Anestezi Dergisi最新文献

{"title":"Inadequancy and Differences about the Attitudes in Pain Control of Cancer Patients: Assessment of Algology Department","authors":"Taner Çalışkan, Nalan Örnek Çelebi","doi":"10.54875/jarss.2023.65707","DOIUrl":"https://doi.org/10.54875/jarss.2023.65707","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136262487","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":"Effect of Different Propofol Concentrations on Rat Lung Mesenchymal Stem Cells","authors":"Sibel Catalca, Julide Ergil, Ferda Alpaslan Pinarli, Meral Saban Tiryaki, Ozlem Ozmete","doi":"10.54875/jarss.2023.05900","DOIUrl":"https://doi.org/10.54875/jarss.2023.05900","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136262718","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 Impact of Anesthesia on Global Warming and the Reality of Sustainable Anesthesia","authors":"Gözde İnan, Zerrin Özköse Şatırlar","doi":"10.54875/jarss.2023.57804","DOIUrl":"https://doi.org/10.54875/jarss.2023.57804","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136317593","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":"Effect of Epidural Analgesia on Goal-Directed Fluid Therapy with Pleth Variability Index in Patients Who Underwent Laparoscopic Colorectal Surgery","authors":"Ayse Ceren Doganozu, Onat Bermede, Cihangir Akyol, Necmettin Unal","doi":"10.54875/jarss.2023.68725","DOIUrl":"https://doi.org/10.54875/jarss.2023.68725","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136318289","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":"Evaluation of the Knowledge, Skills and Practices on Rapid Sequence Intubation of Physicians Working in Anesthesiology and Reanimation Clinics in Turkey: Survey Study","authors":"Feyza Çalışır","doi":"10.54875/jarss.2023.72602","DOIUrl":"https://doi.org/10.54875/jarss.2023.72602","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136261519","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":"Approaches of Neurosurgeons and Orthopedists to the Protocol for Enhanced Recovery After Surgery (ERAS) in Spinal Pathologies: A Single Center, Survey Study","authors":"G. Emmez","doi":"10.54875/jarss.2023.96729","DOIUrl":"https://doi.org/10.54875/jarss.2023.96729","url":null,"abstract":"Objective: The Enhanced Recovery After Surgery (ERAS) protocol defines multimodal interventions applied to patients during the postoperative period to enable them to return to their normal life functions as quickly as possible. It encompasses the perioperative process from the patient’s hospital admission to discharge. The aim of our study is to observe the approaches of neurosurgeons and orthopedists at our center regarding the ERAS protocol in spinal pathologies and create awareness to ensure the routine implementation of ERAS. Methods: The survey, organized according to the items of the ERAS protocol for spinal surgeries, was delivered to the participants in person or via email after obtaining approval from the local ethics committee. The survey consisted of questions aimed at investigating the approaches of surgeons regarding fundamental aspects such as anesthesia, analgesia, surgical approach, fasting-nutrition, and early mobilization during the preoperative, intraoperative, and postoperative periods of spinal surgery. Results: The survey was completed by 53 doctors, with 22 (41.5%) being neurosurgeons and 31 (58.5%) orthopedists. When evaluating the responses of the participants to the questions related to the preoperative period, it was found that patient education, blood glucose regulation for diabetic patients, preoperative skin preparation, and the use of prophylactic antibiotics and antithrombotic agents were all implemented at a rate of 100%. Regarding the choice of anesthesia method, it is noteworthy that 38.7% of orthopedists preferred regional anesthesia, while 59% of neurosurgeons opted for general anesthesia. In terms of postoperative care, the surgical teams showed a preference for removing surgical drains and urinary catheters on the first day after the surgery. As for early mobilization, 87.1% of orthopedists preferred the first postoperative day, whereas 72.7% of neurosurgeons chose the day of surgery for mobilization. Conclusion: The clinics that participated in the survey demonstrated practices that were either closely aligned or suitable to the elements constituting the ERAS protocol, even if these practices were not explicitly categorized