Egyptian Journal of Anaesthesia最新文献_第10页

High flow nasal cannula effect on pulmonary complications after major elective upper abdominal surgeries: A randomized control study 高流量鼻插管对上腹部大手术后肺部并发症的影响：一项随机对照研究

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-12-31 DOI: 10.1080/11101849.2022.2143175

Hoda Abdellatif Zaky Soliman, D. M. Fikry, A. El-attar, Mohamed Shawky El Hadidy

{"title":"High flow nasal cannula effect on pulmonary complications after major elective upper abdominal surgeries: A randomized control study","authors":"Hoda Abdellatif Zaky Soliman, D. M. Fikry, A. El-attar, Mohamed Shawky El Hadidy","doi":"10.1080/11101849.2022.2143175","DOIUrl":"https://doi.org/10.1080/11101849.2022.2143175","url":null,"abstract":"ABSTRACT Background Postoperative pulmonary complications (PPCs) are a challenge for anesthesiologists, especially following major surgeries. Using a high-flow nasal cannula (HFNC) postoperatively may decrease this challenge. Purpose The study aimed to assess the clinical effect of HFNC after extubation compared with simple face mask oxygen following major elective upper abdominal surgeries regarding PPCs, the need to escalate the respiratory support, days of intensive care unit stay, and days of hospital stay. Methods Eighty adult patients were randomly assigned to two groups (each with 40 patients): group I received HFNC, while group II received a standard oxygen face mask. Five days later, postoperative pulmonary problems were evaluated. Results There was statistically significantly less lung atelectasis in the HFNC group than in the face mask group. The p-value was 0.029. There was no statistically significant difference concerning the need to escalate the respiratory support. The length of hospital and ICU stay days for the HFNC group was statistically significantly lower than for the face mask group. Conclusion HFNC is more efficient than a simple oxygen face mask in lowering lung atelectasis following major upper abdominal procedures, improving oxygenation with decreasing respiratory rate and reducing ICU and hospital days of stay.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"656 - 664"},"PeriodicalIF":0.8,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42382396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pre-anaesthetic ultrasonographic assessment of neck vessels as predictors of spinal anaesthesia induced hypotension in the elderly: A prospective observational study 麻醉前超声评估颈部血管作为预测脊髓麻醉诱发低血压的老年人:一项前瞻性观察研究

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-12-31 DOI: 10.1080/11101849.2022.2082051

B. Abdelhamid, Abeer Ahmed, Mai Ramzy, A. Rady, Haitham Hassan

{"title":"Pre-anaesthetic ultrasonographic assessment of neck vessels as predictors of spinal anaesthesia induced hypotension in the elderly: A prospective observational study","authors":"B. Abdelhamid, Abeer Ahmed, Mai Ramzy, A. Rady, Haitham Hassan","doi":"10.1080/11101849.2022.2082051","DOIUrl":"https://doi.org/10.1080/11101849.2022.2082051","url":null,"abstract":"ABSTRACT Background Increased age has been linked to the development of spinal anaesthesia induced hypotension (SAIH) and increased the risk of perioperative complications. The internal jugular vein collapsibility index (IJV-CI), rates of change in IJV diameter (ΔIJV-D) and IJV area (ΔIJV-A) in the supine and Trendelenburg positions, and carotid intima-media thickness (CIMT) were evaluated as predictors of SAIH in the senior population. Materials and methods This prospective Cohort was conducted at the Cairo University Hospitals. Seventy-one patients scheduled for elective procedures under spinal anaesthesia of ASA I–III, over 60 years and BMI less than 30 kg/m2. The right IJV was assessed ultrasonographically in supine and Trendelenburg postures, as well as CIMT. The primary outcome was the IJV- CI as predictor of SAIH while ΔIJV-D and ΔIJV-A with posture and CIMT in prediction of SAIH were assigned as secondary outcomes. Results SAIH was shown in forty-seven (66.2%) of patients. IJV-CI, ΔIJV-A and ΔIJV-D increased significantly in Hypotensive group (median 38.09, IQR (23.61–50), 0.393 (0.2–0.52) and 0.213 (0.12–0.34) respectively) in comparison to Non-hypotensive group (26.05 (10.32–34.08), 0.167 (0.03–0.48) and 0.074 (0.02–0.29) respectively) (p-value <0.05). IJV-CI showed AUROC of 0.699 and 95% CI of 0.578–0.802 (p-value = 0.002) with cut-off value ≥0.34.4, 61.70% sensitivity, 79.17% specificity, 85.3% PPV and 51.4% NPV. Conclusions Preanesthetic IJV-CI and ΔIJV-D from the supine to the Trendelenburg position were moderate predictors of SAIH. Results suggested that IJV-CI is > 34.4% and a ΔIJV-D is of ≥ 0.11 to be the threshold levels, while CMIT could not predict SAIH.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"349 - 356"},"PeriodicalIF":0.8,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48400175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Effect of different ventilation strategies during cardiopulmonary bypass on cardiac de-airing in congenital cardiac surgery: A trans-esophageal echocardiography comparative study 体外循环中不同通气策略对先天性心脏手术心脏排气的影响：经食管超声心动图对比研究

