Midhumeral blockade for non-obstetric surgery during pregnancy [Gebelikte obstetrik disli cerrahi girişim IIçin midhumeral blok uygulamasi]

Operations during pregnancy and the anesthesia applied during these operations are very important in terms of morbidity and mortality since they have effects on both the mother and the fetus. Application of regional block is highly preferable when considering the risk of hypoxemia and aspiration and the side effects they create both on the mother and the fetus. However, peripheral blocks are not as common as central blocks. A Twenty week pregnant, 28 year old, woman, 83 kg in weight, with a history of cesarean section under general anesthesia was planned to have an operation due to the right distal humerus fracture of the gestational weight. The decision was made to block the Midhumeral axles. A total of 40 cc 0.25% bupivakain solution was injected in equal dose around each nerve in order to prevent median, radial, unlar and tourniquet pain respectively with 2mA current. There was no complications and no additional analgesic medication was needed. Considering the physiological changes of the pregnant woman, we believe that the peripheral nerve block performed by an experienced anesthesiologist may be more advantageous both for the safety of the pregnancy and for the fetus than applying general anesthesia

Myastenia gravis and anesthesia management [Miyastenia gravis ve anestezi yönetimi]

Myasthenia Gravis (MG) is a muscle disease affecting the neuromuscular junction and characterised by weakness of skeletal muscle. Although, MG is rarely in society, it is a special research area for the clinicians and one of the important headings which anesthesiologists interested in. Nowadays the disease still have a challenge in the anesthesiology community because the pathophysiological consequences of the disease are closely associated with to many drugs like muscle relaxants. The mechanism and the management of the disease which is also triggered by stress factors, should have particularly known by all the anesthesiologists, because of the risk of postoperative respiratory failure. In this review, we aimed to increase awareness of the clinicians about the anesthetic approach to the management of MG disease