No abstract

The aim of the present study was to evaluate the basic life support skills of doctors in a hospital resuscitation team and to identify potential factors affecting those skills. Twelve anesthesiology residents were induced in this study. Each doctor was asked to perform mouth-to-mouth ventilation for 10 minutes and then chest compression for another 10 minutes on a Laerdal Skillmeter Resusci-Anne manikin during the day (10 am) and at night (10 pm). The rates of correct ventilation, correct chest compression, ventilation errors (i.e., excessive inflation, stomach insufflation, insufficient ventilation), and compression errors (i.e., insufficient chest compression/decompression, excessive chest compression, incorrect hand placement) were determined for each 2-min interval up to 10 min. In addition, effects of sex, seniority, CPR duration, and time of day (day vs night) on those skills were assessed. The mean rates of correct ventilation were 53.3±23.9% (day) and 60.4±16% (night); the mean rates of correct chest compression, 76.9±15% (day) and 76.5±14.7% (night). During the first 2-minutes period of testing at night, men doctors more frequently achieved correct ventilation than did women doctors (p<0.05). Overall, the practical CPR skills of the study participants were not influenced by sex, seniority, CPR duration, or time of day; however, the participants' skills were poor. This suggests that all medical staff, especially members of in-hospital resuscitation teams, should undergo regular, periodic CPR training. basic life support skills; chest compression; mouth-to-mouth ventilation

Bu makalede konservatif tedavi yaklaşımları ile yeterli rahatlama sağlanamayan bel ağrılı hastalarda uygulanan girişimsel ağrı tedavi yöntemleri anlatılmıştır.Anahtar sözcükler: bel ağrısı; girişimsel tedaviler; ağrı tedavisiIn this article, interventional procedures are described for patients who could not find sufficient benefit from conservative low back pain therapies.

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Spinal musküler atrofi (SMA); çoğunlukla otozomal resesif geçişli, 1/10.000 sıklıkta görülen, spinal kord ön boynuz hücreleri ve beyin sapı motor nukleuslarının dejenerasyonu sonucu oluşan kalıtsal bir hastalıktır. Hastalık klinik olarak alt ekstremitelerin proksimal kas güçsüzlüğünden, disfaji ve solunum yetmezliğine kadar ilerleyebilen bir seyir gösterebilmektedir. Bu hastaların anestezi uygulamaları; zor havayolu yönetimi, nöromüsküler bloke edici ajanlara karşı aşırı duyarlılık, kas güçsüzlüğü ve respiratuar kapasitedeki bozukluk nedeniyle genellikle zordur. Bu olgu sunumunda; femur fraktürü nedeniyle cerrahi geçirecek Tip 3 SMA'lı bir hastaya anestezi ve postoperatif analjezi amacıyla başarılı bir kombine spinal-epidural anestezi uygulamasının sunulması amaçlandı.