Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology最新文献

{"title":"Atypical pain location due to gastroesophageal reflux disease in a patient with severe scoliosis.","authors":"Alper Mengi","doi":"10.5606/agri.2026.55","DOIUrl":"https://doi.org/10.5606/agri.2026.55","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"306-308"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229701","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}

{"title":"Ultrasound-guided glossopharyngeal nerve block for safe and effective anesthesia in a critically ill patient with acute myocardial infarction undergoing urgent endoscopy.","authors":"Ayda Turkoz, Myat Su Win, Mehmet Sari","doi":"10.5606/agri.2026.64","DOIUrl":"https://doi.org/10.5606/agri.2026.64","url":null,"abstract":"<p><p>Glossopharyngeal nerve block (GPNB) can provide effective anesthesia for procedures involving the oropharynx and upper airway. Ultrasound-guided GPNB (UGPNB) may be particularly useful when conventional sedation or topical anesthesia is undesirable because of the risk of respiratory or cardiovascular complications. In this article, we report the use of UGPNB as an alternative anesthetic technique for gastroduodenal endoscopy in a 57-year-old male patient with AMI and gastrointestinal bleeding. In this patient requiring emergency endoscopy, UGPNB was performed via the peristyloid approach to provide oropharyngeal anesthesia while minimizing the need for sedation. The block effectively suppressed the gag reflex and provided adequate procedural conditions while maintaining hemodynamic stability. No procedure-related complications or adverse effects were observed, and the patient reported no discomfort following the procedure. In conclusion, UGPNB may be a useful alternative to sedation for endoscopy in high-risk cardiac patients.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"302-305"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229720","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}

{"title":"Regional anesthesia for shoulder surgery: A narrative review on current techniques and clinical considerations.","authors":"Hüseyin Erdoğan, Rafet Onur Görgülü, Ata Cem Akbaba, Teoman Toprak, İrem Özdemir, Yavuz Gürkan","doi":"10.5606/agri.2026.196","DOIUrl":"https://doi.org/10.5606/agri.2026.196","url":null,"abstract":"<p><p>An aging population and longer lifespans have markedly increased the number of shoulder surgeries. Technological advances have made arthroscopic techniques increasingly prominent owing to their minimally invasive nature and lower risk to surrounding structures. Effective postoperative pain management is, therefore, essential and has prompted continued advances in nerve block techniques. Although the interscalene brachial plexus block (ISBPB) is widely regarded as the standard technique for shoulder surgery, phrenic nerve involvement may result in hemidiaphragmatic paresis. The clinical significance of this effect depends largely on the patient's respiratory reserve. The search therefore continues for techniques that optimize postoperative analgesia while preserving respiratory function. In this review, we aim to provide an evidence-based overview to assist anesthesiologists in selecting patient- and procedure-specific regional anesthesia techniques that achieve an appropriate balance between analgesic efficacy and safety.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"215-225"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229666","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}

