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Amaç: Glidescope ve Airtraq entübasyonu kolaylaştırmak ve havayolu anatomisini öğretmek için geliştirilmişlerdir. Biz, bu havayolu araçlarının deneyimsiz personelce kullanımlarındaki etkinliklerini normal havayolu, dil ödemi ve yüz yüze entübasyon modellerinde değerlendirmeyi amaçladık.Yöntemler: Lokal İnsan Araştırmaları Etik Kurulu onayı alın-dıktan sonra tıp fakültesi 3. sınıf başlangıcında olan 36 öğrenci çalışmaya dahil edildi. Glidescope ve Airtraq ile pediyatrik maket üzerinde üç havayolu modelinde (sırasıyla); normal havayolu, dil ödemi ve yüz yüze entübasyon yapmışlardır. Bulgular:Yerleştirme ve entübasyon süreleri gruplar arasında benzer olmasına rağmen, Glidescope'un entübasyon başarı oranı normal havayolunda (%100 ve %67) ve dil ödeminde (%89 ve 50%) ile Airtraq'den fazladır (p=0,008 ve p=0,009). Maket üzerinde yüz yüze entübasyon başarı oranı gruplar arasında benzerdi (%50) (p=0,7). Manevra gereksinimi Glidescope grubunda normal ve dil ödemi modellerinde daha azdı (p=0,02 ve 0,002). Ek olarak, Glidescope ile özofagus entübasyonu normal ve dil ödeminde azdı (p=0,03 ve p<0,001).Sonuç: Deneyimsiz personel Glidescope ile Airtraq'e kıyasla trakeayı daha kolay entübe etmişlerdir. Glidescope ile entübasyon, normal ve dil ödemi modellerinde Airtraq'ten üstündür. Yüz yüze entübasyon başarı oranları hem Glidescope hem de Airtraq grubunda düşük bulunmuştur. Anahtar kelimeler: Laringoskoplar, havayolu yönetimi, entübas-yonObjective: Glidescope and Airtraq were designed for facilitating intubation and for teaching regarding the airway anatomy. We aimed to evaluate their efficacy in normal airway, tongue oedema and face-toface orotracheal intubation models when used by novice personnel. Methods:After the local human research ethics committee approval, 36 medical students who were in the beginning of their third year were enrolled in this study. After watching a video regarding intubation using one of these devices, the students intubated a paediatric manikin with a Glidescope or Airtraq via the normal airway, tongue oedema and face-to-face approach. Results:Although the insertion and intubation times were similar among the groups, the intubation success rate of the Glidescope was higher in the normal airway (100% vs 67%) and tongue oedema (89% vs. 50%) compared with the Airtraq (p=0.008 and p=0.009). The success rates with the paediatric manikin by the face-to-face approach were similar among the groups (50%) (p=0.7). The need for manoeuvres in the Glidescope was lower in the normal and tongue oedema models (p=0.02 and p=0.002). In addition, oesophageal intubation was low in the control and tongue oedema models with the Glidescope (p=0.03 and p<0.001). Conclusion:Novice personnel could more easily intubate the trachea with the Glidescope than with the Airtraq. Intubation with the Glidescope was superior to that with the Airtraq in the normal and tongue oedema models. The face-to-face intubation success rates were both low with both the Glidescope and Airtraq groups. Keywords: Laryngoscopes, airway management, int...

Posterior reversible encephalopathy syndrome is characterized by visual and mental disturbances, nausea and vomiting and generalized or focal convulsions and often represents itself with parietal and occipital oedema formation. We want to report the treatment of posterior reversible encephalopathy syndrome with plasmapheresis, which developed in a 35-year-old woman with systemic lupus erythematosus diagnosed by renal biopsy 3 years ago. She has been followed up in the intensive care unit three times. However, she had been transferred to the nephrology department of our university hospital because of her uncontrolled blood pressure. Oral antihypertensive therapy, corticosteroid 500 mg 1 × 1 and cyclophosphamide were started for the activation of lupus. After the detection of low complement levels, systemic lupus erythematosus activation was suspected. She developed mental deterioration after her first plasmapheresis treatment and was then consulted by the neurology and intensive care unit doctors. Diffusion cranial magnetic resonance imaging was found compatible with posterior reversible encephalopathy syndrome. The patient was transferred to our intensive care unit. The patient gained consciousness after her second plasmapheresis. After 5 days of follow-up in our intensive care unit and after significant regression was observed in the magnetic resonance imaging analysis, the patient was transferred to the nephrology service conscious, cooperated and orientated. At the nephrology service, after a total of 13 times of plasmapheresis, complement levels were increased and she was discharged with corticosteroid therapy. Posterior reversible encephalopathy syndrome can be observed in patients with systemic lupus erythematosus and intensive care unit treatment may be required. To control the hypertension, plasmapheresis should be kept in mind in addition to the multiple antihypertensive therapy in these patients.Keywords: Systemic lupus erythematosus, posterior reversible encephalopathy syndrome, plasmapheresis, intensive care unit Posterior reversible ensefalopati sendromu, bulantı-kusma, görsel ve mental değişiklikler, jeneralize veya fokal nöbetler ile karakterize olan ve genellikle kendini pariyetal ve oksipital bölgede yaygın ödem formasyonu ile kendini gösterir. Otuz beş yaşında 3 yıl önce böbrek biyopsisi ile sistemik lupus eritematozus tanısı konulan kadın hastada gelişen posterior reversibl ensefalpati olgusunun plazmaferezle tedavisini rapor etmek istedik. Hasta 3 kez yoğun bakımda takip edilmişti. Ancak kontrolsüz kan basıncı nedeniyle üniversitemiz nefroloji servisine sevk edilmişti. Hastaya lupus aktivasyonuna yönelik antihipertansif tedavi, kortikosteroid 1 x 500 mg ve siklofosfamid başlandı. Hastanın kompleman düzeylerinin düşük tespit edilmesi üzerine lupus aktivasyonundan şüphelenil-di. İlk plazmaferez tedavisi sonrası bilinci bozulan hasta nöroloji ve yoğun bakım doktorları tarafından konsülte edildi. Diffüzyon kraniyal manyetik rezonans görüntülemesi, posterior reversibl ensefalopati ile uyumlu bulun...

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