Middle East Journal of Anesthesiology最新文献_第5页

SEVOFLURANE AS A CAUSE OF TORSADE DE POINTES IN PATIENT WITH THE LONG QT SYNDROME: Case Report. 七氟醚是导致长QT综合征患者心尖扭转的原因之一:病例报告。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Dominik W Choromanski, Sapan Amin, Maria M Zestos

引用次数: 0

THE EFFECT OF A SINGLE DOSE OF MAGNESIUM SULPHATE AS AN ADJUVANT TO EPIDURAL BUPIVACAINE FOR INFRAUMBILICAL SURGERIES: A PROSPECTIVE DOUBLE-BLIND, RANDOMIZED CONTROL TRIAL. 单剂量硫酸镁作为布比卡因硬膜外辅助剂用于脐下手术的效果:一项前瞻性双盲随机对照试验。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

A H Shruthi, K Sudheesh, S S Nethra, R S Raghavendra Rao, D Devika Rani

{"title":"THE EFFECT OF A SINGLE DOSE OF MAGNESIUM SULPHATE AS AN ADJUVANT TO EPIDURAL BUPIVACAINE FOR INFRAUMBILICAL SURGERIES: A PROSPECTIVE DOUBLE-BLIND, RANDOMIZED CONTROL TRIAL.","authors":"A H Shruthi, K Sudheesh, S S Nethra, R S Raghavendra Rao, D Devika Rani","doi":"","DOIUrl":"","url":null,"abstract":"Context: Epidural anesthesia provides the advantage of segmental blockade and many adjuvants have been added to shorten the onset of action, improve the quality of analgesia and prolong the duration of analgesia. Magnesium sulphate(MgSO4) by virtue of its anti-iociceptive property has been administered by various routes.Aim: To assess the effect of MgSO4 on the duration of onset of action of injection bupivacaine for epidural anesthesia in infraumbilical surgeries.Materials and methods: A prospective, double-blind, randomized control study was conducted in 40 patients. Group M received 15 ml of bupivacaine 0.5% + 1 ml of 50 mg MgSO4 and Group C received 15 ml of bupivacaine 0.5% + 1 ml of normal saline via epidural route. Onset time of the sensory and motor blockade were the primary outcomes studied. Highest level of sensory block, time for two segment regression, hemodynamic parameters, side effects were the secondary parameters.Results: There was a significant difference between the groups in the mean onset time of sensory blockade at T8, 12.85 ± 2.32 min in Group M and 16.75 ± 1.74 min in Group C. Median level of sensory blockade was comparable. Mean onset time of motor blockade was 13.85 ± 3.28 min in Group M and 23.25 ± 3.35 min in Group C which was clinically and statistically significant. Time for two segment regression of sensory blockade was 95.75 ± 11.84 min in Group M and 55.5 ± 8.57 min in Group C which was significant. Hemodynamic parameters and side effects were comparable.Conclusion: Magnesium sulphate as an adjuvant provides rapid onset of epidural anesthesia and prolongs the duration of analgesia with minimal side effects.","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34531431","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 CASE OF GRANISETRON ASSOCIATED INTRAOPERATIVE CARDIAC ARREST. 格拉司琼合并术中心脏骤停1例。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Mohammed Al Harbi, Derar Al Rifai, Hassan Al Habeeb, Freddie Wambi, Georges Geldhof, Vassilios Dimitriou

引用次数: 0

COMPARISON OF INDIRECT VIDEO LARYNGOSCOPES IN CHILDREN YOUNGER THAN TWO YEARS OF AGE: A RANDOMIZED TRAINEE EVALUATION STUDY. 两岁以下儿童间接视频喉镜的比较:一项随机实习生评估研究。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Marissa G Vadi, Elizabeth A Ghazal, Bryan Halverson, Richard L Applegate