under the ERAS heading. To ensure the widespread and accurate adoption of ERAS protocols in clinical settings, it is essential to provide the surgical teams with adequate information and encourage them to utilize ERAS principles. Keywords: Enhanced recovery after surgery, spinal procedures, orthopedic surgeon, neurosurgeon","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46716381","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":"COVID-19 Yoğun Bakım Hastalarında Serum Ürik Asit Düzeyinin Solunum Yetmezliğinin Ciddiyeti ve Mortalite Üzerine Etkisi","authors":"Ümmügülsüm Gaygısız, Lale Karabıyık","doi":"10.54875/jarss.2023.75508","DOIUrl":"https://doi.org/10.54875/jarss.2023.75508","url":null,"abstract":"Objective: Routine laboratory parameters such as C-reactive protein (CRP), procalcitonin, ferritin, d-dimer are used to estimate the clinical severity and mortality of Coronavirus disease 2019 (COVID-19). Because of the limited specificity of these parameters and their variability between patients, more specific parameters are needed. It is thought that there may be a relationship between uric acid levels and the severity and mortality of COVID-19. In this study, we aimed to retrospectively investigate the relationship between daily serum uric acid measurements in the first 10 days of follow-up in the intensive care unit (ICU) and the need for invasive mechanical ventilation (IMV) and mortality. Methods: With the approval of the ethics committee, 151 eligible patients were screened through the ICU patient records and routine laboratory data on the computer. Serum uric acid measurements, demographic and clinical characteristics, IMV needs and mortality rates at the first admission to the hospital and in the first 10 days in the ICU were recorded retrospectively. Results: In the analysis, rate of IMV was 60.3% and mortality was 53.6%. No significant correlation was found between the uric acid levels measured at the time of first hospitalization and in the ICU follow-up and the need for IMV. In the comparison between deceased and survived patient groups; the uric acid levels were found to be higher on the 3rd and 4th days of the ICU in the deceased group than in the survivors (p=0.023, p=0.037, respectively). Conclusion: The increase in uric acid levels on the 3rd and 4th days in COVID-19 patients requiring ICU admission seems to be significant in the estimation of mortality. Serum uric acid level can be a useful parameter in determining the prognosis in the ICU follow-up of this group patients. Keywords: Intensive care, uric acid, COVID 19, mortality, mechanical ventilation","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46353932","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 Impact of Hematological Parameters on Pain Relief After Transforaminal Epidural Steroid Injection","authors":"S. Kaya","doi":"10.54875/jarss.2023.57614","DOIUrl":"https://doi.org/10.54875/jarss.2023.57614","url":null,"abstract":"Objective: Since inflammation plays an important role in radiculopathies, and that neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratios (PLR) are known to be associated with inflammation, the effects of these values on transforaminal epidural steroid injections (TFESI) in patients with lumbar radiculopathy were investigated. Methods: A total of 101 patients, who were diagnosed with lumbar radiculopathy and underwent TFESI, were retrospectively analyzed. Therapeutic success was considered to be a ≥ 50% decrease in visual analog scale (VAS) scores one month after TFESI. The patients in the study were placed in two groups according to whether their treatment was successful or unsuccessful, according to this criteria, and hemogram parameters in the two groups were then compared. Results: The study included 46 female and 55 male patients with a mean age of 49.43 ± 13.29. The median duration of symptoms was 3.0 (3.0-8.0) months. It was found that there was no significant difference between the groups in terms of neutrophil, lymphocyte, monocyte, platelet counts, mean plazma volümü (MPV), kırmızı hücre dağılım genişliği (RDW), platelet/ lenfosit oranı (PLR), sistemik inflamatuar indeks (SII), sedimentation, and C-reactive protein (CRP), although it was observed that there were significant increases in NLR in the successful group [2.34 (1.70-3.17)], as compared to the unsuccessful group [1.79 (1.51-2.57)] (p=0.026). Conclusion: Neutrophil/lymphocyte