When routine objective neuromuscular monitoring is not available, PORC remains a clinical problem despite the use of NMBDs. The timing and optimal antagonism of the neuromuscular blockade, and routine objective neuromuscular monitoring is recommended to enhance patient safety.

Acute swelling of the parotid gland after general anesthesia (commonly known as anesthesia mumps or acute postoperative sialadenitis) is a rare but declared complication of anesthesia. The etiology is not clear, but some possible causes such as obstruction of glandular excretory ducts caused by patient position and increase in the viscosity of the saliva because of acute dehydratation and/or medications like atropin have been proposed. We report a swelling in the left preauricular and postauricular region extending to the angle of the mandibule in a 35-year-old patient after left lateral decubitus position for laparoscopic nephrectomy.

Background and aimIn the literature, there is no study on the anxiety and depression status of the relatives of intensive care COVID-19 and non-COVID-19 patients during the pandemic period. In this study, we aimed to compare the risk of developing anxiety and depression in the relatives of COVID-19 and non-COVID-19 intensive care patients during the pandemic, and also to determine the factors that may cause anxiety and depression. Materials and methodsRelatives of patients admitted to Ankara City Hospital COVID-19 (n=45) and non-COVID-19 (n=45) intensive care units between 15 May and 31 July 2021 were included in this prospective study. The Hospital Anxiety and Depression Scale (HADS) questionnaire was administered to the relatives of the patients within the first 48 hours of their admission to the intensive care unit. The answers were recorded and HADS, HADS-A (anxiety) and HADS-D (depression) scores were calculated accordingly. Demographics, education and marital statuses of both the patients and their relatives were recorded. Logistic regression analysis was performed to determine the factors associated with depression and anxiety. Receiver operator characteristics (ROC) curves were drawn for the factors affecting depression and anxiety, and the area under the curve values were calculated. ResultsDemographics, APACHE II score, and patient affiliation were similar in both groups. The mean HADS scores of the relatives of COVID-19 and non-COVID-19 patients were 24.76 and 16.04 (p<0.001). The mean HADS-A scores were 12.89 and 7.78 (p<0.001), and the mean of HADS-D scores were 11.87 and 8.27 (p=0.001). Moderate and high-risk anxiety and depression were significantly higher in relatives of COVID-19 patients (p=0.018, p=0.001, respectively). The area under curve (AUC) values were 0.727 in the ROC curve plotted for the independent risk factor Q3 responses that reduced anxiety, and 0.791 and 0.785 in the ROC curve drawn for the independent risk factor Q1 and Q3 responses that reduced the development of depression. ConclusionWe found that the anxiety and depression risk of the relatives of COVID-19 patients in the intensive care unit during the pandemic period is significantly higher than the relatives of non-COVID-19 patients in the intensive care unit. In addition, regardless of the diagnosis, younger intensive care patients may increase the anxiety and depression of the relatives of the patients during the pandemic. The higher-education level of the relatives of patients was determined as a factor reducing anxiety and depression.

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Kalça kırığı gibi ortopedik patolojiler yaşlı popülasyonda sıklıkla görülmektedir. Hasta sayısındaki artış yüzünden, kalça kırığı nedeni ile tedavi gören hastalarda ağrı yönetimi daha önemli hale gelmektedir. Biz bu çalışmada, spinal anestezi için verilen pozisyon sırasındaki ağrıyı gidermek için kullanılan, 2 farklı periferik blok yöntemini, etkinlik ve hasta memnuniyeti açısından karşılaştırdık. Yöntem: Çalışmamız tek merkezli, prospektif, randomize, çift kör bir çalışma olarak planlandı. Her biri 60 yaşın üstünde, American Society of Anesthesiologists (ASA) skalası 1-3 arası olan 59 hasta çalışmaya dahil edildi. Hastalar, fasya ilyaka kompartman bloğu (FICB) (Grup 1) ve Femoral sinir bloğu (FNB) (Grup 2) olarak iki gruba ayrıldı. Bulgular: Tam duyusal blok gelişen hasta oranı FNB grubunda daha yüksekti (FNB'de %73.3, FICB'de %44.8). Ancak tam blok gelişme sürelerinde istatistiksel olarak anlamlı bir fark yoktu. (FICB grubunda 16.2±3.7 ve FNB'de 14.8±3.6). Çalışmamızda, her 2 grubun da vizüel analog skorunu (VAS) düşürmede etkili olduğunu bulduk (2 grupta da yaklaşık 5 puan düşüş mevcuttu). Hasta memnuniyeti açısından istatistiksel olarak anlamlı bir fark olmasa da FNB grubunda diğer gruba kıyasla daha yüksek memnuniyet oranı izlendi. Sonuç: FNB de FICB gibi nöroaksiyel blok uygulamaları sırasında ortaya çıkan pozisyon ağrısını gidermek için kullanılabilecek bir yöntemdir.