Can Ultrasound-Guided Regional Anesthesia Techniques For Tracheostomy Be An Alternative To General Anesthesia?

Basit Öğe Kaydı
dc.authorid0000-0003-0007-6315
dc.authorid0000-0003-4570-8339
dc.authorid0000-0002-3539-2353
dc.authorwosidBaran, Onur/AAE-1881-2021
dc.authorwosidGültekin, Ahmet/ABA-7274-2020
dc.contributor.authorŞahin, Ayhan
dc.contributor.authorBaran, Onur
dc.contributor.authorGültekin, Ahmet
dc.contributor.authorGücer Şahin, Gülcan
dc.contributor.authorErsözlü, Tolga
dc.contributor.authorArar, Makbule Cavidan
dc.date.accessioned2022-05-11T14:10:00Z
dc.date.available2022-05-11T14:10:00Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun ve Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractIntroduction The cervical plexus block (CPB) has been used for a long time for both analgesia and anesthesia in carotid endarterectomy and thyroid operations. To be unfamiliar with the technique and its perceived difficulty, potential risks, and possible adverse effects such as intravascular injection has limited broader use before the practical use of ultrasound. We hypothesize that the cervical plexus block can provide adequate anesthesia in tracheostomy cases and provide excellent anesthesia comfort when combined with a translaryngeal block. Methods This double-blinded, randomized 29 patients undergoing primary tracheostomy operation to receive either CPB (Group S) or CPB with translaryngeal block (Group ST). The primary outcome was cumulated analgesic consumption during the first 24 postoperative hours. Secondary outcomes were as follows: pain related to incision, patient tolerance as assessed by tracheostomy cannula comfort score, cough and gag, pain at rest, nausea and vomiting, and time to first analgesic demand. Results The patient tolerance for tracheostomy was higher in Group ST than Group S. The median tracheostomy cannula comfort score was 4.0 in Group S. In contrast, the median score was significantly lower in group ST (P<.001). The cough and gag reflex scores were significantly lower in Group ST than Group S (1.0 vs 4.0, P<.001). Conclusion This trial supported the hypothesis that the CPB combined with the translaryngeal block yields excellent anesthesia for tracheostomies. The technique we briefly described, in a way, is the equivalent of awake fiberoptic intubation to awake tracheostomy with minimal sedation adjusted according to airway patency.
dc.identifier.doi10.1177/15533506211059910
dc.identifier.issn1553-3506
dc.identifier.issn1553-3514
dc.identifier.pmid34889150
dc.identifier.urihttps://doi.org/10.1177/15533506211059910
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5245
dc.identifier.wosWOS:000730201100001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorŞahin, Ayhan
dc.institutionauthorGültekin, Ahmet
dc.institutionauthorGücer Şahin, Gülcan
dc.institutionauthorErsözlü, Tolga
dc.institutionauthorArar, Makbule Cavidan
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofSurgical Innovation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjecttracheostomy
dc.subjectcervical plexus block
dc.subjecttranslaryngeal block
dc.subjectregional anesthesia
dc.subjectCarotid-Endarterectomy
dc.subjectOutcomes
dc.subjectAirway
dc.subjectBlock
dc.titleCan Ultrasound-Guided Regional Anesthesia Techniques For Tracheostomy Be An Alternative To General Anesthesia?
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Tıp Fakültesi Koleksiyonu