The assessment of thoracal approaches in the treatment of aortic coarctation.

Objectives: The optimal choice of surgery in coarctation of the aorta (CoA) remains controversial but it needs to be individualised. However, in most conditions, a surgical approach through thoracotomy maintains adequate exposure to create aortic patency. This study aimed to assess the efficiency and reliability of thoracal approaches in the treatment of CoA by examining the mid- and late-term outcomes, and determining the predictive factors for re-intervention.

Limited upper mini-sternotomy approach for closed heart surgery in the newborns and infants.

Background: The mini-sternotomy has become a common approach of choice for a wide range of congenital defects requiring minimally invasive surgery. Here, we aimed to present closed heart surgery results via limited upper mini-sternotomy in the newborn and infants.

Methods: A total of 46 infants who underwent pulmonary artery banding, patent ductus arteriosus ligation, and aortopexy via limited upper mini-sternotomy between December 2017 and October 2020 were enrolled.

Current Anesthetic Management in a 20-Month-Old Pediatric Patient With Intestinal Transplantation Due to Microvillous Inclusion Disease.

Intestinal transplantation is a complex procedure both in terms of anesthesia and surgery. In particular, pediatric anesthesia management during intestinal transplant surgery can become even more complicated. It has been stated that propofol, remifentanil, and sevoflurane reduce patient mortality by reducing the incidence of intestinal ischemiareperfusion injury.

Bedside surgical ligation of the patent ductus arteriosus in very-low-birth-weight premature infants: Limited upper ministernotomy as an alternative approach.

Background: Patent ductus arteriosus (PDA) is an important cause of morbidity and mortality, especially in very-low-birth-weight infants. The aim of the present study was to evaluate the outcomes of bedside surgical ligation of PDA via limited upper ministernotomy as an alternative approach to thoracotomy.

Materials And Methods: A total of 23 low-birth-weight premature infants, who underwent bedside ligation of PDA in the neonatal intensive care unit between January 2017 and April 2020, were enrolled.

Transversus Thoracic Muscle Plane Block for Analgesia After Pediatric Cardiac Surgery.

Objective: The objective of this study was to assess the effectiveness of transversus thoracic muscle plane block (TTPB) as a novel technique for postoperative analgesia in pediatric cardiac surgery.

Design: A retrospective study.

Setting: A tertiary care teaching hospital.

Is Procalcitonin a Marker of Neurologic Outcome or Early Infection in Patients Treated with Targeted Temperature Management?

Objectives: Although high procalcitonin (PCT) levels are associated with poor neurological outcomes and increased mortality rates in patients treated with targeted temperature management (TTM) in the postcardiac arrest (CA) period, there are limited data about the correlation between PCT levels and infection. The aim of our study was to assess the relationship of PCT levels in the first 48 hours with early period infections, late period neurological prognosis, and mortality in patients treated with TTM after CA.

Materials And Methods: Serum PCT was measured on admission days 1 and 2.

Peri-operative blood transfusion in elective major surgery: incidence, indications and outcome - an observational multicentre study.

Background: Patients' demographic and epidemiological characteristics, local variations in clinicians' knowledge and experience and types of surgery can influence peri-operative transfusion practices. Sharing data on transfusion practices and recipients may improve patients' care and implementation of Patient Blood Management (PBM).

Materials And Methods: This was a multicentre, prospective, observational, cross-sectional study that included 61 centres.

[Different surgical approaches to Scimitar syndrome].

Scimitar syndrome is a rare congenital heart defect characterized by the combination of vascular, bronchial, and parenchymal malformations. This syndrome includes anomalous right pulmonary venous drainage to the inferior caval vein, hypoplastic right pulmonary artery, right lung hypoplasia and the presence of aortopulmonary collaterals to the right lung. In this study, we evaluate the different surgical approaches of 3 cases with Scimitar syndrome who was corrected successfully.

Investigation of Amounts of Vitamins, Lycopene, and Elements in the Fruits of Opuntia ficus-indica Subjected to Different Pretreatments.

In this study, Opuntia ficus-indica fruit was examined in fresh, frozen, sun-dried, and microwave-dried. Analysis of the vitamins in the samples was performed by high performance liquid chromatography (HPLC). The amount of selenium in the fruits was determined by fluorescence spectrophotometer, while copper, iron, manganese, and zinc were determined by atomic absorption spectrophotometer (AAS).

Low levels of vitamin D are associated with nosocomial infections but not with short-term mortality in critically ill patients.

