Anestezi Dergisi最新文献_第4页

Evaluation of Perception, Knowledge and Attitudes of Anesthesia Healthcare Workers on Occupational Health and Safety 麻醉医护人员职业健康安全认知、知识和态度的评价

Anestezi Dergisi Pub Date : 2023-04-28 DOI: 10.54875/jarss.2023.26122

Nejdiye Gungordu, Hazal Cansu Çulpan, H. Yılmaz Ak, Yasemin Ozsahin, Seher Kurtul, A. Nizamoğlu, Y. Dikmen, Fatiş Altındaş, M. S. Erdoğan

{"title":"Evaluation of Perception, Knowledge and Attitudes of Anesthesia Healthcare Workers on Occupational Health and Safety","authors":"Nejdiye Gungordu, Hazal Cansu Çulpan, H. Yılmaz Ak, Yasemin Ozsahin, Seher Kurtul, A. Nizamoğlu, Y. Dikmen, Fatiş Altındaş, M. S. Erdoğan","doi":"10.54875/jarss.2023.26122","DOIUrl":"https://doi.org/10.54875/jarss.2023.26122","url":null,"abstract":"Objective: Anesthesia healthcare workers work under more intense hazard, risk and excessive workload specific to their field, in addition to the problems of other healthcare workers. This study aims to identify perception of occupational risks in the working environment, knowledge about occupational health and safety (OHS), and the use of personal protective equipment in the working environment among the anesthesia healthcare workers. Methods: This descriptive study was conducted with 153 anesthesia healthcare workers. The healthcare workers participating in the study were divided into 2 groups according to their work: physicians and non-physician healthcare workers. The questionnaire included sociodemographic, knowledge about occupational risks and Occupational Health and Safety Law (OHSL), use of personal protective equipment and knowledge of OHS in the institution questions. Results: The frequencies of the working conditions and professional practice areas of the group of doctors being not ergonomically appropriate (p=0.005), insufficient lighting (p=0.001), insufficient heat (p<0.015), chemical agent exposure (p=0.024), ionizing radiation exposure (p=0.003), exposure to biological agents (p=0.022), exposure to psychological risk factors (p=0.017) were found to be statistically significantly higher. In this study, it was found that the perception of working environment conditions and occupational risk factors was higher in doctors, and their knowledge of OHSL and OHS practices in the institution was higher in the non-physician group. Conclusion: The OHS trainings received by the health care workers were effective for the results. Increasing knowledge about occupational risks and preventive measures against them can reduce the incidence and consequences of possible occupational diseases. Keywords: Anesthesia, occupational health, occupational safety","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44732250","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}

引用次数: 0

Retrospective Evaluation of the Effects of Staff Training on Sound Levels Measurements in the Intensive Care Unit 重症监护室工作人员培训对声级测量影响的回顾性评估

Anestezi Dergisi Pub Date : 2023-04-28 DOI: 10.54875/jarss.2023.15010

Ummugulsum Gaygisiz, L. Karabıyık

{"title":"Retrospective Evaluation of the Effects of Staff Training on Sound Levels Measurements in the Intensive Care Unit","authors":"Ummugulsum Gaygisiz, L. Karabıyık","doi":"10.54875/jarss.2023.15010","DOIUrl":"https://doi.org/10.54875/jarss.2023.15010","url":null,"abstract":"Objective: High sound levels measured in intensive care units cause harmful effects on the health of patients and employees. In this context, the World Health Organization (WHO) recommends sound level values that are safe for health in hospitals. The aim of this study is to compare the sound levels measured before and after the training given to the employees, and to evaluate the sound levels measured in the intensive care unit according to the recommended safe values, retrospectively. Methods: In our unit, sound measurements were made with a noise analyzer (FLUKE model: Biotek: Biotek serial no: 6050274) from 17 different points of the unit at 14 different times per day. Unit employees are given training on the harms of noise and the success of the education is evaluated. In this study, based on the data obtained from the recordings, the 10-day sound level measurements before and after the education were compared. Based on data obtained from hospital records, ten-day sound level measurements before and after training were compared. Results: There was no difference between the measurements made at 17 points within the unit. For this reason, the mean of 17 measurement values was taken and the time-dependent changes of the data were analyzed. After the training, it was observed that there were significant decreases in the mean sound levels in the follow-up at night (p<0.05). However, all these values were above the safe threshold values recommended by WHO for hospitals. Conclusion: Although the behavioral changes provided by the training of the employees in our unit decreased the sound levels in our unit, they could not fall below the recommended safe threshold value. We concluded that safe values can be achieved by using sound reducing barriers in the design of the units and controlling all sources and devices that produce sound. Keywords: Intensive care, noise, training, sound level","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47816803","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}

