Turkish journal of anaesthesiology and reanimation最新文献_第6页

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

Gastric Ultrasound for Gastric Content Evaluation. 用于胃内容物评估的胃超声波。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231479

Shubha Srinivasareddy

{"title":"Gastric Ultrasound for Gastric Content Evaluation.","authors":"Shubha Srinivasareddy","doi":"10.4274/TJAR.2023.231479","DOIUrl":"10.4274/TJAR.2023.231479","url":null,"abstract":"Gastric content aspiration occurs once every 2000-3000 general anaesthetics. It is associated with a 20% incidence of in-hospital mortality. The incidence of pulmonary aspiration in patients undergoing surgery is at least three times more, up to 1 in 895 general anaesthetics. Pulmonary aspiration indeed is associated with half of our airway-related mortality linked with anaesthesia. The pulmonary aspiration causes significant morbidity including respiratory failure, acute lung injury, and multi-organ failure in adults. This review study aims to compare the stomach volume and contents in patients following standard fasting guidelines by Point of care gastric ultrasound measurements. Perioperative gastric ultrasound is a developing diagnostic modality that is modest, easy, non-invasive and efficient. It is very helpful to determine gastric contents in adult, obese, paediatric, and obstetric patients. It is a dependable and replicable tool that can be used for effective anaesthetic management. Gastric ultrasound is an irreplaceable procedure to complement the use of fasting guidelines, particularly when these guidelines have not been followed, or may not be relevant. Further series of research with metanalysis is required to understand the influence of point-of-care gastric ultrasound assessment on perioperative outcomes.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"465-469"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040555","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

Multiple Thoracic Wall Blocks for Awake Breast Surgery: A Case Report. 清醒乳房手术中的多重胸壁阻滞：病例报告

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231472

Yavuz Gürkan, İlayda Kalyoncu, Doğa Şimşek, Mete Manici

引用次数: 0

The Role of Regional Anaesthesia and Acute Pain Services in Value-Based Healthcare. 区域麻醉和急性疼痛服务在基于价值的医疗保健中的作用。

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Turkish journal of anaesthesiology and reanimation Pub Date : 2023-12-27 DOI: 10.4274/TJAR.2023.231478

Sapna Ravindranath, Yatish S Ranganath, Kevin Backfish-White, John Wolfe, Sanjib Adhikary

{"title":"The Role of Regional Anaesthesia and Acute Pain Services in Value-Based Healthcare.","authors":"Sapna Ravindranath, Yatish S Ranganath, Kevin Backfish-White, John Wolfe, Sanjib Adhikary","doi":"10.4274/TJAR.2023.231478","DOIUrl":"10.4274/TJAR.2023.231478","url":null,"abstract":"Value-based healthcare prioritizes patient outcomes and quality relative to costs, shifting focus from service volume to delivered value. This review explores the significant role of regional anaesthesia (RA) and acute pain services (APS) within the evolving value-based healthcare (VBHC) framework. At the heart of VBHC is the goal to enhance patient outcomes while simultaneously optimizing operational efficiency and reducing costs. The review underscores the need for VBHC and illustrates how integrating RA/APS with Enhanced Recovery Protocols can lead to improved outcomes, aligning directly with the goals of the Triple Aim. Several clinical studies show that RA improves patient outcomes, enhances operating room efficiency, and reduces costs. This is complemented by a discussion on the integration of RA and APS into the VBHC model, highlighting emerging value-based payment structures and strategies for their successful implementation. By merging specialized RA/APS protocols with standardized clinical practices, significant improvements in operating room efficiency and associated economic benefits are observed. Across the healthcare spectrum, from providers to payers, this synergy results in enhanced operational efficiency and communication, raising the standard of patient care. Additionally, the potential of RA and APS to address the opioid crisis, through alternative pain management methods, is emphasized. Globally, the shift towards VBHC requires international collaboration, sharing of best practices, and efficient resource allocation, with RA and APS playing a crucial role. In conclusion, as healthcare moves toward a value-driven model, RA and APS become increasingly essential, signaling a future of refined, patient-centered care.","PeriodicalId":23353,"journal":{"name":"Turkish journal of anaesthesiology and reanimation","volume":"51 6","pages":"450-458"},"PeriodicalIF":0.5,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040561","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