Esophageal squamous papilloma

[Cukurova Med J 2016; 41(0.100): 118-119

The Phenomenon of Acute Renal Failure in Patients with Chronic Use of Wild Tobacco

In patients with acute renal failure (ARF), the differential diagnosis may be more difficult than expected. Especially in young adults without additional diseases, it may not be considered in the diagnosis that an ARF can develop on the basis of chronic renal failure (CRF). In this case, ARF developed on the basis of CRF was presented in the light of literature in a young male patient who presented to the emergency department with ARF and who used chronic wild tobacco in his anamnesis

Effects of spinal anaesthesia related complication and demographic distribution on patient satisfaction following caesarean section

Patient satisfaction is an important issue for patients overall health status and perception. Aim of the present study was to evaluate spinal anaesthesia related complications and other factors related with overall satisfaction level and compare satisfaction levels of patients from 3 different regions of Turkey whom underwent caesarean section (CS) procedure under spinal anesthesia. Satisfaction levels of 285 patients underwent caesarean section under spinal anaesthesia were evaluated at postoperative 1st and 3rd days using a questionnaire form. Also perioperative complications and possible correlations between satisfaction levels were investigated. Patients satisfaction levels were not affected by origins of patients. Most of the patients expressed satisfaction after spinal anaesthesia both at 1st and 3rd days postoperatively (82.1% vs 79.6% respectively). Postoperative pain at surgical site, backache and headache were top 3 factors related with decreased patient satisfaction. Also recurrent spinal puncture attempts, painful puncture attempts, inadequate analgesia, postoperative nausea and vomiting were correlated with decreased satisfaction levels (p [Med-Science 2019; 8(4.000): 941-6

Comparison of the Applicability and Safety of the Cobra Peri laryngeal Airway and the Laryngeal Mask Airway Classic in Anesthetized and Paralyzed Patients

Objectives: To compare two supraglottic airway devices (SAD), laryngeal mask airway classic (LMA-Classic) and cobra perilaryngeal airway (Cobra-PLA), in terms of insertion characteristics, sealing pressure, hemodynamic effects and post-operative complication

Effects of local anesthetics on wound healing

Introduction: Local anesthetic infiltration is used widely for post-operative analgesia in many situations. However the effects of local anesthetics on wound healing are not demonstrated clearly. This study planned to evaluate the effects of lidocaine, prilocaine, bupivacaine and levobupivacaine on wound healing, primarily on wound tensile strength and on collagen ultrastructure. Methods: This study was conducted on male Sprague Dawley rats. On days 0, 8th, 15th, and 21st, all animals were weighed and received a preincisional subcutaneous infiltration of 3 mL of a solution according the group. Control saline (C), lidocaine (L) 7 mg.kg−1, prilocaine (P) 2 mg.kg−1, bupivacaine (B) 2 mg.kg−1 and levobupivacaine (LVB) 2.5 mg.kg−1. The infiltrations were done at the back region 1.5 cm where incision would be performed at the upper, middle and lower part along the midline, under general anesthesia. Wound tensile strengths were measured after 0.7 cm × 2 cm of cutaneous and subcutaneous tissue samples were obtained vertical to incision from infiltrated regions. Tissue samples were also obtained for electron microscopic examination. Evaluations were on the 8th, 15th and 21st days after infiltration. Results: There was no difference between groups in the weights of the rats at the 0th, 8th, 15th and 21st days. The collagen maturation was no statistically different between groups at the 8th and 15th days. The maturation scores of the B and L groups at the 21st day was significantly lower than the Group C (1.40, 1.64 and 3.56; respectively). The wound tensile strength was no statistically different between groups at the 8th and 15th days but at the 21st day the Groups B and LVB had significantly lower value than Group C (5.42, 5.54 and 6.75; respectively). Conclusion: Lidocaine and prilocaine do not affect wound healing and, bupivacaine and levobupivacaine affect negatively especially at the late period. Resumo: Introdução: A infiltração de anestésico local é amplamente utilizada para analgesia pós-operatória em muitas situações. No entanto, os efeitos dos anestésicos locais na cicatrização de feridas não foram demonstrados claramente. Neste estudo planejamos avaliar os efeitos de lidocaína, prilocaína, bupivacaína e levobupivacaína sobre a cicatrização de feridas, principalmente sobre a força tênsil da ferida e a ultraestrutura do colágeno. Métodos: Este estudo foi realizado em ratos machos da linhagem Sprague Dawley. Nos dias 0, 8, 15 e 21, todos os animais foram pesados e receberam uma infiltração subcutânea pré-incisional de 3 mL de uma solução, de acordo com a designação dos grupos: Grupo C recebeu salina (controle); Grupo L recebeu lidocaína (7 mg.kg-1); Grupo P recebeu prilocaína (2 mg.kg-1); Grupo B recebeu bupivacaína (2 mg.kg-1); Grupo LVB recebeu levobupivacaína (2,5 mg.kg-1). As infiltrações foram feitas na região posterior a 1,5 cm de onde a incisão seria realizada na parte superior, média e inferior ao longo da linha média, sob anestesia geral. A força tênsil da ferida foi medida após amostras de 0,7 × 2 cm de tecido cutâneo e subcutâneo serem obtidas das regiões infiltradas, verticalmente à incisão. Amostras de tecido também foram obtidas para exame microscópico eletrônico. As avaliações foram realizadas nos dias 8, 15 e 21 após a infiltração. Resultados: Não houve diferença entre os grupos em relação ao peso dos ratos nos dias 0, 8, 15 e 21. A maturação do colágeno não foi estatisticamente diferente entre os grupos nos dias 8 e 15. Os escores de maturação dos grupos B e L no dia 21 foram significativamente inferiores aos do Grupo C (1,40, 1,64 e 3,56, respectivamente). A força tênsil da ferida não foi estatisticamente diferente entre os grupos nos dias 8 e 15, mas no dia 21, os grupos B e LVB apresentaram valores significativamente menores que o Grupo C (5,42, 5,54 e 6,75, respectivamente). Conclusão: Lidocaína e prilocaína não afetam a cicatrização de feridas, enquanto bupivacaína e levobupivacaína afetam negativamente, especialmente no período tardio. Keywords: Local anesthesia, Wound tension strength, Levobupivacaine, Bupivacaine, Lidocaine, Prilocaine, Palavras-chave: Anestesia local, Força tênsil da ferida, Levobupivacaína, Bupivacaína, Lidocaína, Prilocaín

Effect of gabapentin pretreatment on myoclonus after etomidate: a randomized, double-blind, placebo-controlled study

Aim: To evaluate the effects of three different doses of gabapentin pretreatment on the incidence and severity of myoclonic movements linked to etomidate injection

Effects of Levobupivacaine on Wound Healing

BACKGROUND: Local anesthetic infiltration along the incision may be used to provide surgical anesthesia or postoperative analgesia. However, the effect of local anesthetics on wound healing remains controversial. In this investigation, we evaluated the effects of levobupivacaine on wound healing