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One lung ventilation to apply the use of bronchial blockers, often preferred as an alternative to double lumen tube shown, during coronary artery bypass graft surgery. Because she had bypass with median sternotomy, mitral valve replacement achieved by thoracotomy incission and in this case the provide of one lung ventilation with bronchial blocker has been used. A lot of co-existant disease, advanced age, previous operations, the patients with successful anesthesia and surgical management can be considered risky with a planned operation was completed with the healing. [ABSTRACT FROM AUTHOR]

Aim: Anxiety related to anesthesia and surgery adversely affect operation and postoperative recovery. In this investigation a questionnaire study was conducted to reveal the knowledge level and degree of anxiety of the patients who were consulted to anesthesia clinic for sedation or anesthesia. Material and Methods: From the patients who referred to anesthesia polyclinic, we asked to fill a questionnaire consisting of 16 questions related to anesthesia. One thousand patients, aged between 18-95, were included in the study, and 86 of them could not complete the study for some reason. Results of 914 patients were evaluated. First part of the questionnaire included questions related to age, sex, education, occupation, anesthesia history, allergy history (personal knowledge), second part of the questionnaire included multiple choice questions related to anesthesia. In the second part of the questionnaire working place of anesthesiologist, methods of anesthesia, anxieties related to anesthesia were interrogated. Results: Questions related to education of patients showed that 25.5 % of them had a university education. Working status of patients showed that they were civil servants (24.7 %), housewives (19.1 %) and 19.1 % of them were retired. According to second part of the questionnaire, patients did't have enough knowledge about the anesthesiologist, their working place, and type of anesthesia. And also, according to the results youngsters and young women feel more intense anxiety related to anesthesia than others. Conclusion: Our results showed that majority of patients had inadequate knowledge about anesthesia. According to us, it is accurate to spend more time with the patients and give them adequate verbal and written information. [ABSTRACT FROM AUTHOR]

Introduction: This retrospective study was planned to analyse and report the patient characteristics, operative findings, intraoperative surgical and anesthetic management, intraoperative spectral edge frequency (SEF) values determined from EEG, postoperative inotrophic support and the complications in aortic reconstructive surgery (ARS) cases done with moderate hypothermia and antegrad selective cerebral perfusion (SCP) method. Material and Method: Twenty six patients whom we were able to reach their medical records completely, out of 150 patients, who had ARS done with SCP method in 2006, were retrospectively examined. Patients' demographic data, co-existent disease, cardiopulmonary by-pass, SCP and operation periods and length of ICU and hospital stay, postoperative neurologic outcome & other complications were recorded. SEF data determined from intraoperative EEG, were examined following induction of anaesthesia (1), early after CPB (2), during SCP period (3), X-clamp removal (4) and during sternum wiring (5). Statistical analysis included Friedman's two-way analysis of variance and Siegel N and Castellan J multiple comparison tests. For left and right hemisphere value comparison Wilcoxon Rank test was used. p<0.05 considered significant. Results: Seventeen patients had Type I (% 65.4), 1 had Type 2 dissection (% 3.8) and 8 had ascendan aortic aneurysm (% 30.8). Mean age was 54±92 years, SCP period 39±07min, CPB period 151.42±47.2min, ICU stay 13.7±24.3days & hospital stay was 20.65±24.1 days. Irreversible neurological complication was detected in 3 patients, 2 of whom died from MOF. Two patients who had reversible neurological complication discharged from the hospital uneventfully. Total of 4 deaths occurred. Bilateral SEF values of all patients decreased significantly in the 3rd period compared to 1st measurement period and tend to increase in the 5th period but this was not significant. No significant difference in SEF values of right and left hemisphere was noted during any measurement period. Conclusion: Besides using moderate hypothermia and selective cerebral perfusion method during ARS, patients' co-existent disease, history of cerebro-vascular accident, the length of SCP and CPB periods and many other factors seems to affect both morbidity & mortality. We believe that multiple neurologic monitorization for cerebral protection may be more effective in anaesthetic management of aortic reconstructive surgery. [ABSTRACT FROM AUTHOR]