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Objective The use of simulation technology in cardiopulmonary resuscitation (CPR) applications and undergraduate and postgraduate medical education is increasing. We investigated the development of assistant doctors knowledge levels by using the new generation computer assisted simulation model (NGCASM) in resuscitation training, which is a part of continuing education. Material and Method The training was attended by 192 assistant doctors from 21 departments. A total of 125 assistant doctors participated in the training. In groups of 10, CPR training was given for 2 hours with 3 trainers on 3 models in total. A 50-question true/false test was given to the participants before the training. It was evaluated over 100 points. In the 2-hour practice, assistant doctors performed resuscitation steps such as airway opening maneuvers, breathing, compression and defibrillation on the NGCASM. All assistant doctors performed resuscitation with the indicator showing the appropriate compression depth on the NGCASM tablet, indicating that effective compression was performed on the patient. All shockable and non-shockable rhythms were displayed on the monitor of the model and advanced life support algorithm was applied by creating scenarios. After the training, the same true/false test was given to the participants. Initial and posttest comparisons were made according to gender, department and assistant doctors educastion year. Results A significant difference was observed in the comparison of pre-resuscitation test (PreRT) and post-resuscitation test (PRT) scores. A statistically significant difference was observed between the PreRT and PRT scores of those who worked 0-1 year, 2-3 years, and more than 3 years. A statistically significant positive correlation was found between the PreRT and PRT scores and between the PRT and PreRT-PRT difference, and a statistically significant negative correlation was found between the PreRT and PreRT-PRT difference. Conclusion Studies have shown that the use of simulation in resuscitation training improves training outcomes and better compliance with resuscitation guidelines. We believe that the CPR training performed by seeing and practicing by the assistant doctors in the new generation computer assisted simulation model is effective in improving their level of knowledge. [ABSTRACT FROM AUTHOR]

Copyright of Eurasian Journal of Toxicology is the property of Eurasian Journal of Toxicology 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.)

Dural puncture is a common procedure used by many different disciplines for different purposes. In anesthesia practice, dural puncture is mostly performed during subarachnoid block as intentional and epidural anesthesia as unintentional. Post-dural puncture heacache has been one of the most frequent and serious complications since August Bier reported the first case in 1898. In recent years, the incidence of headaches with small gauge needles, especially pencil-point type needles, has been greatly reduced when compared to traditional cutting Quinke type needles. Although headache generally ceases within 2 weeks, it may last for months or even years. Various treatment modalities have been found for this complication that seriously impairs the daily life of the patients. One of the current methods is epidural blood patch which is regarded as 'Gold Standard'. Post-dural puncture headache should be followed up carefully as from the moment that it is noticed and treatment should be started quickly. Invasive methods shouldbe chosen for the cases who are unresponsive to conservative methods. It should be careful for other life-threatening complications and definitive diagnosis should be made. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Intensive Care 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 Turkish Journal of Intensive Care 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 Turkish Journal of Intensive Care 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 Turkish Journal of Intensive Care 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.)

Objective New corona virus disease (COVID-19) is a respiratory disease associated with high mortality that emerged in December 2019. Individuals with preexisting health conditions, such as heart disease, hypertension, diabetes, and chronic obstructive pulmonary disease, and those with weakened immune systems are at increased risk for severe complications. Cancer patients have been adversely affected by the pandemic, both due to the disease itself and its treatments. The aim of this study is to evaluate the impact of COVID 19 on mortality in cancer patients followed in the intensive care unit (ICU). Material and Method We conducted a retrospective analysis of 275 COVID-19 patients who were admitted to the ICU between January 2020 and April 2022. Among these patients, 72 had a cancer diagnosis and were classified into two groups: Group 1 (n=203) included patients without cancer, and Group 2 (n=72) included patients with cancer. We recorded age, gender, comorbidities, PCR test results, laboratory parameters, APACHE2 and SOFA scores, duration of ICU stay, mechanical ventilation requirement, and duration of mechanical ventilation for all patients. Results Hypertension was significantly more common in Group 1 compared to Group 2 [97 (48%) and 24 (33%), respectively); p<0.05]. Serum C-reactive protein levels were significantly higher in Group 2 compared to Group 1 [144 (0.5-480) and 112 (1.1-404) mg/L, respectively; p<0.01]. Serum albumin, serum platelet and hematocrit levels were significantly lower in Group 2 compared to Group 1 [respectively 2.7 ±0.4 and 2.9 ±1.3; p <0.01], [respectively; 173 (11-557) and 212 (14-624); p <0.01], [respectively; 31.4± 7.1 and 35.8±6.6; p <0.01]. Mortality ratio was significantly lower in Group 2 compared to Group 1 [51 (71%) and 114 (56%), respectively; p=0.03]. Conclusions Our results suggest that mortality in cancer patients with COVID-19 who are admitted to the ICU is higher than in those without cancer. Further studies are needed to validate our results. [ABSTRACT FROM AUTHOR]

