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    Comparison of the effects of ketamine-midazolam and ketamin-propofol anesthesia on recovery of circumcision operations
    (2018) Toprak, Hatice; Kocaoğlu, Canan; Aydoğan, Eyüp; Sargın, Mehmet; Özmen, Sadık
    To compare the effects of ketaminemidazolam or ketaminepropofol on analgesia, sedation and recovery time in children premedicated with midazolam for circumcision operations. Eighty American Society of Anesthesiologists physical status I-II, 5-12 years old children who undergone circumcision operations were included in the study. Both groups were administered of midazolam 0.04 mg/kg intravenously in the presence of besides their parents in the pre-operative holding area. Patients were induced with midazolam-ketamine in Group I or ketaminepropofol in Group II. There were no differenses observed between the groups according to sedation and analgesia. None of patients needed additional hypnotic agent doses. Recovery was faster in ketamine-midazolam group. Midazolamketamine provided faster recovery than ketaminepropofol in pediatric circumcision operations. No complication was observed during sedation. It is observed that ketaminemidazolam has provided a faster recovery in circumcision operation.
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    The effects of spinal neddle on skin puncture pain during spinal anesthesia for caesarian sections: Comparison of 26G Quincke and 26G atraumatic spinal needles
    (2018) Sargin, Mehmet; Toprak, Hatice; Cebeci, Zubeyir
    Aim: Skin puncture pain during spinal anesthesia is the reason of wincing from spinal anesthesia in many patients. In this study we aimed to compare the effect of two different spinal needles on skin puncture pain during spinal anesthesia for caesarian sections.Material and Methods: Eighty pregnant women scheduled to undergo elective caesarean section under spinal anesthesia were studied. Spinal anesthesia was induced with hyperbaric bupivacaine 10-15 mg via a 26G Quincke (Group Q, n40) or 26G atraumatic (Group A, n40) spinal needle in the sitting position at the L3–4 or L4-5 vertebral level using median approach. Skin puncture pain during spinal anesthesia was assessed on a scale of 0 to 10, where 0 means refers no pain and 10 the worst possible pain (0 no, 1–3 mild, 4–6 moderate, 7–10 severe).Results: Skin puncture pain VAS values, median (range) [IQR], were 2(1-5)[1-3] in Group Q and 2(1-7)[1-3] in Group A. There were no statistically differences between the groups (p0.707).Conclusion: We believe that Quincke and Atraumatic spinal needles don’t have any difference in terms of skin puncture pain during spinal anesthesia for cesarean section.