Pub Date : 2006-10-01DOI: 10.1163/156856906778704614
H. Iwama, T. Komatsu, Masamichi Nishida, T. Sakamoto
AbstractLinear polarized near-infrared irradiation around the stellate ganglia (Lizer-SGB) is thought to have a similar effect to stellate ganglion block (SGB), namely, a reduced effect on stress. The effect of Lizer-SGB on various hormone levels was examined. Six adult male volunteers received bilateral Lizer-SGB, and blood was collected before and after this treatment, followed by measurements of plasma adrenocorticotropic hormone (ACTH) and serum cortisol (CS), luteinizing hormone (LH), testosterone (TS), thyroid stimulating hormone (TSH), triiodothyronine (T3) and thyroxine (T4). On a different day, the same measurements were taken from volunteers in the absence of irradiation. The results showed that ACTH, LH, TS and T4 levels were similar in treated and non-treated groups, whilst CS levels decreased after Lizer-SGB. Although TSH and T3 levels decreased, their values were not changed as a specific effect of Lizer-SGB. The results obtained showed that Lizer-SGB has an effect similar to SGB, regarding ...
{"title":"The effect of linear polarized near-infrared irradiation around the stellate ganglia on hormonal secretions","authors":"H. Iwama, T. Komatsu, Masamichi Nishida, T. Sakamoto","doi":"10.1163/156856906778704614","DOIUrl":"https://doi.org/10.1163/156856906778704614","url":null,"abstract":"AbstractLinear polarized near-infrared irradiation around the stellate ganglia (Lizer-SGB) is thought to have a similar effect to stellate ganglion block (SGB), namely, a reduced effect on stress. The effect of Lizer-SGB on various hormone levels was examined. Six adult male volunteers received bilateral Lizer-SGB, and blood was collected before and after this treatment, followed by measurements of plasma adrenocorticotropic hormone (ACTH) and serum cortisol (CS), luteinizing hormone (LH), testosterone (TS), thyroid stimulating hormone (TSH), triiodothyronine (T3) and thyroxine (T4). On a different day, the same measurements were taken from volunteers in the absence of irradiation. The results showed that ACTH, LH, TS and T4 levels were similar in treated and non-treated groups, whilst CS levels decreased after Lizer-SGB. Although TSH and T3 levels decreased, their values were not changed as a specific effect of Lizer-SGB. The results obtained showed that Lizer-SGB has an effect similar to SGB, regarding ...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"316 3 1","pages":"315-320"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91295109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1163/156856906778704687
Z. Sevimli, H. Dursun, F. Erdoğan
Abstract Objective: Opioids are widely used for acute pain relief. We studied the postoperative effects of morphine and tramadol on the histopathology of liver in rabbits which had undergone isoflurane anesthesia. Methods: The study was carried out at the animal laboratories of the Medical Faculty, Ataturk University. The rabbits were divided into three treatment groups as control group (C), morphine group (M) and tramadol group (T) each composed of 10 rabbits. 3 ml 0.9% NaCl in the control group, 1 mg kg−1 in the morphine group, and 10 mg kg−1 in the tramadol group were administered twice a day for three days. At the end of the experimental period, the animals were sacrificed, and liver tissue samples were prepared for histopathologic assessment. Results: Hepatocyte degeneration, central vein dilatation, and mononuclear cell infiltration in the M group were more severe than those of the C group (p < 0.001). Hepatocyte degeneration, sinusoidal dilatation, central vein dilatation in the T group were more s...
