Inflammatory myofibroblastic tumors (IMTs) are rare childhood neoplasms, with benign clinical course. Although etiology of IMTs are not clear, recent studies have reported that IMT is a true neoplasm rather than a reactive or inflammatory lesion. IMTs are rarely seen in adults and tracheal involvement is also rare both in adults and also in children. We describe a 16-year old female patient who was misdiagnosed and treated as asthma in another center for a few months and presented with acute respiratory distress due to upper airway obstruction. Computerized tomography (CT) of the chest and rigid bronchoscopy revealed a mass lesion that was nearly totally obliterating tracheal lumen. Bronchoscopic resection was performed under general anesthesia and the final pathological diagnosis was tracheal IMT.

In our study, considerable determinants of fetal wellbeing was stated to be higher in C/S performed under SA in comparison to GA. Furthermore, our findings favor SA for avoidance of TTN.

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adial artery has widely been used as a default access site for coronary angiography (CAG) and other interventional procedures at recent decades due to its favorable properties like lower vascular complication rates, increased patient comfort and reduced length of hospital stay. 1-5 However, performing a smooth procedure necessitates operator

OBJECTIVE: Considerable amount of women undergoing dilatation and curettage (D&C) are subject to preoperative anxiety. We hypothesized that the implementation of video-based multimedia information (MMI) before the D&C might facilitate patients’ education and provide clear information regarding the procedure. This study aimed to compare the impact of video-based MMI and conventional written information on anxiety, pain severity, and satisfaction in patients undergoing D&C. METHODS: Seventy four women scheduled for D&C for abnormal uterine bleeding were enrolled in this prospective randomized study. Subjects were assigned to receive a video-based MMI or conventional written information (controls). The trait and state anxiety were assessed using the State and Trait Anxiety Inventory (STAI) before the MMI or written information. STAI-state (STAI-S) was repeated after the application of the MMI or written information. All patients underwent D&C by the same gynecologist. Following D&C, patient satisfaction and procedural pain were ranked using a Likert scale and Visual Analogue Scale. RESULTS: Post-informational STAI-S score was significantly lower than the pre-informational STAI-S score in the video group (p<0.001), whereas no significant change occurred in STAI-S score in the control group (p=0.210). The satisfaction rate of the patients receiving MMI before the D&C was significantly higher than the satisfaction rate of the controls (75% vs. 50%, p=0.027). CONCLUSION: Implementation of MMI before the D&C procedure is associated with less anxiety, less severe postoperative pain and improved patients satisfaction, compared to the conventional written information.

Düşük akımlı anesteziyle ilişkili birçok araştırma yapılmış olsa da, operasyon sırasında takip verileri ve güvenlik sonlanımları üzerine farklı akım hızlarının etkileri net olarak bilinmemektedir. Üçüncü basamak bir merkezde ürogenital sistem operasyonları sırasında uygulanan genel anestezi için düşük akımlı taze gaz karışımlarının farklı akım hızlarında kullanıldığı bu çalışmada, hemodinami, gaz değişim verileri ve derlenme zamanlarının gruplar arasında farklılık arz edip etmediği araştırılmıştır. Gereç ve Yöntemler: Sevofluran ile düşük akımlı anestezi uygulanan ardışık altmış iki hasta (Amerikan Anestezistler Derneği skoru I veya II) üç grupta toplandı: A, orta akım (2 L/dk), B, düşük akım (1 L/dk), C, minimal akım (0,5 L/dk). Operasyon öncesinde ve sırasında kaydedilen hemodinamik verilere ek olarak, 30. dakika ve anestezi sonlandırılmadan hemen önceki gaz değişim ve arter kan gazı değerleri incelendi. Derlenme ikinci bir hekim tarafından gözlendi ve gerekli süreler not edildi. Bulgular: Çalışma grupları arasında demografik özellikler benzerdi. Otuzuncu dakika ve anestezi sonlanımı öncesi vital bulgular, gaz değişim ve arter kan gazı analizi sonuçlarının çoğunluğu karşılaştırılabilir düzeydeydi. Operasyon sırasında, inspiratuvar sevofluran düzeyleri grup A'da anlamlı olarak daha yüksekti (%,

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We also recorded the first additional analgesic demands and ketamine associated adverse events. Results: We detected significant differences between the visual analogue scale values of ketamine and control group in the 2 nd , 4 th and 12 th hours. Significant differences were also seen in the first analgesic demand periods. We found a significant decrease in nausea and vomiting and insignificant elevation of psychodysleptic findings in ketamine group. Conclusion: We believe that low-dose ketamine can be effectively used to sustain analgesia in pregnant patients who received spinal anaesthesia. We further believe that the effect of ketamine in decreasing nausea and vomiting, in exchange of low levels of neuropsychiatric symptoms, is a remarkable subject.