Anestezi Dergisi最新文献

{"title":"Evaluation of Worry and Anxiety in the Postpandemic Normalization Process in Operating Room Staff","authors":"Esra Doğan, M. Babayiğit, Esra Özayar","doi":"10.54875/jarss.2022.32559","DOIUrl":"https://doi.org/10.54875/jarss.2022.32559","url":null,"abstract":"Objective: The COVID-19 pandemic, which is a rapidly spreading infection, has caused serious stress and anxiety in people, primarily healthcare workers. In our study, we aimed to determine the anxiety of loss of professional skills that may be caused by staying away from operations for a long time due to the pandemic in operating room workers and the reasons that may cause anxiety caused by working under the threat of coronavirus infection during the normalization process. Methods: The population of this cross-sectional study consists of doctors, nurses, technicians, and auxiliary personnel working in the operating room of our hospital. Sociodemographic form, health histories, Worry and Anxiety Questionaire (WAQ) and occupational skill loss anxiety questionnaire were applied to the researchers. Results: Worry and Anxiety (WA) scores and occupational anxiety scores of female healthcare workers were found to be statistically significantly higher than males. It was determined that the WA scores of the anesthesia assistants and operating room nurses were statistically significantly higher than the scores of the surgeons and assistants. It was determined that the WA scores of the participants with chronic disease were statistically significantly higher than those without chronic disease. Conclusion: Psychological support should be continued for health workers who work under intense working conditions and high risk, especially for health workers on the front line, and their family members when necessary. It has been determined that anesthetists and health workers who have previously had psychological disorders and chronic diseases carry a high risk of worry and anxiety, and psychological support should be prioritized. Keywords: COVID-19, anxiety, healthcare workers","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45871819","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":"Use of ProSeal Laringeal Mask Airway Under Bronchoscopy Guidance During Percutaneous Dilatational Tracheostomy","authors":"Eylem Eylem, Ezgi Donmez, Semra Gumus Demirbilek","doi":"10.54875/jarss.2022.77598","DOIUrl":"https://doi.org/10.54875/jarss.2022.77598","url":null,"abstract":"Objective: In the current study, our primary aim is to compare complication rates between using ProSeal laryngeal mask airway (P-LMA) and endotracheal tube (ETT) in bronchoscopy-guided percutaneous dilatational tracheostomy (PDT) procedure. Our secondary aim is to compare the processing time of these two techniques. Methods: Sixty-one adult patients who were intubated in the intensive care unit and scheduled for PDT due to the need for long-term mechanical ventilation were included in the study. The patients were randomly divided into ETT group or P-LMA group under bronchoscopy guidance. Complications related to the procedures and the duration of each procedure were recorded. Hemodynamic measurements, oxygen saturation, arterial blood gas analysis, preferred mechanical ventilation mode, positive end expiratory pressure and mean airway pressure values were recorded before PDT, and 30 minutes after the procedure. Results: A total of 61 cases, 23 (38%) female and 38 (62%) male, participated in the study. Regarding the complication rates between the groups, we encountered more complications in the ETT group and the most common complication was puncture of the cuff of the intubation tube. The procedure time was also significantly shorter in the P-LMA group (P-LMA; 2.5 min, ETT; 3.6 min). Conclusion: Using P-LMA for PDT under bronchoscopy caused lower complication rate than using ETT. In a addition the duration of PDT procedure was shorter in P-LMA group than ETT group. Keywords: Percutaneous dilatational tracheostomy, bronchoscopy, laryngeal mask","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47206238","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 Intravascular Volume Status by Pleth Variability Index in Transurethral Prostate Resections","authors":"Behiç Girgin, Umut Yener Kara, M. Eşkin, Emre Kaya, A. Coşar","doi":"10.54875/jarss.2022.27676","DOIUrl":"https://doi.org/10.54875/jarss.2022.27676","url":null,"abstract":"Objective: Patients with benign prostatic hypertrophy (BPH) are treated with transurethral resection of the prostate (TURP). The passage of irrigation fluid into the systemic circulation can cause hypervolemia, hyponatremia and due to them TURP syndrome with restlessness, confusion, dyspnea, arrhythmia and seizures. The most important point is early diagnosis. Our aim was to reveal the statistical relationship between serum sodium (Na) values and the pleth variability index (PVI) in patients who underwent TURP. Methods: Thirty-three ASA I-III and 40-80 years old patients who underwent TURP under spinal anesthesia were included in the study. The patients were taken to the operating room and standard monitoring was applied. Venous blood samples were taken from the peripheral vascular access before and after the procedure, and Na values were determined; PVI values were recorded at 5-minute intervals from the preoperative period to the postoperative period by performing PVI monitoring. Results: The PVI data correlated with postoperative osmolarity, postoperative Na concentration, resection time and irrigation amount as an early predictor of hypervolemia and seconder hyponatremia. Conclusion: