Yüksel Tanrıverdi | Failed labour epidural analgesia: mechanisms, risk factors and stepwise management: Guideline-based review

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Reviews | Challenge Journal of Perioperative Medicine

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Perioperative factors associated with severe early postoperative pain after single-level lumbar discectomy: A retrospective cohort study

Erkan Bayram, Şükrü Çiftçi

Challenge Journal of Perioperative Medicine (2026) 4(1) 15-20

Background: Lumbar disc herniation is a frequent cause of radicular low back pain, and lumbar discectomy remains one of the most commonly performed spinal procedures when conservative treatment fails. Despite advances in surgical technique and perioperative ma...
The effects of intravenous esmolol on hemodynamic response to endotracheal intubation and rocuronium onset time: A retrospective analysis

Mustafa Simsek, Elif Bombaci

Challenge Journal of Perioperative Medicine (2026) 4(1) 10-14

Background: Airway instrumentation during induction can elicit acute sympathetic stimulation with transient cardiovascular fluctuations, particularly elevations in arterial blood pressure. Esmolol, an ultra–short-acting β₁-selective antagonist, is often admini...
Tonsillectomy in a pediatric patient with propionic acidemia: Anesthesia management and potential perioperative challenges

Mehmet Akif Yilmaz, Gokhan Tekin, Berivan Bozan, Mirac Selcen Özkal Yalin, Nuray Uzun, Muhammed Enes Aydin

Challenge Journal of Perioperative Medicine (2025) 3(2) 62-64

Propionic acidemia (PA) is a rare metabolic disorder caused by a deficiency in the propionyl-CoA carboxylase enzyme, leading to the accumulation of toxic metabolites. Surgical procedures pose a risk of metabolic decompensation in patients with PA, requiring ca...
Perioperative ventricular dysrhythmia management in ranula cyst excision surgery

Merve Yaman, Tayfun Aydın, Osman Pala

Challenge Journal of Perioperative Medicine (2024) 2(2) 59-61

Ranula cyst is one of the most common pathologies of the sublingual salivary gland. It is formed as a result of damage to the gland ducts and is a retention cyst filled with mucus. Methods such as drainage, excision or cryosurgery are used in the treatment. Du...
Mechanical properties assessment of recycled brick aggregate concrete using demolition waste from century-old masonry buildings in Nepal

Bipul Niroula, Mahesh Raj Bhatt

Challenge Journal of Concrete Research Letters (2026) 17(1) 41-56

This study explores the potential of recycling bricks from dismantled old buildings into brick aggregates and utilizing them as coarse aggregates in recycled brick aggregate concrete. Nepal, being susceptible to seismic events, generates large amounts of const...