引用次数: 0

The Effect of Pre-Intubation Esmolol and Dexmedetomidine on Ischemia Modified Albumin Levels: A Prospective Randomized Trial 插管前艾司洛尔和右美托咪定对缺血修饰白蛋白水平的影响：一项前瞻性随机试验

Anestezi Dergisi Pub Date : 2023-04-28 DOI: 10.54875/jarss.2023.47560

HÃ¼seyin Yilmaz, B. K. Kazbek, Ulku Ceren Koksoy, P. Ekmekci, T. Çandar, Mehmet Ali Yavuzekinci, F. Tuzuner

{"title":"The Effect of Pre-Intubation Esmolol and Dexmedetomidine on Ischemia Modified Albumin Levels: A Prospective Randomized Trial","authors":"HÃ¼seyin Yilmaz, B. K. Kazbek, Ulku Ceren Koksoy, P. Ekmekci, T. Çandar, Mehmet Ali Yavuzekinci, F. Tuzuner","doi":"10.54875/jarss.2023.47560","DOIUrl":"https://doi.org/10.54875/jarss.2023.47560","url":null,"abstract":"Objective: Laryngoscopy and intubation cause hypertension, tachycardia and arrhythmia. Ischemia modified albumin (IMA) is formed secondary to endothelial or extracellular hypoxia, acidosis and free oxygen radicals and can be detected in the early stages of ischemia. In this study, we aimed to compare the effects of two agents on preventing hypertension and tachycardia by measuring IMA levels. Methods: Following ethics approval and randomization, dexmedetomidine 0.5 μg kg-1 in Group D (n=21) or esmolol 0.5 mg kg-1 in Group E (n=21) diluted in 20 mL saline was given as infusion for 5 minutes prior to induction. Patients in Group C (n=21) received only 20 mL saline infusion. An automated perfusor was set at 4 mL min-1 for the delivery of study solutions. Blood samples for IMA measurement were taken following monitorization and at 10th and 20th minutes after intubation. Results: There was no statistically significant difference concerning IMA levels at 10 minutes following intubation. However, IMA levels in Group C were significantly lower compared to Group E and Group D (p=0.025 and 0.015 respectively) at 20 minutes. There was no significant difference between Group E and Group D (p=0.980). In Group D and E, a significant drop in systolic, diastolic and mean arterial pressures compared to baseline was observed after the study drugs were given. Groups were similar in terms of heart rate in the first 5 minutes however Groups E and D had lower heart rates compared to Group C starting from the 6th minute until the end of study period. Conclusion: Inhibiton of hemodynamic response to intubation may have negative results, and pharmacological interventions for this should be carried out with caution in critical patients and close hemodynamic monitorization should be kept in mind. Keywords: Dexmedetomidine, esmolol, ischemia-modified serum albumin","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43762303","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}

引用次数: 0

Sir I. W. Magill; The Anaesthetist of President Celal Bayar’s Surgery in Gülhane Military Hospital 马吉尔爵士;格拉罕军事医院塞拉尔·巴亚尔总统手术的麻醉师

Anestezi Dergisi Pub Date : 2023-04-28 DOI: 10.54875/jarss.2023.83435

H. Acar

引用次数: 0

A Retrospective Analysis of the Analgesic and Adverse Effects of Interscalene Brachial Plexus Block During Arthroscopic Shoulder Surgery 肩关节镜手术中斜角肌间臂丛阻滞镇痛及不良反应的回顾性分析

