Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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This study looks into the efficacy and safety of the transforaminal lumbar epidural steroid injection (TLESI) applied to patients with radiculopathy due to lumbar disk herniation. ⋯ It was seen that TLESI was an efficient and safe method in the short and medium term.
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Controlled Clinical Trial
[Comparison of bupivacaine and levobupivacaine with epidural technique for labor analgesia].
The labor pain is one of the most severe pains that a woman could ever be suffered. Today, many medical and psychological methods are used in an effort to reduce labor pain.Epidural analgesia is the best current method used for the purposes of obstetric analgesia. ⋯ In conclusion, with the usage of 0.125% bupivacaine or 0.125% levobupivacaine, sufficient labor analgesia is achieved with patient controlled epidural analgesia method at the same side effect frequency. Consequently, both local analgesic medicines are seemed to be safely used in labor analgesia.
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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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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.
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Cervical radiculopathy is widespread in society, and the methods used in the treatment cover a wide range from conservative treatment to surgical treatment. There is not yet a full consensus on the use of invasive approaches for the optimal treatment of radicular pain. However, cervical epidural steroid injection (CESI) has been used in patients with symptoms of cervical discopathy. ⋯ The CESI application is an effective method in the treatment of cervical radiculopathy and reduces the rate of patients needing surgery.