Medical journal of the Islamic Republic of Iran
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Med J Islam Repub Iran · Aug 2013
Comparison of pre-operative bilirubin level in simple appendicitis and perforated appendicitis.
Delay in diagnosis and treatment of perforated appendicitis may cause life-threatening complications.The aim of this study was to determine and compare pre-operative total and direct bilirubin levels incases of simple and perforated acute appendicitis in order to improve the clinical decision making. ⋯ Assessment of preoperative total bilirubin is useful for the differential diagnosis of perforatedversus acute simple appendicitis and total bilirubin should be used as an independent parameter in the early diagnosisof appendix perforation.
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Med J Islam Repub Iran · May 2012
Intrathecal fentanyl for prevention of shivering in spinal anesthesia in cesarean section.
Shivering is one of the common problems in spinal anesthesia. The objective of the present study was to evaluate the effect of intrathecal fentanyl (25 µg) on incidence and severity of intraoperative and postoperative shivering. ⋯ Intrathecal bupivacaine combined with fentanyl is associated with a lower incidence and severity of shivering.