Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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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.
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Randomized Controlled Trial
[The role of magnesium in preventing postoperative hyperalgesia].
Intraoperative remifentanil administration results in acute opioid tolerance that is manifested by increased postoperative pain, opioid requirement and specifically periincisional hyperalgesia. The aim of this study was to investigate the effect of magnesium in preventing remifentanil-induced hyperalgesia. ⋯ Magnesium administered preemptively reduced remifentanil-induced hyperalgesia.
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Case Reports
[A commonly seen cause of abdominal pain: abdominal cutaneous nerve entrapment syndrome].
Although abdominal cutaneous nerve entrapment syndrome (ACNES) is accepted as a rare condition, it is a syndrome that should be diagnosed more commonly when the clinical signs cannot explain the cause of abdominal pain. Abdominal pain is commonly considered by physicians to be based on intra-abdominal causes. ⋯ Actually, a common cause of abdominal wall pain is nerve entrapment on the lateral edge of the rectus abdominis muscle. In this paper, we would like to share information about the diagnosis and treatment of a patient who, prior to presenting to us, had applied to different clinics for chronic abdominal pain and had undergone many tests and consultations; abdominal surgery was eventually decided.
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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.