Saudi Med J
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Case Reports
Thyrotoxic periodic paralysis in a Saudi patient complicated by life-threatening arrhythmia.
Thyrotoxic periodic paralysis (TPP) is rare in non-Orientals, and sporadic case reports were reported world-wide. Eight cases were reported in Arabs, including 3 Saudis. We present an additional case of TPP in a 38-year-old Saudi man, and review the literature on TPP in Arabs. ⋯ He was resuscitated and his hypokalemia was corrected, and he had a full recovery. This case emphasizes the notion that TPP can occur in patients of any ethnic background. The development of serious cardiac complications in our patient underscores the importance of early and correct diagnosis of this potentially life-threatening complication of hyperthyroidism.
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Randomized Controlled Trial
Prophylactic antiemetic effects of midazolam, dexamethasone, and its combination after middle ear surgery.
To evaluate and compare the efficacy of the combination of midazolam and dexamethasone, with midazolam and dexamethasone alone, for the prevention of postoperative nausea and vomiting (PONV) in female patients undergoing middle ear surgery. ⋯ The combination of midazolam 0.075 mg/kg and dexamethasone 10 mg intravenously is better than either drug alone in reducing the incidence of PONV in female patients after middle ear surgery.
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Randomized Controlled Trial
Combination effect of low dose fentanyl and propofol on emergence agitation in children following sevoflurane anesthesia.
To investigate the combination effect of low dose fentanyl and subhypnotic dose of propofol on emergence agitation in children receiving sevoflurane for adenotonsillectomy procedure. ⋯ The combination of low dose fentanyl before surgery and propofol at the end of surgery decreases the incidence and level of emergence agitation in children after adenotonsillectomy procedure under sevoflurane anesthesia.
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Randomized Controlled Trial Comparative Study
Oxidant and antioxidant activities of different anesthetic techniques. Propofol versus desflurane.
To investigate the correlation between propofol and desflurane in terms of lipid peroxidation and antioxidant activity and to search the possible antioxidant anesthesia technique. ⋯ We observed a systemic oxidative stress increment with desflurane by terms of MDA; a lipid peroxidation product and endogenous antioxidant activity suppression by terms of Vitamin E at only peroperative period. This study may be defined to support the fact that free oxygen radicals were released more by desflurane than propofol.
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Randomized Controlled Trial
Effect of dexmedetomidine added to spinal bupivacaine for urological procedures.