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

{"title":"Comparison of postoperative analgesic efficacy between erector spinae plane block and rhomboid intercostal block in breast-conserving surgery and sentinel lymph node biopsy: A randomized non-inferiority clinical trial.","authors":"Bahadır Çiftçi, Pelin Basım, Hande Güngör, Selçuk Alver, Birzat Emre Gölboyu, Yunus Oktay Atalay","doi":"10.14744/agri.2024.00087","DOIUrl":"10.14744/agri.2024.00087","url":null,"abstract":"<p><strong>Objectives: </strong>Breast-conserving surgery is a common breast operation type in the world. Patients may feel severe postoperative pain after the surgery. Several regional anesthesia methods are used for postoperative pain control as a part of multimodal analgesia management after breast surgery. Erector spinae plane block (ESPB) and rhomboid intercostal plane block (RIB) are commonly used techniques for this purpose. The studies that compare these methods are limited. Therefore, we aimed to compare the efficacy of ESPB and RIB.</p><p><strong>Methods: </strong>This prospective, randomized study included sixty female patients with ASA class I-II physical status in the study. All patients underwent general anesthesia. We performed the blocks at the end of the surgery before extubation. Participants were randomized into two groups between the operation: the Group ESPB (n=30) and the Group RIB (n=30). We performed 30 ml volume of 0.25% bupivacaine for the blocks. 400 mg ibuprofen 3x1 was ordered postoperatively, and a fentanyl PCA device (2 ml bolus, 0 ml infusion, 20 min lock time, 4 hour limit) was attached intravenously to the participants. If the pain score was ≥4, meperidine (0.5 mg/kg) was performed.</p><p><strong>Results: </strong>There were no differences in terms of demographical data. The postoperative opioid use, pain scores, adverse events, and the need for rescue analgesia were similar between groups.</p><p><strong>Conclusion: </strong>Both RIB and ESPB are effective regional anesthesia techniques following breast surgery. They are simple and safe methods. Anesthesiologists may prefer one or the other based on their clinical experience.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019597","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":"Symptomatic schwannoma diagnosed during ultrasound-guided interventional pain management.","authors":"Damla Yürük, Hüseyin Alp Alptekin","doi":"10.14744/agri.2023.92332","DOIUrl":"https://doi.org/10.14744/agri.2023.92332","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"70-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019738","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":"Comparison of costoclavicular and lateral sagittal infraclavicular approaches in ultrasound-guided brachial plexus block.","authors":"Süleyman Kaya, Mehmet Şahap, Kemal Demirtaş","doi":"10.14744/agri.2024.34022","DOIUrl":"10.14744/agri.2024.34022","url":null,"abstract":"<p><strong>Objectives: </strong>Lateral sagittal infraclavicular approach is frequently used because it has less risk of complications and provides rapid and adequate regional anesthesia. Due to the fact that the brachial plexus is deeper in the infraclavicular region and the approach angle is sharper, it can be technically challenging. In this study, we aimed to compare the costoclavicular approach, which is a newly defined approach, with the lateral sagittal infraclavicular brachial plexus block.</p><p><strong>Methods: </strong>This prospective, randomized, single-blind study was conducted with a total of 43 patients. There were 21 patients in the lateral sagittal infraclavicular approach group (Group L) and 22 patients in the costoclavicular approach group (Group C). A mixture of 10 ml 1% lidocaine with 10 ml 0.25% bupivacaine was given to both groups under the guidance of ultrasonography. Sensory and motor examinations were performed every five minutes for 30 minutes, and the results were recorded.</p><p><strong>Results: </strong>Sufficient block formation time was 10 (5-30) minutes in Group C and 15 (5-30) minutes in Group L (p=0.010). Sensory and motor block formation times of each nerve (median nerve, radial nerve, ulnar nerve, and musculocutaneous nerve) were found to be shorter in Group C than in Group L (p<0.05).</p><p><strong>Conclusion: </strong>The costoclavicular approach provides faster regional anesthesia formation than the lateral sagittal infraclavicular approach.