Anestezi Dergisi最新文献

{"title":"Anesthesiologists’ approach to the treatment of catheter related bladder discomfort: A survey study","authors":"Ü. C. Köksoy, Z. K. Bengisun, H. Yılmaz, B. K. Kazbek, F. Tüzüner","doi":"10.5222/jarss.2021.60566","DOIUrl":"https://doi.org/10.5222/jarss.2021.60566","url":null,"abstract":"INTRODUCTION: Urinary catheterization causes catheter related bladder discomfort (CRBD) in the early postoperative period following all surgeries. CRBD mostly develops after urological interventions and has two independent predictors: Male gender and urinary catheters ≥ 18F. We aimed to investigate the awareness of anesthesiology and reanimation specialists to CRBD and its treatment. METHODS: After ethics committee approval, a questionnaire with informed consent of 20 multiple-choice and open-ended questions was transferred to docs.google.com. and Turkish Society of Anesthesiology and Reanimation Specialists were contacted for contribution. RESULTS: 144 anesthesiologists, 26-66 years old (39.5±8.02 years), 54.5% males, 45.5% females, 66.4% with a teaching position and 55.5% with >10 years of experience participated. 54.4% reported encountering >1 CRBD per week and mostly following urology (70.9%), obstetrics and gynecology (52.5%) and general surgery (51.1%) cases. The frequency and severity (66% and 69.5%) of CRBD was reported higher in male patients. 94.4% agreed that CRBD should be treated. 37.8% believed the surgeon should manage CRBD, 60.1% believed it should be planned together. All male participants stated treatment was necessary (p=0.008). Participants chose preemptive (19.9%, n=28), symptomatic (80.1%, n=113) or both (4.3%, n=6) treatments. The choices for preemptive and symptomatic treatment were similar; non-steroidal anti-inflammatory drugs (70.8%, 59%), paracetamol (43.4%, 50.7%) and tramadol (18.9%, 21.6%). Participants’ knowledge on factors effecting CRBD was lacking. DISCUSSION AND CONCLUSION: Anesthesiologists do not utilize preemptive and effective treatment for CRBD; one thirds of them do not consider it their responsibility. Anesthesiologists should be aware of CRBD and participate in the treatment using multimodal approaches.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84849285","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}

{"title":"Perioperative Complications And Concomitant Diseases Of Patients Followed In Intensive Care Unit After Cleft Lip-Palate Surgery","authors":"M. Tümer, A. Ayyıldız, Başak Akça, A. Yilbas, F. Uzumcugil, O. Canbay","doi":"10.5222/JARSS.2021.85856","DOIUrl":"https://doi.org/10.5222/JARSS.2021.85856","url":null,"abstract":"INTRODUCTION: Cleft lip/palate (CLCP) patients might need postoperative care in Intensive Care Unit (ICU) due to several reasons like difficult airway management, associated abnormalities and perioperative respiratory complications. Our aim was to evaluate the factors associated with difficult airway and need for postoperative ICU follow-up in CLCP patients operated in our institution. METHODS: CLCP patients followed in ICU after surgery between 2005-2013 were retrospectively reviewed. RESULTS: Twenty patients were included to the study. Ten had CLCP together, ten had isolated cleft palate. Difficult intubation was seen in 8 patients. Difficult mask ventilation was seen only in one patient with 22q11 deletion. All patients with difficult intubation had micrognathia. Nasal fiberoptic bronchoscopy was more commonly used in patients with difficult intubation. There was a statistically significant relationship between the presence of any systemic disease and difficult intubation. Main reasons for ICU follow-up were the need for close monitoring and airway related problems. DISCUSSION AND CONCLUSION: Difficult airway is a frequent problem in CLCP patients even in the absence of a diagnosed syndrome. Patients with difficult airway or risk of postoperative airway obstruction could be better followed in ICU during early postoperative period for rapid diagnosis and treatment of possible complications by experienced staff.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83983555","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}

