The effects of Valsalva manoeuvres on venepuncture pain

Background and objective: Stimulating the vagus nerve reduces pain. The purpose of this study was to evaluate the effect of a Valsalva. manoeuvre, which stimulates the vagus nerve, on perception of pain during peripheral venous cannulation in adult patients. Methods: This was a prospective randomized clinical trial. One hundred and ten patients scheduled for elective surgery were randomly divided into two groups. Half of the patients, Group A, underwent venepuncture during a Valsalva manoeuvre and the other half of the patients, Group B, underwent venepuncture without performing a Valsalva manoeuvre. Patients made a pain assessment using a 0-10 point numerical rating scale. Results: The numerical rating scale score was 1.5 +/- 1.2 for Group A and 3.1 +/- 1.9 for Group B, the difference being statistically significant (P < 0.0001). Conclusions: On the basis of data from this study, the Valsalva manoeuvre may be of the value before venous cannulation as a simple and practical method to reduce pain from venous cannulation

The effect of labor on sevoflurane requirements during cesarean delivery

Background: Labor results in the release of sensitizing substances such as progesterone, prostaglandins, cytokines and cortisol, some of which have been observed to participate in sleep regulation. We hypothesized that these substances could affect sleep regulation and therefore the amount of volatile agent required to provide general anesthesia for cesarean delivery

Postoperative analgesic effect of acupuncture in laparoscopic cholecystectomy surgery | Laparoskopik kolesistektomi operasyonlarinda akupunktur uygulamasinin ameliyat sonrasi analjeziye etkisi

Objectives: In surgery clinics, postoperative pain is a common occurrence and care is needed in its treatment. One form of treatment is various acupuncture techniques. This study investigated the effect of acupuncture on postoperative analgesia in patients undergoing laparoscopic cholecystectomy