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"32-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019506","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":"What does pain sensitivity really predict in rheumatoid arthritis patients?","authors":"Aysegül Altun Güvenir, Aslı Çalışkan Uçkun, Fatma Gül Yurdakul, Hatice Bodur","doi":"10.14744/agri.2024.30643","DOIUrl":"10.14744/agri.2024.30643","url":null,"abstract":"<p><strong>Objectives: </strong>The present study aimed to compare the pressure-pain threshold (PPT) values in patients with rheumatoid arthritis (RA) and age-gender matched controls with chronic nonspecific low back pain and to determine whether PPT values could be beneficial as a disease activity predictor after secondary fibromyalgia had been ruled out.</p><p><strong>Methods: </strong>This study contained a cross-sectional observational study of participants with RA and chronic nonspecific low back pain controls without fibromyalgia. Visual analog scale (VAS), fatigue severity scale (FSS), pain catastrophizing scale (PCS), health assessment questionnaire (HAQ), hospital anxiety and depression scale (HADS), and disease activity score (DAS28) were administered. Pressure-pain threshold (PPT) values were measured with a baseline dolorimeter at the thumbnail bed, the dorsal aspect of the wrist, and the trapezius muscle on the dominant side.</p><p><strong>Results: </strong>There were no differences in PPT scores at all points between RA and control groups. Female participants with RA had statistically lower PPT scores (high pain sensitization) at the wrist (p<0.001) and trapezius (p<0.001), but not at the nail bed (p=0.084). Multiple regression analysis identified only HADS-Depression as a determinant of the PPTs at all points.</p><p><strong>Conclusion: </strong>The present study suggests that lower PPT is associated with depressive symptoms in participants with RA, and pressure algometry should be considered as an additional evaluation to detect pain/depression overlap.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"50-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019693","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 comprehensive assessment of headache characteristics, management, and burden of migraine in comparison with tension-type headache in Türkiye: Results of a cross-sectional survey of adult patients.","authors":"Mustafa Ertaş, Sabahattin Saip, Ömer Karadaş, Vesile Öztürk, Uğur Uygunoğlu, Aynur Özge, Serap Üçler, Elif Ilgaz Aydınlar, Pınar Yalınay Dikmen, Nevzat Uzuner, Gülnur Tekgöl Uzuner, Şebnem Bıçakçı, Taner Özbenli, Elif Kocasoy Orhan, Betül Baykan, Esme Ekizoğlu Turgut, Figen Gökçay, Neşe Çelebisoy, Hadiye Şirin, Hayrunnisa Bolay Belen, Tuğba Tunç, Necdet Karlı, Mehmet Zarifoğlu, Babür Dora, Levent Ertuğrul Inan, Işın Ünal Çevik, Ayşe Münife Neyal, Manal Mehtar Bozkurt, Aksel Siva","doi":"10.14744/agri.2024.43789","DOIUrl":"10.14744/agri.2024.43789","url":null,"abstract":"<p><strong>Objectives: </strong>Migraine is a common cause of headache and a leading cause of morbidity in Türkiye. This study aimed to describe the clinical characteristics and management of migraine and to compare migraine with tension-type headache (TTH) regarding the burden of disease and healthcare resource utilization.</p><p><strong>Methods: </strong>A total of 1368 patients (aged 18-65 years) with migraine or TTH were surveyed regarding sociodemographics, headache characteristics, clinical management, disease burden, quality of life, and healthcare resource utilization within the previous 12 months. Data from 1053 patients meeting the criteria for definite migraine (dMIG) or definite TTH (dTTH) were analyzed.</p><p><strong>Results: </strong>The frequency and duration of attacks, the number of monthly headache days, days with analgesic consumption, and headache severity were significantly higher in dMIG compared to dTTH. Only 36.8% of definite migraineurs experiencing ≥4 monthly headache days were on preventive treatment. The negative impact on quality of life and economic loss were also higher in dMIG. Although more patients with dTTH visited a physician in the previous year, the number of physician visits was higher in dMIG. The groups were comparable regarding the percentage of patients who underwent radiological investigations due to headache; however, patients with dMIG had more brain magnetic resonance imaging and computed tomography scans.