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    Determination of anthropometric measurements that may be associated with difficult incubation in children
    (2022) Kutlucan, Leyla; Aygün, Hakan
    Aim: Difficult tracheal intubation is a fundamental cause of perioperative morbidity and mortality. The frequency of difficult intubation is thought to be higher in the pediatric age group due to the different anatomical and physiological structures, and it may not be easy to detect this beforehand. Anthropometric measurements were evaluated before the elective operation and the relationship of some parameters with difficult intubation. Material and Method: This prospective cross-sectional study was conducted on 90 pediatric patients aged 2-14 who underwent elective surgery under general anesthesia. All patients’ age, gender, height, weight, body surface area (BSA), and body mass index (BMI) records were recorded before the operation. Mallampati scoring, head and neck circumference, thyromental distance measurements, and head circumference/neck circumference ratio were performed. Cormack-Lehane (CL) scoring and endotracheal intubation were applied during direct laryngoscopy of the operated patients. Children with easy intubation (CL grade 1 and 2) group 1; children who underwent difficult intubation (CL grade 3 and 4) were defined as group 2. Results: There was no significant relationship between Groups I and II in terms of age, height and weight values. There was no significant relationship between the two groups with BSA and thyromental distance measurements. Mallampati scores were found to be grades 3 and 4 (3.3%) in three of the 90 patients, and CL scores of 3 and 4 (4.4%) in four patients. A significant correlation was found between Mallampati scoring and CL scoring. A statistically significant difference was found between the two groups regarding head/neck ratios and BMI. Conclusion: In our study, head circumference/neck circumference ratio and BMI were found to be helpful while predicting difficult intubation in children with normal physical characteristics, 2-14 years of age, who underwent elective surgery. Our findings can be supported by further studies that will be planned and include more patients.
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    The effect of preoperative briefing on anxiety: A randomized study
    (Galenos Publishing House, 2022) Altaş, Ömer Faruk; Kutlucan, Leyla
    Objectives: Contrary to the standard information before the surgery, it was aimed to reveal the effect of detailed verbal information on the anxiety level of the patients. Materials and Methods: Eighty-four patients included in the study were randomized into 2 groups with 42 patients in each group. While detailed verbal information was given to the patients in group 1 before the surgery, standard information was given to the patients in group 2. Amsterdam Preoperative Anxiety and Knowledge scale (APAIS) questionnaire was applied to all patients for preoperative anesthesia and one hour before the operation, immediately after informing. Results: There was no significant difference between the two groups in terms of demographic data (p>0.005). Before the information, patients in group 1 had higher anxiety and desire for information scores than group 2 (p<0.001, p<0.001). In the within-group evaluation after the information, there was a significant improvement in each parameter in group 1 (p<0.001, p<0.001). While a significant increase in anxiety was detected in group 2 (p=0.02), there was no statistically significant change in the desire to obtain information (p=0.21). In the intergroup evaluation, no significant difference was found in any of the parameters after the information (p=0.86, p=0.40), while a statistically significant difference was found in the APAIS anxiety and APAIS desire to learn scores when the ? values ?were examined (p<0.001, p=0.007). Conclusion: In our study, we showed that detailed verbal information before the surgery reduced the patients’ anxiety and desire to obtain information. © 2022 by the International Society for Pelviperineology / Pelviperineology published by Galenos Publishing House.
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    Use of ultrasound guided single shot costotransverse block (intertransverse process) in breast cancer surgery: a prospective, randomized, assessor blinded, controlled clinical trial
    (Bmc, 2022) Aygün, Hakan; Kızıloğlu, İlker; Öztürk, Nilgün Kavrut; Öcal, Haydar; İnal, Abdullah; Kutlucan, Leyla; Gönüllü, Edip
    Background: Ultrasound guided costotransverse block (CTB) is a relatively newperi-paravertebral block that has been described recently. It has been previously reported that CTB, administered with a single high-volume injection, provides effective analgesia in breast conserving surgery. In this study we evaluated the effect of CTB when used in breast cancer surgery. Methods: Seventy patients due to undergo breast cancer surgery were included in this blinded, prospective, randomized, efficiency study. Patients were randomized into two equal groups (CTB group and control group) using the closed envelope technique. All patients underwent general anesthesia. In addition to standard analgesia methods, patients in group CTB also received CTB block while the remaining (control group) did not. Numeric rating (pain) scores and opioid consumption was compared between the two groups. Results: Opioid consumption in all time frames and pain scores at 1st and 3rd hours only were found to be significantly lower in Group CTB when compared to the control group. Conclusions: Ultrasound guided CTB improves analgesia quality in breast cancer surgery.