Publications by authors named "Ecder Ozenc"

2 Publications

  • Page 1 of 1

Factors associated with acute and chronic pain after inguinal herniorraphy.

Rom J Anaesth Intensive Care 2018 Apr;25(1):31-35

Haseki Education and Training Hospital, Department of Anaesthesiology and Reanimation, Istanbul, Turkey.

Objectives: The aim of this study was to analyse the relationship between types of anaesthesia, patients' demographic variables, preoperative emotional states and the prevalence of postoperative pain.

Method: In this randomized prospective study, postoperative pain was assessed in 100 patients, who were ASA (American Society of Anaesthesiologist) I-II and between 18-65 years old, undergoing inguinal herniorrhaphy with either general or spinal anaesthesia. In addition, postoperative pain compared with patients' demographic properties and psychological conditions in each group was also considered. Acute pain was evaluated at 1, 2, 4, 6, 12 and 24 hours with the Numerical Rating Scale (NRS) and chronic neuropathic pain was at 1, 2 and 3 months with Douleur Neuropathique 4 Questions (DN4). All patients were treated with the same analgesics after operation.

Results: Group spinal anaesthesia had lower acute pain at 1 and 2 hours but they felt more severe pain at the 24 hour. Also patients' anxieties were correlated with acute and chronic postoperative pain. Ten patients complained about postoperative chronic pain after 3 months and there was no significant difference between groups.

Conclusion: Spinal anaesthesia decreased acute pain intensity at the first postoperative hours. Patients with anxiety felt high pain levels and they had an increased chronic pain prevalence.
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April 2018

Type of anesthesia affects neonatal wellbeing and frequency of transient tachypnea in elective cesarean sections.

J Matern Fetal Neonatal Med 2015 Mar 12;28(5):568-72. Epub 2014 Jun 12.

Department of Anesthesiology, Yedikule Pulmonary Diseases and Thoracic Surgery Research Hospital , Istanbul , Turkey .

Objective: We aimed to assess whether the type of anesthesia in cesarean section (C/S) (spinal anesthesia, SA versus general anesthesia, GA) has an effect or not on umblical vein blood gas analysis and APGAR scores of term neonates and development of transient tachypnea of the newborn (TTN).

Methods: The data of 172 procedure (85, GA versus 87, SA) were collected retrospectively. Results of umblical vein blood gas analysis, APGAR scores at first and fifth minutes and presence of TTN from in-hospital files' of neonates were examined.

Results: Neonates in the SA group had significantly higher first and fifth minute APGAR scores (8, 7 versus 9, 2, p < 0.001 and 9, 3 versus 10, 2, p = 0.017, respectively). The pH value of umblical vein samples were higher (7.30 ± 0.05 versus 7.32 ± 0.05, p = 0.029) and pO2 and SaO2 levels were significantly lower in the SA group (34.8 ± 13.8 mmHg versus 27.6 ± 14.5 mmHg; p = 0.001 and 56.6% ± 18.7 versus 49.8% ± 21.4; p = 0.029, respectively) as compared to the GA group. Thirteen neonates in the GA group (15.3%) and five in the SA group (5.7%) were diagnosed as TTN (p = 0.048).

Conclusion: In our study, considerable determinants of fetal wellbeing was stated to be higher in C/S performed under SA in comparison to GA. Furthermore, our findings favor SA for avoidance of TTN.
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March 2015