Anestezi Dergisi最新文献_第6页

Neuromodulation Therapy in Chronic Pain and Clinical Outcomes: A Single-Center Experience 慢性疼痛的神经调节治疗和临床结果:单中心经验

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.45762

D. Guner, Burcu Ozalp Horsanali, Oğuzhan Yeniay, C. Eyigor

{"title":"Neuromodulation Therapy in Chronic Pain and Clinical Outcomes: A Single-Center Experience","authors":"D. Guner, Burcu Ozalp Horsanali, Oğuzhan Yeniay, C. Eyigor","doi":"10.54875/jarss.2022.45762","DOIUrl":"https://doi.org/10.54875/jarss.2022.45762","url":null,"abstract":"Objective: Neuromodulation therapies are successful treatment options for pain raised from a variety of etiologies. Careful patient selection and multidisciplinary evaluation are essential to achieve the best outcome. We aimed to discuss the common indications of neuromodulation therapies, efficacy, and clinical outcomes of patient follow-up to 3 and 6 months. Methods: Twentytree patients completed the 6-month follow-up: four underwent cervical spinal cord stimulation (SCS), sixteen had thoracic SCS, and three had sacral neuromodulation (SNS). Outcome measures were pain (visual analog scale[VAS]), quality of life (36-Item Short Form Survey [SF-36]), Oswestry Disability Index [ODI]), and the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) neuropathic pain scale questionnaire. The overactive bladder assessment form and the pelvic pain impact questionnaire were performed on patients who would undergo SNS. Results: A significant difference was shown in regards to the scores of the VAS, SF-36 parameters, ODI, and LANSS between admission and the third and sixth-month follow-ups (p<0.001). Visual Analog Scale, ODI, and LANSS sixth-month scores were also lower than the third-month scores (p=0.001). There were no significant differences between the groups in terms of sex. Conclusion: Neuromodulation therapies provide short and longterm pain relief and quality-of-life improvements in patients with refractory chronic pain syndromes. back surgery syndrome, quality of life of","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43763119","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

Percutaneous Dilatational Tracheostomy with Bronchoscopic Guidance in Intensive Care Unit 经皮支气管镜引导扩张气管造口术在重症监护室的应用

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.49344

A. Koç

{"title":"Percutaneous Dilatational Tracheostomy with Bronchoscopic Guidance in Intensive Care Unit","authors":"A. Koç","doi":"10.54875/jarss.2022.49344","DOIUrl":"https://doi.org/10.54875/jarss.2022.49344","url":null,"abstract":"Objective: Tracheostomy is one of the most common invasive procedures in emergency rooms, intensive care units, and the bedside. In the intensive care unit, tracheostomies are most often used for prolonged mechanical ventilation, to preserve the airway and to permit pulmonary drainage. Percutaneous dilatational tracheostomy (PDT) was performed using the Seldinger method. To minimize tracheal posterior wall damage, bronchoscopy guidance was used to determine the proper spot for tracheal puncture, guide real-time needle entry into the trachea, and confirm cannula position. This study introduces bronchoscopy-guided modified mini-surgical PDT and aims to evaluate early complications with 388 case analyses. Methods: Demographic data from patients, intensive care indications, APACHE-2 scores, duration of stay on the ventilator before tracheostomy, total duration of stay, and early complications during tracheostomy were recorded by analyzing patient files. All data from PDT patients between 2018 and 2022 were retrospectively reviewed. Results: Of 492 tracheostomies, 388 (78.8%) were opened percutaneously. The mean and median duration of stay on the ventilator before tracheostomy were 12.95 and 12 days, respectively. The mean and median duration lengths of stay were 29.43 and 14.355 days, respectively. The most common indication for tracheostomy was chronic obstructive pulmonary disease in 70 (18%), patients. Complications related to tracheostomy were observed in 19 patients, representing a complication rate of 4.9%. Of these, 2 (0.5%) bleeds stopped with cautery, and 2 (0.5%) bronchospasms occurred during the procedure. Conclusion: Percutaneous dilatational tracheostomy is a simple and safe tracheostomy method. Its use with bronchoscopy can facilitate the procedure and minimize the complications that may occur.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42281804","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: 1

