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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]