Middle East journal of anaesthesiology
-
Middle East J Anaesthesiol · Feb 2013
Randomized Controlled TrialDexamethasone added to bupivacaine prolongs duration of epidural analgesia.
Different additives have been used to prolong regional blockade. We designed a prospective, randomized, double-blind, controlled clinical trial to evaluate the effect of dexamethasone added to bupivacaine-fentanyl on the duration of postoperative analgesia via epidural catheterization. ⋯ This study revealed that dexamethasone added to bupivacaine-fentanyl solution in epidural analgesia prolongs the duration of analgesia in abdominal or thoracic surgery.
-
Middle East J Anaesthesiol · Feb 2013
Randomized Controlled TrialScalp nerve blockade reduces pain after headframe placement in radiosurgery: a double blind, randomized clinical trial.
Patients undergoing stereotactic headframe placement for radiosurgery report that discomfort associated with the headframe often lasts for the duration of the treatment day (approximately 6 hours). We hypothesize that blockade of scalp nerves prior to headframe placement reduces the incidence of moderate to severe head pain during the entire treatment day. We describe a randomized, double-blind, placebo-controlled study of awake patients having radiosurgery for intracranial pathology that examines whether scalp nerve blockade and local anesthetic infiltration results in superior patient comfort versus infiltration alone. ⋯ Scalp nerve block significantly decreased moderate to severe head pain in radiosurgery patients throughout the treatment day.
-
Middle East J Anaesthesiol · Feb 2013
The effects of midazolam and dexmedetomidine infusion on peri-operative anxiety in regional anesthesia.
This study aimed to compare the influences ofmidazolam and dexmedetomidine infusion on anxiety scores in patients undergoing surgery with regional anesthesia. ⋯ Midazolam infusion was found to be more appropriate and efficient than dexmedetomidine during regional anesthesia practice. Dexmedetomidine infusion should be cautiously used in regional anesthetic techniques performing symphathetic blockade.
-
Middle East J Anaesthesiol · Feb 2013
Case ReportsContinuous intraoperative TEE monitoring for a child with Fontan pathway undergoing post spinal fusion.
The following case report describes a very challenging surgical case where the use of intraoperative, continuous TEE monitoring in the prone position was crucial for the anesthetic management (diagnosis and treatment) of a patient with single ventricle physiology. The use of TEE monitoring enabled the anesthesia team to continuously assess hemodynamic stability and respond immediately to hypotension and bradycardia in our patient, thereby providing optimal anesthetic care of the intraoperative spinal fusion patient with Fontan physiology.
-
Middle East J Anaesthesiol · Oct 2012
ReviewAids for facilitation of difficult tracheal intubation review and recent advances.
Management of difficult tracheal intubation has been facilitated by different techniques which include the use of stylets, introducers, intubating laryngeal mask airway, as well as by the development of special laryngoscope blades and fiberoptic laryngoscopes. The most recent advances for facilitation of difficult tracheal intubation is the introduction of the video-assisted laryngoscopes. The management of difficult tracheal intubation by video-assisted laryngoscopy can be further facilitated by using suspension laryngoscopy which frees the hands of the anesthesiologist to handle the insertion of the endotracheal tube with the aid of an endotracheal tube introducer, and a curved pipe stylet, under an umbrella of pharyngeal oxygen insufflation.