Pub Date : 2022-07-29DOI: 10.54875/jarss.2022.69370
O. Özlü
Craniosynostosis is premature fusion of one or more cranial sutures. In isolated craniosynostosis, surgical procedures are applied to ensure normal brain development and normal cognitive functions, to correct cosmetic deformities in order to prevent psychosocial negative consequences. The fact that they are mostly infants, combined with significant blood loss in the perioperative period, makes these cases challenging for the anesthetist. Ensuring airway safety, coping with metabolic complications related to blood transfusions and infusion of electrolyte fluids, preventing hypothermia, postoperative pain management, treatment of nausea and vomiting are the main subjects of anesthesia management. Excellent results can be obtained with proper preoperative planning, monitoring and timely blood and fluid infusion. Keywords: Craniosynostosis, anesthesia, neurosurgery
{"title":"Anesthesia Management for Craniosynostosis Surgery","authors":"O. Özlü","doi":"10.54875/jarss.2022.69370","DOIUrl":"https://doi.org/10.54875/jarss.2022.69370","url":null,"abstract":"Craniosynostosis is premature fusion of one or more cranial sutures. In isolated craniosynostosis, surgical procedures are applied to ensure normal brain development and normal cognitive functions, to correct cosmetic deformities in order to prevent psychosocial negative consequences. The fact that they are mostly infants, combined with significant blood loss in the perioperative period, makes these cases challenging for the anesthetist. Ensuring airway safety, coping with metabolic complications related to blood transfusions and infusion of electrolyte fluids, preventing hypothermia, postoperative pain management, treatment of nausea and vomiting are the main subjects of anesthesia management. Excellent results can be obtained with proper preoperative planning, monitoring and timely blood and fluid infusion. Keywords: Craniosynostosis, anesthesia, neurosurgery","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45354404","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 : 2022-07-29DOI: 10.54875/jarss.2022.03274
A. Guler, N. Ozcan
ABSTRACT Objective: Despite numerous strategies for preventing or alleviating pain associated with propofol and rocuronium injections, it remains common and distressing for patients. Application of vibration is an effective method of reducing pain during facial cosmetic injections and some venipuncture procedures. But it has been studied in limited trials for the context of propofol or rocuronium injection pain. This randomized study aims to evaluate the effect of vibration anesthesia on the incidence and severity of propofol and rocuronium injection pain. Methods: Fifty-one patients who underwent elective gynecologic operations under general anesthesia, were randomized, into two groups. On the dorsal side of the hand, a 20 G intravenous cannula was inserted. In Group V (n=25), propofol and rocuronium was administered following 1 minute of pre-treatment with the vibration device on the intravenous catheter trace. In Group C (n=26) vibration was not applied before drug administration. Propofol pain was recorded according to McCrirrick and Hunter scale and rocuronium injection pain response was evaluated with a four-point scale. Results: The number of patients who experienced propofol injection pain, in the vibration group was significantly lower than in the control group (p=0.007). The percentage of pain free patients in Group V was 88%, whereas 46% in Group C. The incidence of withdrawal movements associated with rocuronium injection pain was also significantly lower in Group V (p=0.043). Percentage of pain free patients in Group V was 28% whereas 3.8% in Group C. Conclusion: Vibration anesthesia before propofol and rocuronium injection significantly reduced the injection pain. Keywords: Injection pain, propofol, rocuronium, vibration
