Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2012
Predictive model for the inadequate labor epidural analgesia: an outcome of the prospective observational study at university women's hospital.
Continuous epidural analgesic infusions provide superior analgesia as compared to other forms of labor analgesia. However, inadequate analgesia after labor epidurals is not uncommon and has been found to be as high as 24% in some studies. The mechanism of these failures include inappropriate epidural catheter location, tissue compartmentalization within epidural space, delayed migration, kinking, occlusion or disconnection of correctly placed epidural catheter. ⋯ In parturients identified as being at high risk for failed epidural, ultrasound guidance, saline-based loss of resistance technique, and appropriate intra-epidural-space length of catheter are the methods that should be utilized to lower the incidence of failure.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled TrialRecovery profile and emergence delirium following sevoflurane and isoflurane anesthesia in children posted for cleft lip surgery.
This prospective, randomized, double control study was carried out in 84 children aged 2-24 months posted for elective cleft lip surgery. ⋯ Our study confirms that the recovery profile of sevoflurane in children less the two years is superior compared to isoflurane.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled TrialEffects of preoperative single dose Etoricoxib on postoperative pain and sleep after lumbar diskectomy: prospective randomized double blind controlled study.
Etoricoxib, a selective Cox-2 inhibitor has been found to be effective in the management of acute pain. This study evaluates the effect of preoperative use of oral Etoricoxib on post operative pain relief and sleep in patients undergoing single level diskectomy. ⋯ Single preoperative oral dose (120 mg) of Etoricoxib, given one hour before surgery, has significantly reduced the post operative pain at rest and movement and improved sleep in patients undergoing single level diskectomy without any side effects and with good patient satisfaction.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled TrialThe effects of remifentanil, lidocaine, metoclopramide, or ketamine pretreatment on propofol injection pain.
Propofol injection pain is a frequent and a well-known complaint distressing for the patients. Although the ethiology of this pain remains obscure, the ideal method for the prevention of propofol injection pain is still controversial. Local anesthetics, opioids, nonsteroidal anti-inflammatory drugs, ketamine, metoclopramide, droperidol have been tested. We aimed to conduct a study comparing various drugs with saline, lidocaine and together at the same time. ⋯ Lidocaine and metoclopramide were equally and the most effective treatments in attenuating pain during intravenous injection of propofol compared to pretreatment with remifentanil and ketamine.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled Trial Comparative StudyCombined axillary block with "selective" injection of nerves and the axillary catheter: comparison of bupivacaine 0.25% or levobupivacaine 0.25%.
The aim of this study is to apply combination of axillary plexus block with "selective" injection of nerves and continuous catheter technique, and to compare the anesthetic and postoperative analgesic effects of bupivacaine and levobupivacaine. ⋯ In this tecnique, for median and radial nevre, bupivacained 0.25% produced slightly beter sensory and motor block intensity than levobupivacaine 0.25% in onset of the block. General success in relation to surgery and in the duration of the analgesia was identical in the two groups.