Pub Date : 2020-01-01DOI: 10.5336/anesthe.2019-73217
D. Acar, Bilge Banu Taşdemir Mecit, A. Ozkul, İ. Kurt
8 Even though the number of patients waiting for organ transplantation has been increasing in recent years, the number of transplanted organs is insufficient because of the small number of cadaveric organ donations. For this reason, cases of brain death should not be left undiagnosed. It should be kept in mind that the medical condition of patients hospitalized in intensive care units would deteriorate and they might The Effect of Potential Donor Monitoring on Early Diagnosis of Brain Death
{"title":"The Effect of Potential Donor Monitoring on Early Diagnosis of Brain Death","authors":"D. Acar, Bilge Banu Taşdemir Mecit, A. Ozkul, İ. Kurt","doi":"10.5336/anesthe.2019-73217","DOIUrl":"https://doi.org/10.5336/anesthe.2019-73217","url":null,"abstract":"8 Even though the number of patients waiting for organ transplantation has been increasing in recent years, the number of transplanted organs is insufficient because of the small number of cadaveric organ donations. For this reason, cases of brain death should not be left undiagnosed. It should be kept in mind that the medical condition of patients hospitalized in intensive care units would deteriorate and they might The Effect of Potential Donor Monitoring on Early Diagnosis of Brain Death","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"14 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78990368","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}
Pub Date : 2020-01-01DOI: 10.5336/anesthe.2020-74073
A. Yektaş
ABS TRACT Filgrastim is a hematopoietic growth factor that allows blood cells to proliferate and differentiate. Spontaneous splenic rupture and capillary leak syndrome are serious side effects of filgrastim therapy. The patient was followed up in the intensive care unit after burst injury with Crush syndrome and sepsis. Filgrastim was applied due to a decrease in the white blood cell count. The patient's approach to capillary leak syndrome and spontaneous splenic rupture complications is presented. Filgrastim can cause spontaneous splenic rupture and capillary leak syndrome. Splenic should be checked periodically during the use of filgrastim.
{"title":"Spontaneous Splenic Rupture and Capillary Leak Syndrome Due to Filgrastim Use","authors":"A. Yektaş","doi":"10.5336/anesthe.2020-74073","DOIUrl":"https://doi.org/10.5336/anesthe.2020-74073","url":null,"abstract":"ABS TRACT Filgrastim is a hematopoietic growth factor that allows blood cells to proliferate and differentiate. Spontaneous splenic rupture and capillary leak syndrome are serious side effects of filgrastim therapy. The patient was followed up in the intensive care unit after burst injury with Crush syndrome and sepsis. Filgrastim was applied due to a decrease in the white blood cell count. The patient's approach to capillary leak syndrome and spontaneous splenic rupture complications is presented. Filgrastim can cause spontaneous splenic rupture and capillary leak syndrome. Splenic should be checked periodically during the use of filgrastim.","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77692798","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}
Pub Date : 2020-01-01DOI: 10.5336/anesthe.2020-78813
M. Ö. Özhan, M. A. Süzer, B. Atik, M. Eşkin, Hasan Kamburoğlu
{"title":"Different Dosing Regimen of Tranexamic Acid in Adeloscent Idiopathic Scoliosis Surgery: A Retrospective Study","authors":"M. Ö. Özhan, M. A. Süzer, B. Atik, M. Eşkin, Hasan Kamburoğlu","doi":"10.5336/anesthe.2020-78813","DOIUrl":"https://doi.org/10.5336/anesthe.2020-78813","url":null,"abstract":"","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"94 1","pages":"92-99"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91032419","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}
Pub Date : 2020-01-01DOI: 10.5336/anesthe.2020-78686
M. A. Süzer, M. Ö. Özhan, İ. Akkuş, C. Çaparlar, B. Atik, M. Eşkin, M. Polat
aClinic of Anesthesiology and Reanimation, Private Çankaya Hospital, Ankara, TURKEY bDepartment of Anesthesiology and Reanimation, Universty of Health Sciences Yıldırım Beyazıt Training and Research Hospital, Ankara, TURKEY cDepartment of Anesthesiology and Reanimation, Balıkesir University Medical Faculty of Medicine, Balıkesir, TURKEY dDepartment of Anesthesiology and Reanimation, Universty of Health Sciences Gülhane Training and Research Hospital, Ankara, TURKEY eClinic of Orthopaedics and Traumatology, Private Çankaya Hospital, Ankara, TURKEY
