Turkish journal of anaesthesiology and reanimation最新文献

{"title":"Anaesthesia for Caesarean Section in a Parturient with Klippel-Feil Syndrome: A Case Report.","authors":"Ivana Bureš Valentić, Krešimir Reiner","doi":"10.4274/TJAR.2026.252304","DOIUrl":"10.4274/TJAR.2026.252304","url":null,"abstract":"<p><p>Klippel-Feil syndrome (KFS) is a rare congenital condition defined by the fusion of one or more cervical vertebrae, often associated with a range of skeletal and extra-skeletal abnormalities. The presence of cervical vertebral fusion and spinal deformities can make both airway management and neuraxial anaesthesia technically challenging in this population. This report describes a primigravida with KFS who underwent an elective caesarean section under spinal anaesthesia. The preparation included consideration of a potentially difficult airway, even though general anaesthesia had not initially been planned. We reviewed relevant literature on anaesthetic management in similar cases. There is no consensus on the optimal anaesthetic technique for the management of parturients with KFS undergoing caesarean section. Each case should be evaluated individually. It is essential to prepare for potential conversion to general anaesthesia and always prioritize patient safety.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"217-220"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279013","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":"Oropharyngeal Packing in Nasal Surgery: Effects on Gastric Fullness and Perioperative Safety.","authors":"Serkan Telli, Süleyman Camgöz, Merve Yaman","doi":"10.4274/TJAR.2026.262390","DOIUrl":"10.4274/TJAR.2026.262390","url":null,"abstract":"<p><strong>Objective: </strong>To investigate whether drinking-water-moistened oropharyngeal packing during nasal surgery is associated with ultrasound-assessed gastric fullness and postoperative nausea and vomiting (PONV), compared with no packing.</p><p><strong>Methods: </strong>This single-center, retrospective before-after cohort study included 118 adults undergoing nasal surgery, following an institutional protocol change on December 1, 2024. Sixty patients received oropharyngeal packing moistened with drinking water, and 58 received no packing. All patients received standardized anaesthesia and PONV prophylaxis with dexamethasone 4 mg IV administered after intubation. Packing was placed before surgery and removed before extubation. PONV and throat-related symptoms were recorded at 30 minutes, 2 hours, and 24 hours postoperatively. Gastric fullness was assessed ultrasonographically by measuring gastric antral cross-sectional area (GCSA) and gastric volume before and after extubation.</p><p><strong>Results: </strong>At 30 minutes, PONV was more frequent in the no-packing group (58.6% vs. 18.3%, <i>P</i> < 0.001), as was sore throat (41.4% vs. 26.7%, <i>P</i>=0.035). At 2 hours, PONV remained more frequent in the no-packing group (31.0% vs. 13.3%, <i>P</i>=0.026), but there was no difference at 24 hours. GCSA and gastric volume decreased in the packing group but increased in the no-packing group (GCSA: -14.14% vs. 20.86%; gastric volume: -15.67% vs. 22.00%; both <i>P</i> < 0.001). Demographics, surgical variables, dysphagia, hoarseness, and analgesic/rescue antiemetic use were similar.</p><p><strong>Conclusion: </strong>Drinking-water-moistened oropharyngeal packing was associated with lower postoperative gastric fullness and a lower incidence of early PONV, without increased throat-related symptoms or rescue medication use. These findings indicate associations, not causal effects, and require confirmation in randomized trials.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"209-216"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303218","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":"Quality of Recovery (QoR)-15 Scale: From Statistical Significance to Clinical Relevance and Beyond.","authors":"Pranjali Kurhekar, Srinidhi Narayanan, Neeta Parlikar, Buddhan Rajarathinam","doi":"10.4274/TJAR.2026.252497","DOIUrl":"10.4274/TJAR.2026.252497","url":null,"abstract":"","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"229-230"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303280","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 Association Between Systemic Inflammatory and Metabolic Indices and Early Adverse Clinical Outcomes in Adult Patients Admitted to the Post-anaesthesia Care Unit: A Retrospective Observational Study.","authors":"Bedirhan Günel, Ayşe Şencan, Zeynep Yasemin Tavşanoğlu, Fatihhan Zeytun, Ceren Altıntaş, Elif Rana Kılıç, Betül Erdemir, Ayşe Zeynep Turan Cıvraz","doi":"10.4274/TJAR.2026.262462","DOIUrl":"10.4274/TJAR.2026.262462","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association of systemic inflammatory and metabolic indices with short-term adverse clinical outcomes in adult patients admitted to the post-anaesthesia care unit (PACU).