{"title":"Histopathologic changes in liver induced by morphine and tramadol","authors":"Z. Sevimli, H. Dursun, F. Erdoğan","doi":"10.1163/156856906778704687","DOIUrl":"https://doi.org/10.1163/156856906778704687","url":null,"abstract":"Abstract Objective: Opioids are widely used for acute pain relief. We studied the postoperative effects of morphine and tramadol on the histopathology of liver in rabbits which had undergone isoflurane anesthesia. Methods: The study was carried out at the animal laboratories of the Medical Faculty, Ataturk University. The rabbits were divided into three treatment groups as control group (C), morphine group (M) and tramadol group (T) each composed of 10 rabbits. 3 ml 0.9% NaCl in the control group, 1 mg kg−1 in the morphine group, and 10 mg kg−1 in the tramadol group were administered twice a day for three days. At the end of the experimental period, the animals were sacrificed, and liver tissue samples were prepared for histopathologic assessment. Results: Hepatocyte degeneration, central vein dilatation, and mononuclear cell infiltration in the M group were more severe than those of the C group (p < 0.001). Hepatocyte degeneration, sinusoidal dilatation, central vein dilatation in the T group were more s...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"64 1","pages":"321-325"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89498736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1163/156856906778704623
K. Doi, H. Kushizaki, S. Sakura, T. Nikai, Yoji Saito
Abstract Background: We performed this study to evaluate peripheral nerve function in patients with herpes zoster (HZ) using current perception threshold (CPT) and to compare results between patients who developed post-herpetic neuralgia (PHN) and those who did not. Methods: With Institutional Review Board (IRB) approval and informed consent, 27 patients with HZ were enrolled in the study. At the first visit, all patients were examined clinically and neurophysiologically. CPTs were determined at stimulus frequencies of 2000, 250, and 5 Hz in the affected region and in the contralateral site. Patients were re-examined 6 months after the onset of their symptoms. Patients who still had pain were defined as PHN patients and the others as non-PHN patients. Results: CPT values in affected areas were significantly higher than those in unaffected areas. Thirteen patients were included in the PHN group, and 14 patients in the non-PHN group. Visual analogue scale (VAS) values at the first visit were significantly h...
{"title":"Evaluation of peripheral nerve function using current perception threshold in the herpes zoster patients and the development of post-herpetic neuralgia","authors":"K. Doi, H. Kushizaki, S. Sakura, T. Nikai, Yoji Saito","doi":"10.1163/156856906778704623","DOIUrl":"https://doi.org/10.1163/156856906778704623","url":null,"abstract":"Abstract Background: We performed this study to evaluate peripheral nerve function in patients with herpes zoster (HZ) using current perception threshold (CPT) and to compare results between patients who developed post-herpetic neuralgia (PHN) and those who did not. Methods: With Institutional Review Board (IRB) approval and informed consent, 27 patients with HZ were enrolled in the study. At the first visit, all patients were examined clinically and neurophysiologically. CPTs were determined at stimulus frequencies of 2000, 250, and 5 Hz in the affected region and in the contralateral site. Patients were re-examined 6 months after the onset of their symptoms. Patients who still had pain were defined as PHN patients and the others as non-PHN patients. Results: CPT values in affected areas were significantly higher than those in unaffected areas. Thirteen patients were included in the PHN group, and 14 patients in the non-PHN group. Visual analogue scale (VAS) values at the first visit were significantly h...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"18 1","pages":"345-349"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87380489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1163/156856906778704678
U. Cavlak, A. Cimbiz, B. Akdağ
AbstractThe aim of this study was to evaluate the prevalence of low back pain (LBP) among school children and the consequences that this problem may have in relation to gender. This study was designed as a cross-sectional 22-question questionnaire-based on LBP completed by a 10- to 18-year-old Turkish sample. The subjects were 624 school children (335 boys and 289 girls) who were attending primary, secondary or high schools in Denizli, Turkey (mean age = 13.91 years, SD = 2.34). Each subject completed the questionnaire under supervision by an investigator during school time. Data were analysed comparing the two genders. Two hundred and ninety-two school children (46.7%) had LBP. Boys were 153 (52.4%) and girls 139 (47.6%). Both boys and girls with LBP reported that LBP did not interfere negatively with their school performance (67.5%) and with daily activities (87.5%). The risk factors should be investigated at early stages of the life. Therefore, a national LBP prevention program should be performed at c...