{"title":"Vibration Anesthesia for Propofol-Rocuronium Injection Pain","authors":"A. Guler, N. Ozcan","doi":"10.54875/jarss.2022.03274","DOIUrl":"https://doi.org/10.54875/jarss.2022.03274","url":null,"abstract":"ABSTRACT Objective: Despite numerous strategies for preventing or alleviating pain associated with propofol and rocuronium injections, it remains common and distressing for patients. Application of vibration is an effective method of reducing pain during facial cosmetic injections and some venipuncture procedures. But it has been studied in limited trials for the context of propofol or rocuronium injection pain. This randomized study aims to evaluate the effect of vibration anesthesia on the incidence and severity of propofol and rocuronium injection pain. Methods: Fifty-one patients who underwent elective gynecologic operations under general anesthesia, were randomized, into two groups. On the dorsal side of the hand, a 20 G intravenous cannula was inserted. In Group V (n=25), propofol and rocuronium was administered following 1 minute of pre-treatment with the vibration device on the intravenous catheter trace. In Group C (n=26) vibration was not applied before drug administration. Propofol pain was recorded according to McCrirrick and Hunter scale and rocuronium injection pain response was evaluated with a four-point scale. Results: The number of patients who experienced propofol injection pain, in the vibration group was significantly lower than in the control group (p=0.007). The percentage of pain free patients in Group V was 88%, whereas 46% in Group C. The incidence of withdrawal movements associated with rocuronium injection pain was also significantly lower in Group V (p=0.043). Percentage of pain free patients in Group V was 28% whereas 3.8% in Group C. Conclusion: Vibration anesthesia before propofol and rocuronium injection significantly reduced the injection pain. Keywords: Injection pain, propofol, rocuronium, vibration","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43730994","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 : 2022-07-29DOI: 10.54875/jarss.2022.25348
Mustafa Sari, Erhan Ozyurt
ABSTRACT Objective: We aimed to investigate the effectiveness of the leg raising (LR) method in preventing spinal anesthesia-induced hypotension in elective cesarean section (C/S) operations. Methods: One hundred and forty term pregnant women were included in the study. The patients were divided into two groups as leg raising group (Group L, n=70) and the control group (Group C, n=70). After spinal anesthesia, a cushion was placed under the heels of the patients in Group L at an angle of 30 degrees with the horizontal plane. No intervention was made in Group C. The patients’ hemodynamic and operation data were recorded at determined intervals. Results: In Group L, hypotension was observed in 29 (41.4%) patients while 54 (77.1%) patients developed hypotension in Group C (p<0.001). Systolic and diastolic blood pressure values at the 2nd and 3rd minutes after spinal anesthesia were found to be higher in Group L (p<0.05). Furthermore, compared to Group C, the amount of ephedrine used in Group L was found to be lower (9.9±14.2 mg vs. 15.9±11.9 mg, p=0.007). Conclusion: The LR method applied in C/S operations reduces spinal anesthesia-induced hypotension and thus causes the need for less vasopressor. Keywords: Cesarean section, spinal anesthesia, leg raising, hypotension
【摘要】目的:探讨择期剖宫产(C/S)手术中抬高腿(LR)法预防脊髓麻醉所致低血压的有效性。方法:选取140例足月孕妇为研究对象。将患者分为抬腿组(L组，n=70)和对照组(C组，n=70)。L组患者脊髓麻醉后，在患者足跟下放置褥垫，与水平面成30度角。c组不进行干预，每隔一段时间记录患者的血流动力学和手术数据。结果:L组29例(41.4%)患者出现低血压，C组54例(77.1%)患者出现低血压(p<0.001)。腰麻后第2、3分钟收缩压、舒张压均高于对照组(p<0.05)。此外，与C组相比，L组的麻黄碱用量更低(9.9±14.2 mg vs. 15.9±11.9 mg, p=0.007)。结论:在C/S手术中应用LR方法可减少脊髓麻醉引起的低血压，从而减少对血管加压药的需求。关键词:剖宫产，脊髓麻醉，抬腿，低血压
{"title":"Does Leg Raising Prevent Spinal-Induced Hypotension in Elective Cesarean Sections? A Randomized Controlled Study","authors":"Mustafa Sari, Erhan Ozyurt","doi":"10.54875/jarss.2022.25348","DOIUrl":"https://doi.org/10.54875/jarss.2022.25348","url":null,"abstract":"ABSTRACT Objective: We aimed to investigate the effectiveness of the leg raising (LR) method in preventing spinal anesthesia-induced hypotension in elective cesarean section (C/S) operations. Methods: One hundred and forty term pregnant women were included in the study. The patients were divided into two groups as leg raising group (Group L, n=70) and the control group (Group C, n=70). After spinal anesthesia, a cushion was placed under the heels of the patients in Group L at an angle of 30 degrees with the horizontal plane. No