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  1. Article ; Online: Peritibial fascial infiltration block and selective saphenous nerve block for postoperative analgesia of ankle fracture surgery.

    Altiparmak, Basak / Ciftci, Bahadir / Korkmaz Toker, Melike

    Minerva anestesiologica

    2021  Volume 88, Issue 3, Page(s) 195–196

    MeSH term(s) Analgesia ; Anesthesia, Conduction ; Anesthetics, Local ; Ankle Fractures/surgery ; Humans ; Nerve Block ; Pain, Postoperative/drug therapy
    Chemical Substances Anesthetics, Local
    Language English
    Publishing date 2021-10-28
    Publishing country Italy
    Document type Letter
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
    DOI 10.23736/S0375-9393.21.16093-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 516: Show issues Location:
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  2. Article: Rhomboid Intercostal Block for Analgesia of Multiple Rib Fractures in an Infant.

    Altıparmak, Basak / Korkmaz Toker, Melike / Uysal, Ali Ihsan / Gümüş Demirbilek, Semra

    Turkish journal of anaesthesiology and reanimation

    2022  Volume 49, Issue 5, Page(s) 417–419

    Abstract: Rhomboid intercostal block (RIB) is a novel plane block, which is thought to provide analgesia for both the anterior and the posterior hemithorax. Herein, we represent the successful usage of ultrasound-guided RIB on an infant patient to provide ... ...

    Abstract Rhomboid intercostal block (RIB) is a novel plane block, which is thought to provide analgesia for both the anterior and the posterior hemithorax. Herein, we represent the successful usage of ultrasound-guided RIB on an infant patient to provide analgesia for multiple rib fractures and insertion of a chest tube. A 10-month-old, 8 kg, male infant was scheduled for insertion of a chest tube. The patient had right sided pneumothorax and multiple rib fractures from T4 to T8 after a car crush. Following induction of anaesthesia, he was placed in lateral decubitis position and RIB was performed with 8mL 0.125% bupivacaine. A paediatric epidural catheter was placed into the interfacial plane for post-operative intermittent local anaesthetic injection as a part of multimodal analgesia with administration of intravenous paracetamol 60 mg. The postoperative pain assessment was conducted with FLACC scale at the post-operative 10th minute, 30th minute, 1st, 2nd, 6th, 12th and 24th hours, and the Face, Legs, Activity, Cry, Consolability scale score was 2 at all time-points. Ultrasound-guided RIB provided effective analgesia for insertion of a chest tube and attenuation of pain due to multiple rib-fractures in our infant patient.
    Language English
    Publishing date 2022-01-31
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2021.541
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: In reply: Potential mechanism for bilateral sensory effects after a unilateral erector spinae plane block.

    Altiparmak, Basak / Korkmaz Toker, Melike / Uysal, Ali İhsan

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2020  Volume 67, Issue 7, Page(s) 911–912

    MeSH term(s) Cholecystectomy, Laparoscopic ; Humans ; Nerve Block/adverse effects ; Paraspinal Muscles/diagnostic imaging
    Language English
    Publishing date 2020-01-24
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-020-01581-z
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    Zs.A 109: Show issues Location:
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  4. Article: Comparison of orexin-A and neurofilament light chain levels in patients with relapsing-remitting multiple sclerosis: a pilot study.

    Saruhan, Ercan / Korkmaz, Muammer / Altiparmak, Basak / Tosun, Kursad / Kutlu, Gulnihal

    Ideggyogyaszati szemle

    2022  Volume 75, Issue 7-08, Page(s) 223–230

    Abstract: Background and purpose: Multiple sclerosis is an autoimmune disease of the central nervous system, with myelin degeneration and Relapsing-Remitting Multiple Sclerosis (RRMS) as the most common type. The aim of this study was to determine the levels of ... ...

