Turkish journal of anaesthesiology and reanimation最新文献_第10页

Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study. 患者被送入手术室后取消择期手术的发生率和原因：一项前瞻性横断面研究。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2024-02-28 DOI: 10.4274/TJAR.2024.231454

Mustafa Soner Özcan, Eyyüp Sabri Özden, Filiz Alkaya Solmaz, Ayşe Kösem, Yiğit Akyol, Pakize Kırdemir

{"title":"Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study.","authors":"Mustafa Soner Özcan, Eyyüp Sabri Özden, Filiz Alkaya Solmaz, Ayşe Kösem, Yiğit Akyol, Pakize Kırdemir","doi":"10.4274/TJAR.2024.231454","DOIUrl":"10.4274/TJAR.2024.231454","url":null,"abstract":"Objective: This study aimed to investigate the causes and prevalence of elective surgery cancellations in the operating room, and the clinical outcomes of affected patients.Methods: This prospective, cross-sectional study assessed the prevalence and causes of elective surgery cancellations once patients are in the operating room. A tertiary academic referral center hosted the study between January 2022 and January 2023. The study sample consisted of 7,482 adult patients scheduled for elective surgeries and taken to the operating room. The 7,415 completed procedures were in Group 2, whereas the 67 cancelled surgeries were in Group 1. Patients were divided into two groups on the basis of whether their surgeries were completed or cancelled. Factors such as age, American Society of Anesthesiologists (ASA) status, and surgical department were analyzed. The two groups were compared on the basis of age, ASA status, surgical department, and surgery time (month and day).Results: Elective surgery cancellations occurred in the operating room at a rate of 0.9%. Group 1 was substantially older than Group 2 (p<0.001). Group 1 had a larger number of ASA III patients (p<0.001). The department with the highest cancellation rate was ophthalmology (2.5%), followed by general surgery (2.1%), urology (1.5%), and ear, nose, and throat (1.4%). It was possible to avoid 59.7% of cancelations.Conclusion: The study revealed a 0.9% prevalence rate of elective surgery cancelations in the operating room. Older age and higher ASA status greatly influenced these cancellations. Optimized surgery scheduling and patient assessment processes may prevent many of these cancellation.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"52 1","pages":"14-21"},"PeriodicalIF":0.5,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983914","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}

引用次数: 0

Use of an Endobronchial Blocker in a Patient with Tracheobronchial Anomaly for Minimally Invasive Cardiac Surgery: A Case Report. 在一名气管支气管异常患者的微创心脏手术中使用支气管内封堵器：病例报告。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2024-02-28 DOI: 10.4274/TJAR.2024.231493

Emine Nilgün Zengin, Nevriye Salman, Ayşegül Özgök

引用次数: 0

Visual Evaluation of Plethysmographic Waveforms: Introducing the Simple Systolic Ratio as an Indicator of Fluid Responsiveness. 胸透波形的视觉评估：将简单收缩压比值作为液体反应性指标。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2024-02-28 DOI: 10.4274/TJAR.2024.231452

Muhammet Selman Söğüt, Kamil Darçın, Muhammet Ahmet Karakaya, Mete Manici, Yavuz Gürkan

{"title":"Visual Evaluation of Plethysmographic Waveforms: Introducing the Simple Systolic Ratio as an Indicator of Fluid Responsiveness.","authors":"Muhammet Selman Söğüt, Kamil Darçın, Muhammet Ahmet Karakaya, Mete Manici, Yavuz Gürkan","doi":"10.4274/TJAR.2024.231452","DOIUrl":"10.4274/TJAR.2024.231452","url":null,"abstract":"Objective: For patient safety, maintaining hemodynamic stability during surgical procedures is critical. Dynamic indices [such as systolic pressure variation (SPV) and pulse pressure variation (PPV)], have recently seen an increase in use. Given the risks associated with such invasive techniques, there is growing interest in non-invasive monitoring methods-and plethysmographic waveform analysis. However, many such non-invasive methods involve intricate calculations or brand-specific monitors. This study introduces the simple systolic ratio (SSR), derived from pulse oximetry tracings, as a non-invasive method to assess fluid responsiveness.Methods: This prospective observational study included 25 adult patients whose SPV, PPV, and SSR values were collected at 30-min intervals during open abdominal surgery. The SSR was defined as the ratio of the tallest waveform to the shortest waveform within pulse tracings. The correlations among SSR, SPV, and PPV were analyzed. Additionally, anaesthesia specialists visually assessed pulse oximetry tracings to determine fluid responsiveness using the SSR method.Results: Strong correlations were observed between SSR and both SPV (r = 0.715, P < 0.001) and PPV (r = 0.702, P < 0.001). Receiver operator curve analysis identified optimal SSR thresholds for predicting fluid responsiveness at 1.47 for SPV and 1.50 for PPV. A survey of anaesthesia specialists using the SSR method to visually assess fluid responsiveness produced an accuracy rate of 83%.Conclusion: Based on the strong correlations it exhibits with traditional markers, SSR has great potential as a clinical tool, especially in resource-limited settings. However, further research is needed to establish its role, especially as it pertains to its universal applicability across monitoring devices.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"52 1","pages":"8-13"},"PeriodicalIF":0.5,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983916","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}

