Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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Randomized Controlled Trial
[The effects of intravenous paracetamol on postoperative analgesia and tramadol consumption in cesarean operations].
In this study, the effects and side effects of intravenous paracetamol application, combined with patient-controlled intravenous tramadol analgesia, were investigated in elective cesarean operations for postoperative pain control and its tramadol-sparing effect. ⋯ We conclude that paracetamol is a safe and effective treatment option in post-cesarean pain for combination with tramadol, as it produces effective analgesia and reduces tramadol consumption.
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The chronic form of paroxysmal hemicrania was defined first. Although the episodic form was thought to be inevitably chronic, in time, episodic forms that never reach the chronic phase were identified. ⋯ A seasonal type of episodic form, which is limited to three cases in the literature, has also been reported. In this article, a case who remained episodic for 40 years with seasonal waxing and waning attack variations is reported.
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Bilateral brachial plexus block is rarely performed due to the risk of systemic toxicity of local anesthetics. Therefore, general anesthesia is generally preferred in bilateral extremity operations. However, usage of ultrasound allows easy visualization of the structures of the vessels and the nerves. ⋯ After visualization of the axillary artery and the cords of the brachial plexus with linear ultrasound probe, the mixture of local anesthetics, which was prepared as 20 ml for each extremity (10 ml 2% lidocaine (with 5 microg x ml(-1) adrenaline) + 10 ml 7.5% levobupivacaine), was injected using triple injection method. During block performance, no complication developed. In conclusion, we think that infraclavicular block can be safely performed bilaterally with ultrasound guidance, which allows a reduction in the dose of local anesthetic.
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Surgery is recognized as an important cause of pain. Expression of pain differs according to age, developmental stage, previous pain experiences, and other modifying environmental factors. The degree of postoperative pain should be reduced using different techniques, both pharmacological and non-pharmacological. This study aimed to determine the effects of various actions taken by nurses for the purpose of pain management. ⋯ The other applications in pain management included patient-controlled analgesia (PCA), massage, visual analog scale (VAS), and teaching relaxation techniques, helping with mobilization, and assessing vital signs.