Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Juniper Publishers - Journal of Anesthesia Abstract Background: Stiff person syndrome (SPS) is a neurological condition with serious implications during anaesthesia if overlooked. Objective: Our purpose was to highlight the issues encountered during anaesthesia in patients with SPS and to evaluate the most appropriate anaesthetic management during surgery. Methods: A structured search was performed throughout various databases such as Ovid medline, Pubmed, Embase and Cochrane Collaboration for articles published from 1950s and after. The search included only humans and those who underwent procedures with anaesthesia. Results: Only 13 of such case studies were found due to the rarity of the condition. Amongst these 13 patients, most were in the middle to elderly aged groups and they underwent different procedures. Their response to different drugs used for induction, neuromuscular blockade or maintenance of anaesthesia also varied with some leading to life-thr...

Juniper Publishers - Journal of Anesthesia Abstract Distress is defined as feelings and ideas that lead to unpleasant problems in diseases and treatments. Distress has meanings such as sadness, hopelessness, weakness, fear, excitement, anxiety, panic, depression, indecision and burnout. Pre-operative patients undergo distress at different levels and different reasons. The main cause of distress for surgery patients is fear. Death, fear that body will be damaged and pain will occur, loss of identity and control under anesthesia, mysteries about surgery and dependency in the post-operative period are the most common causes of fear. Pre-operative distress levels vary by diagnosis, type of surgery, organ or system involved and patients' prejudgments about these issues. Distress effects the individual negatively in every sense leads to various complications during perioperative period negative effects. Patients suffer from such problems as pain, increased risk of...

Juniper Publishers - Journal of Anesthesia Abstract Recognition of patients with Obstructive Sleep Apnea Syndrome (OSAS) in Perioperative period by medical staff is important in terms of preventing complications related to OSAS. As well as pulmonary hypertension, coronary artery disease, hypertension, heart failure, arrhythmia, stroke, and myocardial infarction can be regarded among complications caused by OSAS. All these complications increase morbidity and mortality of OSAS. The gold standard of OSAS is polysomnography. In the literature, it is known that, apart from patients who can be diagnosed with polysomnography; there are patients with OSAS who are not diagnosed yet. These patients pose risk in Perioperative period because they are not diagnosed. Diagnosing patients with additional health problems such as OSAS which can put patients' life in danger in the Perioperative period is important in terms of preventing unnecessary complications in intraoperativ...