Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2010
Case ReportsEpileptic seizure during anaesthesia induction with etomidate.
In this report a 20-year-old male patient who had suffered tonic-clonic seizure after a single induction dose of etomidate until a bispectral index value of 60 is presented. Our best knowledge, this case is the first report of pure etomidate (with induction dose) induced generalized tonic clonic seizure proven with EEG. Anaesthesiologists should be careful against such a complication even in the induction stage of anaesthesia during etomidate use.
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled TrialThe impact of long-lasting preemptive epidural analgesia before total hip replacement on the hormonal stress response. A prospective, randomized, double-blind study.
Recent studies suggest that preemptive analgesia may be effective in reducing postoperative pain. One physiologic explanation may be interference with the endogenous opioid response. We investigated whether long-lasting preoperative preemptive analgesia may have an effect on the hormonal stress response after total hip replacement. ⋯ Differences in postoperative pain after preemptive analgesia do not seem to be due to an altered endogenous opioid response.
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled Trial Comparative StudyContinuous sciatic nerve block: compartive study between the parasacral, lateral, and anterior approaches for lower limb surgery.
The aim of the present study was to evaluate the ease and reliability of the anterior and lateral approaches to sciatic nerve block compared to the posterior parasacral approach, and their suitability for the specific factors in the patients, positions, and surgeries. Also, the insertion and usefulness of the continuous catheter technique was evaluated. ⋯ The insertion of a catheter for continuous nerve block was easy. These blocks provided good or excellent postoperative analgesia for all patients in the different groups and facilitated early mobilization which helped in preventing the lower limb srugery - related morbidity and mortality.
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled TrialReduction of bupivacaine dose in spinal anaesthesia for caesarean section may improve maternal satisfaction by reducing incidence of low blood pressure episodes.
Spinal anaesthesia for caesarean section exposes to high incidence of arterial hypotension which can result in maternal and neonatal morbidity. We hypothesized that the reduction of this dose from 10 mg to 7.5 mg would minimize hypotension without altering pain relief. ⋯ A dose of 7.5 mg of isobaric bupivacaine reduced incidence of hypotension, nausea and vomiting and improved patient satisfaction.