{"title":"Non specific low back pain in a Turkish population based sample of school children: a field survey with analysis of associated factors","authors":"U. Cavlak, A. Cimbiz, B. Akdağ","doi":"10.1163/156856906778704678","DOIUrl":"https://doi.org/10.1163/156856906778704678","url":null,"abstract":"AbstractThe aim of this study was to evaluate the prevalence of low back pain (LBP) among school children and the consequences that this problem may have in relation to gender. This study was designed as a cross-sectional 22-question questionnaire-based on LBP completed by a 10- to 18-year-old Turkish sample. The subjects were 624 school children (335 boys and 289 girls) who were attending primary, secondary or high schools in Denizli, Turkey (mean age = 13.91 years, SD = 2.34). Each subject completed the questionnaire under supervision by an investigator during school time. Data were analysed comparing the two genders. Two hundred and ninety-two school children (46.7%) had LBP. Boys were 153 (52.4%) and girls 139 (47.6%). Both boys and girls with LBP reported that LBP did not interfere negatively with their school performance (67.5%) and with daily activities (87.5%). The risk factors should be investigated at early stages of the life. Therefore, a national LBP prevention program should be performed at c...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"57 1","pages":"351-360"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80437992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1179/016911106779499028
M. Cicek, A. Yücel, E. Gedik, O. Sagir, A. But, M. O. Ersoy
Abstract Study objective: To determine the effects of intra-operative low-dose dexmedetomidine infusion on postoperative morphine consumption, pain, sedation and patient satisfaction in patients undergoing septorhinoplasty. Method: Fifty adult patients were randomised to receive either dexmedetomidine (a loading dose of 1 μg kg−1 for the first ten minutes and a maintenance dose of 0.2 μg kg−1 h−1 afterwards, Group D) or 0.9% saline in the same manner (Group C) after induction of anaesthesia. At the end of the operation, the infusions were discontinued. After extubation, patient controlled analgesia was started intravenously. Results: Patients in Group D consumed 47% less morphine than patients in Group C during the first 24 h and had a lower cumulative morphine consumption at all times after starting patient controlled analgesia (7.08 mg vs. 8.56 mg at 2 h (p < 0.05), 10.84 mg vs. 14.0 mg at 4 h (p < 0.05), 13.56 mg vs. 18.28 mg at 6 h (p < 0.05) and 17.96 mg vs. 33.72 mg at 24 h (p < 0.05), respectively ...
摘要研究目的:探讨术中低剂量右美托咪定对鼻中隔成形术患者术后吗啡消耗、疼痛、镇静及患者满意度的影响。方法:50例成年患者随机分为两组，分别在麻醉诱导后给予右美托咪定(前10分钟负荷剂量为1 μg kg−1，后维持剂量为0.2 μg kg−1 h−1)或0.9%生理盐水(C组)。手术结束时，停止输注。拔管后，开始静脉给予患者自控镇痛。结果:患者在D组吗啡消耗47%低于C组患者在第一个24小时,累积吗啡低消费在任何时候开始后病人自控镇痛(7.08毫克和8.56毫克2 h (p < 0.05), 10.84毫克和14.0毫克,4 h (p < 0.05), 13.56毫克和18.28毫克6 h (p < 0.05)和17.96毫克和33.72毫克分别为24小时(p < 0.05),…
{"title":"The effects of intra-operative low-dose dexmedetomidine infusion on postoperative pain in patients undergoing septorhinoplasty","authors":"M. Cicek, A. Yücel, E. Gedik, O. Sagir, A. But, M. O. Ersoy","doi":"10.1179/016911106779499028","DOIUrl":"https://doi.org/10.1179/016911106779499028","url":null,"abstract":"Abstract Study objective: To determine the effects of intra-operative low-dose dexmedetomidine infusion on postoperative morphine consumption, pain, sedation and patient satisfaction in patients undergoing septorhinoplasty. Method: Fifty adult patients were randomised to receive either dexmedetomidine (a loading dose of 1 μg kg−1 for the first ten minutes and a maintenance dose of 0.2 μg kg−1 h−1 afterwards, Group D) or 0.9% saline in the same manner (Group C) after induction of anaesthesia. At the end of the operation, the infusions were discontinued. After extubation, patient controlled analgesia was started intravenously. Results: Patients in Group D consumed 47% less morphine than patients in Group C during the first 24 h and had a lower cumulative morphine consumption at all times after starting patient controlled analgesia (7.08 mg vs. 8.56 mg at 2 h (p < 0.05), 10.84 mg vs. 14.0 mg at 4 h (p < 0.05), 13.56 mg vs. 18.28 mg at 6 h (p < 0.05) and 17.96 mg vs. 33.72 mg at 24 h (p < 0.05), respectively ...