ratio is able to predict the response to TFESI treatment in patients with lumbar radiculopathy, in that patients with a higher NLR demonstrate a better response. Keywords: Hemogram parameters, inflammation, neutrophil to lymphocyte ratio, lumbar disc herniation, lumbar radiculopathy","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46101997","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 Epidural Catheter Migration in Three Different Techniques of Catheter Fixation: A Prospective Randomised Study","authors":"Vidarshna Viburajah, V. Selvaraj, Sree Kumar E J, Sathish Kalyan","doi":"10.54875/jarss.2023.59480","DOIUrl":"https://doi.org/10.54875/jarss.2023.59480","url":null,"abstract":"Objective: We hypothesized that subcutaneous tunnelling will be more efficacious in preventing epidural catheter migration in the postoperative period. To compare three different fixation techniques for migration of epidural catheter in the postoperative period. Methods: Patients undergoing elective surgery with planned postoperative analgesia with lumbar epidural were included. They were divided into 3 groups based on catheter fixation – Group I: transparent adhesive dressing tape, Group II: fixator device (Locklt Plus® ) and Group III: catheter subcutaneously tunnelled vertically. The catheter mark was noted during insertion and on removal at the end of second day. The primary outcome measure was epidural catheter migration; the secondary outcome measures were complications and patient satisfaction scores. Results: Of the 170 patients recruited, 150 patients were included. The Likelihood Ratio (LR) of migration of group I in comparison to group II was 13.28 (p<0.001) while with group III was 7.06 (p=0.007). There was no significant difference between groups II and III (LR 1.12, p=0.29). The satisfaction scores were comparable among Groups II and III. There was no difference in complications among groups. Conclusion: Epidural migration is significantly reduced by both tunnelling and Lockit plus® methods in comparison to a transparent adhesive dressing in patients on continuous lumbar epidural analgesia in the first two postoperative days. The subcutaneous tunnelling method is as safe in terms of migration as the LockIt plus® method of fixation. Keywords: Catheter adverse effects, epidural analgesia, epidural catheter, postoperative pain","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41602633","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 Sevoflurane Inhalation Anesthesia and Total Intravenous Anesthesia with Propofol in Terms of Postoperative Sore Throat and Nausea/Vomiting in Septorhinoplasty Cases","authors":"M. E. Erbatur, Andaç Dedeoğlu, Okan Andıç, Reşit Saruhan, Recep Gokce, O. Uzundere, E. Gokcek, Cem Kıvılcım Kaçar","doi":"10.54875/jarss.2023.26879","DOIUrl":"https://doi.org/10.54875/jarss.2023.26879","url":null,"abstract":"Objective: The objective of this prospective observational study was to compare the use of inhalation anesthesia with sevoflurane and total intravenous anesthesia with propofol in terms of sore throat and postoperative nausea/vomiting in elective septorhinoplasty cases under general anesthesia. Methods: This study was conducted using the data of 52 participating patients. Following induction of anesthesia, Group 1 (n=26) received sevoflurane inhalation and remifentanil infusion, while Group 2 (n=26) received intravenous propofol and remifentanil infusion. The presence of nausea/vomiting, the presence and severity of sore throat, extubation times, and the number of patients who were given additional analgesics and antiemetics were recorded at the end of operation. Results: Within post-anesthesia care unit, Group 2 had less sore throat at the postoperative 2nd, 6th, and 12th h (p values, respectively: 0,014; 0,004; 0,015; 0,044. The number of patients receiving additional analgesics in the postoperative period was 19 in Group 1 and 9 in Group 2 (p=0.005). The results of the groups in terms of postoperative nausea/vomiting were similar. Conclusion: In septorhinoplasty operations, total intravenous anesthesia with propofol resulted in less sore throat and reduced postoperative analgesic use compared to inhalation anesthesia with sevoflurane. Keywords: Sore throat, nausea and vomiting, propofol, septorhinoplasty, sevoflurane, TIVA","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47256385","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}