    Title translation Orexin-A- és neurofilamentum-könnyűlánc fehérjeszintek relapszáló-remittáló sclerosis multiplexben szenvedőknél: pilot vizsgálat.
    Abstract Background and purpose: Multiple sclerosis is an autoimmune disease of the central nervous system, with myelin degeneration and Relapsing-Remitting Multiple Sclerosis (RRMS) as the most common type. The aim of this study was to determine the levels of Neurofilament Light Chain (NFL) and Orexin-A (OXA) in patients with RRMS and compare it with healthy control subjects' data.
    Methods: In this case-control study of 61 subjects, serum and cerebrospinal fluid samples were collected from 23 RRMS patients and 38 healthy control subjects. NFL and OXA levels were determined in cerebrospinal fluid and serum samples using enzyme-linked immunosorbent assay kits. Self-reported questionnaires were also administered to evaluate fatigue severity and impact. Receiver operating characteristic curve analysis was used to determine the optimal cut-off value of NFL and OXA.
    Results: The NFL and OXA concentrations in cerebro-spinal fluid of RRMS patients were significantly higher than those of the control group (p < 0.001), but no sig-nificant difference was found in the serum concentrations (p = 0.842, p = 0.597, respectively). The cut-off values were found to be 1.194 ng/ml for NFL and 77.81 pg/ml for OXA in cerebrospinal fluid. A positive correlation was found between the Expanded Disability Status Scale and Epworth Sleepiness Scale in RRMS patients (ρ = 0.49, p = 0.045).
    Conclusion: These results suggest that increased levels of both NFL and OXA in cerebrospinal fluid reflect neuronal destruction in RRMS. Further research of neurodegeneration should focus on neuropeptides to determine the possible roles in RRMS pathogenesis.
    MeSH term(s) Biomarkers ; Case-Control Studies ; Humans ; Intermediate Filaments ; Multiple Sclerosis ; Multiple Sclerosis, Relapsing-Remitting ; Orexins ; Pilot Projects
    Chemical Substances Biomarkers ; Orexins
    Language English
    Publishing date 2022-07-25
    Publishing country Hungary
    Document type Comparative Study ; Journal Article
    ZDB-ID 2240317-6
    ISSN 0019-1442
    ISSN 0019-1442
    DOI 10.18071/isz.75.0223
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    Zs.A 6335: Show issues Location:
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  5. Article ; Online: Comparing ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach with oblique subcostal transversus abdominis plane block for patients undergoing laparoscopic cholecystectomy: a randomized, controlled trial.

    Bilge, Ayşegül / Başaran, Betül / Altıparmak, Başak / Et, Tayfun / Korkusuz, Muhammet / Yarımoğlu, Rafet

    BMC anesthesiology

    2023  Volume 23, Issue 1, Page(s) 139

    Abstract: Background: Laparoscopic cholecystectomy(LC) causes significant postoperative pain. Oblique subcostal transversus abdominis plane(OSTAP) block was described for postoperative analgesia, especially for upper abdominal surgeries. Modified thoracoabdominal ...

