Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2021
Practice GuidelineUrgent and elective proctologic/anorectal interventions in the COVID-19 pandemic: A practical guideline for treatment safety.
This article aims to give practical information and concrete suggestions on what should be considered in emergency, semi-urgent and elective settings for common anorectal diseases in the hectic period of the COVID-19 pandemic, based on early results of a series of anorectal interventions. ⋯ By adhering to the principles outlined in this practical guide, it was possible to treat most of the benign anorectal diseases safely in the initial, hectic period of the COVID-19 pandemic.
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Ulus Travma Acil Cer · Mar 2021
The effects of sevoflurane anesthesia on hemodynamics and cerebral artery diameters in endovascular treatment of intracranial aneurysm: A pilot study.
Cerebral autoregulation is a steady-state of cerebral blood flow despite major changes in arterial blood pressure. Inhalation anesthetics are cerebral vasodilators. In <1 MAC values, the net effect is a moderate decrease in cerebral blood flow and maintenance of responsiveness to carbon dioxide. This study aims to investigate the effects of steady-state sevoflurane anesthesia on hemodynamic and cerebral artery diameter measurements in patients undergoing flow diverter device placement under general anesthesia. ⋯ In patients undergoing flow diverter devices, <1 MAC sevoflurane has a hemodynamic effect and creates significant vasodilation in the cerebral artery diameters.
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Ulus Travma Acil Cer · Mar 2021
Cadaver as an educational tool increasing the effectiveness of Combat Application Tourniquet use in extremity injuries.
One of the most frequent life-threatening emergencies is extremity haemorrhage. In such cases, patient survival depends on a fast on-scene intervention. Thus, both the potential witnesses and medical emergency staff should have the ability to control haemorrhages. However, simulator-based courses do not fully reflect the structures and physiology of the human body. Therefore, invasive procedure training in trauma patients is limited. The present study aims to evaluate the effectiveness of cadavers as educational tools during a training course in extremity haemorrhage control with the use of the Combat Application Tourniquet (CAT). ⋯ This study demonstrated that training conducted on human cadavers led to a significant improvement in the effectiveness of CAT use. Cadavers constitute a high-quality educational tool that, after adequate preparation, allows for practicing invasive medical procedures, such as extremity haemorrhage control.
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Ulus Travma Acil Cer · Mar 2021
Early surgical repair or conservative treatment? Comparing patients with penile fracture concerning long-term sexual functions.
To compare the patients who underwent early surgical repair of penile fracture, which is one of the urological emergencies, and patients who recovered with conservative treatment concerning long-term sexual functions. ⋯ Although there is no significant difference in long-term IIEF-6 scores between the two groups, the rate of palpable plaque formation is higher in patients followed-up conservatively. Therefore, early surgical repair should be considered in the foreground, especially in patients with a large rupture area.
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Ulus Travma Acil Cer · Mar 2021
Case ReportsAll in one: Multiple coronary stents, history of stent thrombosis, pancreatic carcinoma, postoperative bleeding and thrombocytosis.
Although the management of a stent patient may appear in the guidelines, some patients may be unique and out of class. In this presentation, the patient had multiple thrombotic risk factors for perioperative myocardial injury. These factors included coronary artery disease with multiple implantations of drug-eluting stent (DES), stent thrombosis history, implantation of a new stent 11months ago and hypercoagulability (due to malignancy and surgical procedure). The patient's history of DES presented a dilemma for the anesthesiology, surgery, and cardiology teams in considering the optimal method to minimize the risk of perioperative bleeding and stent re-thrombosis.