Browsing by Author "Tekin İ."

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    The role of ultrasound guidance in pediatric caudal block
    (Saudi Arabian Armed Forces Hospital, 2016) Erbüyün K.; Açıkgöz B.; Ok G.; Yılmaz Ö.; Temeltaş G.; Tekin İ.; Tok D.
    Objectives: To compare the time interval of the procedure, possible complications, post-operative pain levels, additional analgesics, and nurse satisfaction in ultrasonography-guided and standard caudal block applications. Methods: This retrospective study was conducted in Celal Bayar University Hospital, Manisa, Turkey, between January and December 2014, included 78 pediatric patients. Caudal block was applied to 2 different groups; one with ultrasound guide, and the other using the standard method. Results: The time interval of the procedure was significantly shorter in the standard application group compared with ultrasound-guided group (p=0.020). Wong-Baker FACES Pain Rating Scale values obtained at the 90th minute was statistically lower in the standard application group compared with ultrasound-guided group (p=0.035). No statistically significant difference was found on the other parameters between the 2 groups. The shorter time interval of the procedure at standard application group should not be considered as a distinctive mark by the pediatric anesthesiologists, because this time difference was as short as seconds. Conclusion: Ultrasound guidance for caudal block applications would neither increase nor decrease the success of the treatment. However, ultrasound guidance should be needed in cases where the detection of sacral anatomy is difficult, especially by palpations. © 2016, Saudi Arabian Armed Forces Hospital. All rights reserved.
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    Effect of Transcutaneous Electrical Nerve Stimulation on Postoperative Pain and Patient Satisfaction
    (W.B. Saunders, 2019) Yılmaz E.; Karakaya E.; Baydur H.; Tekin İ.
    Background and Aims: This study was conducted to investigate the effect of transcutaneous electrical nerve stimulation on postoperative pain, changes in patients’ vital signs, and patient satisfaction after inguinal herniorrhaphy. Design: This study used a randomized controlled design. Setting: A state hospital in the west of Turkey. Participants/Subjects: The study was conducted on 52 patients who had inguinal herniorrhaphy between January and July 2015. Methods: Patients were randomly divided into two groups (intervention and control). Intervention group patients received transcutaneous electrical nerve stimulation postoperatively five times for 30 minutes each. Electrodes in control group patients were placed, but the device was not started. At each transcutaneous electrical nerve stimulation session, the patients’ vital signs and pain severity were recorded. A satisfaction scale was administered before discharge to assess patient satisfaction with nursing care. Results: Pain scores of patients in the intervention group were lower than those in the control group (p < .05). No differences were found in pre–and post–transcutaneous electrical nerve stimulation in the vital signs. Satisfaction scores were higher in the intervention group than control group (p < .05). Conclusions: After inguinal herniorrhaphy, transcutaneous electrical nerve stimulation reduced postoperative pain without a negative impact on vital signs and increased patient satisfaction with nursing care. © 2019 American Society for Pain Management Nursing