Basit öğe kaydını göster

dc.contributor.authorDemirci, T.
dc.contributor.authorUzun, Ş.
dc.contributor.authorAkça, B.
dc.contributor.authorAypar, Ü.
dc.date.accessioned2021-06-03T06:15:39Z
dc.date.available2021-06-03T06:15:39Z
dc.date.issued2019
dc.identifier.issn13000578 (ISSN)
dc.identifier.urihttp://dx.doi.org/10.5222/jarss.2019.00710
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85067475548&doi=10.5222%2fjarss.2019.00710&partnerID=40&md5=31d4e302d97c000732ec3db95445746f
dc.identifier.urihttp://hdl.handle.net/11655/24226
dc.description.abstractObjective: Acromegaly is an endocrinological disease that has morbidity and mortality characterised by high levels of growth hormone (GH) and insülin like growth factor-I (IGF-I). Typical big nose and lips, macroglossia, enlargement of mandible may be observed due to acral changes. Hypertrophy of pharynx, larynx, tonsils, vocal cords, mucosa and soft tissue may occur in acromegaly. Due to the characteristics of acromegaly, difficult mask ventilation and airway management might be anticipated in these patients. The purpose of this study was to document the challenges and methods used in airway management in acromegaly patients undergoing transsphenoidal pituitary surgery and to compare the success rates of these methods. Methods: The perioperative records of 120 patients that underwent transsphenoidal resection of pituitary adenoma at our university hospital between 2003-2013 were reviewed. Results: Among the patients studied, difficulty with intubation was encountered in %10 of patients which is consistent with literature. Patients whose laryngoscopy was challenging were intubated by changing blade, application of external laryngeal pressure or using a guide. One patient was intubated using LMA FastrachTM. Obstructive sleep apnea syndrome (OSAS) is a frequent comorbidity in acromegalic patients and this co-occurrence is also associated with difficult intubation. Conclusion: Significant correlation was observed between Mallampati gradings and incidence of difficult endotracheal intubation. Also obstructive sleep apnea syndrome (OSAS) which is very frequent in acromegalic patients is also associated with difficulty in airway management. We think that induction of anesthesia should be attempted after taking precautions to overcome difficult airway management in these patients. © Copyright Association of Anesthesiologists and Reanimation Specialists.
dc.language.isotur
dc.relation.isversionof10.5222/jarss.2019.00710
dc.rightsAttribution 4.0 United States
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjecthuman
dc.subjectcomorbidity
dc.subjectArticle
dc.subjectcontrolled study
dc.subjectmajor clinical study
dc.subjectuniversity hospital
dc.subjectretrospective study
dc.subjectmedical record review
dc.subjectacromegaly
dc.subjectAcromegaly
dc.subjectDifficult airway
dc.subjecthypophysis adenoma
dc.subjectintubation
dc.subjectlaryngoscopy
dc.subjectperioperative period
dc.subjectpituitary surgery
dc.subjectPituitary surgery
dc.subjectrespiration control
dc.subjectsleep disordered breathing
dc.subjecttranssphenoidal hypophysectomy
dc.titleA Retrospective Analysis Of Airway Management Of Acromegalyic Patients Undergoing Pituitary Surgery
dc.title.alternativeHipofiz Cerrahisi Yapilan Akromegalik Hastalarda Hava Yolu Yönetiminin Retrospektif Degerlendirilmesi
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalAnestezi Dergisi
dc.contributor.departmentAnesteziyoloji ve Reanimasyon
dc.identifier.volume27
dc.identifier.issue1
dc.description.indexScopus


Bu öğenin dosyaları:

Bu öğe aşağıdaki koleksiyon(lar)da görünmektedir.

Basit öğe kaydını göster

Attribution 4.0 United States
Aksi belirtilmediği sürece bu öğenin lisansı: Attribution 4.0 United States