{"title":"Investigation of the role of Z944 related to muscarinic receptors on hyperalgesia in rats.","authors":"Meryem Dilek Acar, Ömer Bozduman, Arzu Erdal","doi":"10.5606/agri.2026.95","DOIUrl":"https://doi.org/10.5606/agri.2026.95","url":null,"abstract":"<p><strong>Background: </strong>This study aims to investigate the muscarinic receptor-associated Z944 responses on hyperalgesia resulting from chronic constriction injury (CCI) of the rat sciatic nerve.</p><p><strong>Materials and methods: </strong>A total of 72 male Wistar Albino rats (200-250 g) were randomly divided into eight groups. The right sciatic nerve CCI of Wistar Albino rats was performed except the Saline intraperitoneal (i.p.) group. Two weeks after the operations, pressure test of both paws and hot plate test were performed in the groups of Saline, CCI + Saline, CCI + DMSO (i.p.), CCI + 1 mg/kg Atropine (i.p), CCI + Z944 1, 3, 10 mg/kg (i.p) dose and CCI + 1 mg/kg Atropine + 10 mg/kg Z944. The locomotor activity test was performed before the tests.</p><p><strong>Results: </strong>The results of right paw pressure test (p < 0.001) and hot plate test (p = 0.032) of CCI + Saline group, compared to the Saline group test results, confirmed the development of mechanical hyperalgesia and thermal hyperalgesia of the CCI + Saline group. The locomotor activities of Saline and other CCI groups were higher than the activity of CCI + 1 mg/kg Atropine group (p = 0.017). The dose-dependent increasing effect of Z944 in dose groups compared to the CCI + Saline group was determined, respectively, in the right paw pressure test (p = 0.472, p = 0.006, p < 0.001) and the hot plate test (p = 0.001, p < 0.001, p < 0.001). The left paw pressure test results of CCI + Saline group and Z944 dose groups were not statistically different (p = 0.995, p = 0.159, p = 0.110, respectively). Also, there were no statistically differences between the CCI + Saline and the CCI + 1 mg/kg Atropine + 10 mg/kg Z944 groups according to right paw pressure (p = 0.945), left paw pressure (p = 0.763), and hot plate (p = 0.817) tests results.</p><p><strong>Conclusion: </strong>The attenuation of the analgesic effect of Z944 by the non-selective muscarinic receptor antagonist atropine suggests that the analgesic activity of Z944 may be mediated, at least in part, through muscarinic receptor-dependent mechanisms.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"272-281"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229693","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}

{"title":"The effect of two perioperative dexamethasone regimens on duration of analgesia after upper limb surgery under supraclavicular brachial plexus block: A randomized-controlled study.","authors":"Akshay Sharma, V Vimalnathan, Shweta Dhiman, Anju Bhalotra, Rahil Singh, Mona Arya","doi":"10.5606/agri.2026.90","DOIUrl":"https://doi.org/10.5606/agri.2026.90","url":null,"abstract":"<p><strong>Background: </strong>This study aims to compare the effects of two perioperative dexamethasone regimens on duration of analgesia after upper limb surgery under supraclavicular brachial plexus block (SBPB).</p><p><strong>Patients and methods: </strong>Between October 2024 and August 2025, this double-blind, randomized-controlled study included a total of 48 patients who were in the American Society of Anesthesiologists (ASA) Class I-III and underwent elective unilateral osseous surgery of the forearm or hand under ultrasound-guided SBPB with 30 mL of 0.5% ropivacaine. The patients were randomized in 1:1 ratio to oral dexamethasone (OD) group to receive 12 mg OD 2 h before the block and intravenous dexamethasone (ID) group to receive 8 mg of ID at the time of block. The primary outcome was the duration of analgesia. Secondary outcomes included duration of motor block, pain scores at 6, 12 and 24 h, additional postoperative analgesic consumption over the first 24 h and the Quality of Recovery-15 (QoR-15) at 24 h.</p><p><strong>Results: </strong>Of the patients, 31 were male and 17 were female with a mean age of 34.31 ± 14.15 (range, 18 to 60) years. The mean duration of analgesia was 10.50 ± 3.30 h in group OD and 14.92 ± 3.40 h in group ID (p < 0.001). The mean duration of motor block was 9.33 ± 3.12 h in group OD and 12.75 ± 3.40 h in group ID (p = 0.001). Pain scores at 6, 12 and 24 h after surgery and additional analgesic requirements were higher in group OD (p < 0.001). The QoR-15 scores were higher in group ID at 24 h (p < 0.001).</p><p><strong>Conclusion: </strong>These findings indicate that the ID regimen in SBPB with ropivacaine resulted in prolonged analgesia and motor blockade, lower pain scores, reduced analgesic consumption, and improved quality of recovery compared to the OD regimen.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"226-236"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229689","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}

