Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled TrialOndansetron and meperidine prevent postoperative shivering after general anesthesia.
Postoperative shivering is one of the common problems following general anesthesia and may lead to multiple complications. The aim of this study was to examine the preventive effects of Ondansetron and Meperidine on postoperative shivering. ⋯ Ondansetron can effectively reduce post operative shivering.
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Middle East J Anaesthesiol · Feb 2011
Case ReportsDifficult passage of the endotracheal tube and massive nasal bleeding during awake nasal fiberoptic intubation in a patient with airway obstruction caused by neck hematoma--a case report.
A 60 yr-old male underwent anterior cervical fusion under general anesthesia. Neck swelling was observed at the next morning. Subsequently, emergent CT scanning was performed, which revealed a retropharyngeal hematoma narrowing the upper airway and right anterior neck hematoma significantly deviating the trachea and larynx. ⋯ The patient was submitted to emergent evacuation of the hematoma. Reevaluation of the preoperative CT images showed the nasal cavity narrowing because of widespread nasal mucosal swelling. It is necessary to anticipate that nasal mucosal swelling and bleeding tendency due to impairment of venous drainage can exist in such a case.
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Middle East J Anaesthesiol · Feb 2011
The effects of tourniquet on intraocular pressure during knee surgery.
In this prospective study we aimed at examining the effects of pneumatic tourniquet on intraocular pressure during elective knee surgery. ⋯ Pneumatic tourniquet may cause a significant IOP increase in patients performing knee surgery under general anesthesia.
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled TrialThe effect of low dose rocuronium on intraocular pressure in laryngeal mask airway usage.
We have compared the effect of low dose rocuronium on intraocular pressure (IOP) in larygeal mask airway usage during induction of anesthesia using propofol and fentanyl, in a randomized, double-blind study. ⋯ Although there have been reports that LMA insertion minimally increases IOP, in our study, by using low dose rocuronium and LMA there was a decrease in IOP.
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled Trial Comparative StudyComparison of local anesthetic effects of tramadol and lidocaine used subcutaneously in minor surgeries with local anesthesia.
In this study, the local anesthetic and post-operative analgesic effects of tramadol were compared to those of lidocaine in minor surgeries under local anesthesia. ⋯ Tramadol 2 mg/kg has local anesthetic and post-operative analgesic effect equal to lidocaine 1 mg/kg in minor surgeries performed subcutaneously. Therefore, we concluded that tramadol can be used as an alternative drug to lidocaine in local anesthesia and has the ability to decrease the demand for post operative analgesics.