Saudi Med J
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Randomized Controlled Trial Clinical Trial
Use of dexamethasone to reduce postoperative vomiting and pain after pediatric tonsillectomy procedures.
The purpose of this study is to determine whether a single dose of dexamethasone 0.5mg/kg administered before surgery could decrease post operative vomiting and pain and improves oral intake in the first 24-hours after pediatric tonsillectomy procedures. ⋯ Dexamethasone is considered safe and there was no adverse effects associated with a single dose of dexamethasone. Although the need for rescue antiemetic, time to oral intake and analgesia requirements in both groups were not significant, however, we found that dexamethasone does have antiemetic properties as overall incidence of retching and vomiting was significantly less in dexamethasone group as compared to control group in children who underwent tonsillectomy.
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Case Reports
Exertional dizziness and syncope caused by anomalous left coronary artery origin from the right sinus of Valsalva.
Coronary anomalies are generally rare, but has fascinating congenital cardiac disease entities, recognized in less than 1.3% of all coronary angiograms. Left coronary artery arising from right sinus of valsalva RSOV represents an extremely uncommon subtype. ⋯ We report a case of exertional dizziness and syncope, diagnosed to have anomalous origin of left main coronary artery from RSOV. Surgical intervention was curative.
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Comparative Study
Unstable pelvic ring injuries. Outcome and timing of surgical treatment by internal fixation.
To evaluate the radiological and functional results of surgical treatment of unstable pelvic injuries and to study the factors affecting the final outcome. ⋯ Unstable pelvic ring injuries should be managed surgically and must be carried out as soon as the general condition of the patient allows, even up to 4-weeks.
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This study was conducted to determine the Jordanian cesarean rate and to examine the related indications for cesarean section (CS) in comparison with international rates. ⋯ The lower cesarean rate in Jordan is attributed to lower frequencies of CS for dystocia, due to more accuracy in estimation of the fetal body weight, and with proper use of oxytocin dosage, which can correct malrotation of vertex leading to subsequent reduction in CS rate for dystocia. Policies, such as: active management of labor, trial of scar, maintenance of the skills required to supervise vaginal delivery when there is a breech presentation and better definition of the deliveries in which fetal monitoring will be useful in the diagnosis of fetal distress; all will achieve acceptable cesarean rate.
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Randomized Controlled Trial Comparative Study Clinical Trial
Pain relief using continuous bupivacaine infusion in the paravertebral space after loin incision.
Continuous bupivacaine paravertebral nerve block after thoracotomy has been shown to reduce postoperative pain. This study was designed to determine whether paravertebral nerve block using bupivacaine infused through a catheter placed intraoperatively, can reduce postoperative pain, and analgesia requirements after loin incision. ⋯ Paravertebral blockade using bupivacaine is an effective and safe method for pain relief following renal surgery through loin incision.