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    Cardiopulmonary resuscitation in parturients: Assessment of anesthesiologists’ knowledge
    (2021) Goren, Suna; Akesen, Selcan
    Aim: Cardiac arrest in pregnancy is one of the most challenging clinical scenarios. Correct intervention plays a crucial role in increasing the chance of survival of both the baby and the mother. In this study we aimed to evaluate knowledge about resuscitation of parturients among anesthesiologists.Materials and Methods: A total of 356 anesthesiologists (162 anesthesiology residents, 146 anesthesiology specialists and 48 faculty member) were included in the study. The subjects of the study population were chosen among the anesthesiologists with various levels of experience who attended to national anesthesia meetings that were held from January 2015 to December 2015 in Turkey. The assessment was based on a questionnaire containing 10 questions and questions were designed to draw out knowledge deficiencies in critical areas of cardiopulmonary resuscitation in parturients. Results: There was a significant correlation between the age and the total score (r=0.198 / p=0.000). Concerning the effect of the occupational title, we found that the total score of the specialist group was significantly higher than that of the resident group (p=0.001). There was no correlation between the total score and having a CPR experience in parturients. Conclusion: The results of our study indicate that there is a lack of knowledge about the CPR in parturients in Turkey. Therefore education programs about the management of cardiac arrest and CPR in parturients should be planned and repeated on a regular basis.
  • Küçük Resim
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    Level of surgery does not affect the reamputation rates in patients with diabetic foot ulcers requiring amputation of the ankle or foot
    (2020) Ermutlu, Cenk; Akesen, Selcan
    Aim: In this retrospective study, we aimed to evaluate the effect of amputation level on reamputation rates and need for additional surgeries in patients with type 2 diabetes mellitus.Material and Methods: Patients who were amputated at the foot and ankle level for diabetic foot ulcers between 2010 and 2019 at our institution were retrospectively evaluated. Amputation types (proximal to distal; Syme, Boyd, Chopart, Lisfranc, Transmetatarsal), previous amputations, need for additional surgeries and reamputations were noted. The effect of amputation level on reamputation and reoperation rates was statistically evaluated. Results: Thirty-one patients (27 male, 4 female) with mean age of 65 years (range 45-84) were included. Reamputation rates for Syme, Boyd, Chopart, Lisfranc and Transmetatarsal (TMA) amputations were 50%, 55%, 50%, 66% and 75% respectively. Fifty percent of the cases in the Syme group, 78% in the Boyd group, 75% in the Chopart group, 83% in the Lisfranc group and 75% in the TMA group required repeating surgeries. There was no significant difference in terms of reamputation and reoperation rates between amputation levels. Conclusion: If the level of amputation is determined based on viability of the skin flap that would be required for soft tissue cover and confirmed intraoperatively by inspecting the perfusion of the stump, the amputation level does not have influence on reamputation rates at the foot and ankle. When performing this irreversible procedure, the patient must be well informed about the possible functional outcomes, prosthesis options and reamputation rates.