Turkish journal of anaesthesiology and reanimation
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Turk J Anaesthesiol Reanim · Aug 2018
Quadratus Lumborum Block III for Postoperative Pain After Percutaneous Nephrolithotomy.
An effective pain control is important in early mobilization and returning to normal daily life following percutaneous nephrolithotomy (PCNL) operations. The use of an intraoperative local anaesthetic or postoperative analgesic has been reported for pain control in PCNL. Transmuscular quadratus block (QLB III) is a regional anaesthetic technique applied under ultrasound guidance. The aim of this study was to investigate the effectiveness of QLB III on postoperative pain in PCNL. ⋯ The QLB III was observed to be effective in pain control and reducing morphine consumption during the postoperative 48 hours follow-up after PCNL.
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Turk J Anaesthesiol Reanim · Aug 2018
Effect of Two Techniques of Parental Interaction on Children's Anxiety at Induction of General Anaesthesia-A Randomized Trial.
Several non-pharmacological techniques, such as parental presence and behavioral preparation, are used to decrease children's anxiety at anaesthesia induction. We compared the mean anxiety score in children at the time of anaesthesia induction with two different physical techniques of parental interaction and a control group with no parent present. The secondary objective was to determine the face mask acceptance during induction. ⋯ Parental presence during induction did not prevent children's anxiety, but it reduced it, irrespective of the physical technique used. The face mask acceptance was better in Gp PH.
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Turk J Anaesthesiol Reanim · Aug 2018
Creatinine Excretion as a Determinant of Accelerated Skeletal Muscle Loss with Critical Illness.
The 24-h urinary creatinine excretion rate has been used as an approximation of the skeletal muscle (SM) mass in non-intensive care unit (ICU) settings. The study goal or aim was to determine reductions in SM mass in patients with recurrent critical illness who are admitted to a medical ICU. ⋯ Patients with chronic critical illness admitted to the medical ICU, who become bed bound, can experience up to 50% reduction in SM mass as gleaned from creatinine excretion within 4 months. Low SM mass may predispose patients to increased mortality. Measurement of 24-h urinary creatinine excretion may be a useful ICU biomarker to determine SM mass for diagnostic and prognostic purposes.
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Turk J Anaesthesiol Reanim · Jun 2018
Case ReportsUnilateral Hypoglossal Nerve Palsy After Septoplasty Under General Anaesthesia.
Hypoglossal nerve palsy (HNP) is a rare perioperative complication. Causes of this condition are mostly attributed to oropharyngeal manipulation during airway management, suggesting injuries involving the peripheral part of the nerve. Owing to the concomitant pathways of the nerves, the hypoglossal nerve might be injured together with the recurrent laryngeal (Tapia's syndrome) or lingual nerves. The present report described a case of isolated HNP as a rare perioperative complication.
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Turk J Anaesthesiol Reanim · Jun 2018
Airway Dimensions in Children with Neurological Disabilities During Dexmedetomidine and Propofol Sedation for Magnetic Resonance Imaging Study.
Children with neurological disabilities are at an increased risk of airway complications during anaesthesia for magnetic resonance imaging (MRI) with spontaneous respiration. The primary objective of this study was to evaluate airway dimensions during propofol and dexmedetomidine sedation for MRI in children with neurological disabilities. The secondary objective was to examine the adverse respiratory and sedation-related events. ⋯ Airway dimensions were similar during dexmedetomidine and propofol sedation, except for the transverse diameters at soft palate, and for cross-sectional area difference at the base of tongue in spontaneously breathing children with neurological disabilities. Airway complications were less frequent and the quality of sedation was better with dexmedetomidine.