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Introduction: Our study aimed to determine the impact of preoperative red blood cell distribution width on length of intensive care unit and hospital stays, and short- and long-term mortality in elderly patients undergoing hip fracture surgery. Materials and Method: This prospective cohort study included 414 patients aged 65 and older who presented with hip fractures between November 2021 and November 2022. Patients' demographic characteristics, American Society of Anesthesiologists score, Revised Cardiac Risk Index, comorbidities, and preoperative complete blood counts (hemoglobin, red blood cell distribution width, platelet count, etc.) were recorded at the preoperative visit. Length of intensive care unit and hospital stays were documented postoperatively. Patients were followed for one year after surgery in terms of mortality. Results: Patients with high red blood cell distribution width levels (=14.25%) were older, had more comorbidities, and had higher American Society of Anesthesiologists score and Revised Cardiac Risk Index scores (p<0.001). In the high red blood cell distribution width group, length of hospital stays was longer (p<0.001). There was no significant difference between red blood cell distribution width groups in terms of intensive care unit stay duration and readmissions (p=0.304 and p=0.664, respectively). According to the multivariate logistic regression analysis, an red blood cell distribution width of =14.25 was found to increase the risk of 30-day mortality by 4.7 times and 1-year mortality by 2.74 times. Conclusion: Red blood cell distribution width is a useful, practical, and cost-effective indicator of short- and long-term mortality in elderly patients undergoing hip fracture surgery. [ABSTRACT FROM AUTHOR]

The Turkish Journal of Anaesthesiology and Reanimation, established in 1972, is 50 years old now. The number of citations of the journal and the interest of national and international researchers are high. This success has been achieved by the editorial boards who have contributed to the journal since its establishment and the writers who have contributed to its development, and this success will continue to increase. [ABSTRACT FROM AUTHOR]

Objective: Cardiologists are the most frequently consulted specialists during pre-operative evaluations. However, unnecessary cardiology consultations (CC) can increase cardiologists' workload without impacting anaesthesia practice, resulting in delayed surgeries and additional financial burdens. We hypothesize that using Gupta during the preoperative period can reduce these adverse effects. Methods: This prospective study included patients scheduled for elective noncardiac, nonvascular surgeries who underwent pre-operative assessment. Patients who had no specific risk index used for preoperative cardiac risk evaluation were classified as Group I, and those evaluated using the Gupta scale were classified as Group II. The study compared preoperative CC, diagnostic tests, surgical delays, major adverse cardiac event (MACE), length of hospital stay and intensive care unit (ICU) stay, mortality, and costs. Results: A total of 898 patients were included in the study, with 487 in Group I and 411 in Group II. The Gupta group reduced the demand for preoperative CC (P<0.001) and preoperative non-invasive diagnostic testing (n = 107, 21.9% vs. n = 36, 8.75%). The time from the anaesthesiology outpatient clinic to surgery was 15 days in Group I and 14 days in Group II (P=0.132). The length of ICU stay was higher in Group I (P=0.019). MACE was 15 patients (3.08%) in Group I and 9 patients (2.19%) in Group II (P=0.076). The cost of patients in Group I was higher than that in Group II (P=0.019). Conclusion: Using Gupta in preoperative evaluation may reduce unnecessary preoperative resource usage, surgical delays, ICU hospitalization rates, additional costs, and mortality. [ABSTRACT FROM AUTHOR]

