La Tunisie médicale
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La Tunisie médicale · May 2008
Randomized Controlled TrialClinical benefits related to the combination of ketamine with morphine for patient controlled analgesia after major abdominal surgery.
combination of ketamine may improve morphine patient controlled analgesia (PCA) but clinical results are still equivocal. ⋯ The combination of ketamine with morphine in PCA after major abdominal surgery offers a reduction of the morphine consumption, a reduction of pain scores and a decrease in the incidence of adverse effects.
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Sarcoidosis is a systemic disease, of unknown etiology, characterized by noncaseating epithelioid granulomas. It may affect many organs mainly lungs, lymph nodes and skin. ⋯ Sarcoidosis is a rare affection in Tunisia that affects mainly females. Cutaneous manifestations incite physicians to carry out complete investigations and to uphold a regular follow-up in order to detect systemic involvement.
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La Tunisie médicale · Feb 2008
Randomized Controlled Trial[A comparison of the effect of oral captopril and nicardipine in hypertensive crisis].
Hypertensive crisis is defined as a severe elevation in blood pressure (BP) without target organ injury. There are few data about the efficacy and safety of comparative oral antihypertensive drugs. ⋯ Oral captopril or nicardipine are efficacy and safe in the treatment of hypertensive crisis.
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La Tunisie médicale · Feb 2008
Randomized Controlled Trial[Patient controlled epidural analgesia: interest in thoracic surgery].
To compare efficacy of pain control, the consumption of local anaesthetics and opioids as well as the side effects between continuous epidural analgesia, patient controlled analgesia and patient controlled epidural analgesia in thoracic surgery. ⋯ The benefit of patient controlled epidural analgesia in thoracic surgery is proven by the following analgesic efficiency which allows good respiratory rehabilitation, decreasing the risk of drug toxicity by decreases consumption, weak hemodynamic effects and absence of motor block.