We found that oral melatonin, dexmedetomidine, and midazolam reduced the incidence of emergence agitation in children after sevoflurane anesthesia.

significant, but low, correlations existed between all measures and mortality. The odds of having escalation of care, AE, and mortality were 5 to 47 times greater among children with higher risk scores. The results suggest that all measures of outcome possess acceptable to excellent reliability with a slight improvement in agreement for NARCO compared with ASA-PS, supporting the validity of both NARCO and ASA-PS in predicting the perioperative risk in children, with a slight improvement in correlations when combined with the SS score.

No abstract

No abstract

The combination of naproxen sodium-codeine phosphate provided more effective analgesia than naproxen sodium and did not increase side effects.

No abstract

Congenital insensitivity to pain syndrome is a rare, sensorial and autonomic neuropathy characterized by unexplained fever, insensitivity to pain and anhidrosis. Patients may require anesthesia even for minor surgical procedures due to mental retardation and trauma arising from self-mutilating behavior.A child diagnosed with congenital insensitivity to pain syndrome was scheduled for gastric endoscopy under sedation due to suspected ingestion of a household cleaning disinfectant. Deep sedation was achieved, and spontaneous respiration was maintained. We did not encounter any complications.There is limited data regarding the safe anesthesia management in these patients because of the rarity of the disease. Therefore, we think that more clinical experience, case reports and studies are needed to establish the appropriate anesthesia management.

The blue code is an early warning system that enables the necessary interventions to be made individuals whose basic life functions are at risk or have stopped. The purpose of this study is to evaluate the blue code application in our hospital and to analyze the management of these patients. Material and Methods: Data of 154 patients with code blue call between April 2016 and September 2016 were retrospectively analysed. Patients age, gender, code blue call time, the most call given unit, team's arrival time to unit, cardiopulmonary resuscitation (CPR) time, the initial rhythm survival and discharge rates were investigated. Results: A total of 154 patients (97 male, 57 female) were evaluated in the study. The mean age of the patients was 62 years. 83 (53.9%) of the code blue calls occurred after hours and the most frequent calls given by internal intensive care unit. The mean time for the code blue team to arrive was 1.25 minutes and the mean duration of CPR was 27 minutes. The most frequent initial cardiac rhythm detected in patients was asystole (87%). Spontaneous circulation was provided in 24 patients and 130 died. Sixteen patient were discharged after further follow-up and treatment. When the blue code call was given from the patients who were discharged, the first cardiac rhythm detected ventricular fibrillation in 9 patient, sinus rhythm in 5 patient and asystole in 2 patient. Conclusion: When evaluated of the code-blue calls in our hospital, the most common rhythm in cardiopulmoner arrest cases were asystoly but survival and discharged rates were more likely in patient which initial rthym is ventricular fibrillation.