Pub Date : 2024-01-09DOI: 10.1080/11101849.2024.2302278
Aliaa Rabie, Ahmed Mohamed Ahmed Elshafie
{"title":"Intrathecal levo-bupivacaine versus hyperbaric bupivacaine for inguinal hernia repairs in ex-preterm infants: A double blinded randomized prospective study","authors":"Aliaa Rabie, Ahmed Mohamed Ahmed Elshafie","doi":"10.1080/11101849.2024.2302278","DOIUrl":"https://doi.org/10.1080/11101849.2024.2302278","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"10 8","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-07DOI: 10.1080/11101849.2023.2301218
Yasser Essam Elfeil, Ahmed Ragab Zarad, E. Deghidy
{"title":"Comparison of two different methods as reliable predictors of successful caudal block in children","authors":"Yasser Essam Elfeil, Ahmed Ragab Zarad, E. Deghidy","doi":"10.1080/11101849.2023.2301218","DOIUrl":"https://doi.org/10.1080/11101849.2023.2301218","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"66 46","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139448831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-04DOI: 10.1080/11101849.2023.2300852
Sherif Mohammed El-Hadi, Abd Alkader Zakria Abd Alkader, Reham Abdel Haleem Abo Elwafa, Ehab Darwish Mohamed, Rania Abo Elfetouh Abdel Azim
{"title":"Effect of sevoflurane versus propofol on early cognitive functions in elderly patients after lumbar disc surgery","authors":"Sherif Mohammed El-Hadi, Abd Alkader Zakria Abd Alkader, Reham Abdel Haleem Abo Elwafa, Ehab Darwish Mohamed, Rania Abo Elfetouh Abdel Azim","doi":"10.1080/11101849.2023.2300852","DOIUrl":"https://doi.org/10.1080/11101849.2023.2300852","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"12 6","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139384467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-29DOI: 10.1080/11101849.2023.2298068
Salwa Omar El Khattab Amin, A. A. Fawaz, Hany Magdy Fahim Hana, Amr Badawy Mahmoud Badawy Elkolfat
{"title":"Muscle wasting assessed by ultrasound versus scoring systems as early predictor of outcomes of intensive care unit stay in critically ill patients","authors":"Salwa Omar El Khattab Amin, A. A. Fawaz, Hany Magdy Fahim Hana, Amr Badawy Mahmoud Badawy Elkolfat","doi":"10.1080/11101849.2023.2298068","DOIUrl":"https://doi.org/10.1080/11101849.2023.2298068","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":" 15","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139144022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-26DOI: 10.1080/11101849.2023.2297327
Aya Hisham Moussa Ahmad, Amr A. Kasem, Mohamed Ahmed Ahmed Tolba
{"title":"Posterior quadratus lumborum versus caudal epidural block for perioperative analgesia in pediatric patients undergoing upper abdominal surgeries: Arandomized, double-blind trial","authors":"Aya Hisham Moussa Ahmad, Amr A. Kasem, Mohamed Ahmed Ahmed Tolba","doi":"10.1080/11101849.2023.2297327","DOIUrl":"https://doi.org/10.1080/11101849.2023.2297327","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"11 3","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-23DOI: 10.1080/11101849.2023.2294517
Heba Omar, Mohamed Hussein Helmy, Michael Wahib, Ahmed Abdalla Mohamed, Sahr Marzouk, Ashraf Mohamed Abdelreheem
{"title":"The effect of type of anesthesia (general versus spinal) on postoperative levels of brain natriuretic peptide in parturient women with cardiovascular diseases undergoing cesarean section and related cardiac impacts","authors":"Heba Omar, Mohamed Hussein Helmy, Michael Wahib, Ahmed Abdalla Mohamed, Sahr Marzouk, Ashraf Mohamed Abdelreheem","doi":"10.1080/11101849.2023.2294517","DOIUrl":"https://doi.org/10.1080/11101849.2023.2294517","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"21 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139161861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-22DOI: 10.1080/11101849.2023.2295047
Mohamed Abdelraheem Mohamed, Hitham M. A. Elsayed, F. Badawy
{"title":"A comparative study of the analgesic efficacy of intraperitoneal instillation of diluted bupivacaine versus non-diluted bupivacaine after laparoscopic cholecystectomy, a prospective single-blinded controlled randomized study","authors":"Mohamed Abdelraheem Mohamed, Hitham M. A. Elsayed, F. Badawy","doi":"10.1080/11101849.2023.2295047","DOIUrl":"https://doi.org/10.1080/11101849.2023.2295047","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"65 4","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139164199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-22DOI: 10.1080/11101849.2023.2296267