</p><p><strong>Conclusion: </strong>Timely and accurate diagnosis and optimal management of migraine are crucial due to its significant burden. Educational programs for patients and healthcare providers, along with adherence to and persistence with preventive medications, may improve clinical outcomes.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"10-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019414","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":"Fluoroscopy-guided transdiscal superior hypogastric plexus neurolytic block in chronic pelvic pain: A needle passing to the contralateral side.","authors":"Rekib Saçaklıdır, Ural Verimli, Savaş Şencan, Osman Hakan Gündüz","doi":"10.14744/agri.2022.45403","DOIUrl":"10.14744/agri.2022.45403","url":null,"abstract":"<p><p>The superior hypogastric plexus (SHP) contains afferent nociceptive fibers from the pelvic structures, thus the SHP block is employed in the chronic pelvic pain (CPP) treatment in patients who do not respond to conservative treatments. A 60-year-old female patient, who did not respond to conservative treatment, underwent SHP neurolytic block after a successful diagnostic block. An excessive oblique angle approach was applied due to physical restrictions, the needle passed through the intervertebral disc resulting in the contralateral side SHP block, and the procedure was also repeated to the other side SHP. After the procedure, improvement in the patient's NRS score and a decrease in urination frequency were detected, and these positive effects were preserved for 3 months. SHP block is a safe alternative interventional procedure in patients with CPP. If an excessive oblique angle is applied during the procedure, the needle may cross the midline, resulting in a contralateral blockage.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"66-69"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019602","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":"Is ultrasound guided pulsed radiofrequency of proximal greater occipital nerve a game-changer for the treatment of pure menstrual migraine?","authors":"Suna Aşkın Turan, Çiğdem Yalçın, Şenay Aydın, Hasan Turan","doi":"10.14744/agri.2024.07888","DOIUrl":"https://doi.org/10.14744/agri.2024.07888","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"72-74"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019706","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":"Nursing students' pain beliefs and attitudes toward pain assessment: A descriptive study.","authors":"Burçin Irmak, Nurgül Bölükbaş, Ayşe Gümüş, Yüsranur Günday","doi":"10.14744/agri.2024.81226","DOIUrl":"10.14744/agri.2024.81226","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated nursing students' pain beliefs and attitudes toward pain assessment.</p><p><strong>Methods: </strong>The sample consisted of 365 nursing students from a state university in the Central Black Sea Region of Türkiye. The research was conducted between May 5th and June 9th, 2023. Data were collected using a student information form, the Pain Beliefs Questionnaire (PBQ), and the Nursing Students' Attitudes Scale toward Pain Assessment (NSASPA). The data were analyzed using descriptive statistics, the independent sample t-test, the One-Way ANOVA test, the Tukey test, and the Pearson correlation test.</p><p><strong>Results: </strong>Participants had a mean PBQ and NSASPA score of 3.13±0.52 and 57.66±7.47, respectively. Fourth-year students had significantly higher mean NSASPA total and subscale scores than first-year students (p=0.000). Participants who knew about pain assessment tools had significantly higher mean NSASPA total and subscale scores than those who did not (p=0.000). Participants who had used a standardized measurement tool for pain assessment before had significantly higher mean NSASPA total and subscale scores than those who had not (p=0.000). The PBQ total scores were very weakly correlated with the NSASPA total scores (r=0.125, p=0.017).</p><p><strong>Conclusion: </strong>Participants' attitudes toward pain assessment were negatively correlated with their pain beliefs. Therefore, nursing educators should revise the curriculum to help nursing students develop positive pain beliefs and positive attitudes toward pain assessment.