OBJECTIVE:The incidence of postoperative morbidity and mortality in hip fracture patients is high associated with nutritional deficiencies.This study investigated the predictive value preoperative prognostic index (PNI) on intensive care unit (ICU) requirement geriatric patients.METHODS: Geriatric (≥65 years old) who underwent surgery between January 2021 September 2023 were evaluated retrospectively.Patients classified according to followed period (service group ICU group) 28-day (mortality...

Traumatic brain injury (TBI) is a significant health problem with high mortality rate. Inflammatory markers can predict the prognosis of TBI where neuroinflammation essential. In this study, prognostic value systemic immune-inflammation index (SII), neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte (PLR) at admission in patients critical was investigated. Patients moderately severe intensive care unit (ICU) tertiary center between June 2020 2022 were retrospectively reviewed....

Lumbar discectomies are widely performed surgical procedures aimed at alleviating pain and neurological symptoms caused by lumbar disc herniation. These surgeries, often involving multiple levels of the spine, essential for patients suffering from significant spinal pathology. However, despite routine procedures, effective postoperative management remains a persistent challenge in ensuring optimal patient outcomes satisfaction. In light these difficulties, we would like to introduce discuss...

Aim: Malnutrition is associated with postoperative morbidity and mortality in geriatric patients. This study investigated the prognostic value of nutritional risk index (GNRI) (PNI) orthopedic trauma Material Methods: Geriatric (≥65 years old) patients followed surgical intensive care unit after surgery between June 2019 2022 were evaluated retrospectively. Patients classified into survivor groups. GNRI was calculated according to ratio serum albumin level actual body weight ideal weight....

Opioid-free analgesia is crucial for high-risk patients, such as those with upper airway malignancies, to prevent respiratory complications. The Quadroiliac Plane Block (QIPB) offers an effective alternative. A 43-year-old female base of tongue cancer underwent retrograde intrarenal surgery (RIRS) under spinal anesthesia. Postoperatively, a unilateral QIPB 50 mg 0.25% bupivacaine provided pain control. Pain levels, measured the Numeric Rating Scale, decreased steadily over 24 hours without...

Postoperative ICU admission is crucial in surgical patient management, impacting morbidity and mortality outcomes. Traditional prediction methods, such as the ASA physical status classification, are subjective prone to variability. This study evaluates effectiveness of ChatGPT-4 predicting postoperative needs using comprehensive preoperative data. In this prospective multicentric study, data from 406 patients aged 18 older were analyzed. Patients requiring emergency surgery those with...

Postoperative pain management is crucial for enhancing recovery and minimizing complications after spinal tumor resections. This case series evaluates the serratus posterior superior intercostal plane (SPSIP) block postoperative analgesia in 2 patients undergoing thoracic surgeries. Bilateral SPSIP blocks were performed under ultrasound guidance, providing that specifically covered levels where resection was performed. Numerical rating scale (NRS) scores remained low, with minimal opioid...

Background. Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia reduce postoperative opioid requirements in patients undergoing cardiac surgery. Objectives. To compare the effectiveness of TENS parasternal on early pain after Methods. One hundred twenty surgery were enrolled present randomized, controlled prospective study. Patients assigned three treatment groups: block, intermittent application, or a control group....

Objective: Since traumatic brain injury (TBI) has high mortality rates, it is essential to identify patients with poor prognosis. In this study, the prediction performances of Glasgow Coma Scale (GCS), Acute Physiology and Chronic Health Assessment-II (APACHE-II), Marshall, Rotterdam scores were compared in TBI intensive care unit (ICU) a tertiary center. Methods: Patients followed up ICU due moderate severe between January 2020 2022 retrospectively reviewed. classified as survivor...

Caudal block (CB) and erector spina plane (ESPB) have been shown to provide effective postoperative analgesia following circumcision. Our aim was compare the analgesic efficacy of sacral ESPB CB, as well time first requirement complications.

Although obstetric morbidity and mortality have decreased recently, rates are still high enough to constitute a significant health problem. With the COVID-19 pandemic, many patients required treatment in intensive care units (ICU).Evaluate critical who were treated an ICU for followed up 90 days.Medical record review SETTING: Intensıve unit PATİENTS AND METHODS: Obstetric admitted between 15 March 2020 2022 at least days evaluated retrospectively. Patients with without compared by...

BACKGROUND:Postpartum hemorrhage (PPH) is related to several factors but frequently associated with coagulopathy maternal mortality. Fibrinogen a very important agent for bleeding. When its concentration decreased, severe surgical blood loss may occur. Here, we investigate the association of postpartum bleeding characteristics evolution PPH in patients who were taking fibrinogen concentrate (FC). MATERIAL AND METHODS:PPH patients' demographic parameters, outcome variables, and laboratory...

Objective To evaluate the effects of an ultrasound-guided transverse abdominis plane (US-TAP) block used for postoperative pain relief by comparing efficacy two different volumes/concentrations local anaesthetic bupivacaine in patients undergoing laparoscopic cholecystectomies. Methods This randomized study enrolled They were to groups: group A received a 20 ml US-TAP (50 mg +10 saline solution) and B 30 + solution). The intraoperative consumption remifentanil, requirement rescue analgesics,...

Patients operated under emergency conditions have a higher risk of death and complications than those per-formed elective conditions. Especially the patient group with high comorbidity needs to be evaluated more specifically. Accord-ing surgical American Society Anesthesiologists (ASA) scoring, perioperative should determined quickly, relatives patients informed. This study aimed evaluate factors affecting mortality morbidity in undergoing abdominal surgery.A total 1065 aged 18 years older...

Candidemia is the most common serious fungal infection in critically ill patients intensive care units (ICU). It series fourth among bloodstream infectious agents. In this study, candidemia risk analysis was examined COVID 19 and non-COVID during pandemic period.