We think that more comprehensive case studies are needed in terms of the usability of PVI, which is a noninvasive method compared to blood gas sampling, an invasive method for the diagnosis of hypervolemia and hyponatremia, and that continuous monitoring and follow-up provide an advantage in early diagnosis. Keywords: Pleth variability index, benign prostatic hypertrophy, TURP, osmolarity, amount of irrigation","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43327747","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":"Investigation of the Attitude and Perceptions of Anesthesiologist and General Practitioners on Referring Patients to Palliative Care Centers: A Survey Study","authors":"Gülten Ütebey","doi":"10.54875/jarss.2022.37167","DOIUrl":"https://doi.org/10.54875/jarss.2022.37167","url":null,"abstract":"Objective: Physicians’ approaches are important in refering patients to palliative care centers (PCC). We aimed to evaluate the perceptions and attitudes of general practitioners and anesthesiologist on patient referral. Methods: Anesthesiologist and general practitioners were included in a face to face or telephone interview method survey; predefined written forms were used to collect data and results were analyzed. Results: The research was completed with 207 participants. Groups were different regarding their knowledge about PC, most of the general practitioners responded “I know a litle” and anesthesiologists responded “I know what it is, I can explain it to someone else” (p=0.002). The answers to the question of which patients should be referred to PCC (“End-stage cancer patients” [p=0.018], “Patients referred home care services” [p=0.003] and “Patients having chronic ilness without adequate symptom control” [p=0.004], “Patients having total parenteral nutrition” [p=0.001], “Precence of pressure ulcer” [p<0.001], “Patients refusing discharge” [p=0.037] ) were different between anesthesiologists and general practitioners. Conclusion: Anesthesiologists and general practitioners refer patients with different diagnoses and conditions to PCC and knowledge about patient referral to PC is different. Keywords: Palliative care, anesthesiologist, general practitioner, survey","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46590583","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":"Anesthesia Management and Use of Ultrasonography in Patients Undergoing Whole Lung Lavage Under General Anesthesia: A Retrospective Analysis","authors":"V. Şıvgın, Aycan Özdemirkan, Y. Ünal, N. Köktürk","doi":"10.54875/jarss.2022.98250","DOIUrl":"https://doi.org/10.54875/jarss.2022.98250","url":null,"abstract":"Objective: Whole lung lavage (WLL) is a treatment procedure for pulmonary alveolar proteinosis (PAP), in which lung is washed with large amounts of saline in a controlled manner. Our aim is to analyze the anesthesia management and the ultrasonography use during WLL, retrospectively. Methods: Preoperative and perioperative anesthesia related data and data on the use of ultrasonography of 19 WLL precedures of 11 patients, with PAP, performed between January 2018 and December 2020 were evaluated. Results: A statistically significant difference was found in the partial oxygen pressure and peripheral oxygen saturation values of the patients after WLL when compared to the pre-procedure (p<0.001). The number of patients who required O2 decresaed to 1 from 9 after WLL (p=0.008) Complications were recorded in only 4 of 19 procedures. While only hypoxia was observed during one procedure, hypoxemia and fluid leakage were detected during two procedures. Hypoxemia, fluid leakage and hypotension were detected in one procedure. Conclusion: Whole lung lavage procedure is safe when performed by an experienced and coordinated team in management of PAP patients. We think that ultrasonography may play an effective role in continuing the procedure safely and in early diagnosis of complications that may occur during WLL. Keywords: Pulmonary alveolar proteinosis, whole lung lavage, general anesthesia, lung ultrasound","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42073087","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 Comparative Study on the Analgesic Efficacy of Bilateral Suprazygomatic Maxillary Nerve Block Under Ultrasound Guidance with 0.25% Bupivacaine and 0.25% Bupivacaine with Dexmedetomidine in Paediatric Patients Undergoing Cleft Palate Repair - A Randomized Prospective Double Blinded Study","authors":"Arulmozhiyal Ramasamy, S. Sukumar, Prabavathi Srinivasan, Venkata Rajesh Kumar Kodali, Akilandeswari Manickam, A. Parameswari, M. Vakamudi","doi":"10.54875/jarss.2022.36744","DOIUrl":"https://doi.org/10.54875/jarss.2022.36744","url":null,"abstract":"Objective: Cleft palate repair involves surgery on the both hard and soft palate leading to severe pain, intense sympathetic stimulation, and bleeding. In our study we analysed the analgesic efficacy of bupivacaine alone and bupivacaine with dexmedetomidine in ultrasound guided bilateral suprazygomatic maxillary nerve block (SMN) for cleft palate repair. Methods: This study was a randomized prospective double-blinded study. Fourty six children of the ASA class I and II posted for cleft palate repair were randomized into Group A and Group B. In Group A, 23 children had SMN block with 0.15 mL kg-1 of 0.25% bupivacaine with saline and the same procedure was repeated on other side. In Group B, 23 children received SMN block with a volume of 0.15 mL kg-1 of 0.25% bupivacaine with dexmedetomidine 0.5 µg kg-1 on each side. Primary outcomes analysed were pain scores in post operative period by Children