intervention was made in Group C. The patients’ hemodynamic and operation data were recorded at determined intervals. Results: In Group L, hypotension was observed in 29 (41.4%) patients while 54 (77.1%) patients developed hypotension in Group C (p<0.001). Systolic and diastolic blood pressure values at the 2nd and 3rd minutes after spinal anesthesia were found to be higher in Group L (p<0.05). Furthermore, compared to Group C, the amount of ephedrine used in Group L was found to be lower (9.9±14.2 mg vs. 15.9±11.9 mg, p=0.007). Conclusion: The LR method applied in C/S operations reduces spinal anesthesia-induced hypotension and thus causes the need for less vasopressor. Keywords: Cesarean section, spinal anesthesia, leg raising, hypotension","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939478","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 : 2022-07-29DOI: 10.54875/jarss.2022.58076
S. Kaya, S. Celik, E. Y. Akcaboy, Hamit Goksu, M. Ayhan, S. Sahin
ABSTRACT Objective: To study the effect of lumbar sympathetic block (LSB) with a mixture of local anesthetics and steroids on pain in patients with chronic ischemic lower limb disease. Methods: Retrospectively 23 patients were reviewed with peripheral arterial disease who underwent LSB using a mixture of 8 mg of dexamethasone, 80 mg of 2% lidocaine, and 4 mL of saline at 2 levels, L2 and L4, under the guidance of fluoroscopy. Recordings of the Visual Analog Scale (VAS) scores at 3 days before the blockage, and 1 month and 3 months after treatment were obtained. Results: The study included 20 (87%) male and 3 (13%) female patients. The mean age of the patients was 59.65±13.33 years. The patients’ post-blockage 3rd day, and 1st and 3rd month VAS scores were significantly lower than the baseline VAS scores (p<0.05). The proportion of patients with 50% improvement in the VAS scores at 3rd days, and 1st and 3rd months was 47.8%, 21.7%, and 21.7%, respectively. No complications or side effects were observed. Conclusion: Lumbar sympathetic block with a mixture of local anesthetics and steroids appears to be effective in patients who have non-reconstructable arterial occlusive disease, with reduced pain scores and low complication rates. Keywords: Sympathetic nerve block, claudication, visual analog scale, peripheral arterial disease, pain
{"title":"Effect of the Lumbar Sympathetic Block on Pain in Patients with Symptomatic Peripheral Arterial Disease-Retrospective Analysis","authors":"S. Kaya, S. Celik, E. Y. Akcaboy, Hamit Goksu, M. Ayhan, S. Sahin","doi":"10.54875/jarss.2022.58076","DOIUrl":"https://doi.org/10.54875/jarss.2022.58076","url":null,"abstract":"ABSTRACT Objective: To study the effect of lumbar sympathetic block (LSB) with a mixture of local anesthetics and steroids on pain in patients with chronic ischemic lower limb disease. Methods: Retrospectively 23 patients were reviewed with peripheral arterial disease who underwent LSB using a mixture of 8 mg of dexamethasone, 80 mg of 2% lidocaine, and 4 mL of saline at 2 levels, L2 and L4, under the guidance of fluoroscopy. Recordings of the Visual Analog Scale (VAS) scores at 3 days before the blockage, and 1 month and 3 months after treatment were obtained. Results: The study included 20 (87%) male and 3 (13%) female patients. The mean age of the patients was 59.65±13.33 years. The patients’ post-blockage 3rd day, and 1st and 3rd month VAS scores were significantly lower than the baseline VAS scores (p<0.05). The proportion of patients with 50% improvement in the VAS scores at 3rd days, and 1st and 3rd months was 47.8%, 21.7%, and 21.7%, respectively. No complications or side effects were observed. Conclusion: Lumbar sympathetic block with a mixture of local anesthetics and steroids appears to be effective in patients who have non-reconstructable arterial occlusive disease, with reduced pain scores and low complication rates. Keywords: Sympathetic nerve block, claudication, visual analog scale, peripheral arterial disease, pain","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41540234","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 : 2022-07-29DOI: 10.54875/jarss.2022.84803
P. Ergenoğlu