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-21 DOI: 10.1080/11101849.2022.2149075

S. Hayes, M. Magdy, Ghada A. El Rahamawy, M. Elgamal, Naglaa A. Elnegeery

{"title":"Effect of different ventilation strategies during cardiopulmonary bypass on cardiac de-airing in congenital cardiac surgery: A trans-esophageal echocardiography comparative study","authors":"S. Hayes, M. Magdy, Ghada A. El Rahamawy, M. Elgamal, Naglaa A. Elnegeery","doi":"10.1080/11101849.2022.2149075","DOIUrl":"https://doi.org/10.1080/11101849.2022.2149075","url":null,"abstract":"ABSTRACT Objectives This study was conducted to evaluate the efficacy of using either low tidal ventilation or continuous positive pressure ventilation on the quality of de-airing procedure during cardiopulmonary bypass (CPB) surgery for correction of congenital heart diseases. Patients and methods This study was conducted on 48 children under the age of 6 years scheduled for elective correction of congenital heart diseases. Patients were randomly allocated into three groups. In the low tidal volume (LTV) group, ventilator was set to a respiratory rate of 5 breaths per minute with tidal volume of 2–3 ml/kg of ideal body weight and a positive end-expiratory pressure of 3–5 cmH2O. In continuous positive airway pressure (CPAP) group, oxygen flow was maintained at 0.5 L/min during CPB, ventilator was shut off and the adjustable pressure-limiting valve (APL) was set at a pressure of 10 cmH2O. In the no ventilation (NV) group, ventilator was shut off, fresh flow air was completely stopped and APL was adjusted on spontaneous position. The primary outcome was the total de-airing time using transesophageal echocardiography. Results The total de-airing time was significantly decreased in CPAP group, with the shortest duration of 246.88 ± 5.40 sec in comparison to both LTV group with 284.25 ± 6.52 sec and NV group with 452.12 ± 26.6 sec with p-value 0.001. Conclusion Use of CPAP 10 cmH2O ventilation during CPB surgery for correction of congenital heart diseases could improve the process of de-airing by decreasing the total time needed to de-air heart chambers.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"694 - 700"},"PeriodicalIF":0.8,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47510005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A study of menstrual cycle effects on pain perception, haemodynamic response to laryngoscopy, and postoperative outcome in gynaecological laparoscopy 月经周期对疼痛感知、喉镜血流动力学反应和妇科腹腔镜术后预后影响的研究

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-21 DOI: 10.1080/11101849.2022.2147472

Mariam Hanna Mossad Samaan, Tarek Mohamed Ahmed Sarhan, Ramadan Abd El Azim Ammar, Tamer Hanafy Mahmoud, Ahmed Mohamed Ahmed El Shafie