and Infants Post-Operative Pain Scale (CHIPPS) and the analgesia duration. Postoperative pain scores were analysed at 30 minutes intervals for 2 hours in Post Anaesthesia Care Unit (PACU) and at every 2 hours interval for 24 hours in the postoperative ward. Results: Group A and B were comparable in demographic variables like age, gender, weight, ASA status, and duration of surgery. Children in Group B had significantly longer duration of analgesia when compared to that of Group A (12±4.73 hours vs 5.41± 3.9 hours) (p=0.003). Children had significantly lower pain scores in Group B at zero min in PACU (p=0.04), after 90 min (p=0.02), at 2 hours (p<0.001), 4 hours (p<0.001), 6 hours (p=0.006) and at 8 hours (p=0.02) when compared to that in Group A. Conclusion: Children who received bupivacaine with dexmedetomidine in SMN block had a longer analgesia duration and lesser postoperative pain scores than children who received bupivacaine alone. Keywords: Maxillary nerve block, Dexmedetomidine, pain scores, postoperative analgesia, rescue analgesia","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48146132","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 Two Different Doses Protocol of Bupivacaine for Femoral Block on Postoperative Analgesia: A Retrospective Analysis of Single Center Data","authors":"A. Selvi, Gökhan Yılıdız, Erbil Türksal, Rıdvan Özbek, M. C. Okkaoğlu, Esra Özayar","doi":"10.5222/jarss.2021.68553","DOIUrl":"https://doi.org/10.5222/jarss.2021.68553","url":null,"abstract":"INTRODUCTION: In our study, we aimed to compare the analgesic efficacy, side effect profile and its effect on opioid consumption of the femoral nerve block applied with different concentrations of local anesthetic agents (%0.5 bupivacaine and %0.25 bupivacaine) in the same volume (20 mL) after total knee replacement (TKR) operation. METHODS: The files of patients who underwent unilateral TKR surgery under spinal anesthesia between August 2018 and June 2019 were retrospectively reviewed. A total of 163 patients were included in the study, 81 patients in group 1 who received %0.25 bupivacaine, and 82 patients in group 2 who received %0.50 bupivacaine for femoral block. The highest visual analogue pain scale (VAS) scores in the postoperative 24 hours, the amount of tramadol requested and consumed with intravenous patient-controlled analgesia (PCA) devices, and whether there was a significant difference in terms of side effects (nausea, vomiting, motor and sensory deficit) were analyzed. RESULTS: The highest VAS score in group 1 was 2.95 ± 1.31, in group 2 it was 2.84 ± 1.06, and there was no significant difference between them. The mean consumption of tramadol was 197.04 ± 92.03 mg in group 1 and 208.05 ± 85.06 mg in group 2. There was no difference between the demand and consumption of tramadol and side effects. DISCUSSION AND CONCLUSION: 20 mL %0.25 bupivacaine for the femoral block provided the equivalent analgesic efficacy to the same volume of %0.50 bupivacaine. We think that the use of % 0.25 bupivacaine is a more reliable option to reduce systemic side effects, motor block risk and complications.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":"156 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73734131","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 Tanısı veya Şüphesi olan Erişkin Hastalarda Kardiyopulmoner Resüsitasyon Uygulamaları","authors":"S. Akin, Handan Birbiçer, Nurcan Doruk, G. Keleş, Şule Özbilgin","doi":"10.5222/JARSS.2021.59354","DOIUrl":"https://doi.org/10.5222/JARSS.2021.59354","url":null,"abstract":"Cardiopulmonary resuscitation (CPR) includes all treatment procedures during cardiac arrest. Resuscitation of patients with diagnosed or suspected of COVID-19 is particularly important in terms of protection and reducing the risk of transmission. In this review, the basic and advanced life support recommendations of Turkish Resuscitation Council for adult patients with a definite or probable diagnosis of COVID-19 are explained within the algorithm framework.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75922618","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":"Wilson Hastalığı Olan Gebede Sezaryen Ameliyatında Spinal Anestezi Uygulaması","authors":"Harun Özmen, Bahar Aydinli","doi":"10.5222/jarss.2021.10337","DOIUrl":"https://doi.org/10.5222/jarss.2021.10337","url":null,"abstract":"Wilson's disease is an autosomal recessive inherited chronic disease that occurs as a result of the deposition of copper in organs and tissues with impaired biliary excretion. With this case report, we aimed to share our experience in cesarean anesthesia in a pregnant woman with Wilson disease who had irregular medical follow-up and underwent chelation therapy.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78078056","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 Use Of Intravenous Immunoglobulin For The Treatment Of Severe Covid-19: Case Presentation For Three Patients","authors":"Nuh Kumru, Saliha Yarimoglu, Tayfun Et, Rafet Yarımoglu, Muhammet Korkusuz","doi":"10.5222/jarss.2021.32032","DOIUrl":"https://doi.org/10.5222/jarss.2021.32032","url":null,"abstract":"Although the treatment of the hyperinflammatory response due to COVID-19 has not yet been found, high-dose corticosteroids, interleukin receptor blockers and intravenous immunoglobulin (IVIG) are used to improve the hyperinflammatory response.In this article, we aimed to share our experiences with 3 patients who received IVIG therapy in ICU.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87043185","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}