{"title":"Nonconvulsive Status Epilepticus After Endovascular Intervention for a Non-Ruptured Intracranial Aneurysm: A Very Rare Case","authors":"P. Ergenoğlu","doi":"10.54875/jarss.2022.84803","DOIUrl":"https://doi.org/10.54875/jarss.2022.84803","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43813358","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 : 2022-07-29DOI: 10.54875/jarss.2022.28199
Gauresh Singh, R. Dr, A. Paswan, A. Rath
ABSTRACT Objective: Low back pain is a very troublesome and common issue among patients irrespective of age and sex and is very difficult to manage with conservative management. It can lead to disability and mental issues. Methods: After ethical committee approval, a prospective, randomised, double-blind comparative study on 40 patients aged 20-70 years, suffering from lumbar radicular pain was carried out by two different approaches i.e., conventional transforaminal and Kambin’s triangle approach and epidural steroids were administered. Change in pain intensity using the Verbal Numerical Rating Scale was recorded as our primary outcome. Change in functional status using Oswestry Disability Index and Patient Satisfaction Score were our secondary outcomes. Any adverse event, complication, failure was also noted. Results: Multiple logistic regression showed no difference in pain relief or improvement of functional status due to variable differences like the age, sex, disc level or the type of approach. Conclusion: Both approaches of transforaminal epidural steroid injection were effective in reducing pain and increasing functional status significantly. There was no significant difference in their effectiveness and neither was superior to the other. Keywords: Low back pain, transforaminal approach, Kambin’s triangle approach
{"title":"A Comparative Study of the Effectiveness of Lumbar Steroid Injection in Kambin’s Triangle Versus Conventional Transforaminal Approach for the Treatment of Lumbar Radicular Pain: A Prospective Randomised Study","authors":"Gauresh Singh, R. Dr, A. Paswan, A. Rath","doi":"10.54875/jarss.2022.28199","DOIUrl":"https://doi.org/10.54875/jarss.2022.28199","url":null,"abstract":"ABSTRACT Objective: Low back pain is a very troublesome and common issue among patients irrespective of age and sex and is very difficult to manage with conservative management. It can lead to disability and mental issues. Methods: After ethical committee approval, a prospective, randomised, double-blind comparative study on 40 patients aged 20-70 years, suffering from lumbar radicular pain was carried out by two different approaches i.e., conventional transforaminal and Kambin’s triangle approach and epidural steroids were administered. Change in pain intensity using the Verbal Numerical Rating Scale was recorded as our primary outcome. Change in functional status using Oswestry Disability Index and Patient Satisfaction Score were our secondary outcomes. Any adverse event, complication, failure was also noted. Results: Multiple logistic regression showed no difference in pain relief or improvement of functional status due to variable differences like the age, sex, disc level or the type of approach. Conclusion: Both approaches of transforaminal epidural steroid injection were effective in reducing pain and increasing functional status significantly. There was no significant difference in their effectiveness and neither was superior to the other. Keywords: Low back pain, transforaminal approach, Kambin’s triangle approach","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42501852","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 : 2022-04-28DOI: 10.54875/jarss.2022.60465
Y. E. Karapinar, Ela Nur Medetoglu, Mırac Selcen Ozkal, M. E. Aydin, A. Ahıskalıoğlu
After cardiac surgeries performed with sternotomy, neuraxial techniques, fascial plane blocks and intravenous analgesics are often used for both accelerating wound healing and early recovery of lung functions by providing effective postoperative analgesia. In this case report, we share a case of sternal revision performed with sedation and transversus thoracic muscle plane block (TTMPB) in an ASA III patient who required sternum revision after coronary artery bypass graft (CABG) surgery but had limited lung capacity due to previous COVID-19 pneumonia, considering that general anesthesia would be high-risk.
