Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology
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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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Randomized Controlled Trial
Comparison of spring-loaded, loss of resistance and hanging drop techniques in lumbar epidural blocks.
The spring-loaded syringe is a loss of resistance syringe that provide a more objective sign that the epidural space has been entered compared with the traditional techniques. The aim of this study was to compare the time required to locate the epidural space and the backache incidence with the spring-loaded (SL), loss of resistance (LOR) and the hanging drop (HD) techniques for epidural blocks in patients undergoing transurethral resection procedure. ⋯ The use of SL syringe was found to have a shorter time period to locate the epidural space when compared with the LOR syringe and hanging drop technique.
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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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Comparative Study
Comparison of blunt and sharp needles for transforaminal epidural steroid injections.
The aim of this study was to compare the sharp and blunt needles in order to determine the incidence of complications during transforaminal anterior epidural steroid injections. ⋯ When using the blunt needles, vascular penetration and paresthesia were less during transforaminal epidural steroid injections. Therefore blunt needles seem to be more advantageous.
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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.