Elektrikli Scooter Travmasına Bağlı Nefrektomi Yapılan Olguda Anestezi Yönetimi
Özet
Elektrikli scooter (ElS) kullanımı dünya genelinde yaygınlaşmakla birlikte, ElS ilişkili travma sayısında da artış görülmektedir. ElS ilişkili kazalar (ElSK) yüksek enerjili travma olarak değerlendirilmekte ve sonuçları hayatı tehdit edici boyutlara varabilmektedir. ElS kullanımı ile eş zamanlı alkol ve madde kullanımının eşlik ettiği vakalarda ise morbidite ve mortalite daha yüksektir. Bu kazalar sistematik yaklaşım ile değerlendirilip tedavi edilmeli ve tüm sistemler ayrıntılı olarak gözden geçirilmelidir. Cerrahi işlem gereken durumlarda ise mutlaka yeterli ekipman ve kan hazırlığı sağlanmalıdır. Anestezi yönetiminde yakın takip önerilmekte, gross kan kayıplarının eşlik edebileceği unutulmamalıdır. ElSK’da genellikle kas-iskelet, toraks, abdomen ve intrakranial yaralanmalar mevcuttur. ElSK ile ilişkili daha önce bildirilmiş izole böbrek yaralanmasına literatürde rastlanmamış olup, bu olguda ise ElSK sonrası izole böbrek laserasyonu nedeniyle total nefrektomi yapılmıştır. ElSK nedeniyle nadir görülen bu vakanın multidisipliner anestezi ve analjezi yönetimini literatür eşliğinde sizlerle paylaşmak istedik.
As the use of electric scooters (ElS) has become widespread worldwide, the number of ElS related traumas has also increased. ElS related accidents (ElSK) are considered as high energy trauma and the consequences can be life threatening. Morbidity and mortality are higher in cases of concomitant alcohol and substance use. These accidents should be evaluated and treated with a systematic approach and all systems should be reviewed in detail. In cases where surgical procedures are required, adequate equipment and blood preparation must be provided. Close follow up is recommended in anesthesia management and it should be kept in mind that gross blood loss may be associated. Musculoskeletal, thorax, abdomen and intracranial injuries are usually present in ElSK. There is no previously reported isolated renal injury associated with ElSK in the literature, and in this case, total nephrectomy was performed due to isolated renal laceration after ElSK. We wanted to share with you the multidisciplier anesthesia and analgesia management of this rare case with the literature.
Referanslar
Thull-Freedman, J., & Caird, J. K. (2022). Injuries associated with e-scooter use in the City of Calgary: Canada joins an international conversation. CJEM, 24(7), 675–676. https://doi.org/10.1007/S43678-022-00397-8
Puzio, T. J., Murphy, P. B., Gazzetta, J., Dineen, H. A., Savage, S. A., Streib, E. W., & Zarzaur, B. L. (2020). The electric scooter: A surging new mode of transportation that comes with risk to riders. Traffic Injury Prevention, 21(2), 175–178. https://doi.org/10.1080/15389588.2019.1709176
İğrek, S., & Ulusoy, İ. (2023). E-scooter-related orthopedic injuries and the treatments applied: are these scooters a new means of transportation or a new source of trauma? BMC Emergency Medicine, 23(1). https://doi.org/10.1186/S12873-023-00873-Z
English, K. C., Allen, J. R., Rix, K., Zane, D. F., Ziebell, C. M., Brown, C. V. R., & Brown, L. H. (2020). The characteristics of dockless electric rental scooter-related injuries in a large U.S. city. Traffic Injury Prevention, 21(7), 476–481. https://doi.org/10.1080/15389588.2020.1804059
Trivedi, B., Kesterke, M. J., Bhattacharjee, R., Weber, W., Mynar, K., & Reddy, L. v. (2019). Craniofacial Injuries Seen With the Introduction of Bicycle-Share Electric Scooters in an Urban Setting. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 77(11), 2292–2297. https://doi.org/10.1016/J.JOMS.2019.07.014
Sheikh, M., Islam, A., Kroeker, N., Walia, H., Koger, K., Lang, E., Sedor, A., & VandenBerg, S. D. (2022). Electric scooter related injuries in Calgary emergency departments. CJEM, 24(7), 735–741. https://doi.org/10.1007/S43678-022-00378-X
Fisher, N. D., Nwakoby, E., Hernandez, H., & McLaurin, T. M. (2023). Electric scooter injuries: Incidence and injury patterns at a level I trauma center. Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi, 26(6), 334–338. https://doi.org/10.1016/J.CJTEE.2023.02.003
Gan-El, E., Ngatchou Djomo, W., Pascu Ciobanu, A. M., Kaufman, L., Ndé Djiélé, F., Ulrix, M., Kreps, B., Plumacker, A., Malinverni, S., Bartiaux, M., & Youatou Towo, P. (2022). Risk assessment, consequences, and epidemiology of electric scooter accidents admitted to an emergency department: a prospective observational study. European Journal of Trauma and Emergency Surgery, 48(6), 4847–4855. https://doi.org/10.1007/s00068-022-02019-5
Toofany, M., Mohsenian, S., Shum, L. K., Chan, H., & Brubacher, J. R. (2021). Injury patterns and circumstances associated with electric scooter collisions: a scoping review. Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention, 27(5), 490–499. https://doi.org/10.1136/INJURYPREV-2020-044085
Janák, D., & Rohn, V. (2022). Retroperitoneal hematoma: diagnosis and treatment. Rozhledy v Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti, 100(12), 569–575. https://doi.org/10.33699/PIS.2021.100.12.569-575
Thull-Freedman, J., & Caird, J. K. (2022). Injuries associated with e-scooter use in the City of Calgary: Canada joins an international conversation. CJEM, 24(7), 675–676. https://doi.org/10.1007/S43678-022-00397-8
Yazer MH, Waters JH, Spinella PC, et al. Use of uncrossmatched erythrocytes in emergency bleeding situations. Anesthesiology 2018;128:650-6.