{"title":"Ultrasound-Guided Transverse Thoracic Muscle Plane Block for Awake Sternum Revision in a Post-COVID Patient","authors":"Y. E. Karapinar, Ela Nur Medetoglu, Mırac Selcen Ozkal, M. E. Aydin, A. Ahıskalıoğlu","doi":"10.54875/jarss.2022.60465","DOIUrl":"https://doi.org/10.54875/jarss.2022.60465","url":null,"abstract":"After cardiac surgeries performed with sternotomy, neuraxial techniques, fascial plane blocks and intravenous analgesics are often used for both accelerating wound healing and early recovery of lung functions by providing effective postoperative analgesia. In this case report, we share a case of sternal revision performed with sedation and transversus thoracic muscle plane block (TTMPB) in an ASA III patient who required sternum revision after coronary artery bypass graft (CABG) surgery but had limited lung capacity due to previous COVID-19 pneumonia, considering that general anesthesia would be high-risk.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48226351","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 : 2022-04-28DOI: 10.54875/jarss.2022.27928
Bilge Banu Taşdemir Mecit, Sevim Şeyda Opak, Özgü Yildirim, R. Sıvacı
Objective: We aimed to compare the burnout levels of health professionals working and not working in intensive care during the COVID-19 pandemic process. Methods: 50 healthcare workers working in COVID-19 intensive care units and 50 healthcare workers working outside of intensive care units were participated in the survey. All healthcare professionals working actively during the COVID-19 pandemic process and volunteering for the research were included in the study. A survey consisting of 22 questions on the Maslach Burnout Scale was applied to a total of 100 healthcare professionals, including faculty members, specialist doctors, assistant doctors and nurses. Results: Although the Maslach Burnout Scale scores were higher in COVID-19 intensive care workers, it was not statistically significant.However, the ‘Depersonalization’ subscale scores of the Maslach scale were found to be statistically significantly higher in COVID-19 intensive care workers (p=0.039). Also, the mean scores of ‘Depersonalization’ were found to be significantly higher in males who participated in the survey (p=0.008). Conclusion: This study, which we conducted on the healthcare professionals of our hospital, showed that COVID-19 causes moderate burnout syndrome in those working in the intensive care unit.
{"title":"COVID-19 Burnout Level of Health Staff Working and not Working in Intensive Care Units","authors":"Bilge Banu Taşdemir Mecit, Sevim Şeyda Opak, Özgü Yildirim, R. Sıvacı","doi":"10.54875/jarss.2022.27928","DOIUrl":"https://doi.org/10.54875/jarss.2022.27928","url":null,"abstract":"Objective: We aimed to compare the burnout levels of health professionals working and not working in intensive care during the COVID-19 pandemic process. Methods: 50 healthcare workers working in COVID-19 intensive care units and 50 healthcare workers working outside of intensive care units were participated in the survey. All healthcare professionals working actively during the COVID-19 pandemic process and volunteering for the research were included in the study. A survey consisting of 22 questions on the Maslach Burnout Scale was applied to a total of 100 healthcare professionals, including faculty members, specialist doctors, assistant doctors and nurses. Results: Although the Maslach Burnout Scale scores were higher in COVID-19 intensive care workers, it was not statistically significant.However, the ‘Depersonalization’ subscale scores of the Maslach scale were found to be statistically significantly higher in COVID-19 intensive care workers (p=0.039). Also, the mean scores of ‘Depersonalization’ were found to be significantly higher in males who participated in the survey (p=0.008). Conclusion: This study, which we conducted on the healthcare professionals of our hospital, showed that COVID-19 causes moderate burnout syndrome in those working in the intensive care unit.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43490912","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 : 2022-04-28DOI: 10.54875/jarss.2022.52386
Murat Izgi, T. Bayir, M. Tümer
Objective: This study was carried out in order to create the Turkish version of the Anaesthesia Case Report (ACRE) criteria, to increase the quality of perioperative case reports in the field of anaesthesiology and reanimation and to establish a standard in this field. Methods: These criterias were translated into Turkish inde-pendently by authors and then a draft was determined.In order to ensure language equivalence, the adapted checklist was checked by an expert translator and the final version was created by mak-ing necessary corrections. Then, 20 case reports published between 2016 and 2021, indexed in the Turkish Medical Index, were examined by two independent specialists in the field of anaesthesiology and reanimation. Finally, inter-rater agreement was evalu-ated using the Bland-Altman method by calculating the intra-class correlation coefficient (CCT) and agreement percentages. Results: The case report studies analyzed as a result of the evaluations made differed in the reporting frequency of the criteria. Although CCT values varied between 0.484 and 0.905, the agreement between anaesthesiology and reanimation specialists was statistically significant (p<0.05). According to the Bland-Altman chart, agreement was found between the raters. Conclusion: Although ACRE criteria are rarely required for the review of perioperative case reports, there is solid evidence that standardized reporting guidelines improve the reporting quality of studies. It is thought that ACRE will bring a measurable standard status to case reports, and it will be beneficial and guide for researchers who will work in the field of anaesthesiology and reanimation in our country.
