Journal of Anesthesiology and Reanimation Specialists' Society最新文献

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Tracheostomy Preferences of Anesthesiology and Reanimation Specialists in Türkiye 土耳其麻醉科和复苏科专科医生对气管切开术的偏好

Journal of Anesthesiology and Reanimation Specialists' Society Pub Date : 2024-01-31 DOI: 10.54875/jarss.2024.24186

Ruslan Abdullayev, Yavuz Kelleci, G. Çakmak, T. Umuroğlu, A. Saraçoğlu

{"title":"Tracheostomy Preferences of Anesthesiology and Reanimation Specialists in Türkiye","authors":"Ruslan Abdullayev, Yavuz Kelleci, G. Çakmak, T. Umuroğlu, A. Saraçoğlu","doi":"10.54875/jarss.2024.24186","DOIUrl":"https://doi.org/10.54875/jarss.2024.24186","url":null,"abstract":"Objective: There has been a trend toward percutaneous tracheostomy in recent years, as anesthesiologists have been interested in this and learned the techniques. We aimed to investigate the perspectives of anesthesiology and reanimation specialists in our country regarding tracheostomy. Methods: A survey was conducted on Anesthesiology and Reanimation specialists, which included questions of tracheostomy experience, preferences. Chi-square or Fisher tests were used for analysis. Results: A total of 213 people (51.2% women) participated, where 29% preferred tracheostomy within the two weeks of intubation, while 66% preferred it later. While 87% of the participants preferred percutaneous tracheostomy, 11% preferred surgical technique. For the specialists who preferred tracheostomy within the first two weeks of intubation, the rate of working in a university hospital was significantly higher (p=0.034). Of those who preferred surgical tracheostomy 91.3% had 0-10 times tracheostomy experience. While 89% of the participants preferred needle, 7% preferred scalpel cricothyrotomy. Conclusion: Tracheostomy is a commonly used procedure by anesthesiologists and intensivists. Bronchoscopy and ultrasonography are frequently used auxiliary tools. University hospital physicians often prefer tracheostomy within the first two weeks of intubation. Those with more tracheostomy experience mostly use the percutaneous method. Contrary to the current guidelines, needle method is preferred for cricothyrotomy in our country. Keywords: Complication, experience, percutaneous, surgery, tracheostomy","PeriodicalId":518125,"journal":{"name":"Journal of Anesthesiology and Reanimation Specialists' Society","volume":"716 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529215","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

Comparative Evaluation of Effect of Propofol, Etomidate and a Combination of Propofol and Etomidate on the Hemodynamic Response to Induction and Endotracheal Intubation: A Prospective Randomized Double Blinded Study 比较评估丙泊酚、依托咪酯以及丙泊酚和依托咪酯组合对诱导和气管插管血流动力学反应的影响：前瞻性随机双盲研究

Journal of Anesthesiology and Reanimation Specialists' Society Pub Date : 2024-01-31 DOI: 10.54875/jarss.2024.68736

Vidarshna Viburajah, Venkatesh Selvaraj

{"title":"Comparative Evaluation of Effect of Propofol, Etomidate and a Combination of Propofol and Etomidate on the Hemodynamic Response to Induction and Endotracheal Intubation: A Prospective Randomized Double Blinded Study","authors":"Vidarshna Viburajah, Venkatesh Selvaraj","doi":"10.54875/jarss.2024.68736","DOIUrl":"https://doi.org/10.54875/jarss.2024.68736","url":null,"abstract":"Objective: Earlier studies have shown favorable hemodynamics with etomidate compared to propofol. Our study aimed to compare the hemodynamic characteristics of intravenous induction with precalculated doses of propofol, etomidate, and a combination of propofol-etomidate in adult surgical patients. Methods: One hundred twenty six patients aged 18 to 50 years of either sex and ASA physical status I scheduled for various surgeries under general anesthesia were recruited. Patients were randomized into three groups. Group P-induced with pre-calculated propofol (2 mg kg-1) intravenous, Group E with etomidate (0.3 mg kg-1) intravenous, and Group PE with propofol (1 mg kg-1) plus Etomidate (0.2 mg kg-1) intravenous. Heart rate, systolic, diastolic, and mean arterial blood pressure at baseline, 2, and 3 minutes after induction and then at 1, 3, 5, and 10 minutes after endotracheal intubation were noted. Results: The percentage change in hemodynamic parameters was significant from the baseline value in the propofol group compared to the etomidate and combination group at all the time intervals. The change in hemodynamic parameters from the baseline value was comparable at 2 and 3 minutes post-induction between etomidate and combination group. At other time intervals, the etomidate group tends to have an increase from the baseline while the combination has less significant change from the baseline value compared to etomidate group. Conclusion: The percentage change in the hemodynamic parameters from the baseline value was less in the combination group compared to the etomidate or propofol group. Keywords: Etomidate, propofol, hemodynamics, intubation","PeriodicalId":518125,"journal":{"name":"Journal of Anesthesiology and Reanimation Specialists' Society","volume":"92 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529124","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

Unilateral Hypoglossal Nerve Palsy After Lumbar Disk Herniation Surgery 腰椎间盘突出症手术后单侧舌下神经麻痹

Journal of Anesthesiology and Reanimation Specialists' Society Pub Date : 2024-01-31 DOI: 10.54875/jarss.2024.45822

Murat Izgi, Adem Halis, Şennur Uzun

{"title":"Unilateral Hypoglossal Nerve Palsy After Lumbar Disk Herniation Surgery","authors":"Murat Izgi, Adem Halis, Şennur Uzun","doi":"10.54875/jarss.2024.45822","DOIUrl":"https://doi.org/10.54875/jarss.2024.45822","url":null,"abstract":"The intrinsic muscles of the tongue are innervated by the 12th cranial nerve, the Nervus Hypoglossus (NH), a pure motor nerve. Following airway management, a complication that can occur is isolated NH paralysis. The patient’s hypoglossal nerve palsy was discussed in this case report. A 50-year-old male patient was scheduled for lumbar disc herniation surgery. Following routine monitoring, the patient underwent induction, and an 8.5-mm spiral endotracheal tube was used for endotracheal intubation. Following the surgery, the patient was transferred to the ward, and after two hours complaints of numbness in the tongue, movement restriction, and speech difficulty began. When he removed his tongue from his mouth, it was deviated to the right. Airway management or prone positioning was suspected as the cause of this condition, and right isolated NH palsy was diagnosed. The methylprednisolone therapy was applied to the patient for one week. After one month, the patient recovered completely without any sequelae. A rare side effect of neuropraxia caused by endotracheal intubation, mask ventilation, bronchoscopy, placement of laryngeal mask airway or prone positioning is isolated NH paralysis. Steroid medication for a short period of time is often effective and curative. Patients undergoing any type of airway manipulation should be aware of the risk of isolated NH palsy. Keywords: Airway management, hypoglossal nerve palsy, methylprednisolone, nervus hypoglossus","PeriodicalId":518125,"journal":{"name":"Journal of Anesthesiology and Reanimation Specialists' Society","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529293","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