</p><p><strong>Methods: </strong>In this retrospective single-center observational study, adults admitted to the PACU following surgical procedures were analysed. The association between systemic inflammatory and metabolic indices, calculated from routine laboratory data, and short-term clinical outcomes was evaluated. Missing data were handled using multiple imputation. Associated risk factors were examined using multiple statistical analyses, and ridge regression was performed to assess model stability and potential multicollinearity. Receiver operating characteristic (ROC) analysis was performed to assess the discriminative ability of the investigated markers.</p><p><strong>Results: </strong>A total of 860 patients were included in the analysis. In multiple analyses, use of inotropic agents on arrival at the PACU, higher monocyte-to-lymphocyte ratio (MLR), and higher blood urea nitrogen-to-albumin ratio were associated with poor short-term clinical outcomes. ROC analysis demonstrated limited discriminative performance, with area under the curve values of 0.545 for the MLR and 0.582 for the blood urea nitrogen-to-albumin ratio in predicting poor short-term clinical outcomes.</p><p><strong>Conclusion: </strong>Higher monocyte-to-lymphocyte and blood urea nitrogen-to-albumin ratios were associated with poor short-term clinical outcomes in adult patients admitted to the PACU. However, the low discriminative performance observed in ROC analyses suggests that these indices should not be interpreted as strong standalone predictors. Instead, they may provide supporting information within multiparametric clinical risk assessment models.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"185-199"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296385","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":"When Distance Matters: The Quadro-iliac Plane Block in Complex Multilevel Posterior Spinal Fusion Surgery.","authors":"Hande Gürbüz, Polen Nurdan Şen, Çağdaş Baytar","doi":"10.4274/TJAR.2026.252367","DOIUrl":"10.4274/TJAR.2026.252367","url":null,"abstract":"","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"227-228"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279116","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":"Relationship Between Patient State Index and Richmond Agitation Sedation Scale for Sedation in Critically Ill Patients: An Observational Analytical Study.","authors":"Nishant Kumar, Kritika Tiwari, Maitree Pandey","doi":"10.4274/TJAR.2026.262486","DOIUrl":"10.4274/TJAR.2026.262486","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to find the relationship between Patient State Index (PSI) and Richmond Agitation Sedation Scale (RASS) for sedation in critically ill patients.</p><p><strong>Methods: </strong>This was a prospective, observational study. Thirty-five patients were recruited to assess the correlation between PSI and RASS scores of 0 to -3 for sedation in mechanically ventilated, critically ill patients. Paired observations (RASS and PSI) were made for each patient every 4 hours for at least 72 hours or until discontinuation of monitoring, whichever occurred earlier. Appropriate statistical analyses were applied; a <i>P</i> < 0.05 was considered significant.</p><p><strong>Results: </strong>Out of the expected 665 pairs of observations, only 608 pairs were observed. The median PSI value with all sedation regimen was 72 with an interquartile range of 60 and 86 (1^st and 3^rd quartile) respectively. There was significant and strong correlation between PSI and RASS 0 to -3 with Spearman correlation coefficient of 0.822; R²=0.675 (<i>P</i> < 0.001) which dropped to 0.786 with repeated measures correlation. The sensitivity and specificity were 88.66% and 88.57%, respectively, with an area under the receiver operating characteristic curve of 0.947; these improved to 100% and an area under the curve of 1 when analysed per patient. To maintain RASS between 0 and -3, the PSI cutoff was found to be 50-52.</p><p><strong>Conclusion: </strong>PSI correlates well with RASS across sedation regimens in critically ill patients and assists in monitoring of sedation. Adequate sedation to reach an RASS of 0 to -3 may be achieved at a PSI of 50-52. However, these findings are preliminary and require validation in larger cohorts.</p>","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"54 3","pages":"200-208"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340236","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":"Postherpetic Neuralgia Mimicking Lumbar Radiculopathy in the Same Dermatome: A Diagnostic Challenge.","authors":"Onurcan Balık, Sefa Tan, Sema Tuncer Uzun, Ruhiye Reisli","doi":"10.4274/TJAR.2026.252377","DOIUrl":"10.4274/TJAR.2026.252377","url":null,"abstract":"","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":" ","pages":"225-226"},"PeriodicalIF":1.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13308566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019830","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":"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":1.2,"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":"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":1.2,"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":"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":1.2,"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}