The Effect of Smoking Habit on Morbidity and Mortality in COVID-19 Intensive Care Patients 吸烟习惯对新冠肺炎重症监护患者发病率和死亡率的影响

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.67984

F. Atar, S. Altinsoy, Eda Macit Aydın, H. Dayanır, MURAT M. Sayin, J. Ergil

{"title":"The Effect of Smoking Habit on Morbidity and Mortality in COVID-19 Intensive Care Patients","authors":"F. Atar, S. Altinsoy, Eda Macit Aydın, H. Dayanır, MURAT M. Sayin, J. Ergil","doi":"10.54875/jarss.2022.67984","DOIUrl":"https://doi.org/10.54875/jarss.2022.67984","url":null,"abstract":"Objective: In smokers, COVID-19 may have a more severe course due to impaired mucociliary activity, increased permeability, and inflammation of the airway epithelium. However, data on the impact of smoking in patients with COVID-19 pneumonia are conflicting. The study aimed to evaluate the effects of smoking on laboratory parameters, intensive care unit (ICU) length of stay, length of hospital stay, and mortality in COVID-19 patients hospitalized in the intensive careunit. Method(s): Medical records of 576 patients who were followed up in the ICU for COVID-19 between January and September 2021 were analyzed retrospectively. Demographic data, comorbidities, laboratory parameters (hemoglobin, white blood cell (WBC), lymphocyte, neutrophil, thrombocyte, AST, ALT, CRP, D-dimer, ferritin, BNP, albumin), ICU and hospital stay of the patients were recorded. The patients were divided into 2 groups according to whether they smoked or not. Result(s): The data of 576 patients were evaluated in the study. The mean age of the patients was 69 14.8 years, and 53.8% were male. The smoking rate was 30%, and the smoking rate in men was 76.9%. The intensive care unit admission age of smokers was lower than non-smokers (p=0.01). The presence of coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), and malignancy was significantly higher in smokers. Among the laboratory parameters, white blood cell count (WBC) and neutrophil were higher in smokers (p=0.01). There was no relationship between ICU length of stay, length of hospital stay, and mortality in smokers (p=0.769, p=0.699, p=0.852, respectively). Conclusion(s): We did not find any significant association between smoking and COVID-19 mortality. We recommend clinicians to monitor WBC and neutrophil count closely as markers of possible progression to critical illness in patients hospitalized in the ICU due to smoking COVID-19. Copyright © 2022 Anestezi Dergisi. All rights reserved.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45782983","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

Can Mechanical Power be Used as a Safety Precaution in Pediatric Patients? 机械动力可以作为儿科患者的安全预防措施吗?

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.83713

A. Yuksek, O. Miniksar, Cevdet Yardımcı, Aysegul Parlak Cikrikci

{"title":"Can Mechanical Power be Used as a Safety Precaution in Pediatric Patients?","authors":"A. Yuksek, O. Miniksar, Cevdet Yardımcı, Aysegul Parlak Cikrikci","doi":"10.54875/jarss.2022.83713","DOIUrl":"https://doi.org/10.54875/jarss.2022.83713","url":null,"abstract":"Objective: Mechanical power (MP) is the amount of energy transferred to the respiratory system of patients during each breath period. After overcoming the resistances required for respiration, the remaining energy may end up by damaging the lung parenchy -ma. The MP limit that should not be exceeded in pediatric patients is not yet clear. The aim of this observational descriptive study is to compare the perioperative MP measurements in healthy pedi atric cases with the values given in the literature. Methods: Perioperative MP was calculated according to the sim plified MP formula in pediatric patients without known lung dis ease and compared with the literature. Results: The mean age of 34 patients was 68.88±31.4 months and the mean weight was 21.82±7.5 kg. The mean MP was 3.93±1.1 J min -1 , and the indexed MP was 0.19±0.08 J min -1 kg -1 . Both MP (p=0.008) and indexed MP (p<0.001) were significantly higher in patients with high tidal volume. In addition, we found a neg ative correlation between indexed MP and weight (r: -668 and p<0.001). Both MP and indexed MP had sufficient predictive pow er to predict tidal volume >10 and predictive value was significant [Auc: 0.764, 95%CI: 0.55-0.97, p: 0.026]. The value of MP>3.76 was an indicator for tidal volume >10 with 87 sensitivity and 50 specificity. Predictive value of indexed MP for tidal volume >10 mL kg -1 was 0.25 J kg -1 [AUC 0.856, 95%CI: 0.70-1.0, p=0.003], and indexed MP was a stronger indicator than MP. Conclusion: This study revealed that MP threshold values calculated for adults or patients with ARDS lung are not sensitive for pe diatric patients, and a new threshold value should be determined for these patients.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46750945","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 Effectiveness of Regional Analgesia Techniques in Thoracoscopic Surgeries: A Retrospective Single-Center Study 胸腔镜手术中局部镇痛技术的有效性:一项回顾性单中心研究

