Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled TrialEffects of dexmedetomidine in morbidly obese patients undergoing laparoscopic gastric bypass.
Obese patients may be sensitive to the respiratory depressant effect of opioid analgesics. Alternative methods for analgesia may be beneficial for management of bariatric surgery. We evaluated the effect of dexmedetomidine on anesthetic requirements during surgery, hemodynamic, recovery profile and morphine use in the postoperative period. ⋯ The intraoperative infusion of dexmedetomidine decreased the total amount of propofol and fentanyl required to maintain anesthesia, offered better control of intraoperative and postoperative hemodynamics, decreased postoperative pain level, decreased the total amount of morphine used and showed better recovery profile compared with placebo.
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Middle East J Anaesthesiol · Oct 2007
Case ReportsIntervertebral disc a source of pain? Low back pain: problems and future directions--case reports.
The objective of this article is to provide evidence supporting the idea that intervertebral disc is a source of low back pain. ⋯ Intervertebral disc is a source of low back pain that is often ignored. No diagnostic test currently exists that can reliably confirm presence of a painful disc. Early diagnosis and treatment of a painful disc may reduce enormous pain and suffering from low back pain.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled Trial Comparative StudyThe impact of music on postoperative pain and anxiety following cesarean section.
The relief of post-cesarean delivery pain is important. Good pain relief improves mobility and reduces the risk of thromboembolic disease, which may have been increased during pregnancy. Pain may impair the mother's ability to optimally care for her infant in the immediate postpartum period and may adversely affect early interactions between mother and infant. It is necessary, therefore that pain relief be safe and effective and results in no adverse neonatal effects during breast-feeding. Music may be considered as a potential method of post cesarean pain therapy due to its noninvasiveness and lack of side effects. In this study we evaluated the effect of intraoperative music under general anesthesia for reducing the postoperative morphine requirements after cesarean section. ⋯ As per conditions of this study, intraoperative Spanish music was not effective in reducing postoperative pain after cesarean section. In addition postoperative morphine requirement, anxiety, and vomiting were not affected by the music during general anesthesia.
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Middle East J Anaesthesiol · Oct 2007
Randomized Controlled Trial Comparative StudyAnalgesia for retrobulbar block--comparison of remifentanil, alfentanil and fentanyl.
The injection of retrobulbar block is associated with significant pain and discomfort. Therefore a short-acting IV analgesic before retrobulbar injection has been advocated. ⋯ Remifentanil 1 microg/kg prior to retrobulbar injection provide excellent hemodynamic stability and ensure analgesia.