Background/aim: A prospective observational study was conducted to determine the relationship between vitamin D deficiency and nosocomial infections among intensive care unit (ICU) patients. Materials and methods: Demographic data, season of admission, vitamin D levels at admission, premorbid lifestyle scores, comorbid conditions, and admission diagnosis were recorded in 306 ICU patients. Infections that developed at least 48 h after admission to the ICU were the primary outcome, and ICU, hospital, and 1-year mortality were the secondary outcomes.

[Effect of video-based education on anxiety and satisfaction of patients undergoing spinal anesthesia].

Background: Providing sufficient information during a preanesthetic interview may help improve patient understanding and decrease anxiety related to spinal anesthesia. We investigated the effect of video-based education on anxiety and satisfaction in patients about to undergo spinal anesthesia.

Methods: A total of 198 patients scheduled for minor elective surgery under spinal anesthesia were prospectively enrolled.

The effect of passive exposure to tobacco smoke on perioperative respiratory complications and the duration of recovery.

Background: The incidence of perioperative respiratory complications and postoperative care unit recovery time investigated in patients with passive tobacco smoke exposure according to the degree of exposure.

Methods: Total 270 patients ranging in age from 18 to 60 years with the ASA physical status I or II exposed and not exposed to passive tobacco smoke received general anesthesia for various elective surgical operations evaluated for the study. Patients divided into two groups as exposed and non-exposed to passive tobacco smoke, those exposed to passive smoke are also divided into two groups according to the degree of exposure.

[The effect of passive exposure to tobacco smoke on perioperative respiratory complications and the duration of recovery].

Background: The incidence of perioperative respiratory complications and postoperative care unit recovery time investigated in patients with passive tobacco smoke exposure according to the degree of exposure.

Methods: Total 270 patients ranging in age from 18 to 60 years with the ASA physical status I or II exposed and not exposed to passive tobacco smoke received general anesthesia for various elective surgical operations evaluated for the study. Patients divided into two groups as exposed and non-exposed to passive tobacco smoke, those exposed to passive smoke are also divided into two groups according to the degree of exposure.

Postoperative patients in the intensive care unit: Identifying those who do not really need it.

Purpose: We evaluated severity-scoring systems as predictors of intensive care unit (ICU) need and created a new model for identifying postoperative patients who do not really need ICU.

Materials And Methods: The American Society of Anesthesiologists (ASA), the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), and Simplified Acute Physiology Score III scores of 100 postoperative patients were calculated, and cutoff values for necessary ICU admission were obtained. Criteria for a "necessary admission" were death, length of stay more than 48 hours, need for vasoactive agents, or mechanical ventilation for more than 24 hours.

Factors Affecting Anxiety and Depression Symptoms in Relatives of Intensive Care Unit Patients.

Aim: To determine the incidences of anxiety and depression in relatives of patients admitted to an intensive care unit (ICU) and to investigate the relationships between psychological symptoms and demographic features of the patients and their relatives.

Methodology: Relatives of 78 ICU patients were enrolled in the study. Sociodemographic features of patients and their relatives were recorded.

Effects of dexmedetomidine and propofol on sedation in patients after coronary artery bypass graft surgery in a fast-track recovery room setting.

Purpose: We aim to compare the effects of propofol and dexmedetomidine infusions on extubation times, hemodynamic and respiratory functions, complication rates and patient satisfaction scores in patients undergoing coronary artery bypass graft (CABG) surgery using a fast-track anesthesia regimen for early extubation.

Methods: We enrolled 64 patients who underwent CABG surgery. Dexmedetomidine (min 0.

Acute Back Pain Following Surgery under Spinal Anesthesia.

Introduction: The purpose of this study was to determine the factors having a role in the occurrence of acute back pain following spinal anesthesia.

Methods: Six hundred and forty-nine patients who underwent surgery under spinal anesthesia were enrolled in this prospective observational study. Patients' age, sex, BMI, ASA physical status, educational status, history of back pain, spinal needle radius, spinal interspace level of intervention, method of approach for spinal anesthesia, position during spinal anesthesia, angle of puncture with respect to the spinal ligaments, magnitude of pain during intervention, number of lumbar punctures, number of bony contacts, amount of bupivacaine administered intrathecally, type of surgical procedure, surgical position, duration of the surgery, and duration of anesthesia parameters were recorded.

A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and postoperative complications in percutaneous nephrolithotomy.

Purpose: This study investigated the effects of irrigation solutions, administered at either 21 or 37 °C in percutaneous nephrolithotomy (PCNL), on hypothermia and related postoperative complications such as late emergence and late recovery from anesthesia, shivering, lactic acidosis, and excess bleeding.

Methods: Sixty patients who were scheduled for PCNL were enrolled in this prospective randomized double-blind study. Irrigation solutions at room temperature were administered to patients in group R (30 patients), and warmed irrigation solutions were administered to patients in group W (30 patients).