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BACKGROUND:The aim of this study was to determine the factors affecting mortality rate among patients with an electrical burn.

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Ganglioneuroma are rare, benign neural tumor of sympathetic nervous system originating from neural crest sympathogonia. Pelvic ganglioneuromas may mimic ovarian masses. We present a patient operated with the diagnosis of ovarian tumor which had a pelvic gangliuoneuroma.Case:An eleven-year old female patient complaining of abdominal pain and a mass was seen at our hospital. On examination a 10×10 cm mass was palpable in the pelvis. Laboratory parameters were all normal and the tumor markers such as β-HCG, AFP, CEA, serum catecholamines were negative. Abdominal ultrasonography and computed tomography showed an 11×6×9 cm solid mass containing calcification. The preoperative diagnosis was an adnexal mass of ovary. The patient was operated under general anesthesia and we found a retroperitoneal mass attached to the spine at L5. The tumoral mass was completely excised. Histopathological examination of tumor was reported as ganglioneuroma. The patient was discharged on seventh day of hospitalization with no neurological deficit.Retroperitoneal ganglioneuromas are usually present with local mass a benign tumoral course. The preoperative diagnosis may be difficult in pelvic ganglioneuromas due to close similarity with the ovarian masses. The treatment of the ganglioneuroma is total surgical excision and histology provides a confirmatory diagnosis.

Background & Objectives: Hypothermia, described as temperature < 35°C, is a frequent condition encountered in patients operated under general anesthesia. It is associated with significant morbidity and mortality. We aimed to estimate its incidence and to investigate the conditions associated with hypothermia in pediatric patients. Methods: This prospective clinical study was carried out in the operating theatre of a tertiary care center between August 2015 and September 2015. A total of 108 pediatric patients who underwent various surgical procedures that lasted for more than 30 minutes were enrolled. Baseline demographic data, types of surgical procedures, duration of operations, preoperative and perioperative body temperatures were recorded. The incidence of hypothermia and its possible correlates were sought. Results: Our series consisted of 108 children (77 males, 71.3%; 31 females, 28.7%) with an average age of 6.08±5.09 years were included in the study. There was no case diagnosed with hypothermia in the preoperative, perioperative and postoperative periods. Patients in American Society of Anesthesiologists classification (ASA) three group had significantly higher preoperative body temperatures compared to those in ASA-1 and ASA-2 groups (p = 0.027). The postoperative body temperature in patients receiving intravenous fluid replacement was significantly lower (p=0.017). Conclusion: For pediatric patients scheduled for surgical interventions, we recommend close monitorization and follow-up of body temperature, implementation of preventive measures to avoid hypothermia and routine perioperative heating. Avoidance of hypothermia may prevent hazardous consequences of postoperative hypothermia. doi: https://doi.org/10.12669/pjms.36.4.456 How to cite this:Esen O, Yilmaz G, Aydin N. Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.456 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Elektif sezaryen günündeki multimedya e¤itimi kayg› puanlar›n› art›rmaktad›r Amaç: Hasta bilgisini art›rmaya yönelik multimedya tabanl› preoperatif e¤itim, farkl› klinik senaryolarda kayg› ve memnuniyet oranlar›n› art›rmaktad›r, fakat preoperatif ve perioperatif kayg›y› azaltmaya yönelik ideal yöntem hâlâ belirsizdir. Çal›flmam›zda, operasyon günü multimedya e¤itiminin (MME) genel anestezi al-t›nda sezaryen do¤um gerçeklefltiren hastalar›n kayg› ve memnuniyet oranlar› üzerindeki etkilerini araflt›rmay› amaçlad›k. Yöntem: Çal›flmaya uygunluk için 132 hasta de¤erlendirildi ve genel anestezi alt›nda elektif sezaryen için planlanan 106 hasta, operasyondan üç saat önce MEE grubuna veya sadece özet sözlü bilgi alan kontrol grubuna rastgele olarak ayr›ld›. Rastgele grupland›rma son-ras›nda tüm hastalardan Durumluk ve Sürekli Kayg› Envanteri (State and Trait Anxiety Inventory, STAI) ölçe¤ini doldurmalar› istendi. MME hastalar›, genel anestezi prosedürünü ve riskleri ile fayda-lar›n› detayl› flekilde anlatan bir e¤itim videosu izledi. Video e¤itiminden sonra her iki gruptaki hastalardan STAI-durumluk ölçe¤ini tekrar doldurmalar› istendi. Tüm hastalar genel anestezi alt›nda operasyona al›nd› ve operasyon sonras›nda tüm hastalardan, memnuniyet seviyelerini ölçmek için 5'li Likert ölçe¤i doldurmalar› istendi. Bulgular: Bafllang›ç STAI-durumluk ve STAI-sürekli de¤erleri ve memnun hastalar›n say›s› aras›nda istatistiksel olarak anlaml› bir fark yoktu (tüm karfl›laflt›rmalar için p>0.05). E¤itim sonras› STA-I-durumluk puanlar›, kontrol grubuna k›yasla MME grubunda an-laml› flekilde artt› (40.3±9.4'e karfl› 44.5±10.2, p<0.05). Sonuç: Operasyon gününde multimedya e¤itimi, genel anestezi alt›nda operasyon geçiren elektif sezaryen hastalar›n›n kayg› puan-lar›n› art›rmaktad›r. Genel anestezi alt›nda sezaryen operasyonu geçiren kad›nlarda yeterli zamanlama ve hasta e¤itimi yöntemini araflt›rmak için ek çal›flmalara ihtiyaç duyulmaktad›r.

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