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Balaban O, Eman A, Günel B, Erdem AF. Triple-block for surgical anesthesia in hip surgery: PENG block with combination of lumbar plexus and erector spinae plane blocks. Agri 2024; 36:137-138. [PMID: 38558401 DOI: 10.14744/agri.2023.80217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Affiliation(s)
- Onur Balaban
- Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Sakarya, Türkiye
| | - Ali Eman
- Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, Sakarya, Türkiye
| | - Bedirhan Günel
- Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Sakarya, Türkiye
| | - Ali Fuat Erdem
- Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Sakarya, Türkiye
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Balaban O, Eman A. Perioperative use of fascial plane blocks; anesthesiology and reanimation physicians' approach in Türkiye: A national survey study. Agri 2024; 36:45-52. [PMID: 38239123 DOI: 10.14744/agri.2023.67674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
OBJECTIVES Our aim was to assess the approach of Turkish Anesthesiology and Reanimation Specialists to the perioperative use of truncal/fascial plane blocks (FPB) in various surgeries. A survey was designed to evaluate the perioperative management of FPBs. METHODS Anesthesiology and Reanimation specialists and residents in various hospitals in Türkiye were surveyed on a voluntary basis. We contacted them between June 1 and September 10, 2022, using email and smartphone messenger applications. They were asked to complete a questionnaire form regarding the perioperative management of FPBs. RESULTS A total of 242 anesthesiology specialists and residents responded to the survey. Most participants (42.3%) were anesthesiology specialists in 3rd level (academic, teaching, or university) hospitals. 90% of the participants use these blocks in their clinical practice. The primarily used FPBs were the erector spinae plane (ESP) (629 responses in all categories). CONCLUSION The anesthesia and reanimation specialists in Türkiye are reasonably familiar with FPBs and use these blocks frequently in clinical practice. The primarily preferred blocks seem to be ESP and TAP blocks. Lack of equipment is a major reason for the non-performance of FPBs. There is still a lack/need for additional education and training for these blocks.
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Affiliation(s)
- Onur Balaban
- Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Sakarya, Türkiye
| | - Ali Eman
- Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, Sakarya, Türkiye
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Eman A, Balaban O, Süner KÖ, Özgün B. Post-Cardiac arrest targeted temperature management in a parturient with severe COVID-19 disease. Pak J Med Sci 2023; 39:1208-1211. [PMID: 37492304 PMCID: PMC10364290 DOI: 10.12669/pjms.39.4.7193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 02/25/2023] [Accepted: 03/08/2023] [Indexed: 07/27/2023] Open
Abstract
Background and Objective Targeted temperature management (TTM) may improve neurological outcomes and mortality after cardiac arrest. We present a targeted mild hypothermia treatment in a postpartum patient with COVID-19 after successful cardiopulmonary resuscitation (CPR). Case presentation A 23 year old, 26-week pregnant patient with the diagnosis of COVID-19. The patient developed respiratory arrest followed by cardiac arrest and underwent CPR for six minutes. The patient underwent an emergency cesarean section after CPR in intensive care unit. After the resuscitation, 72-hours hypothermia protocol was initiated. We extubated the patient 13 days after the hypothermia procedure. The patient was conscious and cooperative. Respiratory distress worsened in the following days; the patient was re-intubated 18 days after the TTM. The benefit of targeted hypothermia was improved neurologic outcome in our patient. However, severe infectious complications led to multi-organ failure and the patient died on the 45th ICU admission day.