引用次数: 0

Novel Serratus Posterior Superior Intercostal Plane Block Provided Satisfactory Analgesia after Breast Cancer Surgery: Two Case Reports. 新颖的肋骨后上方平面阻滞可在乳腺癌手术后提供令人满意的镇痛效果：两例报告

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Turkish journal of anaesthesiology and reanimation Pub Date : 2024-02-28 DOI: 10.4274/TJAR.2024.231431

Gökçen Kültüroğlu, Savaş Altınsoy, Yusuf Özgüner, Cem Koray Çataroğlu

引用次数: 0

As the Turkish Journal of Anaesthesiology and Reanimation Leaves Its 50^th Anniversary Behind. 土耳其麻醉学与复苏杂志》迎来 50 周年纪念。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2024-02-28 DOI: 10.4274/TJAR.2024.231518

Hatice Türe, Özge Köner, Ezgi Aytaç, Aslı Dönmez, Mois Bahar

引用次数: 0

Effect of the Gupta Score on Pre-operative Cardiology Consultation Requests in Noncardiac Nonvascular Surgery. 古普塔评分对非心脏非血管手术术前心脏病学会诊请求的影响。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231464

Funda Atar, Fatma Özkan Sipahioğlu, Gülsen Keskin, Aslı Dönmez

{"title":"Effect of the Gupta Score on Pre-operative Cardiology Consultation Requests in Noncardiac Nonvascular Surgery.","authors":"Funda Atar, Fatma Özkan Sipahioğlu, Gülsen Keskin, Aslı Dönmez","doi":"10.4274/TJAR.2023.231464","DOIUrl":"10.4274/TJAR.2023.231464","url":null,"abstract":"Objective: Cardiologists are the most frequently consulted specialists during pre-operative evaluations. However, unnecessary cardiology consultations (CC) can increase cardiologists' workload without impacting anaesthesia practice, resulting in delayed surgeries and additional financial burdens. We hypothesize that using Gupta during the preoperative period can reduce these adverse effects.Methods: This prospective study included patients scheduled for elective noncardiac, nonvascular surgeries who underwent pre-operative assessment. Patients who had no specific risk index used for preoperative cardiac risk evaluation were classified as Group I, and those evaluated using the Gupta scale were classified as Group II. The study compared preoperative CC, diagnostic tests, surgical delays, major adverse cardiac event (MACE), length of hospital stay and intensive care unit (ICU) stay, mortality, and costs.Results: A total of 898 patients were included in the study, with 487 in Group I and 411 in Group II. The Gupta group reduced the demand for preoperative CC (P<0.001) and preoperative non-invasive diagnostic testing (n = 107, 21.9% vs. n = 36, 8.75%). The time from the anaesthesiology outpatient clinic to surgery was 15 days in Group I and 14 days in Group II (P=0.132). The length of ICU stay was higher in Group I (P=0.019). MACE was 15 patients (3.08%) in Group I and 9 patients (2.19%) in Group II (P=0.076). The cost of patients in Group I was higher than that in Group II (P=0.019).Conclusion: Using Gupta in preoperative evaluation may reduce unnecessary preoperative resource usage, surgical delays, ICU hospitalization rates, additional costs, and mortality.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"485-490"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040554","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}

