Complete response to acupuncture therapy in female patients with refractory interstitial cystitis/bladder pain syndrome

Objectives: Interstitial Cystitis/Bladder Pain syndrome (IC/BPS) is a considerable issue in urology and gynecology and unfortunately, the treatment options recommended are not fully efficient. Therefore, in this study we aimed to determine the effectiveness of acupuncture treatment in patients with refractory IC/BPS. Material and methods: 12 refractory IC/BPS female patients received ten sessions of acupuncture twice a week. The visual analog score (VAS), interstitial cystitis symptom index (ICSI), interstitial cystitis problem index (ICPI), O’Leary-Saint symptom score (OSS), Patient Health Questionnaire (PHQ9), Pelvic pain and urgency & frequency patient symptom scale tests (PUF) and maximum voided volume (MVV) was completed in 1st, 3rd, 6th and 12th months following the treatment. Results: There was a statistically significant decrease in all of the scores evaluated at first month compared with the baseline. While the change in VAS score in 1, 3, 6 and 12th months were found statistically significant, measurements of ICSI, OSS and PUF scores and MVV values in the 6th and 12th months and ICPI and PHQ scores in the 12th month were not found statistically significant compared to the pre-treatment period. Response to treatment for the first three months after acupuncture application was (100%), but this ratio was measured as 33.3% (4/12) in the sixth month and 16.6% in the 12th month (2/12). Conclusions: The results of this study suggest that acupuncture appears to be an effective, useful, non-invasive method in IC/BPS patients. It can be used as an appropriate treatment method not only in refractory but also in IC patients since it is rather advantageous compared to other treating agents

Manejo simples de embolia gasosa durante miomectomia abdominal

ResumoRelatamos um caso de embolia gasosa durante miomectomia abdominal. Embora a incidência exata de embolia gasosa não seja conhecida, a maioria dos casos relatados na literatura se refere à posição sentada em craniotomias. Muitos casos são subclínicos e os métodos diagnósticos têm diferentes graus de sensibilidade e especificidade. No momento da suspeita, a prevenção de qualquer êmbolo de ar subsequente é a chave fundamental do tratamento.AbstractWe report a case of venous air embolism during abdominal myomectomy. Although true incidence of venous air embolism is not known, in literature most of reported cases are belongs to sitting position craniotomies. Many of those are subclinical, and diagnostic methods have varying degrees of sensitivity and specificity. At time of suspicion, prevention of any subsequent air emboli is the cornerstone of treatment

Major Özelliği Yüz Ekstremite Defektleri Olan Sendromlar Ve Anestezi Yönetimi

2Kadınhanı Refik Saime Koyuncu Devlet Hastanesi, Kadınhanı, Konya. Kraniyofasiyal iskelet ile üst ekstremitenin embriyolojik dönemde gelişim zamanlarının örtüşmesi ve belirli gen mutasyonlarının her iki sistemin gelişiminde de etkili olması sebebiyle bir çok ekstremite defekti, konjenital kraniyofasiyal anomaliler ile birlikte seyreden bir sendromun parçası olabilir. Apert, Saethre-Chotzen, Pfeiffer, and Carpenter sendromları üst ekstremite defektleri ile birliktelik gösteren en sık kraniyofasiyal sendromlardır. Bu sendromlar, hava yolu yönetimi, intravenöz damar yolu açılması ve hemodinamik kontrol açısından gerçek bir sorun olabilir. Başarının anahtarı etkin hazırlık, zor pediatrik havayolu yönetimi ve intravenöz kanü- lasyonda uzmanlığa sahip personel varlığı, düzenli eğitim ve takım çalışmasıdır. Bu derlemede kraniyofasiyal ve ekstremite gelişim anomalileri içeren çocuk hastalarda güncel bilgiler ve uygulamalar ışığında anestezik yaklaşım sunulmuştu

Nötral baş pozisyonunda karotis arter palpasyonu yardımıyla internal jugular ven kanülasyonunun başarı oranı

Amaç: İnternal jugular ven İJV kanülasyonu bazı klinik durumlarda baş nötral pozisyonda tutularak yapılmalıdır. Ancak bu pozisyonda hangi anatomik işaretleme noktasının kullanılması gerektiği açık değildir. Bu çalışmanın amacı baş nötral pozisyonda iken karotis arter KA palpasyonu kullanılarak yapılan sağ İJV kanülasyonunun başarı oranlarını araştırmaktır. Gereç ve yöntem: Bu prospektif randomize çalışma iki aşamada dizayn edildi. Birinci aşama: Birbirini takip eden 30 servikal bilgisayarlı tomografi görüntüsü çalışma öncesi sağ İJV ve KA arasındaki ilişkiyi belirlemek için incelendi. İkinci aşama: Sağ İJV kanülasyonu yapılması planlanan toplam 150 hasta çalışmaya alındı. Hastaların başı nötral pozisyonda tutuldu. Genel anestezi altında trendelenburg pozisyonu ve soluk sonu pozitif basınç uygulandı. Sağ İJV kanülasyonu 10 farklı klinisyen tarafından KA palpasyonu işaret noktası alınarak, iğneye medial yada laterale açı verilmeksizin uygulandı. Öncelikli hedefimiz iğne ile ilk üç girişimde sağ İJV ulaşabilme başarı oranlarının belirlenmesi idi. Bulgular: İğnenin toplam üç girişimde sağ İJV’ye ulaşma oranı %96,7 idi. Klinisyenler arasında başarı oranları açısından istatistiksel fark yoktu. Hastaların hiçbirinde KA delinmedi. Sonuç: Başın nötral pozisyonda tutulduğu hastalarda sağ İJV kanülasyonu için yüksek başarı oranlarından dolayı KA işaret noktası olarak etkili bir şekilde kullanılabili