    Abstract Background: Laparoscopic cholecystectomy(LC) causes significant postoperative pain. Oblique subcostal transversus abdominis plane(OSTAP) block was described for postoperative analgesia, especially for upper abdominal surgeries. Modified thoracoabdominal nerves block through perichondrial approach(M-TAPA) block is a new technique defined by the modification of the thoracoabdominal nerves through perichondrial approach (TAPA) block, in which local anesthetics are delivered only to the underside of the perichondral surface. The primary aim of this study was to evaluate the effect of M-TAPA and OSTAP blocks as part of multimodal analgesia on postoperative opioid consumption in patients undergoing LC.
    Method: The present study was designed as a randomized, controlled, prospective study. Seventy-six adult patients undergoing LC were randomly assigned to receive either bilaterally M-TAPA or OSTAP block after the induction of anesthesia and before surgery using bupivacaine 0.25%, 25 ml. The primary outcome was assessed as postoperative 24 h opioid consumption, between groups were compared. Secondary outcomes were Numerical Rational scale(NRS) scores, time to first opioid analgesia, patient recovery, using the Quality of Recovery-15 (QoR-15) scale, nausea and vomiting, sedation score, metoclopramide consumption, and evaluating the analgesic range of dermatome.
    Results: The mean tramadol consumption at the postoperative 24th hour was higher in the group OSTAP than in group M-TAPA (P = 0.047). NRS movement score at 12th hour was statistically significantly lower in group M-TAPA than in group OSTAP (P = 0.044). Dermatomes showed intense sensory analgesia between T7-11 in both groups, and it was determined that there was proportionally more involvement in the group M-TAPA. There were no differences between the groups in terms of other results.
    Conclusions: After the LC surgery, ultrasound-guided M-TAPA block effectively reduced opioid consumption, postoperative pain, and QoR-15 scores similar to OSTAP block.
    Clinical trial registration: The study was registered prospectively at clinicaltrials.gov (trial ID: NCT05108129 on 4/11/2021).
    MeSH term(s) Adult ; Humans ; Analgesics, Opioid ; Cholecystectomy, Laparoscopic/methods ; Prospective Studies ; Ultrasonography, Interventional/methods ; Nerve Block/methods ; Anesthetics, Local ; Pain, Postoperative/prevention & control ; Abdominal Muscles/innervation ; Double-Blind Method
    Chemical Substances Analgesics, Opioid ; Anesthetics, Local
    Language English
    Publishing date 2023-04-27
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2091252-3
    ISSN 1471-2253 ; 1471-2253
    ISSN (online) 1471-2253
    ISSN 1471-2253
    DOI 10.1186/s12871-023-02106-z
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  6. Article: An Unexpected Complication Due to Metformin Use After Femur Fracture Operation: Metabolic Acidosis Without Lactic Acidosis.

    Yasar, Eylem / Altıparmak, Basak / Gümüş Demirbilek, Semra

    Cureus

    2019  Volume 11, Issue 5, Page(s) e4584

    Abstract: A 74-year- old male, who was known to have hypertension, chronic obstructive lung disease, and benign prostate hyperplasia, was evaluated preoperatively in our clinic for a femur fracture. In addition, it was found that the patient was using 1000 mg of ... ...

    Abstract A 74-year- old male, who was known to have hypertension, chronic obstructive lung disease, and benign prostate hyperplasia, was evaluated preoperatively in our clinic for a femur fracture. In addition, it was found that the patient was using 1000 mg of metformin per oral due to type 2 diabetes. At the preoperative cardiology evaluation, the ejection fraction was 60% with normal systolic ventricular function. Routine laboratory tests were normal. Metformin was held 24 hours before surgery. Spinal anesthesia was applied with 10 mg bupivacaine and 20 mcg fentanyl. Total blood loss at surgery was 150 cc. After an uneventful surgery, the patient was observed at the surgical postanesthesia care unit. Cardiac and respiratory physical examinations seemed normal but the patient had minimal acidosis and hypoxia in the arterial blood gas analysis. Twelve hours after the operation, compensated high anion gap ( 30 mEq/l) metabolic acidosis emerged, but lactate was normal. The patient's urea and creatinine levels were normal in the control blood tests, and the patient's urine output was above 0.5 ml/kg. Within this period, glucose levels were around 80-140 mg/dl. To overcome metabolic acidosis, bolus intravenous 8.4 % bicarbonate solution was administered. Bicarbonate infusion was started on the continuation of metabolic acidosis and base loss despite the bolus bicarbonate treatment. Since there was no other reason for the metabolic acidosis, metformin usage was considered to cause metabolic acidosis. During this treatment period, despite high anion gap acidosis, there was no lactate elevation. The patient had normal laboratory and hemodynamic values and was discharged from the intensive care unit at postoperative Day 3.
    Language English
    Publishing date 2019-05-02
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.4584
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  7. Article: Comparison of the McGrath video laryngoscope and macintosh direct laryngoscope in obstetric patients: A randomized controlled trial.

