Zeliha Altunkan

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Publications (2)1.42 Total impact

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    Article: The effect of adding to lidocaine morphine or tramadol during brachial plexus blockade on postoperative analgesia
    Nurcan Doruk, Şebnem Atıcı, Zeliha Altunkan, Nehir Sucu, Egemen Bilgin, Ismail Cinel, Handan Birbiçer, Serdar Epözdemir, Uğur Oral
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    ABSTRACT: BACKGROUND: The aim of the study was to compare the effect of postoperative analgesia between the morphine and tramadol added lidocaine groups in brachial plexus blockade. METHODS: Seventy-five patients (ASA I-II) scheduled for arm and forehand surgery were included in the study. The surgery was performed under general anaesthesia and brachial plexus blockade was performed at the end of surgery for postoperative analgesia. The patients were randomly allocated into three groups. In group L (n=25), 40 ml lidocaine 1%, in group M (n=25), 40 ml lidocaine 1% with 5 mg morphine, and in group T (n=25) 40 ml lidocaine 1% with 50 mg tramadol were given. Visual analog scale (VAS) was used for pain evaluation and motor blockade scale was used to evaluate motor blockade at 5, 10, 15, 30, 60 minutes and 2, 3, 4, 5, 6, 12 and 24. hours. Respiratory and hemodynamic changes were also recorded at the same intervals. RESULTS: There was no statistical difference between the groups by means of demographic, hemodynamic and respiratory parameters (p>0.05). All groups mean VAS scores were lower than three during the postoperative period (p>0.05). No motor blockade, side-effects or complications were detected. CONCLUSIONS: It was concluded that the usage of lidocaine and opioids together during brachial plexus blockade was not effective than lidocaine alone on postoperative analgesia for minor surgical procedures.
    The Anatolian Journal of Clinical Investigation. 01/2007;
  • Article: The comparison of the efficacy of scoring systems in organophosphate poisoning.
    Tugsan Egemen Bilgin, Handan Camdeviren, Davud Yapici, Nurcan Doruk, Ali Aydin Altunkan, Zeliha Altunkan, Ugur Oral
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    ABSTRACT: The purpose of this study was to evaluate the impact of the Glasgow Coma Scale (GCS), Acute Physiology and Chronic Health Evaluation (APACHE) II and Simplified Acute Physiology Score (SAPS) II scoring systems for organophosphate poisoning (OPP) in an intensive care unit (ICU). The following data were collected on all consecutive patients who were admitted to the ICU between June 1999 and December 2004. Demographic data, GCS, APACHE II and SAPS II scoring systems were recorded. Predicted mortality was calculated using original regression formulas. Standardized mortality ratio (SMR) was computed with 95% confidence intervals (CI). The sensitivity and specificity for each scoring system were evaluated by calculating the Area Under the Receiver Operating Characteristic Curves. The actual mortality in OPP was 21.9%. Predicted mortality by all systems was not significantly different from actual mortality [SMR and 95% CI for GCS: 1.00 (0.65 1.35), APACHE II: 0.87 (0.54-1.03), SAPS II: 1.40 (0.98-1.82)]. The area under the ROC curve for APACHE II is largest, but there is no statistically significant difference when compared with SAPS II and GCS (GCS 0.900 +/- 0.059, APACHE II 0.929 +/- 0.045 and SAPS II 0.891 +/- 0.057). In our ICU group of patients, in predicting the mortality rates in OPP, the three scoring systems, which are GCS, APACHE II and SAPS II, had similar impacts; however, GCS system has superiority over the other systems in being easy to perform, and not requiring complex physiologic parameters and laboratory methods.
    Toxicology and Industrial Health 10/2005; 21(7-8):141-6. · 1.42 Impact Factor
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