Pub Date : 2022-10-24DOI: 10.54875/jarss.2022.45762
D. Guner, Burcu Ozalp Horsanali, Oğuzhan Yeniay, C. Eyigor
Objective: Neuromodulation therapies are successful treatment options for pain raised from a variety of etiologies. Careful patient selection and multidisciplinary evaluation are essential to achieve the best outcome. We aimed to discuss the common indications of neuromodulation therapies, efficacy, and clinical outcomes of patient follow-up to 3 and 6 months. Methods: Twentytree patients completed the 6-month follow-up: four underwent cervical spinal cord stimulation (SCS), sixteen had thoracic SCS, and three had sacral neuromodulation (SNS). Outcome measures were pain (visual analog scale[VAS]), quality of life (36-Item Short Form Survey [SF-36]), Oswestry Disability Index [ODI]), and the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) neuropathic pain scale questionnaire. The overactive bladder assessment form and the pelvic pain impact questionnaire were performed on patients who would undergo SNS. Results: A significant difference was shown in regards to the scores of the VAS, SF-36 parameters, ODI, and LANSS between admission and the third and sixth-month follow-ups (p<0.001). Visual Analog Scale, ODI, and LANSS sixth-month scores were also lower than the third-month scores (p=0.001). There were no significant differences between the groups in terms of sex. Conclusion: Neuromodulation therapies provide short and longterm pain relief and quality-of-life improvements in patients with refractory chronic pain syndromes. back surgery syndrome, quality of life of
目的:神经调节疗法是各种病因引起的疼痛的成功治疗选择。谨慎的患者选择和多学科评估是实现最佳结果的必要条件。我们的目的是讨论神经调节治疗的常见适应症、疗效和患者随访3个月和6个月的临床结果。方法:20例患者完成了6个月的随访，其中4例接受颈脊髓刺激(SCS)， 16例接受胸椎脊髓刺激(SCS)， 3例接受骶神经调节(SNS)。结果测量为疼痛(视觉模拟量表[VAS])、生活质量(36-Item Short Form Survey [SF-36])、Oswestry残疾指数(ODI)和利兹神经性症状和体征评估(LANSS)神经性疼痛量表问卷。对拟行SNS的患者进行膀胱过度活动量表和盆腔疼痛影响问卷调查。结果:两组患者入院后与随访第3、6个月时的VAS评分、SF-36参数、ODI评分、LANSS评分差异有统计学意义(p<0.001)。视觉模拟量表、ODI和LANSS第6个月评分也低于第3个月评分(p=0.001)。在性别方面，两组之间没有显著差异。结论:神经调节疗法可为难治性慢性疼痛综合征患者提供短期和长期的疼痛缓解和生活质量改善。背部手术综合症，生活质量
{"title":"Neuromodulation Therapy in Chronic Pain and Clinical Outcomes: A Single-Center Experience","authors":"D. Guner, Burcu Ozalp Horsanali, Oğuzhan Yeniay, C. Eyigor","doi":"10.54875/jarss.2022.45762","DOIUrl":"https://doi.org/10.54875/jarss.2022.45762","url":null,"abstract":"Objective: Neuromodulation therapies are successful treatment options for pain raised from a variety of etiologies. Careful patient selection and multidisciplinary evaluation are essential to achieve the best outcome. We aimed to discuss the common indications of neuromodulation therapies, efficacy, and clinical outcomes of patient follow-up to 3 and 6 months. Methods: Twentytree patients completed the 6-month follow-up: four underwent cervical spinal cord stimulation (SCS), sixteen had thoracic SCS, and three had sacral neuromodulation (SNS). Outcome measures were pain (visual analog scale[VAS]), quality of life (36-Item Short Form Survey [SF-36]), Oswestry Disability Index [ODI]), and the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) neuropathic pain scale questionnaire. The overactive bladder assessment form and the pelvic pain impact questionnaire were performed on patients who would undergo SNS. Results: A significant difference was shown in regards to the scores of the VAS, SF-36 parameters, ODI, and LANSS between admission and the third and sixth-month follow-ups (p<0.001). Visual Analog Scale, ODI, and LANSS sixth-month scores were also lower than the third-month scores (p=0.001). There were no significant differences between the groups in terms of sex. Conclusion: Neuromodulation therapies provide short and longterm pain relief and quality-of-life improvements in patients with refractory chronic pain syndromes. back surgery syndrome, quality of life of","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43763119","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 : 2022-10-24DOI: 10.54875/jarss.2022.49344
A. Koç
