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Introduction: At present, sedation and analgesia have become an integral part of gastrointestinal endoscopy. This study aimed to provide data on the attitudes and behaviors of gastroenterology specialists toward sedation practices in endoscopy units in Turkey. Methods: This cross-sectional and descriptive study included a total of 744 gastroenterology specialists, who are members of the Turkish Gastroenterology Association. They were invited by e-mail to participate in the study. The questionnaire consisted of 18 items on sedation practices implemented during procedures in the endoscopy unit. Questionnaire responses were statistically analyzed. Results: All patients who underwent endoscopic procedures, such as endoscopic ultrasound, endoscopic retrograde cholangiopancreatography, and endoscopic submucosal dissection, received sedation. The sedation rates were 97.9% (n=138) in colonoscopy and 72.3% (n=102) in gastroscopy. With regard to the frequency of sedation, 33 (23.4%) used sedation for all patients, 55 (39%) used it frequently, and 15 (10.6%) used it rarely. The current anesthesia team in endoscopy units consisted of anesthesiologists (53.2%) and anesthesia technicians (60.3%). Conclusion: It is necessary to prepare guidelines on sedation use in endoscopy units to assist care providers and health managers in providing quality service. [ABSTRACT FROM AUTHOR]

Introduction: Advancements in medicine and technology have increased the average life expectancy, leading to a rise in patients requiring intensive care. Evaluating the satisfaction of patients' relatives has become crucial for assessing healthcare quality in intensive care units (ICU). This study aims to assess how the perception of patients' relatives changes during treatment in the unit and identify the factors influencing these changes. Method: A working group will be formed consisting of relatives of patients who were referred to intensive care and hospitalized for at least 3 days. The same scales will be applied to each patient's relative. Our scale will be given at the beginning and end of the process, starting from the patient's admission to our ICU. Relatives of deceased patients will also be included in this group. Results: Patient relatives in the sample that has not yet been completed. The average score was 41.25 on the doctor trust scale, 43 on the medical distrust scale, and finally, on our depression and anxiety scale, it was upper limit in 75% of the patients and borderline in the rest. Their perceptions of their patients' condition and the conditions in the ICU were consistently high. It revealed that there was no significant difference in the before and after satisfaction levels. These results indicate that the satisfaction levels of patient relatives in the ICU were high. Conclusion: At ICU admission, factors indicating dissatisfaction risk in families are identifiable. Specific elements during the patient's ICU stay are strongly linked to overall dissatisfaction. These insights can inform evidence-based strategies to improve ICU satisfaction in the future. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to analyze patients undergoing endoscopic interventions in terms of comorbid diseases, preoperative anesthesia management predictions, intraoperative-postoperative complications and requirements for intensive care. Method: Records of patients who underwent procedures under anesthesia in the endoscopy unit were retrospectively screened. The patients' preoperative anesthesia evaluation, intraoperative anesthesia, and postoperative recovery data and intensive care monitoring requirements were recorded. The data obtained were analyzed statistically. Results: It was identified that the preoperative risk prediction of patients was statistically significant for intraoperative and postoperative monitoring. Comorbid disease and high age were determined to increase the requirements for intensive care after the procedure. Increased need for qualified admission was determined in patients with desaturation and hypotension. Conclusion: A prerequisite for reliable administration of anesthesia is having detailed information about the patient and being prepared for possible complications. When examined from this aspect, analysis of the patient profile undergoing procedures in the endoscopy unit is important. In our study, we revealed the presence of elderly patients and comorbid disease(s) in the patient group who underwent procedures in this unit. The need for detailed preliminary evaluation of the patients undergoing these types of procedure and requirements for intensive care after the procedure, if necessary, should definitely be considered. [ABSTRACT FROM AUTHOR]

