BACKGROUND/AIMMask ventilation in geriatric and edentulous patients can be ineffective or even impossible because of the shape inside the patients' cheeks. For patients for whom a mask cannot be used ...for long, the use of a laryngeal mask can ease the administration of anesthesia. The aim of this study was to compare the use of the laryngeal mask UniqueTM in denticulate and edentulate patients aged over 65 years.MATERIALS AND METHODSThis prospective study included patients according to the American Society of Anesthesiologists I-III classification, aged 65 years or more. The patients were divided into two groups: a dentulous group (n = 33) and an edentulous group (n = 33). The success of the first attempt of insertion, ease of insertion, time taken to insert, and oropharyngeal leak pressure were measured. After insertion of the laryngeal mask UniqueTM, a researcher who was unaware of whether the patients had teeth or not conducted an oropharyngeal leak test.RESULTSThe success rate of inserting the laryngeal mask UniqueTM on the first attempt was higher in the dentulous group than in the edentulous group. Ease of insertion, time taken to insert, oropharyngeal leak pressure, and laryngopharyngeal morbidity were similar for each group.CONCLUSIONIn this study, successful insertion of the laryngeal mask UniqueTM was higher in dentulous than in edentulous patients. We conclude that this effect could have important implications for anesthesiologists managing edentulous geriatric patients with supraglottic airway devices.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Mask ventilation in geriatric and edentulous patients can be ineffective or even impossible because of the shape inside the patients' cheeks. For patients for whom a mask cannot be used for long, the ...use of a laryngeal mask can ease the administration of anesthesia. The aim of this study was to compare the use of the laryngeal mask Unique
in denticulate and edentulate patients aged over 65 years.
This prospective study included patients according to the American Society of Anesthesiologists I-III classification, aged 65 years or more. The patients were divided into two groups: a dentulous group (n = 33) and an edentulous group (n = 33). The success of the first attempt of insertion, ease of insertion, time taken to insert, and oropharyngeal leak pressure were measured. After insertion of the laryngeal mask Unique
, a researcher who was unaware of whether the patients had teeth or not conducted an oropharyngeal leak test.
The success rate of inserting the laryngeal mask Unique
on the first attempt was higher in the dentulous group than in the edentulous group. Ease of insertion, time taken to insert, oropharyngeal leak pressure, and laryngopharyngeal morbidity were similar for each group.
In this study, successful insertion of the laryngeal mask Unique
was higher in dentulous than in edentulous patients. We conclude that this effect could have important implications for anesthesiologists managing edentulous geriatric patients with supraglottic airway devices.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
The scales need to be adapted for the society so that they can be used. This study aims to assess the reliability and validity of the Caregiver Reaction Assessment Scale. The phases of the testing of ...the scale included the translation and adaptation of the Preparedness for Caregiving Scale construct analysis by an expert group, and pre-test and psychometric evaluation (factor analysis, reliability coefficient and inter-item correlations). Pearson Correlation analysis of the results showed a significant positive relationship between test-retest scores of the scale (r= .775, p= .000; t=781, p= .439). Cronbach alpha coefficient was α=.88 and standardized α value was .89. The scale explains the fifty-six percent of total variance. The scales were found to be reliable and valid in Turkish population. These findings suggest that the Turkish version of the instrument is available for measuring specific aspects of the caregiving experience in the Turkish population.
The aim was to evaluate the nutritional situation of patients admitted to the Postoperative Acute Care Unit using classic methods of objective anthropometry, systemic evaluation methods, and ...Nutrition Risk in Critically Ill (NUTRIC) score, and to compare them as a predictor of morbidity and mortality.At admission to the postoperative care unit, patients undergoing various surgeries were assessed for the following items: Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Nutritional Risk Screening (NRS)-2002, Mini Nutritional Assessment (MNA), Charlson comorbidity index (CCI), and NUTRIC score, anthropometric measurements, serum total protein, serum albumin, and lymphocyte count. Patients were monitored for postoperative complications until death or discharge. Correlation of complications with these parameters was also analyzed.A total of 152 patients were included in the study. In this study a positive correlation was determined between mortality and NRS-2002, SGA, CCI, Acute Physiology and Chronic Health Evaluation , Sepsis-related Organ Failure Assessment, and NUTRIC score, whereas a negative correlation was determined between mortality and NRI. There was a correlation between NUTRIC score and pneumonia, development of atrial fibrillation, delirium, renal failure, inotrope use, and duration of mechanical ventilation. In our study group of postoperative patients, MNA had no predictive properties for any complication, whereas SGA had no predictive properties for any complications other than duration of hospital stay and mortality.The NUTRIC score is an important indicator of mortality and morbidity in postoperative surgical patients. NRI correlated with many postoperative complications, and though SGA and NRS were correlated with mortality, they were not correlated with the majority of complications. MNA was determined not to have any correlation with any complication, mortality, and duration of hospital stay in our patient group.