引用次数: 0

Parasagittal Interlaminar and Transforaminal Epidural Steroid Injections for Radicular Low Back Pain; Which is More Comfortable? 治疗根性腰痛的矢状旁层间注射和经椎间孔硬膜外类固醇注射；哪种方法更舒适？

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231470

Gevher Rabia Genç Perdecioğlu, Gökhan Yıldız, Ömer Taylan Akkaya, Ezgi Can, Damla Yürük

{"title":"Parasagittal Interlaminar and Transforaminal Epidural Steroid Injections for Radicular Low Back Pain; Which is More Comfortable?","authors":"Gevher Rabia Genç Perdecioğlu, Gökhan Yıldız, Ömer Taylan Akkaya, Ezgi Can, Damla Yürük","doi":"10.4274/TJAR.2023.231470","DOIUrl":"10.4274/TJAR.2023.231470","url":null,"abstract":"Objective: This study aimed to compare parasagittal interlaminar (PS) and transforaminal (TF) epidural steroid injections for unilateral L5 and S1 radicular lower back pain in terms of patient comfort, efficacy, safety, contrast enhancement, and radiation exposure.Methods: This was a prospective randomized single-blind study. A total of 59 participants were included in this study. The visual analog scale (VAS) and Oswestry Disability Index (ODI) were obtained. A comfort questionnaire was administered to all participants. The total fluoroscopy time and contrast distribution levels were recorded.Results: Pre- and post-treatment VAS scores were similar between the groups. The ODI scores increased in favor of the PS group at week 2 (P < 0.041); however, there was no difference between the two groups at other times. The VAS and ODI scores improved significantly with treatment in both the groups (P < 0.001). Total fluoroscopy time was shorter in the PS group (P < 0.001). PS application was more comfortable (P < 0.001). While no complications were observed in the PS group, three complications occurred in the TF group. Anterior epidural contrast spread to three or more levels was observed in 57% of the participants in the PS group, whereas no spread to more than two levels was observed in the TF group.Conclusion: The PS epidural approach is superior to the TF approach in terms of a low incidence of side effects, less radiation exposure, better patient comfort, higher epidural contrast spread, and single-level needle access.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"504-509"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040557","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}

引用次数: 0

Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation. 超声引导下两种不同椎间距评估位置的比较

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231277

Feyza Aksu, Ferda Kartufan, Özge Köner, Ayşegül Görmez, Elif Çiğdem Keleş

{"title":"Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation.","authors":"Feyza Aksu, Ferda Kartufan, Özge Köner, Ayşegül Görmez, Elif Çiğdem Keleş","doi":"10.4274/TJAR.2023.231277","DOIUrl":"10.4274/TJAR.2023.231277","url":null,"abstract":"Objective: During neuraxial anaesthesia, correct patient positioning is key for increased block success and (patient) comfort. The aim of this prospective study was to compare the lateral fetal decubitus (LFD) position with the sitting fetal lotus (SFL) regarding interspinous distance, transverse diameters of paravertebral muscles measured with ultrasonography, and patient comfort.Methods: Fifty adult participants who could sit cross-legged and had no lumbar anomalies were included in our prospective study. In both SFL and LFD positions, measurements were performed with ultrasonography; in the axial plane, interspinous distance at the level of L4-L5, in the sagittal plan, with the probe slightly tilted, subcutaneous tissue-spinous process depth, and transverse diameters of paravertebral muscles were measured. Stretcher, waist position, and abdominal comfort were scored on a scale of 1 (very bad) to 7 (perfect) with a verbal numeric satisfaction scale.Results: Interspinous distance was significantly larger in the SFL position than in the LFD position (P < 0.05). There was no significant difference between the two positions (P > 0.05) regarding patient comfort. Paravertebral muscle diameters were significantly broader in the SFL position than in the LFD position. The diameter of the left paravertebral muscle in the SFL position (45.8±8.8 mm) was larger than that in the LFD position (43±7.8 mm; P < 0.001). The diameter of the right paravertebral muscle in the SFL position was (47±9 mm) larger than that in the LFD position (43.4±7.6 mm; P < 0.001).Conclusion: Although there was no difference regarding the comfort between the two positions, the interspinous distance was larger in the SFL position than in the LFD position.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"470-476"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040552","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}