{"title":"A Guide for Reporting Perioperative Cases: Adaptation of Anaesthesia Case Report (ACRE) Criteria into Turkish","authors":"Murat Izgi, T. Bayir, M. Tümer","doi":"10.54875/jarss.2022.52386","DOIUrl":"https://doi.org/10.54875/jarss.2022.52386","url":null,"abstract":"Objective: This study was carried out in order to create the Turkish version of the Anaesthesia Case Report (ACRE) criteria, to increase the quality of perioperative case reports in the field of anaesthesiology and reanimation and to establish a standard in this field. Methods: These criterias were translated into Turkish inde-pendently by authors and then a draft was determined.In order to ensure language equivalence, the adapted checklist was checked by an expert translator and the final version was created by mak-ing necessary corrections. Then, 20 case reports published between 2016 and 2021, indexed in the Turkish Medical Index, were examined by two independent specialists in the field of anaesthesiology and reanimation. Finally, inter-rater agreement was evalu-ated using the Bland-Altman method by calculating the intra-class correlation coefficient (CCT) and agreement percentages. Results: The case report studies analyzed as a result of the evaluations made differed in the reporting frequency of the criteria. Although CCT values varied between 0.484 and 0.905, the agreement between anaesthesiology and reanimation specialists was statistically significant (p<0.05). According to the Bland-Altman chart, agreement was found between the raters. Conclusion: Although ACRE criteria are rarely required for the review of perioperative case reports, there is solid evidence that standardized reporting guidelines improve the reporting quality of studies. It is thought that ACRE will bring a measurable standard status to case reports, and it will be beneficial and guide for researchers who will work in the field of anaesthesiology and reanimation in our country.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46507822","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 : 2022-04-28DOI: 10.54875/jarss.2022.16878
Sami Kaan Coşarcan, Alper Doğan, O. Erçelen
media (excessive absorption of liquid or gas), thermal and/or mechanical injuries, or a combination of all of them. During hysteroscopic surgery, there is a potential risk for air or gas to entery the circulation through exposed uterine veins. Large open venous sinuses allow entry of air or gas into the right side of the heart and pulmonary system, especially when there is a favorable pressure gradient created by the Trendelenburg position of the patient and/or the intrauterine distension due to the fluid. Therefore, pulmonary gas embolism is a known complication during operative hysteroscopy that may have significant consequences (3,4). The gas entering ABSTRACT Operative hysteroscopic procedures can be performed safely in the outside the operating room. During hysteroscopic surgery, there is a potential risk for air or gas to enter the circulation from exposed uterine veins. Therefore, pulmonary gas embolism is a complication during operative hysteroscopy that can have significant consequences. In this case report, we wanted to talk about air/gas embolism that developed during hysteroscopy. A 21-year-old, 160 cm, 61 kg patient underwent hysteroscopic myomectomy. At the 70 th minute of surgery, ETCO 2 suddenly dropped from 35 mmHg to 15 mmHg, and SpO 2 regressed to 93%. Transesophageal echocardiography revealed enlargement of the right atrium and severe stretching of the right atrial septum. The patient, whose hemodynamics improved after fluid resuscitation and cardiac supportive treatment, was extubated at the end of the operation. Avoiding excessive Trendelenburg position, selection of irrigation fluid and pressure control, surgical technique and surgical time, selection of cauterization, awareness of the anesthesia team, and rapid response time play critical roles in the management of venous air or gas embolism.
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