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.49469

Sami Kaan Coşarcan, Omur Ercelen

{"title":"The Effectiveness of Regional Analgesia Techniques in Thoracoscopic Surgeries: A Retrospective Single-Center Study","authors":"Sami Kaan Coşarcan, Omur Ercelen","doi":"10.54875/jarss.2022.49469","DOIUrl":"https://doi.org/10.54875/jarss.2022.49469","url":null,"abstract":"Objective: Appropriate pain treatment before, during, and after surgery positively affects the immune system and prevents chron ic pain. Postoperative thoracotomy pain is both severe and diffi cult to manage. In addition to systemic opioid and non-opioid an -algesics, neuraxial analgesic techniques such as thoracic epidural analgesia or thoracic paravertebral block are widely applied for pain control. Various fascial plane blocks are also used in thoracic surgery. The purpose of this study was to investigate the analge sic effectiveness of regional analgesia techniques used in thoracic surgeries in our clinic. Methods: Following receipt of approval from the Koç University Clinical Research Ethics Committee, the records of 372 patients who underwent video-assisted thoracoscopic surgeries at the VKV American Hospital, Turkey, between January 2019 and December 2021 were reviewed retrospectively. Results: Patients who received epidural analgesia exhibited statis tically significantly lower pain scores and postoperative addition al analgesic needs (p<0.001). Rhomboid intercostal subserratus block as the most effective option for postoperative analgesia among alternative regional analgesia methods according to post operative pain scores and postoperative opioid consumption. Conclusion: We still recommend thoracic epidural as the first choice for patient comfort, especially in clinics where thoracic an esthesia experience is high. Moreover, with the increasing preva lence of fascial plane blocks, we think that rhomboid intercostal blocks may be an important alternative in thoracic surgery.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43912601","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 Comparison of the Efficacy of Pulsed Radiofrequency of the Suprascapular Nerve and Combined Transcutaneous Radiofrequency Techniques in Supraspinatus Tendinopathies 肩胛上神经脉冲射频与经皮射频联合治疗冈上肌腱病疗效的回顾性比较

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.17362

Çiğdem Yalçın, Guldane Karabakan

引用次数: 0

A Laryngeal Web with Tracheo-Esophageal Fistula: Anaesthesiologist Skating on a Thin Ice 喉网伴气管-食管瘘:麻醉师如履薄冰

Anestezi Dergisi Pub Date : 2022-10-24 DOI: 10.54875/jarss.2022.66934

A. Rath, Abha Singh, D. Reena, P. Shukla, Sarita Choudhary, S. Sharma, Kairi Dibo

引用次数: 0

The Effects of Fresh Gas Flow on Emergence Agitation for Gynecologic Surgery: A Clinical Study 新鲜气流对妇科手术急诊激动作用的临床研究