Anestezi Dergisi Pub Date : 2023-01-30 DOI: 10.54875/jarss.2023.71473

G. Emmez, I. Gungor, T. Tezer, U. Kanatlı

引用次数: 0

Ultrasound-guided vs Laparoscopic-asisted Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy: A Randomized Prospective Study 超声引导vs腹腔镜辅助下经腹平面阻滞用于腹腔镜胆囊切除术:一项随机前瞻性研究

Anestezi Dergisi Pub Date : 2023-01-30 DOI: 10.54875/jarss.2023.79106

M. Sahap, Merve Sevim Artykov, H. Gulec, A. Yalçın, Abdulkadir But

引用次数: 0

Investigation of Apoptotic Effect of Propofol, Dexmedetomidine and Medetomidine on Oocyte Cumulus Granulosa Cells in Rats 异丙酚、右美托咪定、美托咪定对大鼠卵丘颗粒细胞凋亡影响的研究

Anestezi Dergisi Pub Date : 2023-01-30 DOI: 10.54875/jarss.2023.88942

A. Tas Tuna, H. Kocayiğit, Gürkan Demir, Ozcan Budak, M. S. Bostancı, H. Cakiroglu, D. B. Gunaydin

{"title":"Investigation of Apoptotic Effect of Propofol, Dexmedetomidine and Medetomidine on Oocyte Cumulus Granulosa Cells in Rats","authors":"A. Tas Tuna, H. Kocayiğit, Gürkan Demir, Ozcan Budak, M. S. Bostancı, H. Cakiroglu, D. B. Gunaydin","doi":"10.54875/jarss.2023.88942","DOIUrl":"https://doi.org/10.54875/jarss.2023.88942","url":null,"abstract":"Objective: We aimed to evaluate the potential apoptotic effects of propofol, dexmedetomidine and medetomidine that were used during oocyte retrieval on cumulus cells in rat ovulation induction model. Methods: After the ovulation induction model was created, rats were received dexmedetomidine in Group D, propofol in Group P, medetomidine in Group M. Oocytes collection was performed 10 minutes after the administration of study drugs. For Caspase-3 immunohistochemical evaluation, the staining level was scored in five randomly selected areas and the areas with the highest score were determined. Immunohistochemical staining scoring for each section was performed using a scoring algorithm called H-score. Results: Caspase-3 expression in cumulus cells was found to be lowest in Group D and highest in Group P. The mean caspase-3 H-score was lower in Group D than that of Group P and M (p<0.001), and in Group M than that of Group P (p<0.001). Conclusion: Our results demonstrate that dexmedetomidine and medetomidine exhibit less apoptotic effects in terms of caspase-3 activity in oocyte cumulus cells than propofol in a rat ovulation induction model. Keywords: Apoptosis, cumulus cells, dexmedetomidine, medetomidine, propofol, oocyte retrieval","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47297179","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}

引用次数: 0

Frailty Index is Associated with Vitamin D Insufficiency in Geriatric Surgery Patients: A Prospective Observational Study 老年外科患者的虚弱指数与维生素D缺乏相关：一项前瞻性观察研究