Objective: Tracheostomy is one of the most common invasive procedures in emergency rooms, intensive care units, and the bedside. In the intensive care unit, tracheostomies are most often used for prolonged mechanical ventilation, to preserve the airway and to permit pulmonary drainage. Percutaneous dilatational tracheostomy (PDT) was performed using the Seldinger method. To minimize tracheal posterior wall damage, bronchoscopy guidance was used to determine the proper spot for tracheal puncture, guide real-time needle entry into the trachea, and confirm cannula position. This study introduces bronchoscopy-guided modified mini-surgical PDT and aims to evaluate early complications with 388 case analyses. Methods: Demographic data from patients, intensive care indications, APACHE-2 scores, duration of stay on the ventilator before tracheostomy, total duration of stay, and early complications during tracheostomy were recorded by analyzing patient files. All data from PDT patients between 2018 and 2022 were retrospectively reviewed. Results: Of 492 tracheostomies, 388 (78.8%) were opened percutaneously. The mean and median duration of stay on the ventilator before tracheostomy were 12.95 and 12 days, respectively. The mean and median duration lengths of stay were 29.43 and 14.355 days, respectively. The most common indication for tracheostomy was chronic obstructive pulmonary disease in 70 (18%), patients. Complications related to tracheostomy were observed in 19 patients, representing a complication rate of 4.9%. Of these, 2 (0.5%) bleeds stopped with cautery, and 2 (0.5%) bronchospasms occurred during the procedure. Conclusion: Percutaneous dilatational tracheostomy is a simple and safe tracheostomy method. Its use with bronchoscopy can facilitate the procedure and minimize the complications that may occur.
{"title":"Percutaneous Dilatational Tracheostomy with Bronchoscopic Guidance in Intensive Care Unit","authors":"A. Koç","doi":"10.54875/jarss.2022.49344","DOIUrl":"https://doi.org/10.54875/jarss.2022.49344","url":null,"abstract":"Objective: Tracheostomy is one of the most common invasive procedures in emergency rooms, intensive care units, and the bedside. In the intensive care unit, tracheostomies are most often used for prolonged mechanical ventilation, to preserve the airway and to permit pulmonary drainage. Percutaneous dilatational tracheostomy (PDT) was performed using the Seldinger method. To minimize tracheal posterior wall damage, bronchoscopy guidance was used to determine the proper spot for tracheal puncture, guide real-time needle entry into the trachea, and confirm cannula position. This study introduces bronchoscopy-guided modified mini-surgical PDT and aims to evaluate early complications with 388 case analyses. Methods: Demographic data from patients, intensive care indications, APACHE-2 scores, duration of stay on the ventilator before tracheostomy, total duration of stay, and early complications during tracheostomy were recorded by analyzing patient files. All data from PDT patients between 2018 and 2022 were retrospectively reviewed. Results: Of 492 tracheostomies, 388 (78.8%) were opened percutaneously. The mean and median duration of stay on the ventilator before tracheostomy were 12.95 and 12 days, respectively. The mean and median duration lengths of stay were 29.43 and 14.355 days, respectively. The most common indication for tracheostomy was chronic obstructive pulmonary disease in 70 (18%), patients. Complications related to tracheostomy were observed in 19 patients, representing a complication rate of 4.9%. Of these, 2 (0.5%) bleeds stopped with cautery, and 2 (0.5%) bronchospasms occurred during the procedure. Conclusion: Percutaneous dilatational tracheostomy is a simple and safe tracheostomy method. Its use with bronchoscopy can facilitate the procedure and minimize the complications that may occur.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42281804","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 : 2022-10-24DOI: 10.54875/jarss.2022.83713
A. Yuksek, O. Miniksar, Cevdet Yardımcı, Aysegul Parlak Cikrikci
