(Headache 2010;50:869-881) Epidural blood patch is an effective treatment with a low complication rate. It is also an invasive method that can cause permanent neurological sequelae such as early and late back pain, radiculopathy, spinal-subdural hematoma, spinal-epiarachnoid hematoma, intrathecal hematoma, arachnoiditis, and infection. We report a case in which a postdural puncture headache resolved within 2 minutes of a greater occipital nerve block, a minimally invasive and easy procedure with a low complication rate. This case report suggests that a greater occipital nerve block may be a successful alternative treatment for patients with post-dural puncture headache.
Background
Perioperative hypothermia is an unintended decrease in the core temperature of patients. Hypothermia has many proven complications. The aim of this study is to investigate the perioperative temperature monitoring rates and the difficulties encountered during monitoring, particularly in patients undergoing neuraxial anesthesia.
Methods
Two hundred anesthesiologists were included in the study who work in Turkey and actively work in an operating room. A questionnaire was applied to the participants via printed form or e-mail.
Results
In Turkey, the overall temperature monitoring ratio was measured as 5.5%. Temperature monitoring was the most frequently used for cardiovascular surgery patients group. In neuraxial anesthesia, temperature monitoring was only 1.5%. The most common reason for not using a temperature monitor was the lack of appropriate equipment (45%). The most common temperature monitoring area was the axillary zone (48%).
Conclusion
Participants were aware of the importance of temperature monitoring but concluded that it was not sufficient in practice. Where and how to measure core temperature in awake patients is a controversial issue. Furthermore, the accuracy of measurements in neuraxial anesthesia should be discussed. Interestingly, raising awareness about this issue was not effective in the resolution of the problem. Still, in order to keep this issue up to date, the importance of perioperative temperature monitoring should be emphasized more frequently in anesthesia meetings and education programs.
Introduction: Health anxiety is the excessively negative interpretation of normal physical signs in an individual with no physical disease. Having knowledge information about the health anxiety levels of patients is one of the criteria that will affect the treatment of the patients' pain. The aim of this study was to evaluate the preoperative health anxiety of laparoscopic cholecystectomy patients together with the perception of postoperative pain and the requirement for analgesia. Methods: The study included 41 patients of American Society of Anesthesiologists(ASA) grade I-II, aged 18-65 years who were to undergo a laparoscopic cholecystectomy operation and a control group of 40 healthy individuals. The Health Anxiety Inventory was applied to the patients preoperatively and to the control group. In the postoperative period, the patients were followed up for 24 hours with a patient-controlled analgesia device prepared with tramadol. Visuel Analog Scale(VAS) values of patients were below 4 due to the use of patient controlled analgesia device. Total analgesic consumption was recorded. The results were compared statistically. Results: No significant difference was determined between the patient and control groups in respect of age, gender and body mass index (p>0.05). The VAS score of all the patients was less than four. The mean total tramadol consumption of the patients in the first 24 hours postoperatively was 221.58±73.06 mg. The analgesia consumption of female patients was significantly higher than that of males (p=0.013). The health anxiety levels of the patient group were found to be significantly higher than the control group (p<0.001). A positive correlation was determined in the patient group between health anxiety and the total analgesia requirement (r=0.813, p<0.01). Conclusions: In conclusion, high level of analgesia consumption was determined in those with high health anxiety and in female patients. When planning postoperative pain treatment, consideration of the gender of the patient and the level of health anxiety will make a positive contribution to the treatment.
How to cite / Atıf için: Kantekin ÇÜ, Erkoç MF, Talih G. The measurement of skin to epiglottis length for difficult airway prediction by ultrasonography on obese pregnant women: Prospective cohort study.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.