Turkish journal of anaesthesiology and reanimation
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Turk J Anaesthesiol Reanim · Feb 2014
Comparison of Maternal and Neonatal Effects of Combined Spinal Epidural Anaesthesia in Either the Sitting or Lateral Position During Elective Cesarean Section.
Our goal was to demonstrate which position would be hemodynamically and technically better by comparing the effects of combined spinal epidural (CSE) in the sitting or lateral decubitus position for elective cesarean deliveries on maternal and neonatal parameters and ephedrine requirement. ⋯ Performing CSE in the sitting position would be safer and easier because higher and earlier onset of sensory block, and a greater number attempts at epidural insertion and paresthesia develop to spinal needle insertion in the right lateral position.
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Turk J Anaesthesiol Reanim · Feb 2014
Case ReportsUltrasound-Guided Bilateral Greater Occipital Nerve Block for the Treatment of Postdural Puncture Headache.
Treatment of postdural puncture headaches involves oral or intravenous (IV) fluid or caffeine-containing analgesics, micro-catheterization of spinal space, epidural administration of blood obtained from the patient, or epidural blood patch and fiberoptic imaging-guided epidural interventional techniques. Epidural blood patch is, to date, the most effective treatment, but it is an invasive procedure that may result in serious complications. ⋯ As medical treatment was ineffective, they received ultrasound-guided greater bilateral occipital nerve block. In this case report, the effect of the ultrasound-guided bilateral greater occipital nerve block on postdural puncture headache is discussed.
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Turk J Anaesthesiol Reanim · Oct 2013
Perioperative Temperature Monitoring and Patient Warming: A Survey Study.
Hypothermia is defined as the decrease of core body temperature under 36°C. Hypothermia is observed at a rate of 50-90% in the perioperative period. In our study, we aimed to measure the perception of hypothermia in our country, to evaluate the measures taken by physicians to intercept hypothermia, to determine the frequency and the methods used to monitor body temperature and the techniques used in warming the patients. Another aim was to develop a guideline for preventing perioperative hypothermia. ⋯ The perceptions of physicians and the allied health personnel in government and private hospitals should be enhanced by informing them about the passive and active heating systems to prevent hypothermia. Although the situation in university and training and research hospitals seems to be better, defects are still observed in practice. Preparation of a national guideline for prevention of perioperative hypothermia is needed.
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Turk J Anaesthesiol Reanim · Oct 2013
Awake Fibreoptic Intubation for Forearm Injury in a Patient with Occipito-Cervical Fixator.
A 23-year-old male patient with occipitocervical fixator was scheduled for surgery due to injury to the right forearm. The patient's thyromental distance was 5 cm, mouth opening grade II, sternomental distance 10 cm and Mallampati score 4. Loss of extension and rotation movements of the head was assessed as difficult intubation criteria. ⋯ Surgery lasted for 5 hours. When the extubation criteria were met, the patient was extubated. In cases of occipitocervical fixation, which causes severe limitation of neck movements, the use of awake fibreoptic intubation should be considered.