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Tramadol as an adjunct for levobupivacaine in axillary plexus blockade: A prospective, randomized, double-blind study

Yurtlu, Bülent Serhan | Hancı, Volkan | Ege, Ahmet | Bostankolu, Selime Evrim | Ayoğlu, Hilal | Özkoçak Turan, Işıl

Article | 2012 | Turkish Journal of Medical Sciences42 ( 1 ) , pp.55 - 62

Aim: To evaluate the effect of tramadol addition to levobupivacaine in axillary plexus blockade in a prospective, randomized double-blind study. Materials and methods: A total of 60 patients scheduled to undergo hand and forearm surgery under axillary plexus blockade were randomly divided into 2 groups. Group L received 36 mL of racemic 0.5% levobupivacaine with 2 mL of saline, whereas Group LT received 2 mL (100 mg) of tramadol instead of saline. After routine monitorization, axillary block was performed with a multistimulation technique using a nerve stimulator. Motor (finger, wrist, and elbow movements) and sensory (pinprick sens . . .ation for the cutaneous supply) block characteristics for radial, median, ulnar, and musculocutaneous nerves were determined every 5 min. Postoperative motor and sensory block duration, analgesic consumption, and numeric rating scale (NRS) scores were also recorded. Results: In each group, 2 patients had block failures. The data for the remaining 56 patients were analyzed. There were no significant differences between the study groups according to motor and sensory block characteristics of 4 nerves, block durations, analgesic consumption, and NRS scores. Conclusion: The addition of 100 mg of tramadol to 0.5% levobupivacaine for axillary brachial plexus blockade neither improved the intraoperative block quality nor prolonged the duration of postoperative analgesia. © TÜBITAK Daha fazlası Daha az

Anomodon longifolius (Anomodontaceae, Bryopsida) new to the bryophyte flora of Turkey

Ören, Muhammet | Uyar, Güray | Keçeli, Tamer

Note | 2010 | Turkish Journal of Botany34 ( 2 ) , pp.141 - 145

Anomodon longifolius (Schleich. ex Brid.) Hartm. is reported for the first time from Turkey, bringing the total number of Anomodon species known from Turkey to 6. This record extends its distribution range to the Western Black Sea region of Turkey. The nearest localities to Turkey for this species are in Bulgaria, Greece, the Caucasus, and Iran. This submeridional species was collected from 3 different localities (in Bolu and Barti{dotless}n provinces) in Turkey. A site description, illustrations, and diagnostic characters of the Turkish specimens are given, together with notes on its distribution and ecology. © TÜBİTAK.


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