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    Comparative analysis of combined spinal-epidural anesthesia and general anesthesia in percutaneous nephrolithotomy: a prospective study on surgical team and operating room personnel satisfaction
    (Springer, 2024) Burlukkara, Salih; Kabalak, Afife Ayla; Ates, Alpay; Baran, Ozer; Aykac, Aykut; Ozok, Hakki Ugur
    Objective We aimed to investigate the efficacy and complications of combined spinalepidural anesthesia and general anesthesia in percutaneous stone surgery prospectively. Materials and methods The study prospectively included patients who underwent percutaneous nephrolithotomy with general anesthesia (Group.1) or combined spinal-epidural anesthesia (Group.2) at the Department of Urology, Training and Research Hospital, Karabuk University. between December 2018 and December 2019. The effect of the anesthesia technique on the comfort and satisfaction of the operating room personnel, surgeon and anesthesia team were prospectively evaluated and recorded. Results During the postoperative period, the spinal anesthesia group had a significantly lower visual analog score than the general anesthesia group. No patient in either group required narcotic analgesics during the postoperative period. In terms of overall satisfaction scores, the surgeon performing the surgical procedure had a significantly higher satisfaction score in the general anesthesia group than in the CSEA group. The score was considered good in the general anesthesia group and moderate in the CSEA group. Personnel satisfaction was higher in the patient group that underwent CSEA. In the general anesthesia group, the score was considered to be average. In the CSEA group, the satisfaction score was considered good, with a statistically significant difference (p < 0.05). The anesthesia team's satisfaction score was moderate, with no significant difference between the CSEA and general anesthesia groups (p > 0.05). Conclusion PCNL under CSEA can be performed safely in certain individuals. Different anesthetic techniques may have varied levels of satisfaction among the surgical team.
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    Effect of music on palliative care patients: historical development of therapy with turkish music
    (2018) Kabalak, Afife Ayla
    Music is a universal language, and is the best way of cultural interaction, communication andshare feelings. Different musical melodies have different influences on mind states of individuals. Musicaltherapy is a special type of therapy in which verbal communication is coupled with musical interaction andcommunication styles. Selection of person specific and therapeutic music styles will result in the alleviationof several symptoms in patients under palliative care. Musical therapy is a significant supportive tool for thetreatment of cognitive, physical, social, environmental and spiritual needs of palliative care patients of all ages.Furthermore, it prevents the disturbances caused by cancer treatment. The use of musical therapy in Turkishhistory has first been mentioned in Uyghur rock inscriptions. Ottoman music is a sophisticated and developedsynthesis of the makam music. Ottomans would use different instrumental and vocal musical piecesto cure certain medical and psychological conditions. In more recent times however, ethnomusicology wasnot included in the curriculum as a teaching or means of therapy in Turkish medicine, that is why it did notbecome a routine treatment modality, the applications were limited to the disciplines of psychiatry, anesthesiology,intensive care, surgery and pediatric medicine as well as to the academic studies of the physicianswho had an interest in this field. Despite the fact that it is a significant contributor to the control of symptomsin palliative care patients, there have not been studies emphasizing the importance of its use in such patientsuntil recently. Together with reentry into agenda of the treatment efficacy of music in Turkey andworldwide, Ministry of Health of Turkey initiated a “Musical Therapy Training Certificate Program” forhealth professionals in 2016. In addition to this intervention, professional musicians should also have an interestin this topic and should collaborate with the physicians academically in the treatment process. Thisreview emphasizes the need for initiating routine clinical applications, academic studies and trainings withcultural, ethnic and individualized Turkish music therapy on palliative care patients as a means of efficientpalliation.