“Airtraq” laringoskop ve “macintosh” laringoskop ile yapılan endotrakeal entübasyon sonrası oluşan sempatik yanıtın karşılaştırılması;

7. ÖZETBu çalısmanın amacı Airtraq®(Prodol Meditec, Vizcaya, Spain) ile Macintosh laringoskop ileyapılan endotrakeal entübasyon sonrası olusan hemodinamik yanıtların karsılastırılmasıdır.Marmara Üniversitesi Tıp Fakültesi Etik Komite onayı alındıktan sonra yazılı bilgilendirilmisonam formları alınan, ASA I grubunda, 18-65 yas arasında, havayolu anatomisi Mallampati Ive II grubunda olan, elektif cerrahi geçirecek 60 hasta çalısmaya dahil edildi. Hastalarrandomize olarak 2 (n:30) gruba ayrıldı. Tüm hastalara kalp atım hızı (KAH), noninvazivsistolik arter basıncı (SAB), diyastolik arter basıncı (DAB), ortalama arter basıncı (OAB),tidal sonu karbondioksit basıncı (ETCO2) ve periferik oksijen satürasyonu (SpO2)monitörizasyonu yapıldı. 1.gruptakiler Macintosh laringoskop, 2. gruptakiler Airtraqlaringoskop ile entübe edildi. Tüm hastaların anestezi indüksiyonundan önce (preop),indüksiyondan sonra (0.dk), havayolu sağlama girisiminden sonra ilk 5 dk süresinc bir dakikaaralar ile hemodinamik parametreleri kaydedildi. Kaydedilen veriler istatistiksel olarakkarsılastırıldı.Her iki grup arasında, demografik özellikler, ASA fizyolojik skor ve Mallampati sınıflarıbakımından anlamlı bir farklılık yoktu. Her iki grup arasında preoperatif, 0.dk, 1.dk, 2.dk,3.dk, 4.dk, ve 5.dk sistolik, diyastolik ve ortalama arter basınçları ile kalp atım hızlarıdeğerleri açısından istatistiksel olarak anlamlı bir farklılık yoktu (p>0,05). Her iki gruptasistolik, diyastolik ve ortalama arter basınçları ile kalp atım hızlarında 1.dakika belirgin artıssaptandı (p0,05). In both of groups,systolic, diastolic and mean arterial pressure and heart rate values were increased significantlyat 1.min (p<0,05).Airtraq laryngoscope were found comparable to Macintosh laryngoscope according to theease of use and hemodynamic response to intubation

Clinical characteristics and outcomes of acute coronary syndrome patients with intra-aortic balloon pump inserted in intensive cardiac care unit of a tertiary clinic

Objective: An intra-aortic balloon pump (IABP) is a mechanical support device that is used in addition to pharmacological treatment of the failing heart in intensive cardiac care unit (ICCU) patients. In the literature, there are limited data regarding the clinical characteristics and in-hospital outcomes of acute coronary syndrome patients in Turkey who had an IABP inserted during their ICCU stay. This study is an analysis of the clinical characteristics and outcomes of these acute coronary syndrome patients. Methods: The data of patients who were admitted to the ICCU between September 2014 and March 2017 were analyzed retrospectively. The data were retrieved from the ICCU electronic database of the clinic. A total of 142 patients treated with IABP were evaluated in the study. All of the patients were in cardiogenic shock following percutaneous coronary intervention, at the time of IABP insertion. Results: The mean age of the patients was 63.0 +/- 9.7 years and 66.2% were male. In-hospital mortality rate of the study population was 54.9%. The patients were divided into 2 groups, consisting of survivors and non-survivors of their hospitalization period. Multivariate analysis after adjustment for the parameters in univariate analysis revealed that ejection fraction, Thrombolysis in Myocardial Infarction flow score of <= 2 after the intervention, chronic renal failure, and serum lactate and glucose levels were independent predictors of in-hospital mortality. Conclusion: The mortality rate remains high despite IABP support in patients with acute coronary syndrome. Patients who are identified as having a greater risk of mortality according to admission parameters should be further treated with other mechanical circulatory support devices

Consensus Report on Patient Blood Management in Cardiac Surgery by Turkish Society of Cardiovascular Surgery (TSCVS), Turkish Society of Cardiology (TSC), and Society of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care (SCTAIC)

Anemia, transfusion and bleeding independently increase the risk of complications and mortality in cardiac surgery. The main goals of patient blood management are to treat anemia, prevent bleeding, and optimize the use of blood products during the perioperative period. The benefit of this program has been confirmed in many studies and its utilization is strongly recommended by professional organizations. This consensus report has been prepared by the authors who are the task members appointed by the Turkish Society of Cardiovascular Surgery, Turkish Society of Cardiology (TSC), and Society of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care to raise the awareness of patient blood management. This report aims to summarize recommendations for all perioperative blood-conserving strategies in cardiac surgery