Publications by authors named "Gulay Ulger"
Article Synopsis
- - The study aimed to compare the effectiveness of combined deep and superficial serratus anterior block (C-SAPB) against thoracic paravertebral block (TPVB) for managing postoperative pain in patients who underwent video-assisted thoracic surgery (VATS).
- - Both TPVB and C-SAPB groups included 30 patients each, receiving the same dosage of local anesthetics, with their pain levels measured through visual analog scale (VAS) scores over 48 hours, showing no significant differences in pain management or satisfaction.
- - The findings suggest that C-SAPB might be a viable alternative to TPVB for postoperative analgesia, with similar outcomes in pain control and fewer complications, alongside a slightly quicker administration process.
: Thoracic epidural catheterization (TEC) can be both uncomfortable and fearful for patients when performed awake with the thought that the procedure may be painful. The aim of this study was to assess the effect of low-dose intravenous ketamine administration on pain and anxiety during the TEC procedure. : Sixty patients were randomly divided into two groups to receive intravenous (IV) placebo (Group P) and IV low-dose (0.
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- The study focused on the effectiveness of different volumes of bupivacaine for Erector spinae plane blocks (ESPB) in patients undergoing thoracotomy.
- Patients were split into two groups, receiving either 30 ml or 20 ml of 0.25% bupivacaine, and their pain levels were measured post-surgery using a visual analog scale (VAS).
- Results indicated that the 30 ml group experienced significantly better pain relief and required less additional analgesics, with no notable difference in side effects between the two groups.
The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) risk index, which is frequently used in nonthoracic surgery, may not be sufficient to predict postoperative pulmonary complications (PPCs). We aimed to evaluate the effectiveness of the ARISCAT risk index, ASA, preoperative albumin level, neutrophil/lymphocyte ratio (NLR), and other parameters in predicting PPCs after thoracic surgery. Patients undergoing elective thoracic surgery with 1-lung ventilation (OLV) were prospectively analyzed.
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- - The study aimed to compare pain relief after video-assisted thoracoscopic surgery (VATS) using three methods: ultrasound-guided erector spinae plane block (ESPB), thoracic paravertebral block (TPVB), and a combination of both (comb-group), with 75 patients participating.
- - Results showed that patients receiving TPVB experienced higher pain levels (measured by Visual Analog Scale) and required more morphine and rescue analgesics compared to those in the ESPB or comb-group.
- - The findings suggest that ESPB alone and the combination of ESPB and TPVB were more effective in managing acute pain post-surgery than TPVB alone, indicating the potential benefits of using ESPB for
Article Synopsis
- * Conducted at a thoracic surgery center, the research included 105 patients and measured their blood values and pain levels before and after the surgery using the visual analog scale (VAS).
- * Findings indicated that while there were correlations between certain blood markers (monocytes and neutrophils) and pain levels, the specific ratios (NLR, PLR, LMR) were not significantly related to pain, suggesting a need for further research to develop objective criteria for assessing postoperative pain.
Background: The use of anesthetics and analgesic drugs and techniques in combination yields a multimodal effect with increased efficiency. In this case series, we aimed to evaluate the anesthetic effect of the thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) combination in patients, who underwent non-intubated video-assisted thoracoscopic surgery (NIVATS).
Methods: Medical records of 16 patients, who underwent NIVATS for wedge resection under the combination of ESPB and TPVB were reviewed retrospectively.
Background: During coronavirus pandemic, despite the increase in the number of studies on spontaneous pneumothorax (SP), there is not enough bibliometric study in the literature. In this study, it was aimed to analyze scientific articles published on SP.
Methods: Studies published on SP between 1980 and 2021 were obtained from the Web of Science database and analyzed using statistical and bibliometric methods.
Background Epidural morphine, a powerful analgesic, also causes significant itching in patients. This study aimed to determine the incidence of thoracic epidural morphine-induced pruritus (EMIP) after thoracotomy and to investigate preoperative laboratory parameters for predicting itching in patients who received thoracic epidural morphine (TEM). Methods The patients were divided into two groups.
View Article and Find Full Text PDFObjective: The study aimed to compare the analgesic effects of erector spinae plane block (ESPB) and a combination of the deep and superficial serratus anterior plane block (C-SAPB) methods in patients who underwent video-assisted thoracoscopic surgery (VATS).
Design: A prospective, randomized study.
Setting: At a single-center, high-volume, tertiary thoracic surgery center.
Background Malnutrition is a change in body composition as a result of inadequate nutrient intake or malabsorption. It has a significant effect on morbidity and mortality as a result of increased catabolism in acute and/or chronic diseases of many systems or organs. This study was conducted in a chest diseases branch hospital; applicants to the nutritional clinic are mostly patients with acute or chronic respiratory failure.
View Article and Find Full Text PDFBackground Although video-assisted thoracoscopic surgery (VATS) is a less invasive technique compared to thoracotomy, patients often experience postoperative pain. Hence, intravenous patient-controlled analgesia (PCA) is frequently used. The geriatric age group constitutes a significant portion of patients undergoing thoracic surgery.
View Article and Find Full Text PDFBackground: Postoperative nausea and vomiting (PONV) is one of the complications that can occur frequently in the first 24 hours postoperatively. We aimed to investigate the parameters that could predict PONV in patients who underwent thoracoscopic wedge resection for pneumothorax.
Materials And Methods: After obtaining the approval of the ethics committee (ID: 2012-KEAK-15/2358, Date: 14.
Article Synopsis
- Postoperative effectiveness of thoracic epidural analgesia (TEA) was studied in relation to patients' body mass index (BMI) after thoracotomy.
- Data from 1326 patients who underwent elective thoracic surgery were analyzed, focusing on the impact of BMI on pain scores measured through visual analog scale (VAS) during the first 72 hours post-surgery.
- The findings indicated that while TEA success rates were similar across different BMI groups, higher BMI was associated with increased VAS scores and a greater need for additional pain relief, suggesting that heavier patients may need more careful monitoring after surgery.
Background The combination of a thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) has not been investigated. We aimed to evaluate the effects of the combination of TPVB and ESPB particularly on postoperative pain scores in patients undergoing video-assisted thoracic surgery (VATS). Methods From January 1, 2021, to March 1, 2021, 13 patients older than 18 years who underwent combined ESPB and TPVB for analgesic treatment after elective VATS were included in the study.
View Article and Find Full Text PDFObjective: To present a case of an epileptic seizure related to intravenous (IV) tramadol for pain control following a total abdominal hysterectomy operation on a patient with mental retardation and cerebellar ataxia.
Background: Tramadol is an analgesic with a dual mechanism of action and has several side effects, one of which is epileptic seizure.
Case Report: A 42-year-old female with mental retardation and cerebellar ataxia presented with an epileptic seizure after administration of IV tramadol for postoperative pain.