Saudi Med J
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Comparative Study
A comparison of the effects of sufentanil and fentanyl on intraocular pressure changes due to easy and difficult tracheal intubations.
To study the effects of sufentanil and fentanyl on intraocular pressure after easy and difficult intubations. ⋯ Both drugs blunt the increased intraocular pressure during laryngoscopy and tracheal intubations, but in difficult intubation, sufentanil presented better protection than fentanyl.
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To investigate the impact of associated extra-abdominal injury on morbidity and mortality in poly-traumatized patients with blunt abdominal trauma. ⋯ Extra-abdominal injuries add to the morbidity and mortality from blunt abdominal trauma in poly-traumatized patients. Routine computerized tomography scanning can minimize negative abdominal exploration and facilitate better management of extra-abdominal injuries.
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To establish a rat model of chronic pancreatitis, and to prove the activation of sonic hedgehog (SHH) signaling pathways in chronic pancreatitis. ⋯ Trinitrobeneze sulfonic acid can induce chronic pancreatitis in rat. The SHH signaling pathway is activated in rats with chronic pancreatitis.
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Randomized Controlled Trial Comparative Study
Selective spinal anesthesia for inguinal herniorrhaphy.
To determine the characteristic profiles of 2 hypobaric spinal anesthetic solutions for selective spinal anesthesia in inguinal herniorrhaphy. ⋯ Ropivacaine plus fentanyl provided similar sensory anesthesia, but with a shorter duration of motor block than bupivacaine plus fentanyl when used for selective spinal anesthesia in herniorrhaphy surgery. Furthermore, we suggest that hemodynamic should be carefully monitored during surgery.
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Case Reports
Spontaneous left main coronary artery dissection. A rare cause of acute coronary syndrome.
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. Involvement of the left main coronary artery is uncommon accounting for 9% of all cases. ⋯ The diagnosis may occasionally be overlooked as the patients are often young and have no risk factors for coronary artery disease. The clinical presentation and interesting angiographic findings of a 42-year-old female patient with left main coronary artery dissection are described along with a brief discussion of the pathogenesis and management of the condition.