Objective: This prospective randomized study compared 2 different methods for ProsealTM Laryngeal Mask Airway (PLMA) fixation. Methods: Patients scheduled for ureterorenoscopic lithotripsy surgery in the lithotomy position were included in the study. General anaesthesia with PLMA was administered to the patients. To achieve PLMA fixation, patients were randomly assigned to either adjustable elastic band (Group I) or adhesive tape fixation (Group II). Fiberoptic bronchoscope (FOB) evaluation and glottic image grading (grade 1-4) and lip margin distances of PLMA (M1 and M2) were evaluated before and after the surgical procedure. Results: We enrolled 116 patients. Surgery of 7 patients was postponed. PLMA dislocated in 2 patients in group II during positioning. For another patient who used adhesive tape in Group II, it was removed because it could not adhere to properly, and a new sticking plaster was used. The study was completed with 106 patients. In FOB evaluation, the number of patients with optimal FOB grade (FOB grade 1) after PLMA was inserted and fixed was more in Group I than in Group II (P = 0.01). FOB evaluation was repeated at the end of the operation, and the number of patients with the worst FOB grade (FOB grade 4) was 0 (0%) and 11 (10.5%) in Groups I and II, respectively. PLMA displaced more than 1 cm in 10 (18.9%) patients in Group I and in 30 patients (56.6%) in Group II. Conclusion: The adjustable elastic band method is simple, easy, and convenient and can be used in any surgical procedure for PLMA fixation. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to evaluate the impact of the pandemic on clinical practice and education of anaesthesiology and reanimation residents in Turkey. Methods: A 33-question web-based survey was sent to anaesthesiology and reanimation residents in Turkey. Residents were asked about their clinical practice and education before and during the pandemic and personal perspectives on working conditions and training. Results: A total of 223 residents participated. Median working time in the intensive care unit of 2.5 months/year before the pandemic increased to 6 months/year during the pandemic (P < .001). Median working time in the operating room of 9 months/year decreased to 6 months/year (P < .001). The time working in the algology and anaesthesiology outpatient clinic decreased significantly (both P < .001). Neuraxial and peripheral nerve block practices decreased (P = .002 and P = .023, respectively). The number of night shifts per month increased (P < .001). While the average number of beds in intensive care units was 14, it increased to 19.5 beds (P < .001). The education time for lecture and clinical case discussion decreased (P < .001), but medical meeting attendance did not change (P = .174). Eighty-seven percent of the residents reported that night shifts were very intense and intense during the pandemic. For 87.3% of the respondents, the workload increased, and 71.6% of the respondents reported a decrease in theoretical education and 66.7% in practical training. Sixty-three percent of last year residents reported that they were negatively and very negatively affected in making the thesis. Conclusion: The pandemic had a negative impact on anaesthesiology and reanimation residency training programs in Turkey. [ABSTRACT FROM AUTHOR]

Introduction: The goal of this study was to identify potential predictors of intensive care unit (ICU) expenses in geriatric patients after hip fracture surgery. The research focused to investigate patient-related characteristics and fracture status markers that contribute to increased ICU and overall costs in geriatric hip fracture surgical patients. Materials and Method: A retrospective review of patients who had hip fracture surgery and required intensive care was performed between January 1, 2020 and December 31, 2021. Patient variables were collected via hospital information management system including demographics, co-morbidities, length of stay in ICU and hospital, AO/OTA fracture classification and APACHE score. Hospital Invoice Service provided total and daily intensive care treatment charges and costs. The Spearman correlation coefficient was used to show the relationship between some variables and multiple linear regression analysis was used to evaluate the variables that impact the cost. Results: Intensive care unit expenses constituted 18.92% of the entire cost (1252.46±282.838 TL). APACHE score, Age-adjusted Charlson Comorbidity Index (ACCI), ICU length of stay and hospital length of stay was found statistically significant correlation with ICU expenses (p<0.05). Regression analysis revealed statistically significance with length of hospital stay, fracture score, ASA, APACHE and ACCI (p=0.000) (r2=0.236). When evaluated in a linear regression model, APACHE score (p=0.000), ACCI (p=0.027), and hospital length of stay (p=0.001) were the only statistically significant predictors. Conclusion: The present study found out that length of hospital stay, APACHE and ACCI can be used as cost drivers that help to predict cost of intensive care for geriatric hip fract [ABSTRACT FROM AUTHOR]

Copyright of Journal of Anesthesia / Anestezi Dergisi (JARSS) is the property of Logos Medical Publishing 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 Journal of Anesthesia / Anestezi Dergisi (JARSS) is the property of Logos Medical Publishing 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 Journal of Anesthesia / Anestezi Dergisi (JARSS) is the property of Logos Medical Publishing 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 Journal of Anesthesia / Anestezi Dergisi (JARSS) is the property of Logos Medical Publishing 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 Journal of Anesthesia / Anestezi Dergisi (JARSS) is the property of Logos Medical Publishing 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 Journal of Anesthesia / Anestezi Dergisi (JARSS) is the property of Logos Medical Publishing 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 Journal of the Society of Thoracic Carido-Vascular Anaesthesia & Intensive Care is the property of Gogus Kalp Damar Anestezi ve Yogun Bakim Dernegi 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.)

