Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparative study between ultrasound determination and clinical assessment of the lumbar interspinous level for spinal anesthesia.
The aim of the current study is to compare the accuracy of the ultrasound (US) versus clinical assessment for determination of the spinal level, using X-ray as the Gold Standard for control. ⋯ Ultrasound examination of the spine is recommended in patients planned for spinal anesthesia, as it is superior to clinical assessment in identification of the interspinous levels. This will decrease the hazard of spinal cord trauma.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparison of epidural butorphanol versus epidural morphine in postoperative pain relief.
Epidural route is preferable for postoperative pain relief in thoraco-abdominal and lower limb surgeries. We aimed to compare epidural butorphanol versus morphine for postoperative analgesia up to 24 hours in open nephrectomy surgery. ⋯ Epidural butorphanol appears to provide safer and faster postoperative analgesia without much untoward effects but its analgesic action is short so more repeated doses are required than morphine via epidural catheter up to 24 hours.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparison of the 'sniffing the morning air' position and simple head extension for glottic visualization during direct laryngoscopy.
This was a prospective randomized single-blinded clinical trial comparing the glottic views obtained during direct laryngoscopy between the 'sniffing the morning air' position and simple head extension. ⋯ Sniffing position provided better glottic visualization score and increased the successful rate of intubation as compared to simple head extension.
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Middle East J Anaesthesiol · Feb 2014
Improved residents' knowledge after an advanced regional anesthesia education program.
Although residents in anesthesia are confident in performing neuraxial anesthesia, many are not confident in performing peripheral nerve blocks. The purpose of this study was to evaluate the effectiveness of a structured regional anesthesia teaching program in a large academic medical center. ⋯ The formal regional anesthesia teaching program developed by the departmental faculty was effective in improving resident knowledge.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparative hemodynamic advantages of subarachnoid administration of atypical and non-atypical opioids.
Subarachnoid administration of opioids such as pethidine and fentanyl had been proven safe but that oftramadol has been controversial. Tramadol is cheap and readily available, hence the need to further evaluate its intrathecal safety. ⋯ This study shows that intrathecal tramadol 25 mg has higher incidence of post operative nausea and vomitting than 25 microg of intrathecal fentanyl but both drugs were safe.