INTRODUCTION: It is more difficult to perform bag-mask ventilation in edentulous patients than in patients with intact dentition. The laryngeal mask airway (LMA) provides a better alternative to the ...standard face mask if the facial contours of the patient are not suited for the standard face mask. We aimed to compare these two different LMAs in edentulous geriatric patients. METHODS: Edentulous patients aged ?65 years of American Society of Anesthesiologists physical status I-III were included in the study. They were randomly assigned to Supreme group (n=30) and Unique group (n=30). Success of first insertion attempt, ease and time of insertion and oropharyngeal leak pressure were recorded. RESULTS: The success rate of the first insertion attempt was higher in the Supreme group than in the Unique group (86.6 and 73.3%, respectively; p=0.04). Time of insertion was similar (10.04 s and 11.87 s, respectively) and insertion was easy in 90% and 100% of patients, respectively. Oropharyngeal leak pressures were measured as 20.56-cm H2O and 17.10-cm H2O for LMA Supreme™ and LMA Unique™, respectively. DISCUSSION AND CONCLUSION: The efficacy and safety in both groups were comparable in edentulous geriatric patients during short surgical procedures. Even the success rate of insertion with both was lower than that mentioned in the literature; the success of insertion at the first attempt was superior with the LMA Supreme™ in our edentulous study group.
Introduction: Alzheimer’s disease (AD) is the most common cause of dementia. Early-onset AD (EOAD) occurs when it affects someone under the age of 65, and many people diagnosed are in their 40s and ...50s. Many studies in the literature examine the caregiver burden of people with late-onset AH (LOAD), and it is unclear whether the experience of caregiving differs according to the age of onset of AH. Aim: This study aimed to determine whether there is a difference in the caregiver burden of primary informal caregivers of community-dwelling patients with AD according to the age of onset of the disease. Methods: A comparative descriptive study design was used in this study. The sample comprised 109 people with AD (34 EOAD and 75 LOAD) and their caregivers. Sociodemographic characteristic questionnaires, the Caregiver Burden Inventory, the Mini-Mental State Examination, the Neuropsychiatric Inventory, Barthel’s Activities of Daily Living, and the Clinical Dementia Rating Scale were used. Descriptive statistics, t-tests, and chi-square were used to describe and analyze the data. Results: Caregivers of patients with EOAD had significantly higher scores for social burden than caregivers of patients with LOAD (t=3.156, p=0.002). Furthermore, caregivers of patients with EOAD experienced more developmental, physical, and total burden than caregivers of patients with LOAD. However, these differences were not statistically significant (p>0.05). Conclusion: Considering that there will be differences in the caregiver burden of AH according to the age of onset, it is necessary to offer services tailored to the needs of AD caregivers.
Giriş: Alzheimer hastalığı (AH), demansın en sık görülen tipidir. Görülme yaşı 65 yaş altındaki bireyleri etkilediğinde erken başlangıçlı AH (EBAH) olarak adlandırılmakta olup tanı konulan birçok kişi 40’lı ve 50’li yaşlarındadır. Literatürdeki birçok çalışma geç başlangıçlı AH (GBAH) olan bireylere bakım verenlerin bakım veren yükünü incelemekte olup bakım verme deneyiminin AH’nin başlangıç yaşına göre farklılık gösterip göstermediğine ilişkin belirsizlik sürmektedir. Amaç: Bu çalışma, toplumda yaşayan AH’li bireylere primer informal bakım verenlerin bakım veren yüklerinde hastalığın başlangıç yaşına göre farklılık olup olmadığının belirlenmesi amacıyla yapılmıştır. Yöntem: Bu çalışmada karşılaştırmalı tanımlayıcı araştırma deseni kullanılmıştır. Araştırmanın örneklemini 109 AH’li birey (34 EBAH ve 75 GBAH) ve bakım verenleri oluşturmaktadır. Veriler; sosyodemografik özellikler formu, Bakım Verenlerin Yükü Envanteri, Mini Mental Durum Testi, Nöropsikiyatrik Envanter, Barthel Günlük Yaşam Aktiviteleri ölçeği ve Klinik Demans Derecelendirme Ölçeği kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, t test ve ki-kare analizi kullanılmıştır. Bulgular: EBAH’lı bireylere bakım verenlerin sosyal yük puan ortalamalarının GBAH’lı bireylere bakım verenlere göre daha yüksek olduğu bulunmuştur (t=3,156, p=0,002). Ayrıca, EBAH’lı bireylere bakım verenler daha fazla gelişimsel, fiziksel ve toplam yük yaşamaktadır. Ancak istatistiksel olarak anlamlı farklılıklar oluşturmamaktadır (p>0,05). Sonuç: AH’nin başlangıç yaşına göre bakım veren yükünde farklılıklar olacağı göz önünde bulundurularak bakım verenlerin ihtiyaçlarına göre uyarlanmış hizmetlerin sunulması gerekmektedir.
PDF
