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Wilson’s disease is an autosomal recessive inherited chronic disease that occurs as a result of the deposition of copper in organs and tissues with impaired biliary excretion. With this case report, we aimed to share our experience in cesarean anesthesia in a pregnant woman with Wilson disease who had irregular medical follow-up and underwent chelation therapy. [ABSTRACT FROM AUTHOR]

Objective: This retrospective study aims to demonstrate whether using scoring systems effects postoperative complications of patients in the recovery room as well as its contribution to patients’ safety Method: We examined files of patients operated in our Hospital between 2010 and 2017. In the recovery room after anesthesia, complications developed in the recovery room and in the early period were recorded in patients who were followed up by the Modified Aldrete Scoring System (MASS) (MASG) and without using the scoring system (CG). We used Statistica 13.3 program for statistical analyses. Results: The duration of stay in the recovery room was longer in MASG than CG. The minor complication rate was close in both groups. In the control group , one patient had a cardiac arrest, as a major complication, which responded to cardiopulmonary resuscitation. Conclusions: We determined that more serious complication developed in patients for whom the scoring system was not used in the recovery room than patients followed up with the scoring system. Safety of patients during their transfer to the service depends on having an advanced infrastructure in anesthesia recovery rooms, employing trained health personnel and using algorithms such as MASS. [ABSTRACT FROM AUTHOR]

Substance abuse is a social problem and may increase morbidity with additional risks to the administration of anesthesia in patients requiring surgery. When it comes to cesarean section, the choice and management of a good anesthetic technique is mandatory for both the baby and the mother. A 30-year-old multiparous patient weighing 50 kg, in her 34 gestational week with a history of cesarean section but without routine follow-up presented with a sudden onset of active cervical hemorrhage and preterm labour. The patient’s vital signs were stable, laboratory values were within normal limits. It was learnt that she used heroin 4 hours previously, and she was not hungry. She underwent caesarean section under emergency conditions. A baby weighing 1500 g was delivered under general anesthesia. The infant was diagnosed with newborn withdrawal syndrome and phenobarbital treatment was performed in the neonatal intensive care unit. Maternal withdrawal syndrome and other complications did not occur. On the postoperative 5th day, the mother and baby were discharged. [ABSTRACT FROM AUTHOR]