Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2009
Randomized Controlled TrialSuccinylcholine-induced myalgia in obstetric patients scheduled for caesarean section--diclofenac vs placebo patches.
Succinylcholine-induced myalgia is a minor but frequent complication. Its incidence and severity is different according to the studied population. The aim of this study was evaluation of the diclofenac patch effect on postoperative succinylcholine-related myalgia in cesarean section. ⋯ Diclofenac patch is effective and safe in the prevention of postoperative succinylcholine induced myalgia after cesarean section.
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Middle East J Anaesthesiol · Oct 2009
Randomized Controlled TrialCombination therapy in the prevention of PONV after strabismus surgery in children: granisetron, ondansetron, midazolam with dexamethasone.
Pediatric strabismus surgery is commonly associated with higher incidence of postoperative nausea and vomiting (PONV). Mixtures of different classes of antiemetics have been used successfully to decrease the incidence of PONV but there was no agreement on the optimal combination. The aim of this study was to investigate the effect of granisetron, ondansetron, midazolam combination with dexamethasone in the prevention of PONV following strabismus repair in pediatric population. ⋯ Prophylactic administration of either of either granisetron, ondansetron, midazolam combined with dexamethasone markedly decreases the incidence of PONV following strabismus surgery in pediatrics. All combinations are equally effective.
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Middle East J Anaesthesiol · Jun 2009
Controlled Clinical TrialEffects of sevoflurane on postoperative liver functions in morbidly obese as compared to the non-obese patients.
To assess the effect of sevoflurane anesthesia on hepatic function in morbidly obese versus non-obese patients undergoing abdominal surgeries. ⋯ Sevoflurane induces elevation of the serum liver enzymes in morbidly obese patients with variable onsets.
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Middle East J Anaesthesiol · Jun 2009
Controlled Clinical TrialPediatric cancer pain management at a regional cancer center: implementation of WHO Analgesic Ladder.
To collect data on the prevalence of various types of cancer pain in a sample of children with cancer, and to implement the WHO Analgesic Ladder in the management of pain in pediatric cancer. ⋯ Cancer pain in pediatric age group can be well managed in accordance with the WHO Analgesic Ladder. Aggressive symptoms and control of treatment of related side effect are also needed to ensure successful implementation and the WHO Analgesic Ladder.
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Middle East J Anaesthesiol · Jun 2009
Case ReportsIntubation-induced tracheal stenosis -- the urgent need for permanent solution.
The most common site for the occurrence of intubation-induced tracheal damage is at the area in contact with the inflatable cuff. After the change from high-pressure to low-pressure cuffs, major tracheal lesions still continue to occur. This is a case of tracheal stenosis that occurred after 7 days of intubation with standard cuffed tube whose cuff pressure was assessed by subjective means. ⋯ A month later, the patient had another cardiac arrest from which he did not recover. Our message in this report is to throw light and alert clinicians involved in tracheal intubation, of the presence of the Lanz endotracheal tube whose pilot balloon is designed to automatically regulate the intra-cuff pressure and thus prevent the occurrence of tracheal stenosis due to high pressure. We strongly recommend the presence of Lanz tracheal tubes as standard emergency equipment in intensive care settings and in any situation in which cuff pressure is likely to increase.