{"title":"Anesthetic Management for Hip Arthroscopy: A Retrospective Study","authors":"M. A. Süzer, M. Ö. Özhan, İ. Akkuş, C. Çaparlar, B. Atik, M. Eşkin, M. Polat","doi":"10.5336/anesthe.2020-78686","DOIUrl":"https://doi.org/10.5336/anesthe.2020-78686","url":null,"abstract":"aClinic of Anesthesiology and Reanimation, Private Çankaya Hospital, Ankara, TURKEY bDepartment of Anesthesiology and Reanimation, Universty of Health Sciences Yıldırım Beyazıt Training and Research Hospital, Ankara, TURKEY cDepartment of Anesthesiology and Reanimation, Balıkesir University Medical Faculty of Medicine, Balıkesir, TURKEY dDepartment of Anesthesiology and Reanimation, Universty of Health Sciences Gülhane Training and Research Hospital, Ankara, TURKEY eClinic of Orthopaedics and Traumatology, Private Çankaya Hospital, Ankara, TURKEY","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79122349","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}
Pub Date : 2020-01-01DOI: 10.5336/anesthe.2020-76048
Ahmet Kaplan, S. Göksu
Endotrakeal entübasyon, trakea içine solunum yolunu güvenlik altına almak veya solunumu kontrol etmek amacıyla bir tüp yerleştirilmesi işlemidir. Entübasyon işlemi, havayolunun açık tutulması; havayolu ve solunumun kontrol edilebilmesi; solunum eforunun azalması; aspirasyonun önlenmesi; anestezistin ve diğer aygıtların sahadan uzaklaşması ile cerrahi rahatlık sağlanması; herhangi bir sorun olduğunda resüsitasyon kolaylığı ve ölü boşluk azalması gibi faydalar sağlarken, işlemin zaman alması ve özellikle güçlük çıktığında özel beceri gerektirmesi, daha derin anesteziye gereksinim duyulması ve bazı komplikasyonlara neden olabilmesi gibi sakıncalar taşır.2
{"title":"COVID-19 Infection and Airway Management","authors":"Ahmet Kaplan, S. Göksu","doi":"10.5336/anesthe.2020-76048","DOIUrl":"https://doi.org/10.5336/anesthe.2020-76048","url":null,"abstract":"Endotrakeal entübasyon, trakea içine solunum yolunu güvenlik altına almak veya solunumu kontrol etmek amacıyla bir tüp yerleştirilmesi işlemidir. Entübasyon işlemi, havayolunun açık tutulması; havayolu ve solunumun kontrol edilebilmesi; solunum eforunun azalması; aspirasyonun önlenmesi; anestezistin ve diğer aygıtların sahadan uzaklaşması ile cerrahi rahatlık sağlanması; herhangi bir sorun olduğunda resüsitasyon kolaylığı ve ölü boşluk azalması gibi faydalar sağlarken, işlemin zaman alması ve özellikle güçlük çıktığında özel beceri gerektirmesi, daha derin anesteziye gereksinim duyulması ve bazı komplikasyonlara neden olabilmesi gibi sakıncalar taşır.2","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77303445","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}
Pub Date : 2019-01-01DOI: 10.5336/anesthe.2019-70618
Şeyma Baykan, Zekine Begeç
and considered monitoring for epileptic seizures. We presented anesthesia management of a patient with Aicardi-Gouiteres syndrome which had planned to perform gastrostomy under general anesthesia.
{"title":"Aicardi-Goutieres Sendromlu Çocukta Anestezi Yönetimi","authors":"Şeyma Baykan, Zekine Begeç","doi":"10.5336/anesthe.2019-70618","DOIUrl":"https://doi.org/10.5336/anesthe.2019-70618","url":null,"abstract":"and considered monitoring for epileptic seizures. We presented anesthesia management of a patient with Aicardi-Gouiteres syndrome which had planned to perform gastrostomy under general anesthesia.","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"44 8","pages":"50-53"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91497846","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}
Pub Date : 2019-01-01DOI: 10.5336/anesthe.2019-70717
A. Yektaş
Objective: Intraarticular injections with corticosteroid or medial branch block are traditionally used prevalently in the management of chronic back pain due to lumbar facet joints. However, the evidence levels of these procedures are either at a low or medium level. Radiofrequency neurolysis of the lumbar medial branch can be used as an alternative in the management of lumbar facet joint pain. In this study, our aim retrospective analysed efficiency of conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy in both short and long term. Material and Methods: Patients’ files (n=51) were screened whose administreted conventional radiofrequency. Pre-op and post-op 1st, 3rd, 6th month and 1st, 2nd year visual analog scale (VAS) values of all patients were asked, recorded, and statistically compared. VAS values of the groups in the same months were compared as well. At the end of the second year, Odom criteria of patients were recorded. Results: Pre-operation VAS values and post-operation 1st, 3rd, 6th month and 1st, 2nd year VAS values were compared in patients, and there was a statistically significant difference between pre-operation VAS values and post-operation 1st, 3rd, 6th month and 1st, 2nd year VAS values in patients. Odom criteria patients at the end of the second year, it was observed that the patients were more satisfied with the treatment. Conclusion: Conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy statistically significant decreases VAS values in both short and long term.