{"title":"A study of menstrual cycle effects on pain perception, haemodynamic response to laryngoscopy, and postoperative outcome in gynaecological laparoscopy","authors":"Mariam Hanna Mossad Samaan, Tarek Mohamed Ahmed Sarhan, Ramadan Abd El Azim Ammar, Tamer Hanafy Mahmoud, Ahmed Mohamed Ahmed El Shafie","doi":"10.1080/11101849.2022.2147472","DOIUrl":"https://doi.org/10.1080/11101849.2022.2147472","url":null,"abstract":"ABSTRACT Background The physiological alterations that occur during the females’ reproductive age due to hormonal fluctuations throughout the menstrual cycle may affect the perioperative period and impact the postoperative outcome. This study evaluated the impact of menstrual cycle phases on pain perception, haemodynamic response to laryngoscopy, postoperative agitation, nausea, and vomiting in women undergoing laparoscopic gynaecological procedures. Methods This prospective observational study included 60 women who were randomly assigned to have diagnostic gynaecological laparoscopy during their menstrual cycle’s luteal or follicular phases. Patients were divided into two groups: follicular and luteal group. Preoperatively a blood sample was withdrawn for measurement of norepinephrine, estradiol, and progesterone levels. Anaesthetic techniques were standardized in both groups. In the postoperative period, another blood sample was withdrawn from all patients and sent for norepinephrine measurement. Before induction of anaesthesia, baseline HR, SBP, DBP, and MAP were measured. Then, following endotracheal intubation at 1, 3 and 5 minutes. Pain perception was assessed using Numerical Rating Scale (NRS); in response to IV cannulation, then postoperative abdominal pain and shoulder referred pain were assessed every 15 minutes till the end of 1st hour, then every 6 hours till discharge. The incidence of postoperative nausea and vomiting was recorded at the same time points of pain assessment. Postoperative agitation was assessed using Richmond Agitation-Sedation Scale (RASS). Results Women in the follicular phase showed higher postoperative pain, higher incidence of postoperative nausea, and more increase in HR and delayed return to baseline value post tracheal intubation as compared to luteal phase.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"680 - 693"},"PeriodicalIF":0.8,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43278058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative study of analgesic effect of epidural ketamine vs. epidural tramadol in patients undergoing mastectomy under thoracic epidural anesthesia 硬膜外氯胺酮与曲马多对胸外麻醉下乳房切除术患者镇痛效果的比较研究

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-15 DOI: 10.1080/11101849.2022.2143182

M. A. Raheem, F. Badawy, Hitham M. A. Elsayed

{"title":"Comparative study of analgesic effect of epidural ketamine vs. epidural tramadol in patients undergoing mastectomy under thoracic epidural anesthesia","authors":"M. A. Raheem, F. Badawy, Hitham M. A. Elsayed","doi":"10.1080/11101849.2022.2143182","DOIUrl":"https://doi.org/10.1080/11101849.2022.2143182","url":null,"abstract":"ABSTRACT Breast surgery under epidural procedure is a secure, accepted alternative to general anesthesia and can increase the outcome postoperatively with less cost. Postoperative analgesia provides a better outcome, early regain of activity with the least side effects, and early discharge. This study compares the analgesic efficacy of thoracic epidural ketamine versus thoracic epidural tramadol when added to bupivacaine at 0.5% for patients who underwent mastectomy under epidural anesthesia. Methods Our study included 50 female participants belonging to the 18–60-year-old age group who were epidurally anesthetized for mastectomy operation. Participants were randomly assigned to the ketamine group (epidural bupivacaine and ketamine 50 mg) (KG) and the tramadol group (epidural bupivacaine and tramadol 1 mg/kg) (TG). Pain was measured using the visual analog scale (VAS), and the consumption of rescue analgesia was recorded as well. Nausea and vomiting, sedatives, and vasopressors were recorded and compared between both groups. Results KG showed a decrease in VAS scores, less consumption of rescue analgesia, lesser need for antiemetic, and has demanded for more sedation in comparison with TG when observed in the post-anesthesia care unit (PACU) for 24 h postoperatively. Our study could not detect significant differences between groups among recorded demographic data, hemodynamic parameters, or the need for vasopressors. Conclusion Epidural ketamine provided a better analgesia and less need to rescue analgesia, less incidence of nausea and vomiting, but more sedation when compared with epidural tramadol at a dose of 1 mg/kg","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"672 - 679"},"PeriodicalIF":0.8,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44685848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implications of hyperchloremia in critically ill patients 危重患者高氯血症的意义

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-14 DOI: 10.1080/11101849.2022.2143181