Objective: Mechanical power (MP) is the amount of energy transferred to the respiratory system of patients during each breath period. After overcoming the resistances required for respiration, the remaining energy may end up by damaging the lung parenchy -ma. The MP limit that should not be exceeded in pediatric patients is not yet clear. The aim of this observational descriptive study is to compare the perioperative MP measurements in healthy pedi atric cases with the values given in the literature. Methods: Perioperative MP was calculated according to the sim plified MP formula in pediatric patients without known lung dis ease and compared with the literature. Results: The mean age of 34 patients was 68.88±31.4 months and the mean weight was 21.82±7.5 kg. The mean MP was 3.93±1.1 J min -1 , and the indexed MP was 0.19±0.08 J min -1 kg -1 . Both MP (p=0.008) and indexed MP (p<0.001) were significantly higher in patients with high tidal volume. In addition, we found a neg ative correlation between indexed MP and weight (r: -668 and p<0.001). Both MP and indexed MP had sufficient predictive pow er to predict tidal volume >10 and predictive value was significant [Auc: 0.764, 95%CI: 0.55-0.97, p: 0.026]. The value of MP>3.76 was an indicator for tidal volume >10 with 87 sensitivity and 50 specificity. Predictive value of indexed MP for tidal volume >10 mL kg -1 was 0.25 J kg -1 [AUC 0.856, 95%CI: 0.70-1.0, p=0.003], and indexed MP was a stronger indicator than MP. Conclusion: This study revealed that MP threshold values calculated for adults or patients with ARDS lung are not sensitive for pe diatric patients, and a new threshold value should be determined for these patients.
目的:机械功率(MP)是指患者在每次呼吸期间传递给呼吸系统的能量。在克服了呼吸所需的阻力后，剩余的能量可能最终损害肺实质。儿科患者不应超过的MP限值尚不清楚。本观察性描述性研究的目的是比较健康儿童围手术期MP测量值与文献中给出的值。方法:对无已知肺部疾病的患儿，根据简化后的MP公式计算围手术期MP，并与文献进行比较。结果:34例患者平均年龄68.88±31.4个月，平均体重21.82±7.5 kg。平均MP为3.93±1.1 J min -1，指数MP为0.19±0.08 J min -1 kg -1。MP (p=0.008)和指数化MP (p10和预测值均显著[Auc: 0.764, 95%CI: 0.55-0.97, p: 0.026]。MP bbb3.76值是潮汐容量>0的指标，敏感性为87，特异性为50。指数化MP对潮气量>10 mL kg -1的预测值为0.25 J kg -1 [AUC 0.856, 95%CI: 0.70 ~ 1.0, p=0.003]，指数化MP是比MP更强的指标。结论:本研究显示，为成人或ARDS肺患者计算的MP阈值对pe患者不敏感，应确定新的阈值。
{"title":"Can Mechanical Power be Used as a Safety Precaution in Pediatric Patients?","authors":"A. Yuksek, O. Miniksar, Cevdet Yardımcı, Aysegul Parlak Cikrikci","doi":"10.54875/jarss.2022.83713","DOIUrl":"https://doi.org/10.54875/jarss.2022.83713","url":null,"abstract":"Objective: Mechanical power (MP) is the amount of energy transferred to the respiratory system of patients during each breath period. After overcoming the resistances required for respiration, the remaining energy may end up by damaging the lung parenchy -ma. The MP limit that should not be exceeded in pediatric patients is not yet clear. The aim of this observational descriptive study is to compare the perioperative MP measurements in healthy pedi atric cases with the values given in the literature. Methods: Perioperative MP was calculated according to the sim plified MP formula in pediatric patients without known lung dis ease and compared with the literature. Results: The mean age of 34 patients was 68.88±31.4 months and the mean weight was 21.82±7.5 kg. The mean MP was 3.93±1.1 J min -1 , and the indexed MP was 0.19±0.08 J min -1 kg -1 . Both MP (p=0.008) and indexed MP (p<0.001) were significantly higher in patients with high tidal volume. In addition, we found a neg ative correlation between indexed MP and weight (r: -668 and p<0.001). Both MP and indexed MP had sufficient predictive pow er to predict tidal volume >10 and predictive value was significant [Auc: 0.764, 95%CI: 0.55-0.97, p: 0.026]. The value of MP>3.76 was an indicator for tidal volume >10 with 87 sensitivity and 50 specificity. Predictive value of indexed MP for tidal volume >10 mL kg -1 was 0.25 J kg -1 [AUC 0.856, 95%CI: 0.70-1.0, p=0.003], and indexed MP was a stronger indicator than MP. Conclusion: This study revealed that MP threshold values calculated for adults or patients with ARDS lung are not sensitive for pe diatric patients, and a new threshold value should be determined for these patients.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46750945","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 : 2022-10-24DOI: 10.54875/jarss.2022.49469
Sami Kaan Coşarcan, Omur Ercelen
