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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, n=40) or 26G atraumatic (Group A, n=40) 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 (p=0.707). 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
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    The factors affecting the duration of hospitalization in pulmonary embolism
    (2020) Dereli, Seckin; Bektas, Osman; Cebeci, Zubeyir
    Aim: The factors affecting the duration of hospitalization in PTE were evaluated In this multicenter , retrospective study.Materials and Methods: A total of 161 patients who were diagnosed as PTE were enrolled in the study. The diagnoses of all patients were confirmed via computed tomographic pulmonary angiography (CTPA). The median duration of hospitalization was calculated as 9 days. Patients were divided into two groups. Short-stay group was consisted of patients who were hospitalized for less than 9 days while the patients who were hospitalized for more than 9 days composed the long-stay group. Result: The mean hospital stay was 7.84 days (interquartile range, 5-17 days). Concerning CTPA findings; Pulmonary thromboembolism index (%) was significantly higher in long-stay patients (52.61 ± 24 versus 38.59 ± 23, p = 0.001). In addition, right and left pulmonary artery diameter, right ventricle (RV) diameter and RV/LV ratio significantly affected the length of hospital stay. Elevated levels of BNP (516 mg/dL, 10-4694 versus 269 mg/dL, 10-1400 p = 0.014) and troponin (0.7 mg/dL, 0.1-3.7 versus 0.1 mg/dL, 0.1-3 p = 0.024) were also associated with prolonged hospital stay. Conclusions: Increased right and left pulmonary artery diameters, pulmonary artery pressure, RV diameter/LV diameter ratio and pulmonary artery diameter/aortic conus diameter ratio were found to be associated with prolonged hospital stay. The higher levels of CRP and d-dimer did not have any effect on the duration of hospitalization.The rates of bleeding did not affect the length of hospitalization, regardless of the type of treatment.