{"title":"A quarter-century of pain science in Türkiye: Thematic, institutional, and gender trends in AĞRI (2000-2025).","authors":"Bora Uzuner, Ender Salbaş, Sinan Pektaş","doi":"10.5606/agri.2026.104","DOIUrl":"https://doi.org/10.5606/agri.2026.104","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate thematic, institutional, and gender-related changes of AĞRI, the official journal of the Turkish Society of Algology.</p><p><strong>Material and methods: </strong>We processed all open-access manuscripts published from January 2000 through December 2025 using a custom Python pipeline for metadata, affiliations, and rule-based topic clustering. Gender was inferred from a Turkish name-gender dictionary with manual adjudication. We measured female workforce participation, female corresponding authorship rate, and the Glass Ceiling Gap (GCG; workforce mean minus corresponding-author rate; negative values indicate leadership surplus). Trends used Cochran-Armitage tests with Benjamini-Hochberg correction. Female corresponding authorship was compared with 50% parity using two-sided z-tests and Wilson 95% confidence intervals (CIs). Logistic regression modeled female corresponding authorship and internationalization.</p><p><strong>Results: </strong>A total of 855 manuscripts were analyzed, while 2003 was absent from the archive. Interventional pain papers rose from 34 in the first quinquennium to 151 in the last. Universities' share declined from 77.0% to 66.7%, whereas Training and Research Hospitals' share rose from 5.7% to 18.6%. Female workforce participation remained approximately 46.5%. Female corresponding authorship was 49.0% (95% CI: 45.7-52.4%), did not differ from parity (p = 0.56), and yielded a small, non-significant negative GCG (approximately -2.5%). Departmental gaps were precise only in high-volume disciplines; apparent surpluses in small departments had CIs spanning parity. Interventional studies were less likely to have female corresponding authors (odds ratio [OR] = 0.54).</p><p><strong>Conclusion: </strong>AĞRI demonstrates procedural maturation, institutional decentralization, and female corresponding authorship near parity, suggesting no apparent glass ceiling. Departmental leadership surpluses require confirmation with seniority and governance indicators.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"282-291"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229760","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}

{"title":"Ultrasound-guided continuous erector spinae plane block in radical nephrectomy.","authors":"Meryem Onay, Osman Kaya, Çağla Bilgin, Birgül Büyükkıdan Yelken, Mehmet Sacit Güleç","doi":"10.5606/agri.2026.71","DOIUrl":"https://doi.org/10.5606/agri.2026.71","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"309-311"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229685","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}

{"title":"Refractory complex regional pain syndrome resulting in amputation with dermatosis neglecta: A case report.","authors":"Hatice Ceylan, Kubra Unlu, Gizem Kilinç Kamaci, Nurdan Korkmaz, Yasin Demir, Koray Aydemir","doi":"10.5606/agri.2026.12","DOIUrl":"https://doi.org/10.5606/agri.2026.12","url":null,"abstract":"<p><p>Complex regional pain syndrome (CRPS) is a painful condition which may develop after trauma. A 28-year-old male patient with severe hand pain that persisted despite long-term and multidisciplinary treatment was admitted to our clinic. The patient had severe pain and cutaneous findings. His extreme cutaneous findings were diagnosed as dermatosis neglecta (DN) associated with CRPS. To the best of our knowledge, this is the first reported case of DN occurring in association with CRPS. This case report highlights that extreme skin changes may occur in the advanced stages of complex regional pain syndrome, and when this stage is reached, treatment becomes challenging and can be controlled with irreversible treatments such as amputation.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"292-297"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229733","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}