F. Badawy, Ahmed G Elsaeed, N. Samir, A. Helmy

{"title":"Implications of hyperchloremia in critically ill patients","authors":"F. Badawy, Ahmed G Elsaeed, N. Samir, A. Helmy","doi":"10.1080/11101849.2022.2143181","DOIUrl":"https://doi.org/10.1080/11101849.2022.2143181","url":null,"abstract":"ABSTRACT Hyperchloremia is a repeated insult in critically ill subjects, leading to more morbidity and mortality. There is a strong relation between hyperchloremia with mortality and morbidity, as renal injury, more extended ICU stay, more mechanical ventilation (MV) period, and other electrolyte disturbances. Our aim is to evaluate the association of hyperchloremia in critically ill subjects with the incidence of mortality and also to study the development of morbidities such as renal injury and electrolyte disturbances and development of metabolic acidosis and its relationship to the period of MV and ICU stay time. A total number of 400 patients subjected to hyperchloremia estimation and laboratory tests were divided into two groups: hyperchloremic group (HG) and non-hyperchloremic group (NHG). The whole incidence of hyperchloremia for the total cohort has been estimated, as well as the whole incidence of mortality, duration of MV, ICU stay time, development of renal injury, and its association with occurrence of metabolic acidosis and electrolyte disturbances among the HG and NHG. The study included 400 patients, 180 of them (45%) were HG, and 220 (55%) were NHG. Mortality was more in 128 HG patients (71.1%), while 48 patients died (21.8%) in NHG (p-value = 0.005). The incidence of morbidities was more in HG than NHG as more; period of MV, ICU stay, renal injury, acidosis and more electrolyte disturbances (p-value < 0.05). Hyperchloremic patients had an increased incidence of mortality. Moreover, they were susceptible to longer mechanical ventilation, ICU stay, renal injury, metabolic acidosis, and electrolytes disorders.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"665 - 671"},"PeriodicalIF":0.8,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46779463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awake intubation with C-MAC video-stylet versus fibreoptic bronchoscope in predicted difficult airway patients: Comparative randomised study C-MAC视频插管与纤维支气管镜在预测气道困难患者中的清醒插管:比较随机研究

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-04 DOI: 10.1080/11101849.2022.2143171

Rehab Abd El-Raof Abd El-Aziz, Y. Osman

引用次数: 1

Comparison between landmark and ultrasound-guided percutaneous peristyloid glossopharyngeal nerve block for post-tonsillectomy pain relief in children: a randomized controlled clinical trial 标记和超声引导下经皮舌咽神经阻滞治疗儿童扁桃体切除术后疼痛的比较:一项随机对照临床试验

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-04 DOI: 10.1080/11101849.2022.2143167

A. Alshawadfy, Ahmed A. Ellilly, Ahmed M. Elewa, Wesam F. Alyeddin

{"title":"Comparison between landmark and ultrasound-guided percutaneous peristyloid glossopharyngeal nerve block for post-tonsillectomy pain relief in children: a randomized controlled clinical trial","authors":"A. Alshawadfy, Ahmed A. Ellilly, Ahmed M. Elewa, Wesam F. Alyeddin","doi":"10.1080/11101849.2022.2143167","DOIUrl":"https://doi.org/10.1080/11101849.2022.2143167","url":null,"abstract":"ABSTRACT Background Glossopharyngeal nerve (GPN) block is a useful treatment option for acute post-tonsillectomy pain. This study aimed to assess safety and efficacy of the landmark (LM) technique versus the ultrasound (US)-guided technique for GPN block in children undergoing tonsillectomy. Methods This double-blinded, parallel-group, randomized trial enrolled 54 children of both genders who were American Society of Anesthesiologists physical status grade I–II and were scheduled for tonsillectomy under general anesthesia. All patients underwent percutaneous peristyloid GPN block. In the LM group, 27 patients were managed by insertion of the needle at midpoint of the line between the mastoid process and angle of the mandible. In the US group, 27 patients were managed with the US-guided technique to locate the styloid process. The outcomes were time to first analgesic requirement, pain in rest and during swallowing, easiness of the technique, time required for the technique performance, recovery time from anesthesia, and anesthetist, surgeon, parent, and staff satisfaction. Results The post-tonsillectomy pain score during rest and swallowing, rescue analgesic request, recovery time from general anesthesia, anesthetist’, surgeon’, staff nurses’, and parents’ satisfactions were comparable between the LM technique and US-guided percutaneous peristyloid GPN block (all p ˃ 0.05). However, the LM technique was significantly easier and required shorter duration than the US-guided technique (p ˂ 0.05). Conclusion In tonsillectomy surgery, both the LM technique and the percutaneous peristyloid US-guided GPN block were safe and effective in reducing postoperative pain. Furthermore, the LM technique was easier and had shorter duration to perform than the US-guided technique.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"643 - 649"},"PeriodicalIF":0.8,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46740315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awake thoracic epidural anesthesia for uniportal video-assisted thoracoscopic pleural decortication: A prospective randomized trial 清醒胸外硬膜外麻醉用于单门胸腔镜胸膜剥脱术的前瞻性随机试验