Anestezi Dergisi Pub Date : 2022-07-29 DOI: 10.54875/jarss.2022.71677

A. Tas Tuna, Gürkan Demir, H. Kocayiğit, A. F. Erdem

{"title":"The Effects of Fresh Gas Flow on Emergence Agitation for Gynecologic Surgery: A Clinical Study","authors":"A. Tas Tuna, Gürkan Demir, H. Kocayiğit, A. F. Erdem","doi":"10.54875/jarss.2022.71677","DOIUrl":"https://doi.org/10.54875/jarss.2022.71677","url":null,"abstract":"ABSTRACT Objective: This prospective study aimed to determine whether low flow anesthesia (LFA) has an effect on emergence agitation in women who underwent laparotomic gynecologic surgeries. Method: Sixty four female patients were enrolled in this prospective randomized study. The patients were randomly allocated into two groups: Group 2 and Group 0.5. The fresh gas flow (FGF) rate was set at 4 L min-1 in both groups, initially. When all patients reached 1 minimum alveolar concentration of sevoflurane, the FGF rate was reduced to 2 L min-1 in Group 2 and 0.5 L min-1 in Group 0.5. For Group 0.5, vapor was closed 15 minutes before the end of surgery, while it was closed at the end of the operation for Group 2. At the end of the surgery, the FGF rate was increased to 4 L min-1. Emergence agitation was assessed using the Riker Sedation Agitation Scale (SAS) in the post-anesthesia care unit at 5, 10, 20 and 30th minutes. Results: Emergence agitation was observed in 5 patients, no significant difference was found between two groups. For all evaluation times, number of patients with SAS=4 was significantly higher in Group 0.5, while the number of patients with SAS<4 was significantly higher in Group 2 (p<0.05). Conclusion: The number of patients who are calm and cooperative was higher in LFA. Keywords: Emergence agitation, general anesthesia, fresh gas flow","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42399279","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

After Euroanaesthesia 2022 2022年欧洲麻醉后

Anestezi Dergisi Pub Date : 2022-07-29 DOI: 10.54875/jarss.2022.38980

Selin Erel

引用次数: 0

The Effect of Ultrasound-Guided Transversus Abdominis Plane Block on Chronic Pain Experienced After Inguinal Hernia Surgery: A Retrospective Cohort Study 超声引导下经腹平面阻滞对腹股沟疝术后慢性疼痛的影响：回顾性队列研究

Anestezi Dergisi Pub Date : 2022-07-29 DOI: 10.54875/jarss.2022.97752

F. Şimşek, G. Ozkan

{"title":"The Effect of Ultrasound-Guided Transversus Abdominis Plane Block on Chronic Pain Experienced After Inguinal Hernia Surgery: A Retrospective Cohort Study","authors":"F. Şimşek, G. Ozkan","doi":"10.54875/jarss.2022.97752","DOIUrl":"https://doi.org/10.54875/jarss.2022.97752","url":null,"abstract":"ABSTRACT Objective: The purpose of this retrospective study was to see how efficient ultrasound-guided transversus abdominis plane (TAP) block was on the incidence of chronic postoperative pain developing after inguinal hernia surgery. Methods: The records of patients who had unilateral elective grafted inguinal hernia surgery with the Lichtenstein procedure under general anesthesia between July 2018 and October 2019 were examined retrospectively. The patients were placed into two groups (total=70): those who did not receive intraoperative TAP block (Group 1, n=38) and those who received (Group 2, n=32). The patients were contacted by phone 6 months after the procedure, and it was learned and recorded whether they had chronic pain before the operation, the nature of the pain if any, whether it limited their daily activities or not. The Numerical Rating Scale was used to measure chronic pain, and values of 3 and above were considered chronic pain. Results: This study comprised a total of 70 participants, with 38 patients in Group 1 and 32 patients in Group 2. Patients with chronic pain incidence in the postoperative 6th month (n=21) accounted for 30% of all patients. There was no significant difference between the groups regarding chronic pain development [Group 1 (n=14, 36.8% ), Group 2 (n=7, 21.8%)]. It was observed that the patients’ pain was predominantly in the burning style. Conclusion: We concluded that the ultrasound-guided TAP block had no significant effect on the development of chronic pain. Keywords: Postoperative chronic pain, transversus abdominis plane block, inguinal herniorrhaphy","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49124672","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