Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2009
Controlled Clinical TrialEffects of sevoflurane on postoperative liver functions in morbidly obese as compared to the non-obese patients.
To assess the effect of sevoflurane anesthesia on hepatic function in morbidly obese versus non-obese patients undergoing abdominal surgeries. ⋯ Sevoflurane induces elevation of the serum liver enzymes in morbidly obese patients with variable onsets.
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Middle East J Anaesthesiol · Jun 2009
Controlled Clinical TrialPediatric cancer pain management at a regional cancer center: implementation of WHO Analgesic Ladder.
To collect data on the prevalence of various types of cancer pain in a sample of children with cancer, and to implement the WHO Analgesic Ladder in the management of pain in pediatric cancer. ⋯ Cancer pain in pediatric age group can be well managed in accordance with the WHO Analgesic Ladder. Aggressive symptoms and control of treatment of related side effect are also needed to ensure successful implementation and the WHO Analgesic Ladder.
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Middle East J Anaesthesiol · Jun 2009
Case ReportsIntubation-induced tracheal stenosis -- the urgent need for permanent solution.
The most common site for the occurrence of intubation-induced tracheal damage is at the area in contact with the inflatable cuff. After the change from high-pressure to low-pressure cuffs, major tracheal lesions still continue to occur. This is a case of tracheal stenosis that occurred after 7 days of intubation with standard cuffed tube whose cuff pressure was assessed by subjective means. ⋯ A month later, the patient had another cardiac arrest from which he did not recover. Our message in this report is to throw light and alert clinicians involved in tracheal intubation, of the presence of the Lanz endotracheal tube whose pilot balloon is designed to automatically regulate the intra-cuff pressure and thus prevent the occurrence of tracheal stenosis due to high pressure. We strongly recommend the presence of Lanz tracheal tubes as standard emergency equipment in intensive care settings and in any situation in which cuff pressure is likely to increase.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled Trial Comparative StudyEvaluation of the tourniquet leak during forearm intravenous regional anesthesia -- manual vs automatic pump injection.
The present study was conducted to compare the effect of pump injection versus manual injection on the venous pressure, during forearm intravenous regional anesthesia (IVRA) and the incidence and the magnitude of lidocaine leak. ⋯ The use of pump injection for forearm IVRA could significantly decrease the maximum venous pressure, and decrease the incidence and the magnitude of lidocaine leak past the tourniquet.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled Trial Comparative StudyTime to extubation in infants undergoing pyloromyotomy -- isoflurane inhalation vs remifentanil infusion.
Infantile hypertrophic pyloric stenosis (IHPS) associated with metabolic alkalosis, could induce late anesthesia recovery, especially when opioids are used. The aim of this study was to compare the time of extubation and the quality of perioperative analgesia in infants scheduled for pyloromyotomy, receiving either isoflurane inhalation or remifentanil infusion. ⋯ Remifentanil provided better intraoperative analgesia than isoflurane in infants undergoing pyloromyotomy without increasing time to extubation.