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-11-03 DOI: 10.1080/11101849.2022.2141017

Mohamed Rabeea, Esam Abdalla, H. Elkhayat, Fatma Nabil

{"title":"Awake thoracic epidural anesthesia for uniportal video-assisted thoracoscopic pleural decortication: A prospective randomized trial","authors":"Mohamed Rabeea, Esam Abdalla, H. Elkhayat, Fatma Nabil","doi":"10.1080/11101849.2022.2141017","DOIUrl":"https://doi.org/10.1080/11101849.2022.2141017","url":null,"abstract":"ABSTRACT Background Recently, video-assisted thoracoscopic surgery has replaced open thoracotomies. These surgeries are commonly done under general anesthesia with one-lung ventilation. The goal of this trial was to evaluate patient and surgeon satisfaction of awake uniportal video-assisted thoracoscopic pleural decortication under thoracic epidural anesthesia as an alternative to general anesthesia. Methods This prospective randomized trial included 66 patients who underwent uniportal video-assisted thoracoscopic pleural decortication. Patients were distributed into two equal groups: awake under thoracic epidural anesthesia (group TEA) and under general anesthesia (group GA). Results Patient satisfaction was significantly different between both groups (P < 0.039), as group TEA had higher percentage of the patients who described the procedure as unsatisfactory (33.3%) versus group GA (6.7%). Surgeon satisfaction was, also, better in group GA (P < 0.001). Conclusion Despite being technically applicable, this study showed that awake uniportal video-assisted thoracoscopic pleural decortication under thoracic epidural offers less patient and surgeon satisfaction compared to the same surgical procedure under general anesthesia. Clinical trials registry This trial is registered in ClinicalTrials.gov (NCT03902470).","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"636 - 642"},"PeriodicalIF":0.8,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47413851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial 倾听母亲的声音与静脉注射右美托咪定对尿道下裂修复术后儿童术后出现谵妄的影响：一项前瞻性随机试验

IF 0.8

Egyptian Journal of Anaesthesia Pub Date : 2022-10-31 DOI: 10.1080/11101849.2022.2141018

Omar M. Soliman, Fatma Nabil, Hany M. Osman

{"title":"Listening to recorded mother’s voice versus intravenous dexmedetomidine to minimize postoperative emergence delirium in children after hypospadias repair surgeries: A prospective randomized trial","authors":"Omar M. Soliman, Fatma Nabil, Hany M. Osman","doi":"10.1080/11101849.2022.2141018","DOIUrl":"https://doi.org/10.1080/11101849.2022.2141018","url":null,"abstract":"ABSTRACT Background Emergence delirium (ED) is a common problem after pediatric general anesthesia. Despite being self-limited, it may be hazardous. The aim of this study was to compare listening to recorded mother’s voice versus intravenous dexmedetomidine on incidence and severity of emergence delirium after hypospadias repair surgeries. Methods This prospective, double-blind, randomized trial included 99 children (4–9 years), who underwent hypospadias repair surgeries. Patients were randomly distributed into three equal groups: group MV (listening to recorded mother’s voice), group D (receiving dexmedetomidine), or group C (control). The primary outcomes were the incidence of ED and its severity using the pediatric anesthesia emergence delirium scale (PAED) at the post-anesthesia care unit (PACU). Results The incidence of ED was significantly variable among the three groups (P = 0.003). The percentages were 13.3% in group MV, 6.7% in group D, and 40% in group C. Upon arrival to the PACU, the PAED score was significantly lesser in group MV versus group C (P = 0.006), and in group D versus group C (P < 0.001), However, it was comparable in group MV and group D (P = 0.478). Similar significant results were detected 10, 20, and 30 minutes after arrival to the PACU. Conclusion This study showed that listening to the recorded mother’s voice was comparable to intravenous dexmedetomidine in decreasing the incidence and subsiding severity of emergence delirium in children after hypospadias repair surgeries. Both modalities were also helpful in minimizing preoperative anxiety. Early postoperatively, dexmedetomidine had an extra advantage related to postoperative analgesia. Clinical trials registry ClinicalTrials.gov (NCT04941508).","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"38 1","pages":"614 - 621"},"PeriodicalIF":0.8,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48737735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1