Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2005
Randomized Controlled Trial Comparative StudyEpidural for labour analgesia--bupivacaine + fentanyl vs bupivacaine + fentanyl + epinephrine.
A prospective and randomized study was conducted on 50 full term parturients undergoing labour analgesia at Panna Dai Hospital, R. N. T. ⋯ The incidence of spontaneous delivery was 92% in each group. Parturients in group BEF demonstrated a higher incidence of side effects like nausea and vomiting (4% v/s 0%); hypotension (4% v/s 0%); paresis (8% v/s 0%) and retention of urine (12% v/s 8%) as compared to BF group. To conclude, the addition of epidural epinephrine (1:600,000) to bupivacaine and fentanyl does not affect the duration or quantity of labour analgesia.
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Middle East J Anaesthesiol · Oct 2005
Randomized Controlled TrialDoes pancuronium or cisatracurium delay the rate of arousal following remifentanil-based anesthesia?
The present report investigates the rate of arousal following remifentanil-based anesthesia associated with the coadministration of pancuronium, which inhibits butyrylcholinesterase, or cisatracurium, which is partially metabolized by nonspecific esterases, versus vecuronium that is eliminated independently of ester hydrolysis. ⋯ The results suggest that recovery following remifentanil-based anesthesia is not delayed by the coadministration of pancuronium, cisatracurium versus vecuronium; and by the use of neostigmine for reversal of neuromuscular blockade.
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Middle East J Anaesthesiol · Oct 2005
Randomized Controlled Trial Comparative StudyRemifentanil versus propofol sedation for peribulbar anesthesia.
The short onset and offset of remifentanil may allow for accurate dosing of sedative effect with few side-effects and rapid recovery. In this study, remifentanil is compared with propofol for sedation intraocular pressure hemodynamics and oxygen saturation, in patients undergoing cataract surgery with peribulbar block. After ethical committee approval, fifty patients scheduled for one eye cataract surgery were enrolled into the prospective study. ⋯ Intraocular pressures decreased within time in both groups. There were significant changes in mean blood pressure after 5th min between groups (P < 0.05). The infusion of remifentanil or propofol for sedation provided adequate sedation, hemodynamic stability without increasing intraocular pressure during surgery in patients undergoing cataract surgery with peribulbar anesthesia.
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Middle East J Anaesthesiol · Oct 2005
Case ReportsBilateral negative airway pressure pulmonary edema (NPPE)--a case report--.
A case of negative pressure bilateral pulmonary edema in a 28 years old healthy female patient, scheduled for diagnostic pelvic laparoscopy for infertility. Following extubation and apparent recovery from anesthesia, she had strong inspiratory efforts due to airway obstruction caused by coughing and laryngeal spasm, that lead to negative pressure bilateral pulmonary edema. ⋯ She was breathing spontaneously through CPAP system (mask-bag-expiratory valve). Diuretics and lungs physiotherapy helped in controlling patient's complication.
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Middle East J Anaesthesiol · Oct 2005
The effect of prone position on respiratory mechanics during spinal surgery.
To study the effect of prone position on respiratory mechanics during spine surgery. ⋯ We conclude that turning the patients form supine to prone position during anesthesia for spine surgery caused significant decrease of DLC and significant increase of airway pressure.