Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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Case Reports
Sudden developing convulsion during interscalene block: Does propofol anesthesia diminish plasma bupivacaine level?
We aim to review local anesthetic systemic toxicity (LAST) due to suddenly developing convulsion during interscalene block in a 67-year-old patient undergoing shoulder surgery.
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The percentage of chronic pain in adults having inguinal hernia repair is 5-35%. Although this pain is thought to be related to some reasons, there is not an exact conclusion about this. In this study, the aim was to point out the incidence of chronic pain after inguinal hernia repair and determination of the risk factors. ⋯ The incidence of chronic pain after inguinal hernia repair was found %18, compatible with similar studies. Compared with other risk factors, preoperative pain, postoperative severe acute pain and reoperations were thought to be the most important risk factors for the development of chronic pain.
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Randomized Controlled Trial
Does perioperative opioid infusion increase postoperative opioid requirement?
Opioids are the cornerstone therapy for the optimal pain management. Perioperative opioid infusion is accused of causing acute opioid tolerance, especially as the postoperative opioid requirement increases in time to provide efficient analgesia. It is debatable whether there is a difference between opioid agents regarding tolerance development. We aim to compare the effects of morphine, remifentanil and alfentanil when infused intravenously during the perioperative period. ⋯ Our study indicated that infusions of morphine, alfentanil and remifentanil administered to patients undergoing major abdominal surgery did not cause acute opioid tolerance. In contrast, infusion of morphine and remifentanil reduced postoperative opioid requirement.
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Controlled Clinical Trial
[Postoperative analgesic effect of acupuncture in laparoscopic cholecystectomy surgery].
In surgery clinics, postoperative pain is a common occurrence and care is needed in its treatment. One form of treatment is various acupuncture techniques. This study investigated the effect of acupuncture on postoperative analgesia in patients undergoing laparoscopic cholecystectomy. ⋯ Despite detection of a reduction in postoperative pain scores, the application of acupuncture did not cause any change in the consumption of tramadol.
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The purpose of this study was to determine the symptoms observed during admission to palliative care in patients that would be provided palliative support, to measure their intensity, and to evaluate the effect of palliative care on patient symptoms by recording changes during the first week after admission to hospital. ⋯ In this study, it was determined that the intensity of symptoms deteriorating the life quality of cancer patients such as pain, fatigue, insomnia, loss of appetite, and status of well-being improved rapidly with palliative care support.