Simple handling of venous air embolism during abdominal myomectomy

Abstract We report a case of venous air embolism during abdominal myomectomy. Although true incidence of venous air embolism is not known, in literature most of reported cases are belongs to sitting position craniotomies. Many of those are subclinical, and diagnostic methods have varying degrees of sensitivity and specificity. At time of suspicion, prevention of any subsequent air emboli is the cornerstone of treatment

Simple handling of venous air embolism during abdominal myomectomy

Abstract We report a case of venous air embolism during abdominal myomectomy. Although true incidence of venous air embolism is not known, in literature most of reported cases are belongs to sitting position craniotomies. Many of those are subclinical, and diagnostic methods have varying degrees of sensitivity and specificity. At time of suspicion, prevention of any subsequent air emboli is the cornerstone of treatment

The relationship between persistent pain and tactile sensory and pain pressure thresholds in postmastectomy breast cancer patients: A preliminary report.

AbstractIntroduction:Persistent postmastectomy pain is common among breast cancer patients. The relationship of persistentpostmastectomy pain (PPP) with sensory loss and increased pain sensitization remains unclear. In this study, we investigated therelationship between PPP and tactile sensory thresholds and pain pressure thresholds in postmastectomy breast cancer patients.Materials and Methods: Patients were divided into two groups according to the presence and absence of PPP. On both the operatedand non non-operated sides, pa in pressure thresholds (breast, arm, and forearm) were assessed using an algometer, and tactile sensorythresholds (scar region, breast upper outer quadrant, axillary region, median cutaneous nerve and intercostobrachial nerve re gions,forearm, and hand) w ere measured using the Semmes Semmes–Weinstein monofilament test. The differences between the operated andnonoperated sides were calculated to investigate whether there was a relation between pain sensitivity and sensory loss and P PPP.Results:PPP was detected i n 31 (64.6%) of 48 patients. There was a statistically significant difference in the tactile sensory thresholdsand pain pressure thresholds of the operated and non non-operated sides ( P < 0.001). There was no statistically significant differencebetween the p ain pressure thresholds and tactile sensory thresholds of the groups with and without PPP. There was a weak positivecorrelation between the mean pain intensity and side to side difference in tactile sensory thresholds measured from the axill aryregion ( P = 0.046, r = 0.289).Conclusion: Axillary region sensorial loss and PPP may be linked in postmastectomy cancer patients. Pain sensitization and loss ofsensation do not seem to be associated with PPP.Keywords:Persistent postmastectomy pain syndrome, ta ctile sensory threshold, pain pressure threshold, pain sensitization, sensorialdefici

CAN LEUKOCYTE SUBGROUPS OF CRITICAL PATIENTS BE AN INDICATOR FOR MORTALITY, DURATION OF HOSPITALISATION AND DEVELOPMENT OF HOSPITAL INFECTION?

6th International Eurasian Hematology Congress -- OCT 14-18, 2015 -- Antalya, TURKEYWOS: 000373175100086

The predictive effect of initial complete blood count of intensive care unit patients on mortality, length of hospitalization, and nosocomial infections

WOS: 000380260000006PubMed: 27160116OBJECTIVE: The mean platelet volume (MPV) can be used as an indicator of platelet activation. However, it has been shown that the platelet/lymphocyte ratio (PLR) can provide useful predictive information about inflammation and aggregation pathways. The neutrophil/lymphocyte ratio (NLR) may also be helpful as a marker of systemic or local inflammation. The main objective of this study evaluated to unselected critically ill patients the relationship of initial MPV, NLR, and PLR with mortality, length of hospitalization, and the risk of developing nosocomial infections in ICU patients. PATIENTS AND METHODS: In this retrospective study, we evaluated consecutive patients at our tertiary nine-bed ICU. One hundred seventy-three patients who were followed up during a 1-year period were included. RESULTS: MPV levels were found to be higher in patients who died in the hospital (p = 0.05). In addition, there was a significant positive correlation between expected mortality rate and MPV among non-survivors (p = 0.009). NLR levels were higher among non-survivors, but this difference was not statistically significant (p = 0.435). PLR levels were similar between non-survivors and survivors (p = 0.173). The initial NLR and PLR were significantly higher in patients with nosocomial infections. NLR and PLR had a significant positive correlation with length of hospitalization (p = 0.006 and p = 0.027, respectively). CONCLUSIONS: In our study, we found that high PLR and NLR may be indicators for the development of nosocomial infections. Moreover, the length of hospitalization may be prolonged in patients with high PLR and NLR

CAN LEUKOCYTE SUBGROUPS OF CRITICAL PATIENTS BE AN INDICATOR FOR MORTALITY, DURATION OF HOSPITALISATION AND DEVELOPMENT OF HOSPITAL INFECTION?

6th International Eurasian Hematology Congress -- OCT 14-18, 2015 -- Antalya, TURKEYWOS: 000373175100086