Amaç: Subaraknoid kanama (SAK) sonrası gelişen fokal serebral iskeminin başlıca nedeni serebral vazospazmdır. Vazospazm SAK’nin mortalite ve morbidite açısından en riskli komplikasyonu haline gelmiştir. Serebral vazospazm SAK sonrası 3-5. günlerde başlar ve 7-8. günlerde en yüksek düzeye çıkar. On dört-on beşinci günlerden sonra şiddeti azalarak 20-21. günlerde düzelir. DSA, serebral vazospazmın değerlendirilmesinde altın standarttır. Bu sunuda; anevrizma cerrahisi sonra lokal vazospazm tespit edilen hastaya ileri tedavi yöntemi olarak, DSA esnasında intrarteriyel nimodipin uygulanmasını literatür eşliğinde tartışmayı amaçladık. Olgu: Kırk dokuz yaşında, ek hastalığı olmayan, 5 gün önce düşme hikayesi olan erkek hasta acil servise şiddetli bulantı kusma ve geçmeyen baş ağrısı ile başvuruyor. Geliş GKS: 13 olarak tespit hastanın kraniyal görüntülemelerinde ventriküle açılan anterior cominican arterde (ACA) anevrizma kanaması mevcuttu. Yatışından 24 saat sonra ve posttravmatik 6. gününde ACA anevrizmasına cerrahi klips takıldı. Post-op 3. gün, post-travmatik 9. günde GKS’de düşüş gözlenmesi üzerine yapılan kontrol görüntülemelerinde lokal vazospazm düşünüldü ( Şekil 1, 2). Değerlendirme ve gerektiğinde tedavi uygulamak amacıyla acil DSA uygulandı. Her iki ACA’da belirgin vazospazm gözlendi ve aynı seansta tedavi amaçlı her iki ICA proksimalinde 1’er mg intraarteriyel nimodipin enjeksiyonu uygulandı. Kontrol görüntülemelerinde vazospazmda gerileme tespit edildi (Şekil 3). Hastanın servise devri planlanmaktadır. Sonuç: Serebral vazospazm tedavisindeki hedef, serebral oksijen ihtiyacı ve kan akımını optimize ederek, artmış intrakraniyal basıncı azaltıp, beyin dokusunu iskemiden korumaktır. Tedavisinde hipertansiyon, hipervolemi ve hemodilüsyon, kalsiyum kanal blokerlari, magnezyum, statinler, endovasküler anjiyoplasti, intravasküler papaverin, intravasküler nimodipin kullanılmaktadır. Çalışmalar, kalsiyum kanal blokerlerinden nimodipin ve nikardipin üzerine yoğunlaşmıştır. Serebral vazospazm multifaktöriyel ve yakından izlenmesi gereken bir durumdur. DSA esnasında nimodipin uygulanması hala tartışmalı bir yaklaşım olarak literatürde yer almaktadır. Bu alanda yapılan yayınlar daha çok olgu bazlıdır. Vazospazmın erken dönemde fark edilmesi ve intravasküler nimodipin uygulanması ile effektif sonuçlar elde edilebilmektedir. [ABSTRACT FROM AUTHOR]

Airway management using a laryngeal mask is an especially preferred noninvasive technique because of its achievement of hemodynamic stability and ease of application in surgeries that have short surgery time and do not require specific positions such as the prone position. Although it is easily performed, serious complications may manifest rarely because of lack of experience and inappropriate choice of instrumentation. In this case report, clinical management and treatment options of tongue edema that developed because of the forgotten introducer in laryngeal mask application are presented. [ABSTRACT FROM AUTHOR]

Copyright of Medical Bulletin of Haseki / Haseki Tip Bulteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medical Bulletin of Haseki / Haseki Tip Bulteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Poland syndrome is a congenital anomaly characterized by unilateral absence of the chest wall and ipsilateral upper extremity deformities with deficiency of the pectoralis major and minor muscles. Despite the large variance, the sine qua non is absence of a sternocostal portion of the pectoralis major muscle. Additionally, it can be combined with other anomalies, such as absence of pectoralis minor muscle as well as the 2nd, 3rd, 4th and 5th ribs, breast hypoplasia, abnormalities of the cardiovascular system and multiple organ system defects. In these patients, there is the risk of malignant hyperthermia, lung herniation and paradoxical respiration during anaesthesia due to thorax deformity and comorbidities. In this paper, we report a 5-year-old girl, who was administered sedation anesthesia for pediatric diagnostic magnetic resonance imaging, with the review of the literature. [ABSTRACT FROM AUTHOR]

Prader-Willi syndrome (PWS) is a rare disorder characterized by hypotonia, growth retardation, characteristic face shape, hypogonadism, hyperphagia and related morbid obesity. Anesthesia application in these patients has increased risk of peroperative complication due the central hypotonia, abnormal teeth structure, and limited neck mobility. Therefore, clinicians should be prepared for the worst scenario before anesthesia application in patients with PWS during general or out-patient surgery. Here, in this case report, outpatient anesthesia performed in a patient with PWS for diagnostic electromyography is presented with the literature review. [ABSTRACT FROM AUTHOR]