Gayatri Prakash Tahiliani has worked in the USA for three months in surgical super specialities and prestigious Bombay hospital and Dhirubai Ambani hospital before been practicing as a second year resident in Masters of Surgery at the age of 25 years from MGM Institute of Medical Sciences ,New Bombay ,India .She has published around 5 papers and presentations in reputed journals.
A teratoma is a germ cell tumour derived from pluripotent cells and made up of elements of diff erent types of tissue from one or more of the three germ cell layers. Mature cystic teratomas are rare and account for only about 3 to 12% of the total teratomas. Th ough benign, they can turn malignant. A surgeon should always remember the signifi cance of diagnosing such teratomas and be vigilant to treat the condition promptly. Any delay can cause worsening of the symptoms of the patient and may be fatal. In this poster an attempt has been made to discuss a case report of a patient with such a lesion and was treated for the same with right lateral thoracotomy with mediastinal mass excision with good outcome of the patient.
Ayse Karci has completed her medical education at Ege University, Turkey and was specialized in Anesthesiology in Dokuz Eylul University School of Medicine. She is still working in the same hospital as an Associate Professor. She has worked in the Department of Obstetrics and Labor Unit as Anesthesiologist and was also the Director of School of Anesthesia Technicians for six years. She has 16 publications in reputed journals and 29 Turkish papers in the field of Anesthesia.
Background & Goal of Study: Traditionally evaluation of adequacy of the neuraxial anesthesia depends on the loss of response to the sensations of cold and pinprick which requires patient cooperation. Objective: Assessment of clinical signs of sympathectomy does not appear fast enough to confi rm surgical anesthesia. We hypothesized that increases in the pulse oximeter perfusion index (PI) may provide earlier and clearer objective evidence for sympathectomy compared to traditional responses to sensory stimulation. Materials & Methods: Aft er approval was obtained from the Ethics Committee of University of Dokuz Eylül, Medical School, İzmir, patients at 18–65 years of age who were categorized as American Society of Anesthesiology physical status I-III were included. A spinal block using 0.5% bupivacaine was performed with the patient in the sitting position. No external heating device was used. Th e upper sensory block level was checked 2min aft er the spinal injection by assessing the loss of cold sensation from alcohol swabs. Systolic blood pressure (SAP), heart rate and PI were recorded at 2 min intervals in the fi rst 10 min and then at 5 min intervals. Skin temperature was recorded at the same times. Th e PI value is generated by pulse oximetry placed on the second toe. Results & Discussion: Compared to basal values, sympathectomy caused a signifi cant decrease in SAP and a increase in PI values following spinal anesthesia. Th e increase in skin temperature was signifi cant aft er the 8th minute. Th e increase in the PI value and sensory block level were parallel in 15 minutes following spinal anesthesia and both stayed at a plateau aft erwards. In one patient in whom the spinal block was not successful, PI did not signifi cantly change compared to baseline. Conclusion(s): Give a simple answer to the hypothesis in the light of the new data from your study. You may wish to suggest what needs to be studied next. Th e conclusion must be justified by your data.