Saudi journal of anaesthesia
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The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region. ⋯ Our survey provides a contemporary snapshot of the ME thoracic anesthetic practice.
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Regional anesthesia is one of the most satisfying expertise in anesthesia. Nerve stimulation guided peripheral nerve blocks greatly enhance the success rate of block. ⋯ We have proposed a simple innovation to create a nerve stimulation needle at the point of care that would overcome the limitation associated with commercially available needle for nerve stimulation. This innovation may prove instrumental in training of anesthesia residents at no extracost to the patient.
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Acute swelling of the parotid gland after general anesthesia (commonly known as anesthesia mumps or acute postoperative sialadenitis) is a rare but declared complication of anesthesia. The etiology is not clear, but some possible causes such as obstruction of glandular excretory ducts caused by patient position and increase in the viscosity of the saliva because of acute dehydratation and/or medications like atropin have been proposed. We report a swelling in the left preauricular and postauricular region extending to the angle of the mandibule in a 35-year-old patient after left lateral decubitus position for laparoscopic nephrectomy.
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Magnesium has been used as an adjuvant by various routes, including intravenous, intrathecal, and epidural in different dosage regimens. The effect of single bolus dose of magnesium as an adjuvant to fentanyl for postoperative analgesia has not been studied. This prospective randomized controlled trial was done to evaluate the efficacy of single bolus administration of magnesium epidurally as an adjuvant to epidural fentanyl for postoperative analgesia in patients undergoing total hip replacement under combined spinal epidural anesthesia. ⋯ The administration of magnesium (75 mg) as an adjuvant to epidural fentanyl (1 μg/ kg) for postoperative analgesia results in significantly lower VRS with prolonged duration of analgesia as compared with epidural fentanyl (1 μg/kg) alone. Concomitant administration of magnesium also reduces the requirement of breakthrough analgesics with no increased incidence of side effects.