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Affiliation(s)
- Ali Eman
- Ali Eman Department of Anesthesiology and Reanimation, Sakarya Training and Research Hospital, Sakarya Turkey
| | - Onur Balaban
- Onur Balaban Associate Professor, Department of Anesthesiology and Reanimation, Sakarya University, Sakarya, Turkey
| | - Kezban Özmen Süner
- Kezban Özmen Süner Department of Intensive Care, Sakarya Training and Research Hospital, Sakarya Turkey
| | - Bora Özgün
- Bora Özgün Vitale Obstetrics and Gynecology, Hospital Antalya, Turkey
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Eman A, Balaban O, Süner KÖ, Cırdı Y, Şahin F, Demir G, Pekşen Ö, Musmul A, Erdem AF. The effect of low-dose and high-dose low-molecular-weight-heparin and aspirin thromboprophylaxis on clinical outcome and mortality in critical ill patients with COVID-19: A retrospective cohort study. Saudi Med J 2022; 43:715-722. [PMID: 35830988 PMCID: PMC9749692 DOI: 10.15537/smj.2022.43.7.20220038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 05/28/2022] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES To assess the effect of different thromboprophylaxis regimens on clinical outcomes and mortality of critical ill patients with coronavirus disease -19 (COVID-19). METHODS We investigated the medical records of patients with positive COVID-19 (using polymerase chain reaction test) who were admitted to the intensive care unit (ICU) at Sakarya University Hospital, Sakarya, Turkey, from March 2020 to January 2021. We included patients under anticoagulant therapy in the clinical course. The patients were allocated to 3 groups: Group A - low-dose (prophylactic) low-molecular-weight-heparin (LMWH) therapy, Group B - high-dose (therapeutic) LMWH therapy, and patients that received aspirin additional to the high-dose (therapeutic) LMWH as Group C. Primary outcomes were overall mortality rates and length of stay (LOS) in ICU. Secondary outcomes were rates of major hemorrhagic and thrombotic events. RESULTS Records of 475 patients were reviewed and 164 patients were included. No significant difference was detected in mortality rates between groups (p=0.135). Intensive care unit stay was 13 (9-24.5) days in Group A, 11 (8.75-23) days in Group B, and 13 (9-17) days in Group C without a significant difference (p=0.547). No significant difference was detected between groups in terms of thrombotic (p=0.565) and hemorrhagic events (p=0.615). CONCLUSION A high-dose anticoagulation therapy and addition of aspirin to LMWH therapy did not decrease the mortality rates and LOS in ICU in critical ill COVİD-19 patients. In addition, it did not increase the incidence of major hemorrhage and major thrombotic events.
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Affiliation(s)
- Ali Eman
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Onur Balaban
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Kezban Ö. Süner
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Yaşar Cırdı
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Fatih Şahin
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
- Address correspondence and reprint request to: Dr. Fatih Şahin, Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, Sakarya, Turkey. E-mail: ORCID ID: https://orcid.org/0000-0002-8501-0675
| | - Gürkan Demir
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Özge Pekşen
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Ahmet Musmul
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
| | - Ali F. Erdem
- From the Department of Anesthesiology and Reanimation (Eman, Balaban, Şahin, Demir, Pekşen, Erdem); from the Department of Intensive Care (Süner), Sakarya Training and Research Hospital; from the Department of Intensive Care (Cırdı), faculty of Medicine, Sakarya University, Sakarya; and from the Department of Medical Services and Techniques (Musmul), Eskisehir Osmangazi University Vocational School of Health Services, Eskisehir, Turkey