Anestezi Dergisi Pub Date : 2023-01-30 DOI: 10.54875/jarss.2023.92063

O. Miniksar, T. Honca, Aysegul Parlak Cikrikci, A. Gocmen

{"title":"Frailty Index is Associated with Vitamin D Insufficiency in Geriatric Surgery Patients: A Prospective Observational Study","authors":"O. Miniksar, T. Honca, Aysegul Parlak Cikrikci, A. Gocmen","doi":"10.54875/jarss.2023.92063","DOIUrl":"https://doi.org/10.54875/jarss.2023.92063","url":null,"abstract":"Objective: In this study, we aimed to investigate the relationship between vitamin D, frailty and postoperative outcomes in geriatric patients undergoing elective surgery. Methods: In this prospective observational study, a total of 90 elderly patients who had undergone non-cardiac surgery were included. The patients were classified according to the frailty index (FI) score as “Non-frail (FI 0), Pre-frail (FI 1–2) and Frail (FI ≥3)”. In addition, patients were divided into two groups according to serum vitamin D concentration: vitamin D insufficiency group (n=41) and vitamin D sufficiency group (n=49). Clinical characteristics and postoperative outcomes of the patients were compared between the groups. Results: The mean age of the patients was 75.7 ± 7.6 years, the admission rate to Intensive Care Unit (ICU) was 43.3%, and the 30-day mortality rate after surgery was 21.1%. The ICU admission was significantly higher in the “vitamin D insufficiency” group (n=24 versus n=15, p=0.014). In addition, fragility status patients were significantly higher in the “vitamin D insufficiency” group (n=19 versus n=7, p=0.004). Most of the non-frail patients were in the “vitamin D sufficiency” group (n=18 versus n=9). Conclusion: In our study, we observed higher frailty in vitamin D insufficiency patients. In addition, admission to the postoperative ICU was higher in vitamin D insufficiency and frail patients. Our findings show that frailty and vitamin D insufficiency play an important role in postoperative outcomes. Keywords: Vitamin D, frailty, geriatrics, intensive care unit","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46879803","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}

引用次数: 0

Nociception Monitoring 伤害感受监控

Anestezi Dergisi Pub Date : 2023-01-30 DOI: 10.54875/jarss.2023.67799

H. Bilgin, Seda Cansabuncu

引用次数: 0

Prognostic Significance of Platelet and Mean Platelet Volume Kinetics for Ventilator-Associated Pneumonia 血小板和平均血小板体积动力学对呼吸机相关性肺炎的预后意义

Anestezi Dergisi Pub Date : 2023-01-30 DOI: 10.54875/jarss.2023.87059

Omur Ilban, F. Şimşek

{"title":"Prognostic Significance of Platelet and Mean Platelet Volume Kinetics for Ventilator-Associated Pneumonia","authors":"Omur Ilban, F. Şimşek","doi":"10.54875/jarss.2023.87059","DOIUrl":"https://doi.org/10.54875/jarss.2023.87059","url":null,"abstract":"Objective: Platelets play an important role in cases of inflammation and infection, along with in the hemostatic process. The aim of study is to evaluate prognostic efficiency of platelet count (PC), mean platelet volume (MPV) and MPV/PC for mortality prediction in patients with ventilator-associated pneumonia (VAP). Methods: A total of 150 VAP patients were divided into two groups as Survivors (n=98) and Non-survivors (n=52) according to intensive care unit mortality. The PC and MPV on days 1 and 4 of VAP were evaluated. Results: Thirty (31%) patients in the survivors group and 35 (67%) patients in the non-survivor group had thrombocytopenia, respectively (p<0.05). The non-survivor group had higher MPV and a higher MPV/PC on the 1st and 4th days, while the survivor group had higher PC levels, respectively (p<0.05). Platelet count, MPV and MPV/PC had the highest AUC levels at day 4 (0.68, 0.80, 0.73, respectively). The prognostic values of day 4 MPV and MPV/PC measurements were similar (p=0.17). Day 4 PC were found to be negatively correlated with mortality (adjusted hazard ratio (aHR): 0.91, p=0.01). Day 4 MPV and MPV/PC values were the independent mortality predictors (aHR: 2.59, p<0.01 and aHR: 1.63, p=0.01). The survival probability of VAP patients with <9.25 fL of MPV day 4 was significantly higher than those with ≥9.25 fL (p=0.002, log-rank test) Conclusion: In addition to thrombocytopenia, MPV and MPV/PC are useful predictors of poor outcomes. Changes in MPV responses may be a more useful prognostic assessment tool for VAP patients than PC. Keywords: Immune response, mean platelet volume, platelets, prognosis, ventilator-associated pneumonia","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49098984","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}

引用次数: 0