Jehan Ahmed Sayed, E. Kamel, Andrew Ezzat Waheeb, Khaled Tolba Younes, Ragai Sobhi Hanna, Mahmoud Mohamed Kamel
{"title":"Antiarrhythmic and analgesic efficacy of stellate ganglion block in laparoscopic cholecystectomy","authors":"Jehan Ahmed Sayed, E. Kamel, Andrew Ezzat Waheeb, Khaled Tolba Younes, Ragai Sobhi Hanna, Mahmoud Mohamed Kamel","doi":"10.1080/11101849.2023.2296267","DOIUrl":"https://doi.org/10.1080/11101849.2023.2296267","url":null,"abstract":"","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"3 7","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.1080/11101849.2023.2278868
Hanan Mohamed Mohamed Mohamed Mostafa, Ahmed Mohamed Mortada Mohamed, Ahmed Mukhtar, Alaa Bahaa Taha, Heba Bakr, Sara Farouk Kasem Habib
ABSTRACT Introduction For neurological testing and monitoring of traumatic brain injury (TBI) patients whose verbal component of the Glasgow Coma Scale (GCS) cannot be assessed, the Full Outline of Unresponsiveness (FOUR) score has been established. In order to determine the degree of awareness in patients with traumatic brain injury, this study will correlate the FOUR score with the bispectral index (BIS) and global consciousness score (GCS). Methods Twenty TBI patients with traumatic brain injury who were hospitalised to the surgical ICU at Cairo University Hospital participated in our prospective observational research. An observer who was blind to the BIS values assessed each of the FOUR scores and GCS (Covidien BIS complete monitoring system, Mansfield, MA, USA). Each patient provided four sets of readings. Spearman’s correlation coefficient was used to perform a correlation between the FOUR score, GCS, and BIS (r). Results There was a significant correlation between BIS and FOUR score (r = 0.854, 95% confidence interval: 0.780–0.904) (P < 0.001). There was also a significant correlation between BIS and GCS (r = 0.864, 95% confidence interval: 0.795–0.911) (P < 0.001). Conclusion There is a strong correlation between FOUR score, GCS, and BIS values in patients with traumatic brain injury. FOUR score seems a reliable alternative for GCS and BIS in the assessment of degree of consciousness, especially in intubated patients.
ABSTRACT 引言 对于无法评估格拉斯哥昏迷量表（GCS）言语部分的创伤性脑损伤（TBI）患者的神经测试和监测，已经建立了无反应全轮廓（FOUR）评分。为了确定脑外伤患者的意识程度，本研究将把 FOUR 评分与双光谱指数（BIS）和总体意识评分（GCS）相关联。方法 20 名在开罗大学医院外科重症监护室住院的创伤性脑损伤患者参加了我们的前瞻性观察研究。由一名对 BIS 值视而不见的观察员评估每项 FOUR 评分和 GCS（Covidien BIS 完整监测系统，美国马萨诸塞州曼斯菲尔德）。每位患者提供四组读数。采用斯皮尔曼相关系数对 FOUR 评分、GCS 和 BIS（r）进行相关性分析。结果 BIS 和 FOUR 评分之间存在明显的相关性（r = 0.854，95% 置信区间：0.780-0.904）（P < 0.001）。BIS 和 GCS 之间也存在明显相关性（r = 0.864，95% 置信区间：0.795-0.911）（P < 0.001）。结论 脑外伤患者的 FOUR 评分、GCS 和 BIS 值之间存在很强的相关性。在评估意识程度时，FOUR 评分似乎是 GCS 和 BIS 的可靠替代方案，尤其是在插管患者中。
{"title":"Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study","authors":"Hanan Mohamed Mohamed Mohamed Mostafa, Ahmed Mohamed Mortada Mohamed, Ahmed Mukhtar, Alaa Bahaa Taha, Heba Bakr, Sara Farouk Kasem Habib","doi":"10.1080/11101849.2023.2278868","DOIUrl":"https://doi.org/10.1080/11101849.2023.2278868","url":null,"abstract":"ABSTRACT Introduction For neurological testing and monitoring of traumatic brain injury (TBI) patients whose verbal component of the Glasgow Coma Scale (GCS) cannot be assessed, the Full Outline of Unresponsiveness (FOUR) score has been established. In order to determine the degree of awareness in patients with traumatic brain injury, this study will correlate the FOUR score with the bispectral index (BIS) and global consciousness score (GCS). Methods Twenty TBI patients with traumatic brain injury who were hospitalised to the surgical ICU at Cairo University Hospital participated in our prospective observational research. An observer who was blind to the BIS values assessed each of the FOUR scores and GCS (Covidien BIS complete monitoring system, Mansfield, MA, USA). Each patient provided four sets of readings. Spearman’s correlation coefficient was used to perform a correlation between the FOUR score, GCS, and BIS (r). Results There was a significant correlation between BIS and FOUR score (r = 0.854, 95% confidence interval: 0.780–0.904) (P < 0.001). There was also a significant correlation between BIS and GCS (r = 0.864, 95% confidence interval: 0.795–0.911) (P < 0.001). Conclusion There is a strong correlation between FOUR score, GCS, and BIS values in patients with traumatic brain injury. FOUR score seems a reliable alternative for GCS and BIS in the assessment of degree of consciousness, especially in intubated patients.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"16 8 1","pages":"943 - 946"},"PeriodicalIF":0.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139208598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-29DOI: 10.1080/11101849.2023.2283344