{"title":"COMPARISON OF INDIRECT VIDEO LARYNGOSCOPES IN CHILDREN YOUNGER THAN TWO YEARS OF AGE: A RANDOMIZED TRAINEE EVALUATION STUDY.","authors":"Marissa G Vadi, Elizabeth A Ghazal, Bryan Halverson, Richard L Applegate","doi":"","DOIUrl":"","url":null,"abstract":"Background: Gaining proficiency with various airway management tools is an important goal for anesthesiology training. Indirect video laryngoscopes facilitate tracheal intubation in adults, but it is not clear whether these findings translate to children. This study evaluates the total time to successful intubation when performed by anesthesiology trainees using GlideScope Cobalt® video laryngoscopy (GlideScope), Storz DCI® video laryngoscopy (Storz), or direct laryngoscopy (Direct) in children <2 years old with normal airway anatomy.Methods: Sixty-five children presenting for elective surgery were randomly assigned to undergo tracheal intubation using GlideScope, Storz, or Direct. Laryngoscopists were anesthesiology trainees in clinical anesthesia year ≥2 who had proven basic proficiency with each laryngoscope on an infant airway manikin. Total time to successful intubation (TTSI, seconds), rate of successful intubation on first laryngoscopy attempt, and the change in intubation time from manikin to clinical settings were recorded. An intubation time difference >10 seconds was defined as clinically significant.Results: TTSI was longer for Storz (42.1; 34.0 to 59.0) than for Direct (21.5; 17.0 to 34.3; p=0.002). We were not able to demonstrate a difference >10 seconds between the GlideScope and the other laryngoscopes. Median manikin intubation time was <10 seconds and increased significantly in the clinical setting for all laryngoscopes (all p <0.0001).Conclusions: Anesthesiology trainees completed manikin tracheal intubation rapidly with all laryngoscopes studied, but required a clinically significant longer time to tracheally intubate children <2 years. Our findings suggest in vivo training should be included to facilitate proficiency with device-specific intubation techniques.","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34641474","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

EFFECT OF PREOPERATIVE INTRAVENOUS OXYCODONE ON LOW-DOSE ROPIVACAINE SPINAL ANESTHESIA COMBINED WITH INTRATHECAL FENTANYL. 术前静脉注射羟考酮对小剂量罗哌卡因脊髓麻醉联合鞘内芬太尼的影响。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Na Wang, Songling Zhang, Yaowen Fu, Jinguo Wang

{"title":"EFFECT OF PREOPERATIVE INTRAVENOUS OXYCODONE ON LOW-DOSE ROPIVACAINE SPINAL ANESTHESIA COMBINED WITH INTRATHECAL FENTANYL.","authors":"Na Wang, Songling Zhang, Yaowen Fu, Jinguo Wang","doi":"","DOIUrl":"","url":null,"abstract":"Background: Low-dose ropivacaine combined with intrathecal fentanyl can provide adequate anaesthesia with minimal haemodynamic variation. Preemptive analgesia can enhance analgesic effect of spinal anaesthesia without obvious side effects.Aims: To assess the efficacy of preoperative intravenous oxycodone on transurethral resection of prostate (TURP) under 10 mg ropivacaine spinal anaesthesia combined with intrathecal 25 pg fentanyl.Methods: Sixty patients undergoing TURP were randomly divided into two groups: Group o (n=30), in which the patients were administered 0.1 mg.kg-1 oxycodone intravenously 10 min prior to the operation for 2 min, and Group C (n=30) in which the patients were administered intravenously a similar volume of 0.9% saline. The participants were injected with hyperbaric 10 mg ropivacaine and 25 µg fentanyl intrathecally. The block characteristics, hemodynamic values, the tramadol consumption and adverse effects were analyzed.Results: The peak level of sensory block was lower in Group C. Time to the first analgesic request and time to two-segment regression of sensory block were shorter in Group C. Fewer patients in Group 0 were given postoperative analgesics.Conclusion: Preoperative intravenous oxycodone can prolong analgesic effect of this method and postoperative analgesia.","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34641976","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