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Eman A, Balaban O, Kocayiğit H, Süner KÖ, Cırdı Y, Erdem AF. Maternal and Neonatal Outcomes of Critically Ill Pregnant and Puerperal Patients Diagnosed with COVID-19 Disease: Retrospective Comparative Study. J Korean Med Sci 2021; 36:e309. [PMID: 34783218 PMCID: PMC8593409 DOI: 10.3346/jkms.2021.36.e309] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Accepted: 10/17/2021] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND We assessed maternal and neonatal outcomes of critically ill pregnant and puerperal patients in the clinical course of coronavirus disease 2019 (COVID-19). METHODS Records of pregnant and puerperal women with polymerase chain reaction positive COVID-19 virus who were admitted to our intensive care unit (ICU) from March 2020 to August 2021 were investigated. Demographic, clinical and laboratory data, pharmacotherapy, and neonatal outcomes were analyzed. These outcomes were compared between patients that were discharged from ICU and patients who died in ICU. RESULTS Nineteen women were included in this study. Additional oxygen was required in all cases (100%). Eight patients (42%) were intubated and mechanically ventilated. All patients that were mechanically ventilated have died. Increased levels of C-reactive protein (CRP) was seen in all patients (100%). D-dimer values increased in 15 patients (78.9%); interleukin-6 (IL-6) increased in 16 cases (84.2%). Sixteen patients used antiviral drugs. Eleven patients were discharged from the ICU and eight patients have died due to complications of COVID-19 showing an ICU mortality rate of 42.1%. Mean number of hospitalized days in ICU was significantly lower in patients that were discharged (P = 0.037). Seventeen patients underwent cesarean-section (C/S) (89.4%). Mean birth week was significantly lower in patients who died in ICU (P = 0.024). Eleven preterm (57.8%) and eight term deliveries (42.1%) occurred. CONCLUSION High mortality rate was detected among critically ill pregnant/parturient patients followed in the ICU. Main predictors of mortality were the need of invasive mechanical ventilation and higher number of days hospitalized in ICU. Rate of C/S operations and preterm delivery were high. Pleasingly, the rate of neonatal death was low and no neonatal COVID-19 occurred.
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Affiliation(s)
- Ali Eman
- Department of Anesthesiology and Reanimation, Sakarya Training and Research Hospital, Sakarya, Turkey.
| | - Onur Balaban
- Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey
| | - Havva Kocayiğit
- Department of Anesthesiology and Reanimation, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Kezban Özmen Süner
- Department of Intensive Care, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Y Cırdı
- Department of Intensive Care, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Ali Fuat Erdem
- Department of Anesthesiology and Reanimation, Sakarya University Faculty of Medicine, Training and Research Hospital, Sakarya, Turkey
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Beyaz SG, Ergönenç T, Saritaş A, Şahin F, Ülgen AM, Eman A, Doğan B. The interrelation between body mass index and post-dural puncture headache in parturient women. J Anaesthesiol Clin Pharmacol 2021; 37:425-429. [PMID: 34759556 PMCID: PMC8562432 DOI: 10.4103/joacp.joacp_249_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Revised: 01/20/2020] [Accepted: 02/24/2020] [Indexed: 11/04/2022] Open
Abstract
Background and Aims Post-dural puncture headache is seen more frequently in pregnant women due to stress, dehydration, intra-abdominal pressure, and insufficient fluid replacement after delivery. Obesity protects against post-dural puncture headache in pregnant women; increased intra-abdominal fat tissue reduced cerebrospinal fluid leakage by increasing the pressure in the epidural space. Therefore, this study investigated the influence of body mass index on post-dural puncture headache in elective cesarean section patients in whom 27G spinal needles were used. Material and Methods The study included 464 women who underwent elective cesarean section under spinal anesthesia. Dural puncture performed with a 27G Quincke spinal needle at the L3-4 or L4-5 intervertebral space and given 12.5 mg hyperbaric bupivacaine intrathecally. The patients were questioned regarding headache and low back pain 6, 12, 24, and 48 h after the procedure, and by phone calls on days 3 and 7. Results Post-dural puncture headache developed in 38 (8.2%) patients. Of the patients who developed post-dural puncture headache, 23 (60.5%) had a body mass index <30 and 15 (39.5%) had a body mass index ≥30. Of the patients who did not develop post-dural puncture headache, 258 (60, 6%) had a body mass index <30 and 168 (39, 4%) had a body mass index ≥30. Conclusion This prospective study found the body mass index values did not affect post-dural puncture headache in the elective cesarean section performed under spinal anesthesia.