Jennings, L. K., & Watson, S. (2023). Massive Transfusion. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK499929/
Abdelgalil, A. S., Ahmed, A. M., Gamal, R. M., Elshal, M. M., Bakeer, A. H., & Shaker, E. H. (2022). Ultrasound Guided Continuous Erector Spinae Plane Block versus Patient Controlled Analgesia in Open Nephrectomy for Renal Malignancies: A Randomized Controlled Study. Journal of Pain Research, 15, 3093–3102. https://doi.org/10.2147/JPR.S379721
Referanslar
Thull-Freedman, J., & Caird, J. K. (2022). Injuries associated with e-scooter use in the City of Calgary: Canada joins an international conversation. CJEM, 24(7), 675–676. https://doi.org/10.1007/S43678-022-00397-8
Puzio, T. J., Murphy, P. B., Gazzetta, J., Dineen, H. A., Savage, S. A., Streib, E. W., & Zarzaur, B. L. (2020). The electric scooter: A surging new mode of transportation that comes with risk to riders. Traffic Injury Prevention, 21(2), 175–178. https://doi.org/10.1080/15389588.2019.1709176
İğrek, S., & Ulusoy, İ. (2023). E-scooter-related orthopedic injuries and the treatments applied: are these scooters a new means of transportation or a new source of trauma? BMC Emergency Medicine, 23(1). https://doi.org/10.1186/S12873-023-00873-Z
English, K. C., Allen, J. R., Rix, K., Zane, D. F., Ziebell, C. M., Brown, C. V. R., & Brown, L. H. (2020). The characteristics of dockless electric rental scooter-related injuries in a large U.S. city. Traffic Injury Prevention, 21(7), 476–481. https://doi.org/10.1080/15389588.2020.1804059
Trivedi, B., Kesterke, M. J., Bhattacharjee, R., Weber, W., Mynar, K., & Reddy, L. v. (2019). Craniofacial Injuries Seen With the Introduction of Bicycle-Share Electric Scooters in an Urban Setting. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 77(11), 2292–2297. https://doi.org/10.1016/J.JOMS.2019.07.014
Sheikh, M., Islam, A., Kroeker, N., Walia, H., Koger, K., Lang, E., Sedor, A., & VandenBerg, S. D. (2022). Electric scooter related injuries in Calgary emergency departments. CJEM, 24(7), 735–741. https://doi.org/10.1007/S43678-022-00378-X
Fisher, N. D., Nwakoby, E., Hernandez, H., & McLaurin, T. M. (2023). Electric scooter injuries: Incidence and injury patterns at a level I trauma center. Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi, 26(6), 334–338. https://doi.org/10.1016/J.CJTEE.2023.02.003
Gan-El, E., Ngatchou Djomo, W., Pascu Ciobanu, A. M., Kaufman, L., Ndé Djiélé, F., Ulrix, M., Kreps, B., Plumacker, A., Malinverni, S., Bartiaux, M., & Youatou Towo, P. (2022). Risk assessment, consequences, and epidemiology of electric scooter accidents admitted to an emergency department: a prospective observational study. European Journal of Trauma and Emergency Surgery, 48(6), 4847–4855. https://doi.org/10.1007/s00068-022-02019-5
Toofany, M., Mohsenian, S., Shum, L. K., Chan, H., & Brubacher, J. R. (2021). Injury patterns and circumstances associated with electric scooter collisions: a scoping review. Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention, 27(5), 490–499. https://doi.org/10.1136/INJURYPREV-2020-044085
Janák, D., & Rohn, V. (2022). Retroperitoneal hematoma: diagnosis and treatment. Rozhledy v Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti, 100(12), 569–575. https://doi.org/10.33699/PIS.2021.100.12.569-575
Thull-Freedman, J., & Caird, J. K. (2022). Injuries associated with e-scooter use in the City of Calgary: Canada joins an international conversation. CJEM, 24(7), 675–676. https://doi.org/10.1007/S43678-022-00397-8
Yazer MH, Waters JH, Spinella PC, et al. Use of uncrossmatched erythrocytes in emergency bleeding situations. Anesthesiology 2018;128:650-6.
Jennings, L. K., & Watson, S. (2023). Massive Transfusion. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK499929/
Abdelgalil, A. S., Ahmed, A. M., Gamal, R. M., Elshal, M. M., Bakeer, A. H., & Shaker, E. H. (2022). Ultrasound Guided Continuous Erector Spinae Plane Block versus Patient Controlled Analgesia in Open Nephrectomy for Renal Malignancies: A Randomized Controlled Study. Journal of Pain Research, 15, 3093–3102. https://doi.org/10.2147/JPR.S379721