Cardiac physiologic changes during pregnancy may cause risky delivery in patients with congenital cardiac anomalies. In this case, we present the anesthesia management during emergency cesarean section in a pregnant woman with c-TGA who may develop cardiac tamponade and sudden death risk due to pericardial effusion. [ABSTRACT FROM AUTHOR]

Objective: We intended to research the efficacy of pericapsular nerve group (PENG) block performed with preoperative ultrasonography (USG) in patients who underwent hip fracture repair under spinal anaesthesia and whether it affects the success of spinal anaesthesia., Methods: The files of 100 patients were analysed, and 60 patients were enrolled in the study. The patients were assigned into two groups: Group P (n = 30) consisted of patients who underwent USG-guided PENG block before the start of surgery and the control group (Group C; n = 30) consisted of patients in whom tramadol infusion was initiated. All patients received 10 mg IV bolus tramadol as rescue analgesia when numeric rating scale (NRS)>3. From the files of the patients, before PENG block application, after PENG block application, during positioning before spinal anaesthesia, the NRS values at the time of the patient's discharge from the operating room and at 2 nd , 4 th , 12 th and 24 th hour NRS values, spinal anaesthesia duration and number of attempts, and perioperative total tramadol consumption were obtained., Results: In group P, NRS values were found to be significantly lower after PENG block application, during positioning before spinal anaesthesia, and at the postoperative discharge, 2 nd , 4 th , 12 th and 24 th hours. In addition, group P had a lower duration of spinal anaesthesia, a lower number of spinal anaesthesia attempts and a lower total perioperative tramadol consumption., Conclusion: The results demonstrated that preoperative PENG block facilitated positioning for spinal anaesthesia, shortened the application time, increased the first-attempt success rate, decreased pain scores, and reduced the need for postoperative opioids., Competing Interests: Declaration of Interests: The authors declare no conflicts of interest., (©Copyright 2024 by the Turkish Anesthesiology and Reanimation Association / Turkish Journal of Anaesthesiology & Reanimation is published by Galenos Publishing House.)

Background and Objectives: In this study it was aimed to examine the histological and morphometric effects on cartilage structure of intra-articular application of levobupivacaine to the shoulder joint., Methods: In twenty New Zealand adult male rabbits, 35 shoulders were used for the study and prepared in 5 groups of 7. These groups were defined as Groups L1, L2, L3 and L4 which were right shoulders administered with 0.25% and 0.5% levobupivacaine, Group C which were left shoulders as the control group and Groups S1 and S2 which were left shoulders administered with 0.9% saline. On the 2nd and 15th days the animals were killed, the glenohumeral joints were evaluated macroscopically then cartilage samples were taken. These samples were evaluated with Mankin score, and histomorphometrically by measuring the thickness of the cartilage between the superficial cartilage layer and the tidemark and the thickness of calcified cartilage between the tidemark and the subchondral bone., Results: Macroscopically, on the 15th day the joint fluid was seen to have reduced in all the groups. After microscopic evaluation, the highest Mankin score (mean: 3.14±2.1/14) was in the L4 group (15th day 0.5% levobupivacaine) and was found to be statistically significant (p<0.05). No statistically significant difference was determined between the other groups., Conclusions: Histologically, as the highest Mankin score was in the L4 group, this indicates that in a single intra-articular injection of levobupivacaine a low concentration should be selected., Level of Evidence: Level 5, animal study., (Copyright © 2016 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.)