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Affiliation(s)
- Serbülent Gökhan Beyaz
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Istinye University, Istanbul, Republic of Turkey
| | - Tolga Ergönenç
- Department of Anesthesiology, Akyazı State Hospital, Sakarya, Republic of Turkey
| | - Aykut Saritaş
- Department of Anesthesiology and Reanimation, Tepecik Training and Research Hospital, İzmir, Republic of Turkey
| | - Fatih Şahin
- Department of Anesthesiology, Yenikent State Hospital, Sakarya, Republic of Turkey
| | - Ali Metin Ülgen
- Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey
| | - Ali Eman
- Department of Anesthesiology, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey
| | - Burcu Doğan
- Department of Family Medicine, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey
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Beyaz SG, Ülgen AM, Kaya B, İnanmaz ME, Ergönenç T, Eman A, Doğan B. A Novel Combination Technique: Three Points of Epiduroscopic Laser Neural Decompression and Percutaneous Laser Disc Decompression With the Ho:YAG Laser in an MSU Classification 3AB Herniated Disc. Pain Pract 2020; 20:501-509. [PMID: 32065508 DOI: 10.1111/papr.12878] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Revised: 01/15/2020] [Accepted: 02/11/2020] [Indexed: 11/30/2022]
Abstract
AIM The aim of this study was to examine the effects of simultaneous epiduroscopic laser neural disc decompression (ELND) and percutaneous laser disc decompression (PLDD) applications using a holmium:yttrium-aluminum-garnet (Ho:YAG) laser in Michigan State University (MSU) classification 3AB herniated discs on VAS and Oswestry Disability Index (ODI) scores. METHODS In this prospective observational study, ELND and PLDD procedures performed between January 2016 and December 2017 were examined. Preoperative, postoperative week 2, postoperative month 2, and postoperative month 6 ODI and VAS scores were obtained from patient files, and postoperative month 12 ODI and VAS scores were obtained from face-to-face interviews with patients and recorded. RESULTS The data of 41 patients treated with simultaneous ELND and PLDD using a Ho:YAG laser were included in this study. Postoperative VAS scores of the patients were compared with preoperative values, and it was found that postoperative week 2, postoperative month 2, postoperative month 6, and postoperative month 12 VAS and ODI scores were significantly different compared to preoperative scores (P = 0.001; P < 0.01). 17.1% (n = 7) of the patients had a history of postoperative open surgery. Although dural puncture occurred in 7 patients (17%), only 1 patient had headache. CONCLUSION We believe that the new combined technique of ELND and PLDD using a Ho:YAG laser is a reliable method in patients with MSU classification 3AB herniated discs, with an acceptable success rate and a low complication rate within 12 months after treatment. We think that randomized controlled studies are required for this method to be included in treatment algorithms.
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Affiliation(s)
- Serbülent Gökhan Beyaz
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ali Metin Ülgen
- Department of Anesthesiology and Pain Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Burak Kaya
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Mustafa Erkan İnanmaz
- Department of Orthopedics and Traumatology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Tolga Ergönenç
- Department of Anesthesiology and Pain Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Ali Eman
- Department of Anesthesiology and Pain Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
| | - Burcu Doğan
- Department of Family Medicine, Sakarya University Training and Research Hospital, Sakarya, Turkey
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van Roon A, Eman A, van de Zande S, van Roon A, Smit A, Mulder D. Medium And Large Arteries Do Not Appear To Be Stiffened In Patients With Systemic Sclerosis. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Eman A, van Roon A, Stel A, Smit A, van Goor H, Mulder D. Low Body Mass Index Is Associated With Abnormal Nailfold Capillaroscopic Patterns In Subjects With Raynaud’S Phenomenon. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Beyaz SG, Sahin F, Eman A. A Cervical Epidural Abscess After the Racz Procedure in a Patient with Failed Cervical Surgery Syndrome. Pain Med 2017; 18:2045-2047. [PMID: 28541433 DOI: 10.1093/pm/pnx071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Serbülent Gökhan Beyaz
