Araştırma ÖZETAmaç: Çalışmamızda, 2010-2014 Material and Methods: We retrospectively reviewed the records of all the patients above 10 years age treated in Elazığ Research and Training Hospital Intensive Care Unit with the diagnosis of poisoning between January 2010 and January 2014.Results: A total of 480 patients (women, n=334; 69.6%, mean age, 26.2±12.01 yrs and men, n=146; 30.4%, mean age, 28.3±11.8 years) were included in the study. The most common cause of poisoning was related to drug therapy (n=411 (85.6%). In single drug poisoning, the most frequently encountered group was using analgesic-antiinflammatory drugs (n= 125: 37.4%). Majority (n=407: 84.8%) of all cases were suicide attempts with a female predominancy (n=293: 72%).
Ö ÖZ ZE ET T A Am ma aç ç: : Postoperatif analjezi için tramadol ile hasta kontrollü analjezi hasta kontrollü analjezi desteğinde deksketoprofen trometamol'ün optimal dozunu bulmak ve multimodal analjeziyi kullanarak, oluşacak yan etki ve komplikasyonları azaltıp dengeli bir analjezi sağlamak amaçlanmıştırı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Alt ekstremite cerrahisi geçiren 60 hasta rastgele dört gruba ayırıldı. HKA ile 25 mg bolus tramadole ilaveten Grup I'de 1 mg/kg tramadol, Grup II'de 50 mg (25 mg 2x1), Grup III'te 75 mg (25 mg 3x1), Grup IV'te 100 mg (50 mg 2x1) deksketoprofen trometamol intra venöz olarak uygulandı. Hastaların derlenme ünitesinde ve servislerinde HKA başladıktan sonra bir, altı, 12 ve 24. saatlerde; ortalama arter basıncı, kalp atım hızı, dakika solunum sayısı, ağrı şiddeti (vizüel analog skala), sedasyon düzeyi (Ramsay skoru), bulantı/ kusma ve tüketilen tramadol miktarı saptandı. B Bu ul lg gu ul la ar r: : Ortalama arter basıncı, kalp atım hızı, dakika solunum sayısı değerlendirildiğinde gruplar arasında anlamlı bir farklılık tespit edilmedi. Derlenme ünitesinde Grup II'de altı, Grup III'te beş hasta ajite olarak, diğer ölçüm saatlerinde ise bütün hastalar koopere-sakin olarak değer-lendirildi. Derlenme ünitesinde Grup I'de iki, Grup III' te bir hastada, 1. saatte ise Grup I'de iki, Grup IV'te bir hastada orta-şiddetli bulantı/kusma görüldü. Hiçbir hastada "tedaviye dirençli şid-detli bulantı/kusma" görülmedi. Deksketoprofen trometamol 100 mg (50 mg 2x1) uygulanan Grup IV'iün vizüel analog skala değerleri, Grup II ve Grup III'ten istatistiksel olarak anlamlı derecede düşük bulundu. Tüketilen tramadol hidroklorür miktarı Grup I'e göre; Grup II'de %4,82, Grup III'te %24,10, Grup IV'te %50,61 oranında azalma gösterdi. S So on nu uç ç: : Ortopedik alt ekstremite cerrahisinde intravenöz tramadol hasta kontrollü analjeziye 100 mg deksketoprofen trometamol eklenmesi etkin analjezi sağlayarak tüketilen tramadol miktarını azaltıp daha az yan etkiye sebep olmuştur.A An na ah ht ta ar r K Ke el li im me el le er r: : Dexketoprofen trometamol; analjezi, hasta-kontrollü; tramadol; ortopedi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To find optimal dosage of dexketoprofen trometamol in patient controlled analgesia for postoperative analgesia, reduce side effects and complications by using multimodal analgesia and increase patient comfort by providing balanced analgesia. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Sixty patients who underwent lower extremity surgery were randomly allocated to four groups. In addition to the tramadol with patient controlled analgesia (25 mg bolus), 1 mg/kg intravenus tramadol in Group I, and iv dexketoprofen; 50 mg (25 mg 2x1) in Group II, 75 mg (25 mg 3x1) in Group III, 100 mg (50 mg 2x1). Mean arterial pressure, heart rate, minute respiratory rate, intensity of pain (visual analog scale), sedation (Ramsay score), nausea and vomiting, the dose of tramadol consumed were evaluated first in the recovery unit and followed b...
Background: In our study, researching the distribution of the consultations other than anaesthesia in compliance with the disciplines and ages of the patients and its effect on the assessment cost has been aimed. Methods: Our study has been conducted during 8 months by the retrospective assessment of the records of 3844 cases on which an elective surgical procedure was planned in the anesthesiology polyclinic of Firat University Hospital. The records of patients have been obtained through examining their files from the hospital record system. Results: The total number of patients whose consultations have been demanded was 367 (9.5%) and the number of male/female was 192/175. The number of cases about which more than one consultation has been demanded was determined as 87 (2.2%). The number of cases on which a method change for the anaesthesia was applied was 21 (5.7%), and the number of cases whose surgery was cancelled was 3 (0.81%). Requested consultation for each patient, the consultations of cardiology, chest diseases and internal medicine bring an additional cost on the total sum respectively as 37.2 TL (28.61 $), 29.8 TL (22.92 $) and 19.9 TL (15.30 $). Conclusions: We suggest that the cost analysis should be absolutely taken into consideration during the pre-anaesthetic assessment for the requirement of routine examinations.
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