randomized, double-blind controlled trial, who received either a PNB or a CB. Patients in the pudendal group received an ultrasound- and PNS-guided, PNB with a combination of bupivacaine (0.25%) at a dose of 0.5 mL kg-1 and clonidine at a dose of 1 μg kg-1, whereas those in the caudal group received a landmark-guided CB with bupivacaine (0.25%) at a dose of 1 mL kg-1 along with clonidine at a dose of 1 μg kg-1. The objective pain scale (OPS) was used to assess pain intensity in each group within 24 hours post-surgery. Perioperative hemodynamic changes and analgesic requirements were also recorded.Results: The CB provided effective analgesia, lasting an average of 6 hours. OPS scores at 6, 12, 18, and 24 hours after surgery were significantly lower in the PNB group than in the CB group. The PNB group had a significantly longer time to the need for initial analgesia, while the CB group required a significantly greater dose of paracetamol after surgery (P < 0.001).Conclusion: Findings from this study suggest that, at these doses, PNB is more effective than CB in providing longer-lasting pain relief, significantly lower pain scores, and a reduced need for postoperative analgesics.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"114-121"},"PeriodicalIF":0.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812335","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}

引用次数: 0

Comment on "Can Artificial Intelligence Be Successful as an Anaesthesiology and Reanimation Resident?" 评论“人工智能能否成为成功的麻醉和复苏住院医师？”

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-30 Epub Date: 2025-05-21 DOI: 10.4274/TJAR.2025.252040

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

The Potential Renoprotective Effect of Sugammadex in Renal Ischemia-reperfusion Injury. 糖胺酮对肾缺血再灌注损伤的潜在保护作用。

IF 0.6

Turkish journal of anaesthesiology and reanimation Pub Date : 2025-05-27 DOI: 10.4274/TJAR.2025.251887

Vildan Kölükçü, Mehtap Gürler Balta, Ahmet Tuğrul Şahin, Ali Genç, Velid Unsal, Fatih Fırat, Fikret Gevrek, Asiye Yancı, Ahmet Burak Gülpınar

{"title":"The Potential Renoprotective Effect of Sugammadex in Renal Ischemia-reperfusion Injury.","authors":"Vildan Kölükçü, Mehtap Gürler Balta, Ahmet Tuğrul Şahin, Ali Genç, Velid Unsal, Fatih Fırat, Fikret Gevrek, Asiye Yancı, Ahmet Burak Gülpınar","doi":"10.4274/TJAR.2025.251887","DOIUrl":"https://doi.org/10.4274/TJAR.2025.251887","url":null,"abstract":"Objective: We aimed to evaluate the effectiveness of sugammadex on renal tissue for against ischemia-reperfusion injury.Methods: Twenty-one Wistar albino strain female rats were divided into three groups. The first group functioned as the control cohort for comparison. In Groups 2 and 3, a renal ischemia-reperfusion model was established. Moreover, following the cessation of ischemia, the rats in Group 3 were intravenously administered sugammadex at a dose of 4 mg kg-1. Blood and tissue samples were subsequently collected for analysis.Results: Biochemical analyses revealed a notable increase in the enzymatic activities of glutathione peroxidase and superoxide dismutase in Group 3 relative to Group 2 (P < 0.001 and P=0.015, respectively). Additionally, the concentration of malondialdehyde was found to be significantly reduced in Group 3 relative to Group 2 (P=0.004). Group 3 exhibited a substantial decrease in tumor necrosis factor-alpha, interleukin 6, and interleukin 1 beta levels when compared to Group 2 (P=0.021, P=0.006, and P=0.016 respectively). Group 2 exhibited the highest concentrations of neutrophil gelatinase-associated lipocalin and kidney injury molecule-1 (P < 0.001 and P=0.015, respectively). Similarly, the histopathologic tissue damage was the most prominent in Group 2 (P < 0.001).Conclusion: Sugammadex plays a protective role against ischaemia-reperfusion injury in renal tissue.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151940","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}

引用次数: 0