Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled TrialDoes epidural increase the incidence of cesarean delivery or instrumental labor in Saudi populations?
This is a retrospective review of the medical records of 861 patients admitted for vaginal delivery. Patients were randomized to either epidural analgesia or other analgesic methods of pain relief for labor pains. The primary purpose of this study was to evaluate the effect of epidural analgesia on the rate of cesarean section delivery. ⋯ Epidural analgesia is an effective method of pain relief during labor compared to the other analgesic methods of labor pain relief, and it does not increase the incidence of cesarean section deliveries.
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Middle East J Anaesthesiol · Oct 2007
Intraoperative awareness--a three year prospective study using bispectral index monitor (BIS).
Patients who experience awareness under surgery may suffer from the post-traumatic stress disorder (PTSD) with its long-lasting psychological damage. In addition, there are also media attention and legal consequences. In spite of understanding its causes, it is still occurring worldwide. ⋯ All patients were interviewed in the postoperative period. There was no report of awareness during the course of surgery. Pre-and intraoperative anesthetic attention to patients presented for surgery, together with the use of modern anesthetic delivery units possessing facilities for monitoring BIS, and anesthetic gases, and the provision of good analgesia, are the most important combination in eliminating awareness during surgery.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled Trial Comparative StudyAnesthesia for laparoscopic cholecystectomy: comparative evaluation--desflurane/sevoflurane vs. propofol.
Laparoscopic techniques, have rapidly increased in popularity because of its various benefits. They are widely used in day-case surgical operations and are extensively published. However, postoperative nausea vomiting (PONV) is a commonly observed phenomenon after laparoscopic procedures. ⋯ Even though there were no statistically significant differences among the groups regarding PONV, the number of patients who had PONV in group P was lower. Early recovery time was shortest in group D, while delayed recovery time had no differences. It may be said that these anesthetic drugs have no statistically significant difference for PONV and delayed recovery.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled Trial Comparative StudyCisatracurium in cardiac surgery--continuous infusion vs. bolus administration.
The aim of this study was the comparison of infusion vs. intermittent bolus administration of cisatracurium (CA) following cardiac surgery with regard to total intraoperative dose and time of recovery from neuromuscular blockade. From June 2005 to April 2006 sixty ASA II-III patients who were undergoing coronary bypass graft and valve replacement surgery, were equally divided and randomized to receive either intermittent bolus (Group A, n = 30) or continuous infusion (Group B, n = 30) of CA in Madani Heart Center in the Tabriz (Iran). Total intraoperative dose of CA and time to TOF ratio = 0.8 after operation were measured. ⋯ Intubation time in ICU was not significantly different (Group A = 8.3 +/- 5.1 hrs vs. Group B = 10.2 +/- 6.2 hrs, p = 0.256). These results support the intermittent bolus administration of cisatracurium in cardiac surgery following cardiopulmonary bypass.