Anestezi Dergisi最新文献

{"title":"Retrospective Evaluation of Postoperative Patients in Non-COVID Intensive Care Units During the Pandemic Period","authors":"Yusuf Özgüner, S. Altinsoy, M. Sayın, J. Ergil, Derya Güzelkaya","doi":"10.54875/jarss.2023.25349","DOIUrl":"https://doi.org/10.54875/jarss.2023.25349","url":null,"abstract":"Objective: During the pandemic period, hospital admissions for reasons other than COVID-19 infection decreased compared to the pre-pandemic period. In our study, it was aimed to examine the surgical (emergency and elective) and anesthesia (general and regional) type, clinical and demographic characteristics, COVID-19 (Polymerase Chain Reaction (PCR) status, length of stay and mortality rates of postoperative patients hospitalized in the non-COVID-19 intensive care unit during the pandemic, retrospectively. Methods: The files of the patients hospitalized in the postoperative intensive care unit between March, 2021 and March, 2022 were reviewed retrospectively. The patients were divided into two groups as emergency (Group A) and elective surgery (Group E). Age, gender, reason and duration of hospitalization, accompanying comorbidities, COVID-19 PCR results, Acute Physiology and Chronic Health Evaluation II (APACHE) score, Glasgow coma scale and mortality rates of the patients were recorded. Results: Gender, APACHE II score and Glasgow coma scale were similar in both groups. However, there was a difference between the two groups in terms of age, length of stay, accompanying comorbidities, COVID-19 PCR results and mortality rates. Conclusion: The positive effect of the PCR test taken from elective surgeries in the preoperative period was observed. We think that the risk of COVID-19 infection is higher in patients undergoing emergency surgery and because of the high risk of transmission, isolation intensive care units are needed for these patients. Keywords: COVID-19, surgery, critical care","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":"47877568","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 Attitudes of Doctors Working in the Surgical Clinic of a University Hospital for Patient Blood Management: A Survey-Based Study","authors":"Gamze Kucukosman, B. Koksal, Hasan Ali Aydın, Alkım Gizem Yılmaz, H. Ayoğlu","doi":"10.54875/jarss.2023.21043","DOIUrl":"https://doi.org/10.54875/jarss.2023.21043","url":null,"abstract":"Objective: Our aim is to evaluate the attitudes of the doctors working in the surgical clinics of a university hospital on Patient Blood Management (PBM). Methods: This cross-sectional study was conducted in Zonguldak Bülent Ecevit University, Faculty of Medicine between December 2019 and January 2020, after obtaining ethical permission. The survey data were obtained by handing out the survey forms which consist of 33 questions to the doctors working in the hospital’s surgical clinics to fill out. The questions include demographic data, and attitudes on PBM. Results: Fully completed 91 surveys were evaluated. Of the participants, 81% were research assistants and 30% were anesthesiologists. The 61.5% of participants had PBM knowledge, 91% of them knew the relationship between preoperative anemia (POA) and preoperative morbidity, and mortality, and 54% were found to treat POA regularly. The 85% of the participants stated that anemia should be treated before elective surgery, and for this purpose, they transfused erythrocyte suspension (RBC) (67.5%) immediately before surgery. Apart from the hemoglobin (Hb) value, the most commonly used parameter in the RBC transfusion decision was the amount of bleeding >1000 mL. While it was found that the most common practice to reduce intra-operative blood transfusion was the diagnosis and correction of POA (85%), only 27.5% of the participants reported that it is necessary to act restrictively to ensure normothermia and for the Hb threshold value in the decision of transfusion. When participants were asked ‘how should they be treated if they are an anemic patient without cardiopulmonary disease and bleeding’, 69% of them said they ‘want their anemia to be recognized and treated before elective surgery'. Only 22% of the participants were aware that there was no written protocol on PBM in their institution. Conclusion: Study findings suggest that the adoption of PBM guidelines should be encouraged, more momentum should be given to implementing these programs, and other studies in this area are needed. Keywords: Patient blood management, perioperative anemia management, perioperative care","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":"44659215","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 Using Ultrasonography Device Integrated with Artificial Intelligence on Imaging the Injection Area in Peripheral Nerve Block Applications","authors":"G. Erdem, Yasemin Ermiş, D. Özkan","doi":"10.54875/jarss.2023.24381","DOIUrl":"https://doi.org/10.54875/jarss.2023.24381","url":null,"abstract":"Objective: New devices and software have brought about benefits such as easing the burden of clinicians, preventing time losses and increasing their professional satisfaction. In this study, we aimed to present the effect of the use of artificial intelligence integrated ultrasonography (USG) on the imaging of the injection site in peripheral nerve block applications and the point of view of the clinicians. Methods: In the study, following ethics committee’s approval, 40 volunteer Anesthesiology and Reanimation doctors working in Health Sciences University Dışkapı Yıldırım Beyazıt Education and Training Hospital performed selected regional blocks (infraclavicular and PECS) accompanied by conventional USG and artificial intelligence integrated-USG (Nerveblox), and the block area imaging times were recorded. Subsequently, questionnaires about these