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"139 1","pages":"395-402"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79830497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1163/156856906778704696
A. Atalay, F. Inanici, B. Volkan, P. Kiratli, A. Öznur
AbstractStress fractures may occur either due to an extreme muscle strain (fatigue fracture) or a normal strain within the context of pre-existing bone weakness (insufficiency fracture). Stress fractures of the tibia associated with osteoarthritis of the knee have been described in the literature. In osteoarthritic patients with genu varum deformity altered biomechanics lead to further strain on bone. We describe a 68 year-old woman with genu varum deformity due to osteoarthritis of the knee and concomitant osteomalacia due to lack of exposure to sunlight. She was operated on using an expandable intramedullary nail which enabled early mobilization and prevented further complications such as nonunion and sequential fractures.
{"title":"Management of the stress fracture of the tibia using expandable intramedullary nail in a patient with osteoarthritis and osteomalacia","authors":"A. Atalay, F. Inanici, B. Volkan, P. Kiratli, A. Öznur","doi":"10.1163/156856906778704696","DOIUrl":"https://doi.org/10.1163/156856906778704696","url":null,"abstract":"AbstractStress fractures may occur either due to an extreme muscle strain (fatigue fracture) or a normal strain within the context of pre-existing bone weakness (insufficiency fracture). Stress fractures of the tibia associated with osteoarthritis of the knee have been described in the literature. In osteoarthritic patients with genu varum deformity altered biomechanics lead to further strain on bone. We describe a 68 year-old woman with genu varum deformity due to osteoarthritis of the knee and concomitant osteomalacia due to lack of exposure to sunlight. She was operated on using an expandable intramedullary nail which enabled early mobilization and prevented further complications such as nonunion and sequential fractures.","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"24 1","pages":"367-371"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80009539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1179/016911106779498993
J. Nadstawek, H. Wartenberg, M. Schenk, S. Wirz
AbstractThere continue to exist serious deficiencies in the analgesic therapy of elderly patients and patients with polypathia and severe pain. Orally administered controlled-release hydromorphone (see Note 1) appears to be particularly suitable for this patient group due to its pharmacological and metabolic benefits. The aim of the present prospective, multicentre study was to analyse the effects of hydromorphone therapy on quality of analgesia and potential side effects. Patients and methods. 567 elderly patients with severe, predominantly tumour-related or musculoskeletal pain were included in this study. The majority of these patients had received prior analgesic therapy. The following parameters were measured before initiating treatment with orally administered controlled-release hydromorphone and at three further assessments during the therapy: the daily dose required, intensity of pain (measured on the Numeric Rating Scale: 0 = no pain to 10 = worst pain imaginable); typical opioid-related side eff...