{"title":"Retrospective Evaluation of the Short and Long Term Effectiveness of Conventional Radiofrequency Performed for Medial Branch Neurotomy in Patients with Lumbar Facet Joint Pain","authors":"A. Yektaş","doi":"10.5336/anesthe.2019-70717","DOIUrl":"https://doi.org/10.5336/anesthe.2019-70717","url":null,"abstract":"Objective: Intraarticular injections with corticosteroid or medial branch block are traditionally used prevalently in the management of chronic back pain due to lumbar facet joints. However, the evidence levels of these procedures are either at a low or medium level. Radiofrequency neurolysis of the lumbar medial branch can be used as an alternative in the management of lumbar facet joint pain. In this study, our aim retrospective analysed efficiency of conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy in both short and long term. Material and Methods: Patients’ files (n=51) were screened whose administreted conventional radiofrequency. Pre-op and post-op 1st, 3rd, 6th month and 1st, 2nd year visual analog scale (VAS) values of all patients were asked, recorded, and statistically compared. VAS values of the groups in the same months were compared as well. At the end of the second year, Odom criteria of patients were recorded. Results: Pre-operation VAS values and post-operation 1st, 3rd, 6th month and 1st, 2nd year VAS values were compared in patients, and there was a statistically significant difference between pre-operation VAS values and post-operation 1st, 3rd, 6th month and 1st, 2nd year VAS values in patients. Odom criteria patients at the end of the second year, it was observed that the patients were more satisfied with the treatment. Conclusion: Conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy statistically significant decreases VAS values in both short and long term.","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82784787","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}
Pub Date : 2019-01-01DOI: 10.5336/ANESTHE.2019-66057
Ozal Adıyeke, M. Aldemir, Y. Demiraran
ABS TRACT Objective: Total knee arthroplasty (TKA) is a severely painful procedure even with the administration of extensive multimodal analgesics. We aim to assess whether US-guided adductor canal block (ACB) would improve postoperative pain scores and consequently decrease local anesthetic consumption by means of an epidural catheter with patient-controlled anaesthesia (PCA) device after TKA. Material and Methods: This was a retrospective study. Fifty-eight patients who underwent TKA between June 2015 and June 2016 and were fitted with either an epidural catheter with PCA (group A, n=30) or an epidural catheter with PCA followed by ACB (group B, n=28) were included in the study. PCA consumption during the postoperative 24 h and visual analogue scale (VAS) pain scores at 0, 4 and 24 h were determined. Motor block ending time and local anaesthetic drug consumption were also determined. Results: Basal bupivacaine and total bupivacaine consumption were reduced in group B 24 h postoperatively compared to that in group A. ACB reduced VAS score at 0 and 4 h post-operatively during movement. There was no statistically significant difference between VAS scores for each group at 24 h postoperatively. Motor block duration in group B patients who underwent ACB was longer than group A. Conclusion: Adductor canal block is effective for patients undergoing TKA. US-guided ACB reduced 24 h PCA requirements and VAS scores after TKA. ACB is a promising technique in producing effective and prolonged postoperative analgesia for patients undergoing TKA.
{"title":"Analgesic Efficacy of Adductor Canal Block After Total Knee Arthroplasty","authors":"Ozal Adıyeke, M. Aldemir, Y. Demiraran","doi":"10.5336/ANESTHE.2019-66057","DOIUrl":"https://doi.org/10.5336/ANESTHE.2019-66057","url":null,"abstract":"ABS TRACT Objective: Total knee arthroplasty (TKA) is a severely painful procedure even with the administration of extensive multimodal analgesics. We aim to assess whether US-guided adductor canal block (ACB) would improve postoperative pain scores and consequently decrease local anesthetic consumption by means of an epidural catheter with patient-controlled anaesthesia (PCA) device after TKA. Material and Methods: This was a retrospective study. Fifty-eight patients who underwent TKA between June 2015 and June 2016 and were fitted with either an epidural catheter with PCA (group A, n=30) or an epidural catheter with PCA followed by ACB (group B, n=28) were included in the study. PCA consumption during the postoperative 24 h and visual analogue scale (VAS) pain scores at 0, 4 and 24 h were determined. Motor block ending time and local anaesthetic drug consumption were also determined. Results: Basal bupivacaine and total bupivacaine consumption were reduced in group B 24 h postoperatively compared to that in group A. ACB reduced VAS score at 0 and 4 h post-operatively during movement. There was no statistically significant difference between VAS scores for each group at 24 h postoperatively. Motor block duration in group B patients who underwent ACB was longer than group A. Conclusion: Adductor canal block is effective for patients undergoing TKA. US-guided ACB reduced 24 h PCA requirements and VAS scores after TKA. ACB is a promising technique in producing effective and prolonged postoperative analgesia for patients undergoing TKA.","PeriodicalId":23442,"journal":{"name":"Turkiye Klinikleri Journal of Anesthesiology Reanimation","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83365201","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}
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