Atrial fibrillation (AF) is the most common cardiac arrhythmia.It originates from irregular activities of atrial myocytes and can lead to numerous complications, including thromboembolic events, congestive heart failure, and even death. 1Perioperative AF heightens the risk of in-hospital morbidity and mortality.Several studies have reported an increase in hospital stay and stroke risk, primarily focusing on perioperative AF following cardiothoracic surgery.3][4] Newonset perioperative AF is not only associated with an increased risk of mortality post-surgery, but also correlates with a heightened risk of long-term stroke and mortality. 5 CASE REPORTA 62-year-old female patient was presented to our institution with a right frontal lobe tumor for excision surgery.The patient had a history of angioplasty with stent replacement seven years prior and was taking Turkiye Klinikleri 

pdf/perioperative-atrial-fibrillation-after-local-anesthetic-491kiujwat.pdf

Perioperative Atrial Fibrillation After Local Anesthetic Injection with Epinephrine

/pdf/peri-postoperative-atrial-fibrillation-in-non-cardiothoracic-19da67ud.pdf

Peri-postoperative Atrial Fibrillation in Non-cardiothoracic Surgeries: Approach of the Anesthesiologist

Rapid Sequence Spinal Anesthesia for Category 1 Cesarean Section: Is it Fast, Effective, and Reliable?

No: 3557 Evaluation of the use of the integrated pulmonary index for endoscopic procedures in sedated patients

Aim: In COVID-19 infection, it is known that there are some risk factors such as age, gender, chronic disease and laboratory findings, and these factors increase morbidity and mortality. Within the scope of the study, it is aimed to evaluate the relationship between blood type and platelet indices and mortality in COVID-19 patients followed in the intensive care unit, since there are limited data on MPV levels of COVID-19 patients in the literature.Material and Methods: After ethics committee approval, data on 322 COVID-19 patients who were followed up in the intensive care unit between March 1 and June 30, 2021 were retrospectively analyzed. Demographic data, comorbidities and mean platelet volume (MPV) measured in the complete blood count of the patients, mechanical ventilation status and type of intensive care discharge were recorded. Results: When the patients were grouped as A Rh-positive (n=138) and non-A Rh-positive (n=183) patients according to their blood type, it was found that statistically higher mortality developed in A Rh-positive patients. MPV was found to be a good predictor of mortality. The threshold with the best sensitivity and specificity for MPV was calculated as 9.4 (sensitivity=77.0%, specificity=69.1%, negative predictive value (NPV)=44.8%, positive predictive value (PPV)=90.3%). According to the cut-off value, when patients with low MPV (MPV <= 9.4, n=105) were compared with those with high MPV (MPV>9.4, n=216), statistically more deaths occurred in those with high MPV.Discussion: In our study, it was concluded that COVID-19 disease is associated with ABO blood types and MPV. Blood type A and high MPV values were found to carry a higher risk for COVID-19 disease and severity and were associated with mortality.

/pdf/the-effect-of-abo-blood-types-and-mean-platelet-volume-on-3ac1dq87.pdf

The effect of ABO blood types and mean platelet volume on mortality in COVID-19 patients in ICU

Objectives: It is aimed to show the effect of one-lung ventilation (OLV) on cerebral oxygenation and neurocognitive functions. Methods: Fifty ASA I-III patients who will undergo thoracic surgery and OLV for more than 1 h were included in the prospective study. Standardized Mini-Mental State Examination (SMMSE) was applied to evaluate the pre-operative neurocognitive functions. The patients were divided into two groups as non-desaturation (n=32) and desaturation (n=18). The same test was repeated on the 3 rd and 7 th post-operative days. Results: Considering the mean age, ASA score, and duration of surgery and OLV of the desaturation group, it was found that the basal rSO 2 values were significantly higher than the non-desaturation group. In both groups, a decrease was observed in the SMMSE values on the post-operative 3 rd day, but the decreases were found to be significant on the 3 rd and 7 th days in the desaturation group. In the desaturation group, a statistically significant correlation was found between the percentage changes in the post-operative 3 rd and 7 th days according to the pre-operative SMMSE values and the percentage changes in rSO 2 compared to the baseline. There was a significant positive correlation between mean arterial pressure and rSO 2 in the lateral decubitus position in both groups. Conclusion: As a result, many conditions may cause cerebral desaturation in OLV; it is thought that this should be followed up closely by cerebral oximetry and thus post-operative neurocognitive dysfunction and other complications can be prevented.

/pdf/the-effect-of-one-lung-ventilation-on-cerebral-oxygenation-1dukv5o0.pdf

The Effect of One-Lung Ventilation on Cerebral Oxygenation and Neurocognitive Functions

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