Objective: Appropriate pain treatment before, during, and after surgery positively affects the immune system and prevents chron ic pain. Postoperative thoracotomy pain is both severe and diffi cult to manage. In addition to systemic opioid and non-opioid an -algesics, neuraxial analgesic techniques such as thoracic epidural analgesia or thoracic paravertebral block are widely applied for pain control. Various fascial plane blocks are also used in thoracic surgery. The purpose of this study was to investigate the analge sic effectiveness of regional analgesia techniques used in thoracic surgeries in our clinic. Methods: Following receipt of approval from the Koç University Clinical Research Ethics Committee, the records of 372 patients who underwent video-assisted thoracoscopic surgeries at the VKV American Hospital, Turkey, between January 2019 and December 2021 were reviewed retrospectively. Results: Patients who received epidural analgesia exhibited statis tically significantly lower pain scores and postoperative addition al analgesic needs (p<0.001). Rhomboid intercostal subserratus block as the most effective option for postoperative analgesia among alternative regional analgesia methods according to post operative pain scores and postoperative opioid consumption. Conclusion: We still recommend thoracic epidural as the first choice for patient comfort, especially in clinics where thoracic an esthesia experience is high. Moreover, with the increasing preva lence of fascial plane blocks, we think that rhomboid intercostal blocks may be an important alternative in thoracic surgery.
{"title":"The Effectiveness of Regional Analgesia Techniques in Thoracoscopic Surgeries: A Retrospective Single-Center Study","authors":"Sami Kaan Coşarcan, Omur Ercelen","doi":"10.54875/jarss.2022.49469","DOIUrl":"https://doi.org/10.54875/jarss.2022.49469","url":null,"abstract":"Objective: Appropriate pain treatment before, during, and after surgery positively affects the immune system and prevents chron ic pain. Postoperative thoracotomy pain is both severe and diffi cult to manage. In addition to systemic opioid and non-opioid an -algesics, neuraxial analgesic techniques such as thoracic epidural analgesia or thoracic paravertebral block are widely applied for pain control. Various fascial plane blocks are also used in thoracic surgery. The purpose of this study was to investigate the analge sic effectiveness of regional analgesia techniques used in thoracic surgeries in our clinic. Methods: Following receipt of approval from the Koç University Clinical Research Ethics Committee, the records of 372 patients who underwent video-assisted thoracoscopic surgeries at the VKV American Hospital, Turkey, between January 2019 and December 2021 were reviewed retrospectively. Results: Patients who received epidural analgesia exhibited statis tically significantly lower pain scores and postoperative addition al analgesic needs (p<0.001). Rhomboid intercostal subserratus block as the most effective option for postoperative analgesia among alternative regional analgesia methods according to post operative pain scores and postoperative opioid consumption. Conclusion: We still recommend thoracic epidural as the first choice for patient comfort, especially in clinics where thoracic an esthesia experience is high. Moreover, with the increasing preva lence of fascial plane blocks, we think that rhomboid intercostal blocks may be an important alternative in thoracic surgery.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43912601","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 : 2022-10-24DOI: 10.54875/jarss.2022.17362
Çiğdem Yalçın, Guldane Karabakan
{"title":"Retrospective Comparison of the Efficacy of Pulsed Radiofrequency of the Suprascapular Nerve and Combined Transcutaneous Radiofrequency Techniques in Supraspinatus Tendinopathies","authors":"Çiğdem Yalçın, Guldane Karabakan","doi":"10.54875/jarss.2022.17362","DOIUrl":"https://doi.org/10.54875/jarss.2022.17362","url":null,"abstract":"","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47332603","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 : 2022-10-24DOI: 10.54875/jarss.2022.66934
A. Rath, Abha Singh, D. Reena, P. Shukla, Sarita Choudhary, S. Sharma, Kairi Dibo
Tracheo-esophageal fistula (TEF) in association with subglottic laryngeal web is a rare entity. Often the diagnosis of laryngeal web in the presence of TEF is missed and it is identified during intubation attempts. The triad of neonatal age, TEF and laryngeal web can even cause the most experienced anaesthetists concern about the mortality and morbidity that may develop due to the inability to secure the airway. In this case report, we aimed to share our ex-perience on the airway management of a newborn with laryngeal web.