R. Mohamed, Ahmed Aboelhasan Eid, Jehan Mohammad Darwish Hamed
ABSTRACT Background Propofol-based sedations are used widely during endoscopic retrograde cholangiopancreatography (ERCP) procedures. However, respiratory depression and cardiovascular adverse events commonly occur. Therefore, we designed this study to evaluate the effects of adding a single boules induction dose of fentanyl or magnesium sulphate to propofol infusion for sedation of patients subjected to ERCP. Methods This randomized parallel double-blind controlled trial included 60 adult patients scheduled for ERCP procedures. Before starting the propofol infusion, patients immediately received either magnesium sulphate 50 mg.kg−1 intravenously (IV) over 10 min (Group M) (n = 30) or fentanyl 2 µg.kg−1 IV over 10 min (Group F) (n- = 30). Continuous propofol infusion was given with a syringe pump for maintenance, with the initial rate set at 25–75 mic/kg/min IV during the first 10–15 min. Results The magnesium group had significantly reduced the total propofol consumption and increased the onset time of sedation than the fentanyl group (P < 0.05). Heart rate and mean arterial pressure were statistically lower after adjuvant bolus injection and 15 min in the magnesium group than in the fentanyl group (P < 0.001). Procedure time, involuntary movement, physician satisfaction, and complications exhibited no significant differences between both groups. Conclusions During ERCP, adding a single bolus of magnesium sulphate to propofol was associated with a lower total propofol consumption and better hemodynamics than fentanyl but with a delayed onset time of sedation and comparable respiratory depression.
{"title":"A comparison between magnesium sulphate and fentanyl as adjuvants to propofol infusion for sedation in endoscopic retrograde cholangiopancreatography: A randomized controlled trial","authors":"R. Mohamed, Ahmed Aboelhasan Eid, Jehan Mohammad Darwish Hamed","doi":"10.1080/11101849.2023.2283344","DOIUrl":"https://doi.org/10.1080/11101849.2023.2283344","url":null,"abstract":"ABSTRACT Background Propofol-based sedations are used widely during endoscopic retrograde cholangiopancreatography (ERCP) procedures. However, respiratory depression and cardiovascular adverse events commonly occur. Therefore, we designed this study to evaluate the effects of adding a single boules induction dose of fentanyl or magnesium sulphate to propofol infusion for sedation of patients subjected to ERCP. Methods This randomized parallel double-blind controlled trial included 60 adult patients scheduled for ERCP procedures. Before starting the propofol infusion, patients immediately received either magnesium sulphate 50 mg.kg−1 intravenously (IV) over 10 min (Group M) (n = 30) or fentanyl 2 µg.kg−1 IV over 10 min (Group F) (n- = 30). Continuous propofol infusion was given with a syringe pump for maintenance, with the initial rate set at 25–75 mic/kg/min IV during the first 10–15 min. Results The magnesium group had significantly reduced the total propofol consumption and increased the onset time of sedation than the fentanyl group (P < 0.05). Heart rate and mean arterial pressure were statistically lower after adjuvant bolus injection and 15 min in the magnesium group than in the fentanyl group (P < 0.001). Procedure time, involuntary movement, physician satisfaction, and complications exhibited no significant differences between both groups. Conclusions During ERCP, adding a single bolus of magnesium sulphate to propofol was associated with a lower total propofol consumption and better hemodynamics than fentanyl but with a delayed onset time of sedation and comparable respiratory depression.","PeriodicalId":11437,"journal":{"name":"Egyptian Journal of Anaesthesia","volume":"313 1","pages":"936 - 942"},"PeriodicalIF":0.8,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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