{"title":"Factors associated with treatment success following shoulder intra-articular steroid injections.","authors":"Merve Sekizkardes Tutuncu, Yusuf Oguzhan Yuruk, Medine Yılmaz, Zehra Nur Yüce, Binnur Ercan, Buse Nur Aksoy, Abdelrhman Sallam, Savas Sencan","doi":"10.5606/agri.2026.105","DOIUrl":"https://doi.org/10.5606/agri.2026.105","url":null,"abstract":"<p><strong>Background: </strong>This study aims to investigate the factors which influence the treatment efficacy of intra-articular corticosteroid injections in patients with adhesive capsulitis.</p><p><strong>Patients and methods: </strong>Between January 2020 and January 2024, a total of 126 patients who received intra-articular steroid injections for adhesive capsulitis were retrospectively analyzed. Pain severity was measured using the Numerical Rating Scale (NRS-11) at four time points: pre-procedure, 1 h post-procedure, three weeks, and three months. Treatment success was defined as a ≥ 50% reduction in the NRS-11 pain scores at three months compared to baseline. Based on this criterion, the patients were categorized into two groups: responders and non-responders. The Central Sensitization Inventory (CSI) was used to evaluate central sensitization and Charlson Comorbidity Index (CCI) was used to assess comorbidity scores. Both groups were compared in terms of demographics, baseline pain scores, range of motion, and magnetic resonance imaging findings.</p><p><strong>Results: </strong>Of the patients, 40 were male and 86 were female with a mean age of 60.8 ± 11.02 (range, 32 to 83) years. A reduction of ≥ 50% in NRS-11 pain scores was observed in 95.2%, 69.8%, and 67.5% of patients at 1 h, three weeks, and three months post-injection, respectively. There were no significant differences between responders and non-responders in terms of demographic characteristics, baseline pain scores and range of motion, CSI scores, or CCI scores. However, on both univariate and multivariate logistic regression, the presence of acromioclavicular joint degeneration was independently associated with lower odds of treatment success (adjusted odds ratio [OR] = 0.34, 95% confidence interval [CI]: 0.13-0.90, p = 0.030).</p><p><strong>Conclusion: </strong>Intra-articular corticosteroid injections do not consistently yield favorable outcomes in patients with adhesive capsulitis. Neither central sensitization nor composite comorbidity scores appear to be reliable predictors of treatment failure. However, the presence of additional degenerative changes, such as acromioclavicular joint degeneration, may be associated with poorer outcomes.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"247-256"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229747","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}

{"title":"Cross-cultural adaptation and psychometric validation of the Turkish version of Abbey Pain Scale in dementia patients.","authors":"Sevilay Erden, İlknur Tura, Pınar Kaya, Songül Karadağ","doi":"10.5606/agri.2026.97","DOIUrl":"https://doi.org/10.5606/agri.2026.97","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to culturally adapt the Abbey Pain Scale (APS-TR) into Turkish and to evaluate the validity and reliability of the scale in dementia patients.</p><p><strong>Patients and methods: </strong>Between September 16, 2020 and April 16, 2023, a total of 103 dementia patients aged ≥ 65 who were admitted to the intensive care units of a university hospital were included in the study. Pain levels were assessed 1 min before mobilization or repositioning, during the procedure, and 20 min afterward using the Turkish version of the APS, the Nonverbal Pain Scale (NVPS), and the Verbal Descriptive Scale (VDS). Construct validity was evaluated through exploratory and confirmatory factor analyses. Reliability was assessed using internal consistency analysis with Cronbach's alpha coefficient, and criterion validity was examined by analyzing correlations between APS-TR and the other pain scales using Pearson correlation analysis.</p><p><strong>Results: </strong>Of a total of 103 patients, 37 were male and 66 were female with a mean age of 71.7 ± 5.67 (range, 65 to 92) years. As a result of linguistic and cultural adaptation, the Turkish version of the scale was found to be appropriate. The content validity index was found to be 0.90. Exploratory factor analysis showed that the items formed a single-factor structure, and factor loadings ranged from 0.489 to 0.855. Confirmatory factor analysis fit indices (χ2/df = 1.21, root mean square error of approximation [RMSEA] = 0.046, standardized root mean square residual [SRMR] = 0.045, [comparative fit index] = 0.989) indicated that the model was acceptable. The Cronbach's alpha coefficient of the scale was calculated as 0.777, and positive and significant relationships were found between APS-TR and NVPS and VDS at all measurement times.</p><p><strong>Conclusion: </strong>Our study results suggest that the Turkish version of the APS is a valid, reliable, and unidimensional measurement instrument which can be used to assess pain in dementia patients receiving treatment in intensive care.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"38 4","pages":"257-263"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229752","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}