Methyl alcohol is toxic liquid that is found in substances such as mercury and antifreeze. Methanol intoxication is severe disease and may cause death. Sixty years old man was admitted to our emergency clinic complaints of impaired consciousness. In his history he is chronic alcoholic and usage of cologne. He was transferred to intensive care unit and sedatisized and curarized due to the his glasgow coma scale being under eight. 40% ethanol, folic acid, thiamine and 5% dextrose were given with nazogastric tube. Sodium bicarbonate was given due to the acidosis. The patient was discharged with complaintsts of blindness after ninth day of his admission.
Objective: Determination of the effectiveness of periarticular 5% dextrose prolotherapy in the treatment of knee pain due to osteoarthritis.Material and Methods: The clinical results of prolotherapy with 5% periarticular dextrose in adult female and male patients with knee pain and complaints related to osteoarthritis were evaluated retrospectively. During the examination, we identified the sensitive ligaments in the knee and injected 1 cc of 5% dextrose with a 0.6 * 60 mm sterican needle. In routine practice, stretching exercises are recommended to patients after prolotherapy and for analgesia, a combined analgesic containing paracetemol 500mg + codeine phosphate 10mg + caffeine 30mg is given for the first 3 days. In addition to the initial application, prolotherapy is performed 3 times with an interval of 20 days, and when the Visual Analogue Scale (VAS) score decreases by 80% or more after the first or second injection, prolotherapy is terminated. Results: 30 patients aged between 36-70 years were included in the study. Patients’ mean age was 52,9±9,0 years. Nineteen patients received 3 sessions and 11 patients received 2 sessions of prolotherapy. A significant decrease was achieved in VAS scores of all patients except one patient. The VAS score was 2.9 at the end of the third session meanwhile the initial VAS average was 8.4. None of the patients had any side effects that would terminate the treatment.Conclusion: The data obtained in the study show that prolotherapy with periarticular 5% dextrose is effective in the treatment of knee pain and complaints related to osteoarthritis. However, more comprehensive studies will be guiding the clarification of its place in the osteoarthritis’ treatment.
Introduction: Post-operative complications contribute high mortality rates. Pre-operative evaluation is performed to determine the risk of complications and mortality. Hence, we aimed to evaluated American Society of Anesthesiology Classification 3, 4 and 5 patients and their post-operative prognosis. Methods: The patients, admitted to intensive care unit (ICU) in a tertiary hospital in Turkey in a year, were evaluated retrospectively. Results: Among 590 patients, the mean age was 62.7±17.5. Postoperatively, 94.4% of the patients were discharged. However, 5.6% the patients died and all of them had an emergency surgery. Discussion and Conclusion: Pre-operative evaluation supplies a valuable estimation of patient prognosis. We recommend that the patients, who will undergo an emergency surgery, should be carefully followed during both under anesthesia and in ICU.
C ompulsive drinking or psychogenic polydipsia refers to excessive, uncontrolled, water intake unrelated to the sensation of thirst. Primary or psychological polydipsia can be seen in 6%-20% of the patients with psychiatric problems [1]. Development of water intoxication has been indicated in 1%-5% of the patients [2]. Though polydipsia is a dangerous condition that is commonly seen in patients with schizophrenia, it is often overlooked [3]. In the short term, it may cause excessive fluid consumption that may lead to water intoxication characterized by dilutional hyponatremia resulting in inadequate elimination of excess fluid from the kidneys, leading to confusion and seizures [4, 5]. Water intoxication, as first described by Barahal in 1938, may progress with the symptoms of hyponatremia as headache, nausea, seizure, and coma that may lead to death [6, 7] .
The aim of this study is to evaluate the effectiveness of 5% dectrose prolotherapy on low back pain in patients with chronic low back pain without neurological deficits. Material-Method: Prolotherapy with 5% dextrose was applied to patients with localized low back pain, hip pain, spreading pain in the legs for more than six months. Stretching exercises were recommended after prolotherapy and an analgesic containing paracetamol (500 mg) + codeine phosphate (10 mg) + caffeine (30) mg was used for analgesia for the first 3 days. Prolotherapy was planned 3 times with an interval of twenty days. Results: Thirty patients between the ages of 24-73 were included in the study. Eighteen patients received 3 sessions whereas twelve patients received 2 sessions of prolotherapy. Visual analogue scale (VAS) pain scores of all patients decreased. The mean pre-treatment VAS score was 8.43 and it decreased to 2.41 after the treatment. None of the patients had side effects that would terminate the treatment. Conclusion:The data obtained in the study show that prolotherapy is effective in treating chronic low back pain. We did not conduct long-term follow-up in our study. After three sessions and between sessions, we assessed the current state of well-being. More extensive studies will guide clarification of its place in the treatment of long-term low back pain.
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