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019648","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":"Comparison of perioperative analgesic effectiveness of ultrasound-guided erector spinae plane block and transversus abdominis plane block in patients undergoing laparoscopic nephrectomy.","authors":"Nevzat Özfırat, Selcan Akesen, Suna Gören, Alp Gurbet","doi":"10.14744/agri.2024.97947","DOIUrl":"10.14744/agri.2024.97947","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to compare the efficacy of two regional anesthesia methods, transversus abdominis plane (TAP) block and erector spinae plane (ESP) block, for intraoperative and postoperative pain relief in patients undergoing laparoscopic nephrectomy.</p><p><strong>Methods: </strong>Fifty patients aged 18-80 years with American Society of Anesthesiologists (ASA) classification I-II scheduled for elective laparoscopic nephrectomy were included after ethical approval and informed consent. Patients were randomly assigned to either Group TAP (receiving TAP block) or Group ESP (receiving ESP block). Postoperatively, all patients received patient-controlled analgesia (PCA) with morphine. We evaluated intraoperative hemodynamics, additional opioid use, resting and coughing pain scores (Visual Analog Scales - VAS), time to first PCA dose, postoperative opioid consumption, rescue analgesic needs, opioid side effects, and patient and surgeon satisfaction.</p><p><strong>Results: </strong>In Group ESP, postoperative VAS scores at 8 hours and during the first mobilization were significantly lower (p=0.019, p=0.004, respectively) compared to Group TAP. Patient satisfaction was notably higher in Group ESP (p=0.014). However, other postoperative parameters were similar between the groups (p>0.05). These findings held true when considering only radical nephrectomies, with no differences in the assessed parameters between simple and partial nephrectomies.</p><p><strong>Conclusion: </strong>In conclusion, both TAP and ESP blocks demonstrated comparable effectiveness in postoperative pain management for laparoscopic nephrectomies. Nevertheless, due to lower VAS scores during mobilization and higher patient satisfaction, the ESP block appears to be more effective for multimodal analgesia. Further research is required to comprehensively assess their efficacy in laparoscopic radical nephrectomies.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019508","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":"Developing an ethical attitude scale for pain management in nursing.","authors":"Emre Namık, Esra Akın, Meltem Uyar","doi":"10.14744/agri.2023.62547","DOIUrl":"https://doi.org/10.14744/agri.2023.62547","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to develop the 'Developing an Ethical Attitude Scale for Pain Management in Nursing' to assign the ethical attitudes of nurses in pain management.</p><p><strong>Methods: </strong>The population of the study comprised nurses (n=411) working in a university hospital in İzmir. The Ethical Attitude Scale in Nursing Pain Management was developed in five sub-dimensions: 'Care and Dignity,' 'Ethical Values,' 'Attitude,' 'Rights,' and 'Pain Management.' This scale was created by examining many research studies related to pain management in nursing in the literature and taking expert opinions. 'The Ethical Attitude Scale in Nursing Pain Management' initially consisted of 36 items. After expert opinions and validity analyses, the draft scale was reduced to 34 items, and then reliability analysis further reduced the scale to 23 items.</p><p><strong>Results: </strong>In the validity and reliability study of 'The Ethical Attitude Scale in Nursing Pain Management,' the total Cronbach's alpha value of the scale was 0.86. The Cronbach's alpha value for the 'Care and Dignity' sub-dimension was 0.88; for the 'Ethical Values' sub-dimension, it was 0.83; for the 'Attitude' sub-dimension, it was 0.86; for the 'Rights' sub-dimension, it was 0.79; and for the 'Pain Management' sub-dimension, it was 0.72.</p><p><strong>Conclusion: </strong>According to these data, it was determined that 'The Ethical Attitude Scale in Nursing Pain Management' is a valid and reliable scale.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"36 3","pages":"181-193"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565533","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}