ANESTHETIC MANAGEMENT OF FEMORAL FRACTURE REPAIR IN A PATIENT WITH CERVICAL MYELOPATHY, AUTONOMIC DYSFUNCTION, AND DIFFICULT AIRWAY. 颈脊髓病、自主神经功能障碍和气道困难患者股骨骨折修复的麻醉处理。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Ajay R Vellore, Christopher B Robards, Steven R Clendenen

引用次数: 0

ANESTHETIC MANAGEMENT IN UNEXPECTED EXTRA- ADRENAL PHEOCROMOCYTOMA PRESENTING WITH THORACIC SPINAL CORD COMPRESSION. 以胸脊髓压迫为表现的意外肾上腺外嗜铬细胞瘤的麻醉处理。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Amr El Kouny, Mohammed Al Harbi, Rashid Muhammad Arif, Nazar Ilyas, El Abbasy Omar Hamed, Maqsood Memon, Ali Nawaz, Vassilios Dimitriou

引用次数: 0

SIMULATION LAB: "A CONTEMPORARY MEDICAL ESSENTIAL". 模拟实验室:“当代医学必备”。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Ghaleb Okla, Douglas Eden, Nadine Okla

引用次数: 0

PERIMORTEM CESAREAN DELIVERY. 剖宫产。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Anis Baraka

引用次数: 0

COMBINED BLOCK OF THE FEMORAL AND LATERAL FEMORAL CUTANEOUS NERVES UNDER ULTRASOUND FOR POST- OPERATIVE ANALGESIA IN PATIENTS UNDERGOING HIP SURGERY: A DOUBLE BLIND RANDOMIZED TRIAL. 超声下联合阻断股外侧皮神经用于髋关节手术患者术后镇痛:一项双盲随机试验。

Middle East Journal of Anesthesiology Pub Date : 2016-02-01

Maroun Badwi Ghabach, Jamil Marwan Elmawieh, May Semaan Matta, May Rady Helou

{"title":"COMBINED BLOCK OF THE FEMORAL AND LATERAL FEMORAL CUTANEOUS NERVES UNDER ULTRASOUND FOR POST- OPERATIVE ANALGESIA IN PATIENTS UNDERGOING HIP SURGERY: A DOUBLE BLIND RANDOMIZED TRIAL.","authors":"Maroun Badwi Ghabach, Jamil Marwan Elmawieh, May Semaan Matta, May Rady Helou","doi":"","DOIUrl":"","url":null,"abstract":"Background: Inadequate pain management of post-operative pain of patients undergoing hip surgery can result in morbidity and mortality complications. Anatomically, pain resulted from the incision site innervation (Lateral femoral cutaneous nerve) and the hip joint innervation mainly the femoral nerve. Adding femoral nerve blockade to the multimodal regimen for postoperative pain control after hip surgery has been described.Methods: all 31 patients included in the study received preoperatively combined FN and LFCN block with Normal Saline 0, 9% (group I) or bupivacaine 0.5% (group II) randomly by using a previously generated continuous randomization list kept in a closed envelope. Pain control regimen consisted of Perfalgan 1g IV every 6 hours systematically and Dolosal 50 mg IM every 6 hours if needed (i.e. VAS > 4). Pain level was measured by using Visual Analogue Scale (VAS) for the first 24 hours.Time to the first request of analgesia and the total dose of dolosal were calculated.Results: The number of patients who requested narcotics was significantly higher in group I (8) than group II (3), P=0,044; the total dose of dolosal used was significantly higher in group 1 (50 mg) than group II (9,375mg), P=0,0058. Time to the first request for analgesia was significantly lower in group I (6hrs ± 5,12) as compared to Group II (21.3 hrs ± [Arabic letters: see text]), P =0,043.Conclusion: In conclusion, FN and LFCN block when added to the standard regimen for postoperative pain management after hip surgery had a benefit in decreasing pain scores as well as opioid consumption.","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34641477","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