Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2010
Randomized Controlled TrialThe effects of duration of Propofol injection on hemodynamics.
The aim of study was to see whether increasing the time of injection of standard dose of Propofol during induction can prevent fall in blood pressure in female patients; as is commonly observed with this anesthetic agent. ⋯ Varying the speed of injection of Propofol during induction of anesthesia in adult female patients does not cause any major difference in the drop of their heart rate, systolic blood pressure, diastolic pressure and mean arterial pressure.
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Middle East J Anaesthesiol · Oct 2010
Randomized Controlled TrialAirway management and hemodynamic response to laryngoscopy and intubation in supine and left lateral positions.
Intubation in the lateral position is desirable in several conditions. We compared the technical ease and hemodynamic response to laryngoscopy and intubation in the lateral (group L) and supine (group S) positions in 120 patients with normal airway in a prospective randomized controlled study. ⋯ Ventilation and intubation in lateral position was more difficult technically than in the suprine position, and the BP response was exaggerated in the lateral position.
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Middle East J Anaesthesiol · Oct 2010
Review Case ReportsThe video laryngoscopes blind spots and possible lingual nerve injury by the Gliderite rigid stylet--case presentation and review of literature.
We report the first case of near serious lingual nerve injury in an 80-y-old female caused by the Rigid GlideScope Stylet. This complication was discovered during oral surgery and may have been missed if the site of surgery was not oral cavity.
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Middle East J Anaesthesiol · Oct 2010
Randomized Controlled Trial Comparative StudyCardiovascular responses to orotracheal intubation in patients undergoing coronary artery bypass grafting surgery. Comparing fiberoptic bronchoscopy with direct laryngoscopy.
The intubation by using fiberoptic brochoscop (FOB) can avoid the mechanical stimulus to oropharyngolaryngeal structures thereby it is likely to attenuate hemodynamic response during orotracheal intubation. Based on this hypothesis, we compared the hemodynamic responses to orotracheal intubation using an FOB and direct laryngoscope (DLS) in patients undergoing general anesthesia for coronary artery bypass grafting (CABG) surgery. ⋯ We conclude that the FOB had no advantage in attenuating the hemodynamic responses to orotracheal intubation in patients undergoing CABG surgery.
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Middle East J Anaesthesiol · Oct 2010
Randomized Controlled TrialFentanyl pretreatment for alleviation of perineal symptoms following preoperative administration of intravenous dexamethasone sodium phosphate--a prospective, randomized, double blind, placebo controlled study.
Corticosteroids have anti-inflammatory, analgesic and antiemetic effects but causes severe perineal symptoms when given intravenously. Simultaneous administration of dexamethasone and fentanyl have been known to decrease the duration of perineal pain but its role in alleviating perineal pain has not been studied. Therefore, we hypothesized that fentanyl pretreatment could prevent the perineal symptoms associated with the dexamethasone. ⋯ Our study showed that the intravenous administration of dexamethasone sodium phosphate leads to significant perineal symptoms. These symptoms are alleviated by pretreatment with fentanyl (1 microg/kg) (incidence, severity and duration). The pharmacological mechanism explaining perineal pain with intravenous administration of dexamethasone remains poorly understood, but could be related to the phosphate ester. We conclude, that intravenous administration of dexamethasone sodium phosphate is associated with perineal pain and can be alleviated effectively by pretreatment with 1 microg/kg of fentanyl.