引用次数: 0

Scientific Publication Performance of the Erector Spinae Plane Block in Türkiye: A Bibliometric Analysis. 土耳其脊柱后凸块的科学发表情况：文献计量分析。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231432

Sibel Çatalca, Özlem Özmete, Nesrin Bozdoğan Özyılkan

{"title":"Scientific Publication Performance of the Erector Spinae Plane Block in Türkiye: A Bibliometric Analysis.","authors":"Sibel Çatalca, Özlem Özmete, Nesrin Bozdoğan Özyılkan","doi":"10.4274/TJAR.2023.231432","DOIUrl":"10.4274/TJAR.2023.231432","url":null,"abstract":"Objective: Erector spina plane block (ESPB) was first described in 2016 and is effective in various surgical procedures. Bibliometric analysis is a novel method that evaluates the contribution of scientific studies conducted in a specific field on the existing literature. This study examined articles on ESPB published by anaesthesia clinics in Türkiye in journals under the Science Citation Index Expanded (SCI-E) category.Methods: Studies on ESPB indexed in the Web of Science Core Collection and published in Türkiye from 2018 to 2022 were evaluated. The primary outcome was to determine the number of studies published in journals under the SCI-E category. The secondary aims were to determine the number of citations and the institutions where the studies were conducted.Results: A total of 159 publications were analyzed. The journal with the highest number of publications was \"Journal of Clinical Anesthesia\" (n = 70). The institution that has to date made the most contributions to the literature was Atatürk University (n = 31). The most cited article was \"Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: A randomized controlled study.\" published by Gürkan et al. (n = 175).Conclusion: This study reflects the contribution level of Türkiye-addressed anaesthesia clinics to journals under the SCI-E category. Our findings can serve as a benchmark for attracting the attention of national and international researchers.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"496-503"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040558","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}

引用次数: 0

The Influence of Pre-operative Pain and Anxiety on Acute Postoperative Pain in Cardiac Surgery Patients Undergoing Enhanced Recovery after Surgery. 术前疼痛和焦虑对接受术后强化恢复的心脏外科患者术后急性疼痛的影响

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231477

Aslıhan Aykut, Nevriye Salman, Zeliha Aslı Demir, Atakan Furkan Eser, Ayşegül Özgök, Serdar Günaydın

{"title":"The Influence of Pre-operative Pain and Anxiety on Acute Postoperative Pain in Cardiac Surgery Patients Undergoing Enhanced Recovery after Surgery.","authors":"Aslıhan Aykut, Nevriye Salman, Zeliha Aslı Demir, Atakan Furkan Eser, Ayşegül Özgök, Serdar Günaydın","doi":"10.4274/TJAR.2023.231477","DOIUrl":"10.4274/TJAR.2023.231477","url":null,"abstract":"Objective: Perioperative multimodal analgesia is an important step in enhanced recovery after surgery (ERAS) care. Many factors, such as preoperative chronic pain and anxiety, may provide information about the expected postoperative pain. In this study, we evaluated preoperative pain and anxiety and investigate their effects on acute postoperative pain in patients undergoing elective cardiac surgery.Methods: After ethics committee approval, 67 consenting patients undergoing on-pump cardiac surgery under the ERAS program were included in our prospective observational study. Pre- and postoperative pain scores were obtained using a numeric rating scale (NRS) at rest and during movement. Preoperative anxiety was assessed on a 0-10 scale, and data were recorded. The relationships between pre-operative pain/anxiety and postoperative pain were evaluated using correlation analysis.Results: In preoperative pain assessment, the percentage of patients with a pain score above 4 with NRS was 1.5%, regardless of whether they were at rest or mobilize. In postoperative pain assessment, there were 20.9% and 34.3% patients with NRS >4 at rest and mobilization, respectively. 7.5% of patients had preoperative anxiety of grade 5 or higher. While preoperative pain was not correlated with postoperative pain, preoperative anxiety had a moderate positive correlation with postoperative pain (r=0.382, P=0.003).Conclusion: The prevalence of preoperative pain in patients who underwent cardiac surgery is quite low and is not associated with postoperative pain. There is also a significant relationship between the severity of preoperative anxiety and postoperative pain.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"491-495"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040560","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}

引用次数: 0