{"title":"The Effect Of Intraoperative Restrictive Fluid Therapy On Postoperative Outcomes In Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy","authors":"H. Özay, N. Salman, Demet Bölükbaşı, Perihan Kemerci, Aslı demirci, Ü. Karadeniz","doi":"10.5222/jarss.2021.93063","DOIUrl":"https://doi.org/10.5222/jarss.2021.93063","url":null,"abstract":"INTRODUCTION: Hyperthermic intraperitoneal chemotherapy (HIPEC) and cytoreductive surgery (CRC) are effective multimodal treatment options in patients with peritoneal carcinomatosis. Procedures are long-lasting operations with excessive blood and fluid loss. Intraoperative fluid management is very important because of major hemodynamic, respiratory and metabolic changes. This study aims to investigate the effect of intraoperative restrictive fluid therapy on postoperative outcome in patients undergoing HIPEC and SRS. METHODS: Patients who underwent HIPEC and SRS in our clinic between 2014-2018 were included in the study. The demographic, intraoperative and postoperative data of all patients were retrospectively analyzed. The patients who underwent restrictive fluid replacement were named Group R, and the group with liberal fluid replacement was named Group L. RESULTS: It was observed that the mean age was 54.6 ± 11.4 years, the female gender was 60.5% and the malignancy originating from the gastrointestinal system was 76.3%. There was no effect of liberal and restrictive fluid treatments on postoperative minor and major complications, length of stay in hospital and intensive care, and mortality. DISCUSSION AND CONCLUSION: We concluded that intraoperative restrictive fluid therapy did not affect postoperative complications and mortality in HIPEC and SRS surgeries.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80458149","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}

{"title":"Analgesic Efficacy and Safety of Dexmedetomidine as an Adjuvant to Caudal Levobupivacaine for Infraumbilical Surgeries in Children","authors":"Amanjot Singh, K. Gupta, A. Kaur, Haramritpal Kaur","doi":"10.5222/jarss.2021.84756","DOIUrl":"https://doi.org/10.5222/jarss.2021.84756","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76142347","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}

{"title":"Comparison of Endotracheal Intubation Successes with Macintosh, Glidescope and Airtraq Laryngoscopes","authors":"Tuna Ertürk, Hasan Ömür Özkan, G. İnangil, Fuat Gürbüz, S. Özkan","doi":"10.5222/jarss.2021.05025","DOIUrl":"https://doi.org/10.5222/jarss.2021.05025","url":null,"abstract":"Objective: Successful airway management is the primary and most crucial step required for patient safety in anesthetic application. Due to the increase in the variety of materials used for ventilation and intubation in recent years, successful airway management has become more advantageous in difficult airway management. The development of Glidescope and Airtraq laryngoscopes are used as alternative laryngoscopy devices. The aim of the present prospective randomized study is to compare superiority of the success of endotracheal intubation performed with Macintosh, Glidescope and Airtraq laryngoscopes in terms of Cormack-Lehane laryngoscopic classification, intubation duration, number of attempts, and use of facilitating maneuvers required for intubation. Methods: Totally 180 patients over 18 years of age, in ASA I-II physiological risk group, who would undergo elective surgery were included in the study. The patients were randomly divided into three groups. Cormack-Lehane laryngoscopic classification, intubation duration, number of intubation attempts, facilitating maneuvers required for intubation, and complications related to intubation were recorded and compared in patients who were intubated with Macintosh laryngoscope in Group-A, Glidescope laryngoscope in Group-B, and Airtraq laryngoscope in Group-C. Results: It was found that demographic data were similar between groups. Cormack-Lehane laryngoscopic score, intubation duration, number of attempts and use of facilitating maneuver parameters of the Glidescope and Airtraq laryngoscope groups were similar and superior to the Macintosh group. In terms of intubation success rates and complications related to intubation, the frequency of the Macintosh laryngoscope group was similar to the Glidescope and Airtraq laryngoscope groups. Conclusion: According to the result of the study, it was concluded that Glidescope and Airtraq laryngoscopes provide a better view of glotis and ease intubation compared to Macintosh laryngoscope. However, we did not find any difference in intubation success and complication rates between the groups.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84549955","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}

{"title":"A Prospective Randomized Study to Evaluate and Compare ILMA and Air-Q Intubating Laryngeal Airway","authors":"Reema Wadhawa, Anisha Singh, A. Bhalotra, V. Chugh","doi":"10.5222/jarss.2021.59454","DOIUrl":"https://doi.org/10.5222/jarss.2021.59454","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81530684","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}

{"title":"Comparison of Rebound Pain and Postoperative Tramadol Requirement in Patients Who Had Femoral Nerve Block or Adductor Canal Block for Pain After Total Knee Arthroplasty","authors":"Yusuf Özgüner, A. Alptekin","doi":"10.5222/jarss.2021.60590","DOIUrl":"https://doi.org/10.5222/jarss.2021.60590","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79062224","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}

