Pub Date : 2022-01-28DOI: 10.54875/jarss.2022.32559
Esra Doğan, M. Babayiğit, Esra Özayar
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
{"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":null,"pages":null},"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}
Pub Date : 2022-01-28DOI: 10.54875/jarss.2022.77598
Eylem Eylem, Ezgi Donmez, Semra Gumus Demirbilek
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
{"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":null,"pages":null},"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}
Pub Date : 2022-01-28DOI: 10.54875/jarss.2022.27676
Behiç Girgin, Umut Yener Kara, M. Eşkin, Emre Kaya, A. Coşar
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
{"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":null,"pages":null},"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}
Pub Date : 2022-01-28DOI: 10.54875/jarss.2022.37167
Gülten Ütebey
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
{"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":null,"pages":null},"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}
Pub Date : 2022-01-28DOI: 10.54875/jarss.2022.98250
V. Şıvgın, Aycan Özdemirkan, Y. Ünal, N. Köktürk
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
{"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":null,"pages":null},"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}
Pub Date : 2022-01-28DOI: 10.54875/jarss.2022.36744
Arulmozhiyal Ramasamy, S. Sukumar, Prabavathi Srinivasan, Venkata Rajesh Kumar Kodali, Akilandeswari Manickam, A. Parameswari, M. Vakamudi
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
目的:腭裂修复包括对软硬腭进行手术，导致剧烈疼痛，强烈的交感刺激和出血。本研究分析了布比卡因单用和布比卡因联合右美托咪定在超声引导下双侧颧上颌骨神经阻滞(SMN)治疗腭裂的镇痛效果。方法:采用随机、前瞻性双盲研究。将46例ASA一级和二级腭裂修复患儿随机分为A组和b组。A组23例患儿用0.15 mL kg-1 0.25%布比卡因加生理盐水进行SMN阻滞，另一侧重复同样的程序。B组23例患儿接受SMN阻滞，体积为0.15 mL kg-1, 0.25%布比卡因，每侧右美托咪定0.5µg kg-1。分析主要结局为儿童和婴儿术后疼痛量表(CHIPPS)的术后疼痛评分和镇痛时间。术后疼痛评分在麻醉后护理病房(PACU)每隔30分钟分析2小时，在术后病房每隔2小时分析24小时。结果:A组和B组在年龄、性别、体重、ASA状态和手术时间等人口统计学变量上具有可比性。B组患儿的镇痛时间明显长于A组(12±4.73 h vs 5.41±3.9 h) (p=0.003)。与a组相比，B组患儿在PACU 0 min (p=0.04)、90 min (p=0.02)、2小时(p<0.001)、4小时(p<0.001)、6小时(p=0.006)和8小时(p=0.02)时的疼痛评分均显著低于B组。结论:在SMN阻滞中，布比卡因联合右美托咪定组患儿的镇痛持续时间更长，术后疼痛评分较单独布比卡因组低。关键词:上颌神经阻滞，右美托咪定，疼痛评分，术后镇痛，抢救镇痛
{"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":null,"pages":null},"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}
Pub Date : 2021-01-01DOI: 10.5222/jarss.2021.68553
A. Selvi, Gökhan Yılıdız, Erbil Türksal, Rıdvan Özbek, M. C. Okkaoğlu, Esra Özayar
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.
摘要:本研究旨在比较全膝关节置换术(TKR)术后不同剂量局麻药(%0.5布比卡因和%0.25布比卡因)在相同体积(20 mL)下应用于股神经阻滞的镇痛效果、副作用及其对阿片类药物消耗的影响。方法:回顾性分析2018年8月至2019年6月脊柱麻醉下单侧TKR手术患者的资料。163例患者纳入研究，1组81例患者接受%0.25布比卡因治疗，2组82例患者接受%0.50布比卡因治疗股动脉阻滞。分析术后24小时内视觉模拟疼痛评分(VAS)最高、静脉自控镇痛(PCA)装置要求和使用曲马多的量，以及在副作用(恶心、呕吐、运动和感觉缺陷)方面是否存在显著差异。结果:1组患者VAS评分最高(2.95±1.31)，2组患者VAS评分最高(2.84±1.06)，两组比较差异无统计学意义。曲马多的平均摄取量1组为197.04±92.03 mg, 2组为208.05±85.06 mg。曲马多的需求量和消费量以及副作用之间没有差异。讨论与结论:20 mL %0.25布比卡因用于股动脉阻滞与相同体积%0.50布比卡因具有相同的镇痛效果。我们认为使用% 0.25布比卡因是减少全身副作用、运动传导阻滞风险和并发症的更可靠的选择。
{"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":null,"pages":null},"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}
Pub Date : 2021-01-01DOI: 10.5222/JARSS.2021.59354
S. Akin, Handan Birbiçer, Nurcan Doruk, G. Keleş, Şule Özbilgin
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.
{"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":null,"pages":null},"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}
Pub Date : 2021-01-01DOI: 10.5222/jarss.2021.10337
Harun Özmen, Bahar Aydinli
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.
{"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":null,"pages":null},"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}
Pub Date : 2021-01-01DOI: 10.5222/jarss.2021.32032
Nuh Kumru, Saliha Yarimoglu, Tayfun Et, Rafet Yarımoglu, Muhammet Korkusuz
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.
{"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":null,"pages":null},"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}
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