Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
-
Using low doses of local anesthetic, ultrasound guided multiple nerve blocks were performed in a high-risk patient. Surgical anesthesia was provided in an ASA III classified patient who received ultrasound guided right femoral and bilateral popliteal blocks. ⋯ Visualization of nerves by ultrasound guidance increases block success rate and contributes to lower local anesthetic doses. Using lower doses of local anesthetic during ultrasound-guided blocks allows multiple blocks to be performed safely.
-
The aim of the present study was to investigate the possible antinociceptive effects of systemic administration of tramadol and gabapentin either alone or in combination on acute pain models in mice. ⋯ When gabapentin and tramadol were used in combination, gabapentin had no additive antinociceptive effect except for 300 mg/kg in tail-flick and hot-plate tests. Tail-flick test showed that tramadol produced better antinociceptive effect than gabapentin.
-
Randomized Controlled Trial
Comparison of spring-loaded, loss of resistance and hanging drop techniques in lumbar epidural blocks.
The spring-loaded syringe is a loss of resistance syringe that provide a more objective sign that the epidural space has been entered compared with the traditional techniques. The aim of this study was to compare the time required to locate the epidural space and the backache incidence with the spring-loaded (SL), loss of resistance (LOR) and the hanging drop (HD) techniques for epidural blocks in patients undergoing transurethral resection procedure. ⋯ The use of SL syringe was found to have a shorter time period to locate the epidural space when compared with the LOR syringe and hanging drop technique.
-
Comparative Study
Comparison of blunt and sharp needles for transforaminal epidural steroid injections.
The aim of this study was to compare the sharp and blunt needles in order to determine the incidence of complications during transforaminal anterior epidural steroid injections. ⋯ When using the blunt needles, vascular penetration and paresthesia were less during transforaminal epidural steroid injections. Therefore blunt needles seem to be more advantageous.
-
Randomized Controlled Trial
Levobupivacaine for postoperative pain management in circumcision: caudal blocks or dorsal penile nerve block.
In this study, we evaluated the analgesic efficacy and adverse effect profile of levobupivacaine in caudal and DPNB in postcircumcision pediatric patients. ⋯ Caudal block done using levobupivacaine for postoperative pain management in circumcision is more successful than penile block, however there is a significant delay in time to first walking and as might be expected there is an increased risk of motor block.