{"title":"Hydromorphone in elderly patients with polypathia and with severe pain","authors":"J. Nadstawek, H. Wartenberg, M. Schenk, S. Wirz","doi":"10.1179/016911106779498993","DOIUrl":"https://doi.org/10.1179/016911106779498993","url":null,"abstract":"AbstractThere continue to exist serious deficiencies in the analgesic therapy of elderly patients and patients with polypathia and severe pain. Orally administered controlled-release hydromorphone (see Note 1) appears to be particularly suitable for this patient group due to its pharmacological and metabolic benefits. The aim of the present prospective, multicentre study was to analyse the effects of hydromorphone therapy on quality of analgesia and potential side effects. Patients and methods. 567 elderly patients with severe, predominantly tumour-related or musculoskeletal pain were included in this study. The majority of these patients had received prior analgesic therapy. The following parameters were measured before initiating treatment with orally administered controlled-release hydromorphone and at three further assessments during the therapy: the daily dose required, intensity of pain (measured on the Numeric Rating Scale: 0 = no pain to 10 = worst pain imaginable); typical opioid-related side eff...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"18 1","pages":"403-413"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82398850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1179/016911106779498975
Gürayten Özyurt, E. Basagan-Mogol, Ş. Tolunay, N. Kelebek-Girgin
AbstractDuring lumbar puncture for spinal anaesthesia, the needle may carry tissue cores into the subarachnoid space, with the potential complication of intraspinal lumbar epidermoid tumour. Coring is believed to occur not only with hollow needles, but even with newer styletted spinal ones. This prospective randomised, blinded study was undertaken to analyse the tissue coring of epithelial cells with the new Ballpen® spinal needles, and the more widely used Pencil-point spinal needles. Forty patients undergoing spinal anaesthesia for transurethral prostate resection were randomized into two groups according to the spinal needle type. Spinal anaesthesia was performed with Pencil-point 25-gauge and Ballpen® 25-gauge spinal needles with the aid of 20-gauge introducer needle. After removal of the stylette, 1 ml of cerebrospinal fluid was collected by free-flow into a sterile test tube, and investigated under the light microscope by a pathologist blinded to the type of needle. Any sample containing at least on...
{"title":"The analysis of tissue coring of epithelial cells in spinal block performed with 25-gauge Pencil-point and Ballpen ® spinal needles","authors":"Gürayten Özyurt, E. Basagan-Mogol, Ş. Tolunay, N. Kelebek-Girgin","doi":"10.1179/016911106779498975","DOIUrl":"https://doi.org/10.1179/016911106779498975","url":null,"abstract":"AbstractDuring lumbar puncture for spinal anaesthesia, the needle may carry tissue cores into the subarachnoid space, with the potential complication of intraspinal lumbar epidermoid tumour. Coring is believed to occur not only with hollow needles, but even with newer styletted spinal ones. This prospective randomised, blinded study was undertaken to analyse the tissue coring of epithelial cells with the new Ballpen® spinal needles, and the more widely used Pencil-point spinal needles. Forty patients undergoing spinal anaesthesia for transurethral prostate resection were randomized into two groups according to the spinal needle type. Spinal anaesthesia was performed with Pencil-point 25-gauge and Ballpen® 25-gauge spinal needles with the aid of 20-gauge introducer needle. After removal of the stylette, 1 ml of cerebrospinal fluid was collected by free-flow into a sterile test tube, and investigated under the light microscope by a pathologist blinded to the type of needle. Any sample containing at least on...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"10 1","pages":"415-420"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78222325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1163/156856906778704704
F. N. Kaya, B. Yavaşçaoğlu, E. Moğol, R. İşçimen, Berrin Özcan
Abstract Background and objective: This randomized, double-blind, placebo-controlled study was carried out to determine the effect of esmolol on the incidence and severity of pain during propofol injection using a venous retention technique, and to compare it with lidocaine and placebo. Methods: After institutional ethical approval, 150 ASA I-II patients (ages 21–70) undergoing general anaesthesia for elective surgery were randomized to receive esmolol (0.5 mg/kg) (n = 50), lidocaine (0.5 mg/kg) (n = 50) or saline (placebo group, n = 50) diluted into a 5 ml solution after tourniquet application (70 mmHg) on the forearm. The occlusion was released after 30 seconds and 25% of the calculated induction dose of propofol was administrated at the rate of 0.5 ml/s. The patients were observed and asked immediately if they had pain in the arm, and the response was recorded. Results: Twenty-seven patients in the esmolol group, 28 in the lidocaine group, and 8 in the placebo group reported no pain (both groups vs. pl...