    Toker, Melike Korkmaz / Altıparmak, Basak / Karabay, Ayse Gul

    Pakistan journal of medical sciences

    2019  Volume 35, Issue 2, Page(s) 342–347

    Abstract: Objective: In obstetric patients' airway, guidelines have recommended the availability of advanced airway equipment. Our aim was to compare the larynx visualization provided by the Macintosh direct laryngoscope and McGrath video laryngoscope and the ... ...

    Abstract Objective: In obstetric patients' airway, guidelines have recommended the availability of advanced airway equipment. Our aim was to compare the larynx visualization provided by the Macintosh direct laryngoscope and McGrath video laryngoscope and the intubation time of patients undergoing cesarean section.
    Methods: This study was conducted at a private obstetrics and gynecology hospital during one month between June and July 2018. A hundred patients scheduled for elective cesarean section under general anesthesia were randomized into two different group's as intubated using either McGrath VL or Macintosh DL. The intubation times, Cormack-Lehane grade, percentage of glottic opening, mean arterial blood pressure, and heart rates before and after intubation were compared among the groups.
    Results: The McGrath VL significantly reduced the intubation time compared to the Macintosh DL. In the McGrath VL group, better glottic view set the time of tracheal intubation as assessed using the Cormack-Lehane classification system and POGO scores were recorded. After intubation, hemodynamic parameters were significantly higher in the Macintosh DL group than in the McGrath VL group.
    Conclusion: The McGrath VL significantly lowered intubation time relative to the Macintosh DL, which may be a critical finding considering the importance of maintaining the mother's airway for the health of both mother and baby.
    Language English
    Publishing date 2019-05-08
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 2032827-8
    ISSN 1681-715X ; 1682-024X ; 1017-4699
    ISSN (online) 1681-715X
    ISSN 1682-024X ; 1017-4699
    DOI 10.12669/pjms.35.2.646
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    Zs.A 3948: Show issues Location:
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  8. Article ; Online: Is the deep supraspinatus muscle plane block and suprascapular nerve block the same approach? A cadaveric nomenclature study.

    Altiparmak, Basak / Ciftci, Bahadir / Tekin, Bahar / Sakul, Bayram Ufuk / Alici, Haci Ahmet

    Korean journal of anesthesiology

    2021  Volume 75, Issue 2, Page(s) 193–195

    MeSH term(s) Cadaver ; Humans ; Nerve Block ; Rotator Cuff ; Shoulder
    Language English
    Publishing date 2021-12-29
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2557340-8
    ISSN 2005-7563 ; 2005-7563
    ISSN (online) 2005-7563
    ISSN 2005-7563
    DOI 10.4097/kja.21513
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  9. Article ; Online: Does ESPB performed at the level of T4 cover axillary area? A cadaveric study.

    Ciftci, Bahadir / Altiparmak, Basak / Tekin, Bahar / Sakul, Bayram Ufuk / Alici, Haci Ahmet

    Journal of clinical anesthesia

    2021  Volume 73, Page(s) 110362

    MeSH term(s) Axilla ; Cadaver ; Humans ; Nerve Block
    Language English
    Publishing date 2021-06-01
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2021.110362
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    Zs.A 2622: Show issues Location:
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  10. Article ; Online: Supine coronal approach to quadratus lumborum block in combination with anterior approach Sciatic block for sole anesthesia of hip fracture surgery.

    Altıparmak, Başak / Korkmaz Toker, Melike / Uysal, Ali İhsan / Kılınç, Cem Yalın

    Journal of clinical anesthesia

    2021  Volume 72, Page(s) 110303

    MeSH term(s) Abdominal Muscles/diagnostic imaging ; Humans ; Nerve Block ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control
    Language English
    Publishing date 2021-04-23
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2021.110303
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