Background: In 2023, due to two earthquakes with high destructive power, over 46000 people died and a very high number of injured people admitted to the hospitals in Türkiye. Especially child victims were mostly transferred to our hospital from the disaster regions.Thus hours after the two earthquakes, we performed anesthesia. The purpose of this study is to represent our anesthetic and analgesic managements of children victims of the earthquake aged between 10 days- and 18- years old children who underwent several consecutive surgeries. Material and Method: This current study was analyzed retrospectively using the medical data of all pediatric patients operated in the pediatric anesthesia department's operating rooms of our hospital. Demographic data, surgical procedures, anesthesia and analgesia methods, consecutive surgical practices, intensive care needs, presence of crush syndrome and acute renal failure, applied hemodialysis, mortality and morbidity of pediatric patients were reviewed. Results and Discussion: It was determined that a total of 216 surgical procedures were performed in 78 children. Anesthesia and clinical followups of a total of 78 pediatric patients who were operated in our hospital due to two earthquakes were analyzed. Surgeries of the children started on the 2nd day of the earthquakes and continued until the first month with gradually decreasing number. The most commonly performed surgeries are orthopedic surgeries such as fasciotomy for compartment syndrome, multiple fractures and limb amputations at different levels. In this process, patients who were included in the hemodialysis program also underwent consecutive surgical procedures. Demographical data, operations performed, analgesic managements, laboratory results and presence of crush syndrome are shown in the table. Conclusion: In such massive disasters, anesthesia and analgesia practices are challenging especially in children, who are the most affected group. It would be appropriate to follow-up and treat these children who need repetitive surgery and anesthesia in fully equipped and multidisciplinary hospitals as soon as possible. [ABSTRACT FROM AUTHOR]

Background: Phantom pain is a common condition that occurs after both upper and lower extremity amputations. The most common causes of amputation in the pediatric population are trauma, cancer, and congenital amputations. For trauma-related amputations, recorded prevalence of phantom pain is 12% and 83%. We aimed to present the frequency of phantom pain in patients hospitalized in our hospital after Pazarcık earthquake due to amputation. Material and Methods: Children aged 0-18 years with extremity amputations due to trauma followed in Ankara Etlik City Hospital after Pazarcık earthquake were included in the study. Data were obtained from the patient files and hospital records. All patients were evaluated daily for Phantom sensation or Phantom pain in a standardized fashion. The severity, time and character of the pain were questioned in patients with Phantom pain. Results and Discussion: Nineteen patients with traumatic amputation were included in the study. Demographic values and amputation sites are shown in Table I and II. In the follow-up of the patients at the end of one month; Phantom sensation and Phantom pain was detected in 16 (88.9%) and 11 (61.1%) patients respectively (Table III). The lower extremity rate in traumatic amputations has been reported to be 80-85% in the literature, as in our results. Wilkins et al found the incidence of Phantom pain to be 48.5% in children aged 8-18 who underwent traumatic amputation. However, we found a higher incidence (61.1%) in our patients. This high incidence may be due to the fact that we started to follow patients immediately after they were admitted to the hospital. Conclusion: Phantom sensation and Phantom pain are seen with considerable frequency after traumatic amputation in children. It may be valuable to evaluate the treatment plan in the early period and to improve the quality of life. [ABSTRACT FROM AUTHOR]

Scientific researches are studies that should be systematically planned before performing them. In this review, classification and description of scientific studies, planning stage randomisation and bias are explained. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Anesthesia & Reanimation is the property of Turkish Society of Anaesthesiology & Reanimation 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 Turkish Journal of Anesthesia & Reanimation is the property of Turkish Society of Anaesthesiology & Reanimation 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 Journal of the Turkish Anaesthesiology & Intensive Care Society - JTAICS / Türk Anestezi ve Reanimasyon Dergisi is the property of Turkish Society of Anaesthesiology & Reanimation 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 Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi is the property of KARE Publishing 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 Journal of Exercise Therapy & Rehabilitation is the property of Yavuz Yakut 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 Journal of Exercise Therapy & Rehabilitation is the property of Yavuz Yakut 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.)