experiences were distributed and 14 closed-ended questions were asked. In the comparison made according to the physicians’ imaging times of the determined block areas, the t test for independent samples was used, and the statistical significance level was established as p<0.001. Results: There is a significant difference in favor of the use of artificial intelligence integrated-USG in the comparison of the time taken by the physicians participating in the survey to find infraclavicular and PECS blocks reference area with conventional and artificial intelligence integrated-USG (p<0.001). Conclusion: It has been proven in our study that artificial intelligence algorithms will continue to increase and will be one of the important components of diagnostic USG in the coming years. Keywords: Peripheral nerve blocks, ultrasonography, artificial intelligence","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":"48743443","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":"Our Experience of Anesthesia in Newborn with Tracheoesophageal Fistula/Esophageal Atresia: A Retrospective Analysis of 65 Cases","authors":"S. Pehlivan, Özlem Öz Gergin, Oğuzhan Şimşek, R. Aksu, A. Bayram, K. Yıldız","doi":"10.54875/jarss.2023.68926","DOIUrl":"https://doi.org/10.54875/jarss.2023.68926","url":null,"abstract":"Objective: Follow-up of newborns with tracheoesophageal fistu­la (TEF) and esophageal atresia (EA) requires special attention and care from the moment they are born. Anesthesiologists have to deal with several problems, that may develop instantly, during perioperative management of these patients. Complications and mortality increase especially in cases where the vital and metabolic parameters that determine the prognosis of the patients are not well managed. In this retrospective study, our aim is to present the anesthesia management of 65 patients who were followed up and treated in our clinic, with sufficient perioperative data records, and the results obtained in the light of current literature. Methods: In this study, the perioperative management of 65 patients who underwent EA and TEF surgery between 2010-2021 in the Erciyes University Faculty of Medicine Pediatric Surgery operating room were retrospectively analyzed. Results: Of the 65 cases evaluated, 34 were male and 31 were female. The time of admission to surgery was determined as the 4th day after birth in those who underwent thoracoscopic surgery and the 5th day in those who underwent open surgery. Forty-three patients had cardiac anomalies. The surgical approach was usually performed with thoracotomy (72%). Patients who underwent thoracoscopic surgery had shorter intubated and hospitalization times in the intensive care unit. In those who were operated with thoracotomy, oral feeding was started later than thoracoscopic surgery. Conclusion: The inclusion of cases with open and thoracoscopic surgical corrections in our study and the application of the institutional anesthesia protocol accepted in our clinic in the perioperative management of all cases increase the reliability of our results. In this study, the experience of the authors on perioperative anesthesia management of TEF/EA patients who will undergo surgical correction by open or thoracoscopic method is presented and discussed together with the literature information. Keywords: Tracheoesophageal fistula, esophageal atresia, thoracotomy, thoracoscopy","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":"48303280","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 Risk Factors Affecting Mortality in Patients with the Diagnosis of COVID-19 in the Secondary Intensive Care Unit: A Single Center Retrospective Study","authors":"Selin Erel, Dilek Yenigün, Naciye Türk Özterlemez","doi":"10.54875/jarss.2023.98705","DOIUrl":"https://doi.org/10.54875/jarss.2023.98705","url":null,"abstract":"Objective: In the early stages of the worldwide coronavirus disease 2019 (COVID-19) pandemic, there aren’t many secondary intensive care unit publications. In our study, it was aimed to calculate the mortality rate and to determine the factors affecting mortality by retrospectively evaluating the data of COVID-19 patients hospitalized in a secondary intensive care unit. Methods: The files and records of patients aged 18 years and older who were positive for reverse transcriptase-polymerase chain reaction and followed in the secondary COVID-19 intensive care unit between January 2020 and July 2021, and their records in the hospital information system, were evaluated retrospectively. Demographic data, laboratory parameters, Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores and clinical data of the patients were recorded. The data of living and deceased patients were compared. Regression analysis was performed for data with risk factors. Results: Archive records of a total of 227 patients were reviewed. The all cause mortality rate was 53.3%, and the median length of stay in the intensive care unit was 5 years. There was a significant difference in age (p<0.001), need for invasive mechanical ventilation (p<0.001), hospitalization saturation (p=0.016), ferritin (p<0.001), D-Dimer p(<0.001), APACHE II (p<0.001) and SOFA (p<0.001) scores between the living and deceased patient groups. Conclusion: Due to the increased number of patients and workload at the beginning of the COVID-19 pandemic, patient follow-up was carried out under difficult conditions in all intensive care units, especially in the secondary care units. In this period, we think that easily accessible biomarkers that can be used to predict mortality in secondary intensive care units may play a role in planning the treatment and referral processes of patients, and may have positive effects on patient outcomes by using the facilities more efficiently. Keywords: COVID-19, intensive care unit, mortality, risk factor","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":"47541138","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 Early and Late Administration of Convalescent Plasma for the Treatment of COVID-19 Patients Hospitalized in Intensive Care Unit Retrospectively","authors":"Duygu Kayar Çalılı, Abdullah Ömer Atsal, Belgin Tunçtürk Akan, H. Ankarali, Canan Çam Gönen, Işıl Özkoçak Turan","doi":"10.54875/jarss.2023.38233","DOIUrl":"https://doi.org/10.54875/jarss.2023.38233","url":null,"abstract":"Objective: We aimed to compare laboratory and outcome of the patients who were hospitalized in the intensive care unit with the diagnosis of Coronavirus Disease-19 (COVID-19) and transfused convalescent plasma based on timing of treatment. Methods: Patients administered 200 mL of convalescent plasma were analysed retrospectively. Based on symptoms’ onset, patients were divided into two groups as early (≤ 7 days) and late (> 7 days) plasma treatment groups. Patients’ characteristics, comorbidities, treatments, laboratory (pre-transfusion, day 1 and day 3 after transfusion) and outcome were evaluated according to groups. Results: A total of 152 patients matched criteria. There was no difference between the early (n=82) and late (n=70) treatment groups in terms of demographic characteristics, comorbidities, treatments, outcomes. Ferritin levels were higher in the early treatment group than in the late treatment group on before transfusion and day 1 (p=0.023, p=0.015). C reactive protein value was lower in the late treatment group on day 3 (p=0.011). Comparing the rate of change between day 1 and day 3 of treatment, it was observed that the changes in ferritin and fibrinogen values were higher in the late group than in the early group (p=0.014, p=0.049). There was no difference between the groups in other laboratory values and outcome. Conclusion: In our study, we observed that the timing of convalescent plasma had no significant effect on outcome. However, more evidence was needed to prove the difference in laboratory results. Keywords: Intensive care unit, COVID-19, convalescent plasma, mortality","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":"41673803","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 Operating Table Tilt on Ultrasonographic Ligamentum Flavum Measurements and Block Success Prior to Spinal Anesthesia in Pregnant Patients","authors":"Feyza Çalışır, B. Bilal, G. Öksüz, M. Arslan, Gökçe Gişi, Cengizhan Yavuz, Hafize Öksüz, A. Doğaner","doi":"10.54875/jarss.2023.89410","DOIUrl":"https://doi.org/10.54875/jarss.2023.89410","url":null,"abstract":"Objective: During pregnancy, changes occur in vertebral anatomy as well as maternal physiological changes that occur in every system. The aim of this study is to compare the ligamentum flavum (LF) lengths and the success rates of spinal interventions made from the longest LF interval of pregnant women in neutral and 10° lateral tilt positions with measurements from different vertebral levels using preprocedural ultrasonography in cesarean neuraxial anesthesia. Methods: The study was carried out with 50 pregnant patients who were scheduled for cesarean section under spinal anesthesia after the approval of the local ethics committee. The patient was seated sideways with her feet hanging down. When the lateral tilt angle of the table is 0° and 10° measurements were made at L3-L4 and L4-L5 levels. Ligamentum flavum, skin-LF distance and interlaminar space were measured. Afterwards, spinal anesthesia was performed at the longest measurement level of LF and at the table angle. Results: At the L3-L4 and L4-L5 levels, LF lengths at 0° table tilt were compared with the LF lengths at 10° lateral tilt position, a significant increase was observed at 10° (p=0.001, p=0.001). According to the condition of applying spinal anesthesia from the angle and interval where the LF is the longest in the study; 54% of the procedures were performed in the L3-L4 level 10° lateral tilt position and 46% of the procedures were performed in the L4-L5 level 10° lateral tilt position. In the 10° lateral tilt position, there was no difference between the L3-L4 and L4-L5 intervals between the number of trials and needle guidance. Conclusion: As a result, using preprocedural vertebral ultrasound and 10° lateral tilt in neuraxial procedures in pregnant women will allow to easily determine the longest interval of LF and to perform successful neuraxial anesthesia with the least number of attempts. Keywords: Anesthesia spinal, pregnancy, ligamentum flavum, neuraxial, ultrasonography","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":"47985883","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":"Efficacy of Sodium Bicarbonate Addition into Local Anesthetic Infiltration for Postoperative Pain Levels After Rhinoplasty","authors":"Nuray Camgoz Eryilmaz, A. Eryilmaz","doi":"10.54875/jarss.2022.12599","DOIUrl":"https://doi.org/10.54875/jarss.2022.12599","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49336148","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":"Critical Illness in Pregnancy and Intensive Care","authors":"Banu Kilicaslan","doi":"10.54875/jarss.2022.48403","DOIUrl":"https://doi.org/10.54875/jarss.2022.48403","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46892862","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 Erector Spinae Plane Block and Serratus Anterior Plane Block for Modified Radical Mastectomy: A Prospective Randomised Study","authors":"Saurabh Sagar, S. Loha, A. Paswan, Arvind Pratap, S. Prakash, A. Rath","doi":"10.54875/jarss.2022.59320","DOIUrl":"https://doi.org/10.54875/jarss.2022.59320","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47003107","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}