{"title":"A Laryngeal Web with Tracheo-Esophageal Fistula: Anaesthesiologist Skating on a Thin Ice","authors":"A. Rath, Abha Singh, D. Reena, P. Shukla, Sarita Choudhary, S. Sharma, Kairi Dibo","doi":"10.54875/jarss.2022.66934","DOIUrl":"https://doi.org/10.54875/jarss.2022.66934","url":null,"abstract":"Tracheo-esophageal fistula (TEF) in association with subglottic laryngeal web is a rare entity. Often the diagnosis of laryngeal web in the presence of TEF is missed and it is identified during intubation attempts. The triad of neonatal age, TEF and laryngeal web can even cause the most experienced anaesthetists concern about the mortality and morbidity that may develop due to the inability to secure the airway. In this case report, we aimed to share our ex-perience on the airway management of a newborn with laryngeal web.","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45222883","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 : 2022-07-29DOI: 10.54875/jarss.2022.71677
A. Tas Tuna, Gürkan Demir, H. Kocayiğit, A. F. Erdem
ABSTRACT Objective: This prospective study aimed to determine whether low flow anesthesia (LFA) has an effect on emergence agitation in women who underwent laparotomic gynecologic surgeries. Method: Sixty four female patients were enrolled in this prospective randomized study. The patients were randomly allocated into two groups: Group 2 and Group 0.5. The fresh gas flow (FGF) rate was set at 4 L min-1 in both groups, initially. When all patients reached 1 minimum alveolar concentration of sevoflurane, the FGF rate was reduced to 2 L min-1 in Group 2 and 0.5 L min-1 in Group 0.5. For Group 0.5, vapor was closed 15 minutes before the end of surgery, while it was closed at the end of the operation for Group 2. At the end of the surgery, the FGF rate was increased to 4 L min-1. Emergence agitation was assessed using the Riker Sedation Agitation Scale (SAS) in the post-anesthesia care unit at 5, 10, 20 and 30th minutes. Results: Emergence agitation was observed in 5 patients, no significant difference was found between two groups. For all evaluation times, number of patients with SAS=4 was significantly higher in Group 0.5, while the number of patients with SAS<4 was significantly higher in Group 2 (p<0.05). Conclusion: The number of patients who are calm and cooperative was higher in LFA. Keywords: Emergence agitation, general anesthesia, fresh gas flow
{"title":"The Effects of Fresh Gas Flow on Emergence Agitation for Gynecologic Surgery: A Clinical Study","authors":"A. Tas Tuna, Gürkan Demir, H. Kocayiğit, A. F. Erdem","doi":"10.54875/jarss.2022.71677","DOIUrl":"https://doi.org/10.54875/jarss.2022.71677","url":null,"abstract":"ABSTRACT Objective: This prospective study aimed to determine whether low flow anesthesia (LFA) has an effect on emergence agitation in women who underwent laparotomic gynecologic surgeries. Method: Sixty four female patients were enrolled in this prospective randomized study. The patients were randomly allocated into two groups: Group 2 and Group 0.5. The fresh gas flow (FGF) rate was set at 4 L min-1 in both groups, initially. When all patients reached 1 minimum alveolar concentration of sevoflurane, the FGF rate was reduced to 2 L min-1 in Group 2 and 0.5 L min-1 in Group 0.5. For Group 0.5, vapor was closed 15 minutes before the end of surgery, while it was closed at the end of the operation for Group 2. At the end of the surgery, the FGF rate was increased to 4 L min-1. Emergence agitation was assessed using the Riker Sedation Agitation Scale (SAS) in the post-anesthesia care unit at 5, 10, 20 and 30th minutes. Results: Emergence agitation was observed in 5 patients, no significant difference was found between two groups. For all evaluation times, number of patients with SAS=4 was significantly higher in Group 0.5, while the number of patients with SAS<4 was significantly higher in Group 2 (p<0.05). Conclusion: The number of patients who are calm and cooperative was higher in LFA. Keywords: Emergence agitation, general anesthesia, fresh gas flow","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42399279","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 : 2022-07-29DOI: 10.54875/jarss.2022.97752
