Turkish journal of anaesthesiology and reanimation
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Turk J Anaesthesiol Reanim · Feb 2021
Case ReportsVideolaryngoscopy Bails us out of Difficult Intubation Scenarios in Syndromic Children: A Case Series.
Airway management in children with craniofacial anomalies can be complicated and may require multiple attempts with conventional direct laryngoscopy (DL). Videolaryngoscopes (VLs) have a well-established role in difficult airway management in adults; however, their role remains to be fully elucidated in paediatric age group. ⋯ Following initial failed attempts to intubate using DL, these children were subsequently intubated using VLs. Therefore, VLs should be used for initial intubation attempts in syndromic children with potential difficult airways.
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Turk J Anaesthesiol Reanim · Dec 2020
Case ReportsPterygopalatine Ganglion Block as a Rescue Technique for Failed Epidural Blood Patch.
Placement of an epidural blood patch is the gold standard treatment for a postdural puncture headache when conservative measures have failed. If unsuccessful in relieving the symptoms, a second epidural blood patch may be warranted. ⋯ A pterygopalatine ganglion block has been shown to be effective as an alternative to epidural blood patch placement. This case demonstrates the use of a suprazygomatic pterygopalatine ganglion block as a rescue technique for failed repeated epidural blood patch, with complete and permanent resolution of the headache.
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Turk J Anaesthesiol Reanim · Oct 2020
Analysis of the American Society of Anesthesiologists Physical Status Scale Reliability in Anaesthesia Practice: An Observational Study.
Anaesthesiologists use the American Society of Anesthesiologists physical status (ASA PS) classification to assess patients' overall health. The primary objective of this study was to predict the prognostic value regarding peri-operative variables until discharge from hospital and post-operative outcomes. The secondary objective was to evaluate the inter-rater agreement of the ASA scores assigned at the outpatient department (OPD) vs. operating theatres (OT). ⋯ The correlation was the highest with the ICU stay. The inter-rater ASA grades assignment at the clinics and the OT were found to be almost perfect.
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Turk J Anaesthesiol Reanim · Oct 2020
Effects of Minimal Flow Sevoflurane or Desflurane Anaesthesia on Hemodynamic Parameters, Body Temperature and Anaesthetic Consumption.
We aimed to compare minimal flow sevoflurane and desflurane anaesthesia in terms of hemodynamic parameters, body temperature, anaesthetic gas consumption and cost. ⋯ With minimal flow, the time to reach target MAC, time to extubation and eye opening were significantly faster for desflurane and anaesthetic, oxygen and air consumption in desflurane anaesthesia were less than sevoflurane. Thus, we can say that desflurane has faster anaesthetic induction and recovery time with lower anaesthetic consumption than sevoflurane.
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Turk J Anaesthesiol Reanim · Aug 2020
Assessment of Postoperative Cognitive Dysfunction: Results From a Survey of Turkish Anaesthesiologists.
Postoperative cognitive dysfunction (POCD) is one of the most common complications in elderly surgical patients. We conducted a survey study to evaluate the perspectives of Turkish anaesthesiologists on postoperative cognitive disorders. ⋯ Overall, participants perceive postoperative cognitive disorders as important adverse outcomes following surgery and anaesthesia. They are aware of the main risk factors for their development but may lack information on the prevention and management postoperatively.