Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2014
Teaching ultrasound procedural skills-low cost phantoms and animal models.
Acquiring the necessary cognitive and psychomotor skills to perform ultrasound guided procedures may require initial training. Growing evidence shows that simulation can help in the acquisition of procedural skills. ⋯ In this study we have described several new phantoms and animal models that are inexpensive, easy to assemble and allow a rapid change of targets. Such phantoms can provide an ideal initial learning opportunity in a zero-risk environment.
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Middle East J Anaesthesiol · Jun 2014
Randomized Controlled TrialSimulation training in endotracheal intubation in a pediatric residency.
Airway management and endotracheal intubation are essential skills for pediatric residents. Simulation-based technology is used for training residents but it remains unclear whether high fidelity simulation results in better retention of skills compared to low fidelity. The study assesses high fidelity simulation of endotracheal intubation and traditional low fidelity training in improving pediatric residents' knowledge retention and technical skills; and if the difference translates into higher "real time" intubation success rates. ⋯ High fidelity simulation showed no impact on residents' airway management and intubation skills. Retention of theoretical knowledge persisted over time while practical skills remained at baseline or declined.
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Middle East J Anaesthesiol · Jun 2014
Case ReportsUltrasound-guided regional anesthesia in a pediatric patient with acute intermittent porphyria: literature review and case report.
Ultrasound-guided regional anesthesia techniques placed under general anesthesia have not been reported in pediatric patients with acute intermittent porphyria (AIP). A 9-year-old male with AIP presented for right inguinal herniorraphy. Family history included one relative's death after anesthesia. ⋯ Intraoperative management included a propofol induction with the patient's mother present in the operating room. We performed an ultrasound-guided ilioinguinal-iliohypogastric nerve block under general anesthesia. The surgery proceeded without complications and the patient did not demonstrate signs of an AIP crisis.
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Middle East J Anaesthesiol · Jun 2014
Emetogenicity-risk procedures in same day surgery center of an academic university hospital in United States: a retrospective cost-audit of postoperative nausea vomiting management.
Despite the variable results of published studies, it is imperative for ambulatory surgery centers to self-audit local cost-implications for post-operative nausea and vomiting (PONV) management. ⋯ PACU stay times and PACU charges were significantly higher in patients who had undergone SERP as compared to patients who had undergone LERP or MERP at our Same Day Surgery Center.
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Middle East J Anaesthesiol · Jun 2014
Comparative StudyCerebral "hyperoxygenation" with inhalational induction of anesthesia in children: a retrospective comparison between vasoparalytic sevoflurane vs. vasoneutral fentanyl.
The higher levels of oxygen in cerebrum may contribute to neuro-apoptosis, analogous to direct tissue injury induced by toxic levels of oxygen. Earlier report highlighted the possibility of cerebral "hyperoxygenation" secondary to inhalational induction of anesthesia with sevoflurane in small number of children. ⋯ Cerebral "hyperoxygenation" occurs with inhalational induction of anesthesia with vasoparalytic sevoflurane in children 0 to 4 years of age when compared to anesthesia induction with vasoneutral fentanyl.