{"title":"Von Willebrand Hastalığı Olan Üç Gebenin Anestezi Yönetimi","authors":"Gozde Inan, Naciye Turk Ozterlemez, Melis Altuğ, Dudu Berrin Günaydın","doi":"10.5222/jarss.2021.60490","DOIUrl":"https://doi.org/10.5222/jarss.2021.60490","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75430469","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}

{"title":"The Role of Education in Reducing the Disposal Costs of Anesthesia-Related Medical Wastes","authors":"G. Keskin, A. Dönmez","doi":"10.5222/jarss.2021.63935","DOIUrl":"https://doi.org/10.5222/jarss.2021.63935","url":null,"abstract":"INTRODUCTION: Although it constitutes a small part of the general waste, medical waste management is important both due to its environmental impact and its cost. Creating education and awareness on reducing the amount of medical waste and increasing the amount of waste-recycling are some of the most important steps. The primary purpose of the study is to determine the role of education in reducing the cost of medical waste belonging to anesthesia, and the secondary purpose is to provide data for the development of educational materials used. METHODS: The anesthesia wastes of 22 operating rooms and 3 PACU were evaluated.Anesthetic wastes were collected and weighed at the end of the day without informing 26 anesthesiologists, 37 anesthesia technicians, and 30 anesthesia assistants.On the 2nd day, the education video link was shared with the participants, and afterwards they were asked to watch and answer the questionnaire prepared.The wastes were collected and weighed again after the training.The approximate annual saving cost was calculated over the medical waste disposal cost, which was determined as 3.50 ₺kg-1 (excluding VAT). RESULTS: The amount of anesthesia waste obtained from 22 operating rooms and 3 PACU was 36.90 kg for 57 cases before training, and 43.36 kg for 64 cases after training.The amount of medical waste was weighed as 461.2 g per case before the training, and 453.8 g per case after the training.It was observed that although not statistically significant, the amount of medical waste decreased (p=0.949).The cost of medical waste disposal decreased by 1.6%. It was learned that 51.3% of the anesthesia team had received training before, and 60.4% benefited from the training provided. DISCUSSION AND CONCLUSION: With education, the amount of medical waste can be reduced.Although there is awareness about waste classification in our clinic, we believe that regular training should be done to reduce the amount of medical waste.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89685742","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}

{"title":"Impact of COVID-19 pandemic on the management of blood supply and demand in Turkey","authors":"B. Tezcan","doi":"10.5222/jarss.2021.62534","DOIUrl":"https://doi.org/10.5222/jarss.2021.62534","url":null,"abstract":"INTRODUCTION: Coronovirus disease(COVID-19)rapidly spread worldwide after its first report in December 2019,in China.This spread drastically reduced the number of blood donations,thereby creating a shortage at blood banks in the whole world.Turkish Red Crescent(TRC) is the only legal authority that organizes collection,production,storage and distribution of blood and blood components in Turkey.Only in case of emergencyTRC gives permanent permission to hospitals;for collecting blood and producing its components through their own transfusion centers.This report describes how theCOVID-19 impacted blood supplies ofTRC and hospital demands in Turkey with an aim to improve the management of blood supply and demand during theCOVID-19 and future pandemics. METHODS: A cross-sectional study was conducted for a period of nine months;from November 1,2019 to July 31,2020.Data were retrospectively obtained from donor attendance and blood inventory records ofTRC and included;1)the number of donated units of apheresis platelet concentrates(APC) and blood toTRC,2)the number of units ofAPC and erythrocyte suspensions(ES) supplied by the hospitals themselves,3)the number of units of APC andES supplied to hospitals by TRC(APCHandESH).The periods before(first period) and after(third period)arrival of COVID-19 to Turkey are compared. RESULTS: An increase of 52%in the number of APCdonations,but a decrease of 22% in the number of blood donations(NBD) were detected in the third period compared to the first one.Mean APCH were 7081±550 and5121±255 units in the first and third periods,respectively.The mean ESH in the first period was 873±326 units,while it was3694±3143 units in the third period. DISCUSSION AND CONCLUSION: It is obvious that we have learnt many lessons from theCOVID-19 pandemic,like how to face challenges in maintaining the balance between blood demandandblood supply.Utilizing media to encourage donors and implementation of PatientBloodManagement on national and institutional levels may be some some of the key components of a comprehensive strategy.The collaboration ofMinistry of Health,TRC and hospitalswassuccessful in securing a balance between blood supply and demand in Turkey,which COVID-19 pandemic impacted significantly.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83616616","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}