Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2000
Randomized Controlled Trial Clinical TrialHaemodynamic effects of subarachnoid blockade: 20% lignocaine versus 0.5% plain bupivacaine.
Our study compared the haemodynamic changes after spinal anaesthesia with 2% lignocaine and 0.5% plain bupivacaine. ⋯ In patients developing a sensory block at or above the T6 dermatome, the decrease in cardiac output and mean arterial pressure in the first 25 min. after spinal anaesthesia is smaller if 2% lignocaine rather than 0.5% bupivacaine is used for blockade.
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Middle East J Anaesthesiol · Jun 2000
Biography Historical ArticleEssay on modern history of anesthesia in Egypt as reflected in Naguib (Bey) Mahfouz books.
It was already known that Professor Naguib (Bey) Mahfouz (1882-1974) whas the first staff anesthetist at Kasr El-Ainy Hospital (KEAH) in Cairo between the years 1904-1906. It is not well established why he changed his specialty. In a pursuit of this story, a very relevant account was discovered in his books published in 1935 on medical education and in 1966, a biography. Interesting revelations in his biography were revealed: First, he was not the first anesthetist at KEAH, and he was appointed to replace a retired anesthetist called Amin Naseem; second, chloroform was introduced to Egypt by Herbert Milton, the British surgeon at KEAH, toward the end of the last century; third, the reason why he changed his specialty was a fatal case of obstructed labor whom he has been giving anesthesia to- an incident that turned him toward obstetrics; fourth, he used chloroform, ehter and spinal analgesia with stovaine even when he was practicing as a surgeon; fifth, he revealed in his medical education book the names of pioneer doctors working in anesthesia in Egypt.
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Middle East J Anaesthesiol · Feb 2000
Biography Historical Article Classical ArticleHistorical aspects of opium. 1982.
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Middle East J Anaesthesiol · Oct 1999
Comparative Study Clinical Trial Controlled Clinical TrialComparison between two different propofol dosage regimens for insertion of cuffed oro-pharyngeal airway.
Conditions for insertion of the cuffed oropharyngeal airway (COPA) were assessed following two different dosage regimens of propofol: group I (n = 40): 1.5 mg.kg-1; group II (n = 40): 2.5 mg.kg-1. The insertion conditions were evaluated by using a scoring system (-, + and +2) of gag and cough reflexes. ⋯ The mean (+/- SD) duration of apnea was significantly longer in the high dose group: 9 +/- 6 min vs 5 +/- 7 min (p = 0.007). Low dose of propofol combines efficient insertion conditions with decreased length of post-induction apnea.