RESUMEN
The aim of this study was to compare clinical screening tests [modified Mallampati score, Cormack-Lehane score, thyromental distance, and sternomental distance] with ultrasonic measurements of the upper airway in predicting difficult intubation in pregnant women whose Body Mass Index [BMI] is higher and lower than 30 kg m-2. This study was designed as a prospective observational trial, and consisted of 40 pregnant women of American Society of Anesthesiologists [ASA] 1-2 groups. Patients with a BMI lower than 30 kg m-2 were included in Group 1 [n=20], and patients with a BMI higher than 30 kg m-2 were included in Group 2 [n=20]. In the supine position with head in mild extension, the diameter of the transverse tracheal air shadow in the subglottic area of the front neck was measured using ultrasonography. Modified Mallampati score, Cormack-Lehane score, thyromental distance and sternomental distance measurements were recorded. No statistically significant difference was detected between groups regarding mean age, mean number of pregnancy, ASA scores and comorbid disease. Mean body weight [p=0.0001] and mean prepregnancy weight [p=0.0001] were significantly higher in Group 2. There was no statistically significant difference between groups regarding mean modified Mallampati score, thyromental distance, sternomental distance measurements, Cormack-Lehane score, and mean ultrasonic measurements. It was found that BMI higher or lower than 30 kg m-2 has no effect on ultrasonic measurements and clinical airway tests. We thought that ultrasonic measurement could not give us valuable information in obese or non-obese pregnant women
RESUMEN
Anesthesiology may be stressful and most anesthesiologists develop mechanisms for coping. However, inexperienced trainee anesthesiologists seem to be vulnerable. We studied stress perception and job burnout in trainee anesthesiologists. Responses to perceived stress scale [PSS] and Maslach Burnout Inventory [MBI] were evaluated in 159 trainee anesthesiologists. In our results, when perceived stress was increased, emotional exhaustion and depersonalization increased but personal accomplishment decreased, as expected. Perceived stress was very high in the early years of training. There was a negative correlation between age and emotional exhaustion and depersonalization, but positive correlation with personal accomplishment. Female anesthesiologists had higher personal accomplishment, but lower depersonalization points than male anesthesiologists in our study. There was no statistical association between marital status, PSS, and MBI; >/= 2 children group had a significant high personal accomplishment but low depersonalization and emotional exhaustion scores. Line regression analysis showed a statistically significant relationship between PSS and emotional exhaustion and between age and depersonalization. Social factors such as gender and number of children affect the work life of our trainees