Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled Trial Comparative StudyAnesthesia for laparoscopic cholecystectomy: comparative evaluation--desflurane/sevoflurane vs. propofol.
Laparoscopic techniques, have rapidly increased in popularity because of its various benefits. They are widely used in day-case surgical operations and are extensively published. However, postoperative nausea vomiting (PONV) is a commonly observed phenomenon after laparoscopic procedures. ⋯ Even though there were no statistically significant differences among the groups regarding PONV, the number of patients who had PONV in group P was lower. Early recovery time was shortest in group D, while delayed recovery time had no differences. It may be said that these anesthetic drugs have no statistically significant difference for PONV and delayed recovery.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled TrialDoes epidural increase the incidence of cesarean delivery or instrumental labor in Saudi populations?
This is a retrospective review of the medical records of 861 patients admitted for vaginal delivery. Patients were randomized to either epidural analgesia or other analgesic methods of pain relief for labor pains. The primary purpose of this study was to evaluate the effect of epidural analgesia on the rate of cesarean section delivery. ⋯ Epidural analgesia is an effective method of pain relief during labor compared to the other analgesic methods of labor pain relief, and it does not increase the incidence of cesarean section deliveries.
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Middle East J Anaesthesiol · Oct 2007
Intraoperative awareness--a three year prospective study using bispectral index monitor (BIS).
Patients who experience awareness under surgery may suffer from the post-traumatic stress disorder (PTSD) with its long-lasting psychological damage. In addition, there are also media attention and legal consequences. In spite of understanding its causes, it is still occurring worldwide. ⋯ All patients were interviewed in the postoperative period. There was no report of awareness during the course of surgery. Pre-and intraoperative anesthetic attention to patients presented for surgery, together with the use of modern anesthetic delivery units possessing facilities for monitoring BIS, and anesthetic gases, and the provision of good analgesia, are the most important combination in eliminating awareness during surgery.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled TrialHemodynamic variation following induction and tracheal intubation--thiopental vs propofol.
Hemodynamic variations are inevitable during induction of anesthetic drugs. The present study, investigates the hemodynamic variations of two different drugs used for induction; Thiopental vs. Propofol. ⋯ We conclude that Propofol causes less hemodynamic changes compared to Thiopental. Therefore, we recommend Propofol especially when dealing with hemodynamically compromised patients.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled TrialPainless injection of propofol: pretreatment with ketamine vs thiopental, meperidine, and lidocaine.
Propofol, a commonly used anesthetic, often causes pain on injection. Several methods have been described to reduce this pain, however, complete inhibition has not been achieved. Our randomized, placebo controlled, double blind study has been conducted to compare the analgesic efficacy of iv pretreatment of ketamine, meperidine, thiopental, lidocaine to minimize the injection pain of propofol. 125 patients ASA I and II were randomly allocated into 5 groups and received. ⋯ All treatment groups had a significantly lower incidence of pain than placebo group (p <0.05). However, it has been observed that pretreatment with ketamine was the most effective in attenuating pain associated with propofol injection (p <0.05). For painless injection of propofol, routine pretreatment with ketamine 0.4 mg/kg along with venous occlusion is recommended.