Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled Trial Comparative StudyEvaluation of the tourniquet leak during forearm intravenous regional anesthesia -- manual vs automatic pump injection.
The present study was conducted to compare the effect of pump injection versus manual injection on the venous pressure, during forearm intravenous regional anesthesia (IVRA) and the incidence and the magnitude of lidocaine leak. ⋯ The use of pump injection for forearm IVRA could significantly decrease the maximum venous pressure, and decrease the incidence and the magnitude of lidocaine leak past the tourniquet.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled Trial Comparative StudyTime to extubation in infants undergoing pyloromyotomy -- isoflurane inhalation vs remifentanil infusion.
Infantile hypertrophic pyloric stenosis (IHPS) associated with metabolic alkalosis, could induce late anesthesia recovery, especially when opioids are used. The aim of this study was to compare the time of extubation and the quality of perioperative analgesia in infants scheduled for pyloromyotomy, receiving either isoflurane inhalation or remifentanil infusion. ⋯ Remifentanil provided better intraoperative analgesia than isoflurane in infants undergoing pyloromyotomy without increasing time to extubation.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled TrialThe effect of nitroglycerin as an adjuvant to lidocaine in intravenous regional anesthesia.
The disadvantages of intravenous regional anesthesia (IVRA) include slow onset, poor muscle relaxation, tourniquet pain, and rapid onset of pain after tourniquet deflation. In this randomized, double-blind study, we evaluated the effect of nitroglycerin (NTG) in quality improvement when added to lidocaine in IVRA. ⋯ The NTG adding to lidocaine in intravenous regional anesthesia shortens onset times of sensory and motor block and decreases the tourniquet and postoperative pain, without any side effect.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled TrialIntravenous dexmedetomidine prolongs bupivacaine spinal analgesia.
The prolongation of spinal anesthesia by using clonidine through the oral, intravenous and spinal route has been known. The new alpha 2 agonist, dexmedetomidine has been proved to prolong the spinal anesthesia through the intrathecal route. We hypothesized that dexmedetomidine when administered intravenously following spinal block, also prolongs spinal analgesia. ⋯ Intravenous dexmedetomidine administration prolonged the sensory and motor blocks of bupivacaine spinal analgesia with good sedation effect and hemodynamic stability.
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Middle East J Anaesthesiol · Jun 2009
Patient survey of continuous interscalene analgesia at home after shoulder surgery.
The use of continuous peripheral nerve blocks at home (CPNBH) has improved patients' perioperative experience. In 30 months, 348 patients were sent home with interscalene CPNBH. ⋯ This survey shows that CPNBH results in low pain scores and a low incidence of side effects. Many patients commented positively on their overall impression of their anesthesia care, particularly the level of attention that they received. This highlights the low incidence of those complications and neural injury.