{"title":"Esmolol reduces pain on injection of propofol","authors":"F. N. Kaya, B. Yavaşçaoğlu, E. Moğol, R. İşçimen, Berrin Özcan","doi":"10.1163/156856906778704704","DOIUrl":"https://doi.org/10.1163/156856906778704704","url":null,"abstract":"Abstract Background and objective: This randomized, double-blind, placebo-controlled study was carried out to determine the effect of esmolol on the incidence and severity of pain during propofol injection using a venous retention technique, and to compare it with lidocaine and placebo. Methods: After institutional ethical approval, 150 ASA I-II patients (ages 21–70) undergoing general anaesthesia for elective surgery were randomized to receive esmolol (0.5 mg/kg) (n = 50), lidocaine (0.5 mg/kg) (n = 50) or saline (placebo group, n = 50) diluted into a 5 ml solution after tourniquet application (70 mmHg) on the forearm. The occlusion was released after 30 seconds and 25% of the calculated induction dose of propofol was administrated at the rate of 0.5 ml/s. The patients were observed and asked immediately if they had pain in the arm, and the response was recorded. Results: Twenty-seven patients in the esmolol group, 28 in the lidocaine group, and 8 in the placebo group reported no pain (both groups vs. pl...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"74 1","pages":"361-366"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89007655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1179/016911106779499046
B. Atalay, C. Yılmaz, N. Çetinalp, N. Altinors
AbstractHydatidosis is a disease usually found in rural and agricultural communities. Disease may affect any tissue, but hydatid disease of the liver and lung is quite common. Spinal hydatidosis is an uncommon manifestation of the parasite Echinococcus affecting fewer than 1% of patients with hydatid disease. A 45-year-old woman was admitted to our hospital with neck pain and a palpable mass over her lower neck. Magnetic resonance imaging of the cervical region revealed a cystic mass lesion embedded in the left paraspinal muscles. The patient was operated and the lesion was totally excised. Histopathological examination revealed a hydatid cyst. Complete systematic and radiological examination was made to detect any hydatid cyst in the other organs, but no other cysts were found. She received oral albendazole therapy (800 mg daily) for three, 3-week protocols. Control systemic and radiological examinations including the cervical MRI six months after treatment revealed normal findings without any cyst forma...
{"title":"Incidental paravertebral hydatid cyst presenting with neck pain","authors":"B. Atalay, C. Yılmaz, N. Çetinalp, N. Altinors","doi":"10.1179/016911106779499046","DOIUrl":"https://doi.org/10.1179/016911106779499046","url":null,"abstract":"AbstractHydatidosis is a disease usually found in rural and agricultural communities. Disease may affect any tissue, but hydatid disease of the liver and lung is quite common. Spinal hydatidosis is an uncommon manifestation of the parasite Echinococcus affecting fewer than 1% of patients with hydatid disease. A 45-year-old woman was admitted to our hospital with neck pain and a palpable mass over her lower neck. Magnetic resonance imaging of the cervical region revealed a cystic mass lesion embedded in the left paraspinal muscles. The patient was operated and the lesion was totally excised. Histopathological examination revealed a hydatid cyst. Complete systematic and radiological examination was made to detect any hydatid cyst in the other organs, but no other cysts were found. She received oral albendazole therapy (800 mg daily) for three, 3-week protocols. Control systemic and radiological examinations including the cervical MRI six months after treatment revealed normal findings without any cyst forma...","PeriodicalId":19808,"journal":{"name":"Pain Clinic","volume":"1 1","pages":"429-432"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89929550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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