F. Şimşek, G. Ozkan
ABSTRACT Objective: The purpose of this retrospective study was to see how efficient ultrasound-guided transversus abdominis plane (TAP) block was on the incidence of chronic postoperative pain developing after inguinal hernia surgery. Methods: The records of patients who had unilateral elective grafted inguinal hernia surgery with the Lichtenstein procedure under general anesthesia between July 2018 and October 2019 were examined retrospectively. The patients were placed into two groups (total=70): those who did not receive intraoperative TAP block (Group 1, n=38) and those who received (Group 2, n=32). The patients were contacted by phone 6 months after the procedure, and it was learned and recorded whether they had chronic pain before the operation, the nature of the pain if any, whether it limited their daily activities or not. The Numerical Rating Scale was used to measure chronic pain, and values of 3 and above were considered chronic pain. Results: This study comprised a total of 70 participants, with 38 patients in Group 1 and 32 patients in Group 2. Patients with chronic pain incidence in the postoperative 6th month (n=21) accounted for 30% of all patients. There was no significant difference between the groups regarding chronic pain development [Group 1 (n=14, 36.8% ), Group 2 (n=7, 21.8%)]. It was observed that the patients’ pain was predominantly in the burning style. Conclusion: We concluded that the ultrasound-guided TAP block had no significant effect on the development of chronic pain. Keywords: Postoperative chronic pain, transversus abdominis plane block, inguinal herniorrhaphy
{"title":"The Effect of Ultrasound-Guided Transversus Abdominis Plane Block on Chronic Pain Experienced After Inguinal Hernia Surgery: A Retrospective Cohort Study","authors":"F. Şimşek, G. Ozkan","doi":"10.54875/jarss.2022.97752","DOIUrl":"https://doi.org/10.54875/jarss.2022.97752","url":null,"abstract":"ABSTRACT Objective: The purpose of this retrospective study was to see how efficient ultrasound-guided transversus abdominis plane (TAP) block was on the incidence of chronic postoperative pain developing after inguinal hernia surgery. Methods: The records of patients who had unilateral elective grafted inguinal hernia surgery with the Lichtenstein procedure under general anesthesia between July 2018 and October 2019 were examined retrospectively. The patients were placed into two groups (total=70): those who did not receive intraoperative TAP block (Group 1, n=38) and those who received (Group 2, n=32). The patients were contacted by phone 6 months after the procedure, and it was learned and recorded whether they had chronic pain before the operation, the nature of the pain if any, whether it limited their daily activities or not. The Numerical Rating Scale was used to measure chronic pain, and values of 3 and above were considered chronic pain. Results: This study comprised a total of 70 participants, with 38 patients in Group 1 and 32 patients in Group 2. Patients with chronic pain incidence in the postoperative 6th month (n=21) accounted for 30% of all patients. There was no significant difference between the groups regarding chronic pain development [Group 1 (n=14, 36.8% ), Group 2 (n=7, 21.8%)]. It was observed that the patients’ pain was predominantly in the burning style. Conclusion: We concluded that the ultrasound-guided TAP block had no significant effect on the development of chronic pain. Keywords: Postoperative chronic pain, transversus abdominis plane block, inguinal herniorrhaphy","PeriodicalId":36000,"journal":{"name":"Anestezi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49124672","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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