Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled TrialThe effect of oral clonidine premedication on nausea and vomiting after ear surgery.
Postoperative nausea and vomiting (PONV) is a most distressing adverse event for surgical patients with a considerable economic impact .The aim of the present study was to evaluate the effect of clonidine given orally for PONV in patients undergoing anesthesia for outpatient ear surgery. ⋯ Oral premedication with clonidine reduced the rate of PONV in patients undergoing outpatient ear surgery.
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled Trial Comparative StudyIntensive insulin therapy versus conventional insulin therapy for critically ill trauma patients admitted to ICU.
The objective of our study was to evaluate the beneficial effect of IIT in reducing mortality and morbidity in critically ill trauma patients admitted to ICU. ⋯ IIT was not associated with survival improvement in trauma patients admitted to ICU and was associated with increased incidence of hypoglycemia.
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Middle East J Anaesthesiol · Jun 2010
ReviewProduction pressure, medical errors, and the pre-anesthesia checkout.
Medical errors have rightly become an important societal and professional issue. While anesthesiology as a specialty has been at the forefront of the patient safety movement it is also subject to the same pressures for efficiency as any other business. Whether this pressure is at odds with the delivery of safe care is not yet clearly delineated. ⋯ We include in this review a potential area for improvement and further research for anesthesiologists, the preanesthesia induction timeout. This crucial period of any anesthetic involves a high workload and is often the most hurried; this combination may be setting practitioners up to make errors. We suggest the use of checklists and timeouts to formalize this period and propose a useful seven-point list of crucial items and events needed before each anesthetic.
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled TrialCombined use of crystalloid preload and low dose spinal anesthesia for preventing hypotension in spinal anesthesia for cesarean delivery: a randomized controlled trial.
Spinal anaesthesia for caesarean section is commonly associated with hypotension and crystalloid preload is widely recommended. Low-dose spinal appears to cause less hypotension. The aim of this study was to investigate whether the combined use of crystalloid preload and low dose spinal anaesthesia might further reduce the rates of hypotension. ⋯ Crystalloid preload combined with low-dose spinal anaesthesia do not reduce the incidence of hypotension nor its severity.
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Middle East J Anaesthesiol · Jun 2010
Case ReportsHorner's syndrome after lumbar epidural analgesia during labor.
Horner's syndrome is rarely reported after epidural analgesia during labor. The use of Top-Up local anesthetic for controlling labor pain in the first stage of labor, or to dense the block in caesarean deliveries can result in this complication. ⋯ The case was clinically evident and was successfully managed by stopping the epidural infusion, and reassuring the parturient as well as the family; until the disappearance of the signs and symptoms. The infusion was then restarted, delivery was uneventful and no consequent neurological or psychological problems were noticed after a one-month follow-up.