- Faculty of Medicine, Department of Anesthesiology and Pain Medicine, Sakarya University, Sakarya, Republic of Turkey
| | - Fatih Sahin
- Faculty of Medicine, Department of Anesthesiology and Pain Medicine, Sakarya University, Sakarya, Republic of Turkey
| | - Ali Eman
- Department of Anesthesiology and Pain Medicine, Sakarya University Training Research Hospital, Sakarya, Republic of Turkey
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Beyaz SG, Eman A. Fluoroscopy guided cervical interlaminar steroid injections in patients with cervical pain syndromes: a retrospective study. J Back Musculoskelet Rehabil 2013; 26:85-91. [PMID: 23539764 DOI: 10.3233/bmr-2012-00354] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE The objective of this retrospective study was to examine the efficacy of fluoroscopically guided cervical interlaminar epidural steroid injections (CILESI). MATERIALS AND METHODS Sixty-five patients who received their first fluoroscopically guided CILESI over a 12 month interval were retrospectively identified. Patients who had failed conservative non-surgical management and patients who were otherwise candidates of surgery were included in this trial of CILESI. The verbal numerical rating scales (VNRS) before the treatment, within one hour after the treatment, and upon follow-up, were analyzed. RESULTS The most preferred intervention level of CILESI was C5-C6. There was a statistically significant improvement in the VNRS scores from before the injection to immediately after the injection, and upon follow-up. Fifty-one patients (80%) had perfect/good scores. No major complications were encountered after CILESI, but one patient (1.54%) had a vasovagal reaction and another patient (1.54%) had a transient increase of pain after injection. CONCLUSION Fluoroscopy guided CILESI is a safe and an effective treatment for patients with cervical pain syndromes. The success rates show that a large percentage of the patients may obtain relief from radicular symptoms and avoid surgery for the follow-up period up to 12 months.
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Affiliation(s)
- Serbülent Gökhan Beyaz
- Anesthesiology and Pain Management Center, Sakarya University Medical School, Sakarya, Turkey.
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Abstract
Background: Propofol emulsion in medium and long-chain triglycerides (MCT/LCT) has been reported to cause less injection pain than other propofol solutions in adult studies. The aim of this study was to compare the injection pain of two different propofol emulsions using two different pain scales on the pediatric population. Materials and Methods: 100 children scheduled for general anesthesia were divided into two groups. Patients were randomly assigned to receive propofol LCT or propofol MCT/LCT. Assessment and evaluation of the Ontario Children's Hospital Pain Scale (mCHEOPS) and the Wong-Baker Faces Scale (WBFS) were performed at the start of the injection until the patients lose consciousness. Results: There were no significant differences between groups in terms of demographic data. According to the mCHEOPS scale, the pain incidence of propofol LCT was 5%, whereas for propofol MCT/LCT it was 15% (P < 0.05). According to the WBFS Pain Scale, the pain incidence of propofol LCT was 17%, whereas for propofol MCT/LCT it was 21% (P > 0.05). Conclusions: Propofol MCT/LCT does not decrease injection pain; contrary to the general assumption, it causes more pain than propofol LCT in children.
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Affiliation(s)
- Serbülent Gökhan Beyaz
- Department of Anaesthesiology, Sakarya University Medical School, Sakarya, Republic of Turkey
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Anciaux A, Eman A, Dumont W, Van Ende D, Krief A. Synthetic routes to α-selenoacetals, α-selenonio sulfides, α-selenonio ethers, α-selenonio amine and α-selenonio silane. Tetrahedron Lett 1975. [DOI: 10.1016/s0040-4039(00)72212-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Anciaux A, Eman A, Dumont W, Krief A. Reactivity of mixed sulfo-seleno acetals and oxo-seleno acetals with n-butyllithium : A new route to substituted epoxides. Tetrahedron Lett 1975. [DOI: 10.1016/s0040-4039(00)72213-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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