Pub Date : 2024-01-01DOI: 10.33545/26643766.2024.v7.i1a.450
Raghda Mohammed Foad, Amr Arfa Mohammed Elbadry, S. A. Ismaiel, Salah-Eldin Ibrahim Elsherief, Hala Mohey EI-Deen Mohamed EI-Gendy
{"title":"The effect of clavipectoral fascia plane block or interscalene brachial block on the postoperative analgesia after clavicle surgery: Randomized controlled study","authors":"Raghda Mohammed Foad, Amr Arfa Mohammed Elbadry, S. A. Ismaiel, Salah-Eldin Ibrahim Elsherief, Hala Mohey EI-Deen Mohamed EI-Gendy","doi":"10.33545/26643766.2024.v7.i1a.450","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i1a.450","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140519778","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4a.435
Yahia Hatem Kazum Al Bayati
{"title":"The role of ozone and its potentiating effect on steroids and vesicosupplement injections for knee osteoarthritis","authors":"Yahia Hatem Kazum Al Bayati","doi":"10.33545/26643766.2023.v6.i4a.435","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.435","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331361","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4b.438
Ahmed Reda Elreweny, Maram Ibrahem Elmazny, Jehan Mohammad Darwish, H. Ezz, Kamal Eldin Ali Hikel
{"title":"Effect of different fluid therapies on postoperative pulmonary complications in neurosurgical patients","authors":"Ahmed Reda Elreweny, Maram Ibrahem Elmazny, Jehan Mohammad Darwish, H. Ezz, Kamal Eldin Ali Hikel","doi":"10.33545/26643766.2023.v6.i4b.438","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4b.438","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331420","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4a.429
Dina Abdel Monem Elfeky, Ashraf Elsayed Alzeftawy, Mohamed Samir Abdel Ghafar, Motaz Amr Abdel Moez
Background: Insufficient management of postoperative pain has been shown to be correlated with prolonged hospitalization, escalated healthcare expenses, disrupted sleep patterns, heightened risk of depression, compromised functional abilities, and a worse quality of life. The objective of this research is to assess the efficacy of duloxetine in managing postoperative pain following radical mastectomy.Methods: This prospective randomised controlled work was performed on (40) individuals scheduled for modified radical mastectomy in Tanta University Hospital. The criteria for inclusion for this study consisted of adult female patients between the ages of 18 and 60 who were scheduled to have a modified radical mastectomy (MRM), ASA I, II and III. A total of 20 participants were recruited for this research, with an equal number of participants being randomly assigned to each of the two groups. The process of randomization was conducted using a computer-generated method. The patients were allocated by closed envelop into 2 groups: Group (1) (control group): Participants received 500 mg of IV acetaminophen (every 6 hours post operatively). Group (2): Participants received duloxetine 30 mg every 12 h for 3 days prior to operation, 30 mg 2 h prior to surgery and 30 mg 12 h following surgery and 500 mg of IV acetaminophen (every 6 hours following surgery).Results: There was significant decrease at 2,4,6,18,30,36 and 48 h in group 2 contrasted to group 1 (P value <0.001) and statistically insignificant difference in postoperative HR at baseline, PACU, 12, 24 and 42 h among both groups. A substantial decrease in postoperative MAP was existed at 2,4,6,18,30,36 and 48 h in group 2 contrasted to group 1 and statistically insignificant difference at baseline, PACU, 12, 24 and 42 h among both groups (P value <0.001). A statistically substantial decrease in intraoperative fentanyl consumption was existed in group 2 compared to groups 1 (P value <0.001). There was substantial decrease in VAS at 2,4,6,18,30,36 and 48 hours in group 2 contrasted to group 1 (P value<0.05). The satisfied patients in group 2 were significantly higher in group 2 compared to group 1.Conclusions: The current work showed that the use of perioperative duloxetine was safe and effective in controlling pain after modified radical mastectomy.
背景:术后疼痛管理不足与住院时间延长、医疗费用增加、睡眠模式紊乱、抑郁风险增加、功能能力受损和生活质量下降有关。本研究的目的是评估度洛西汀治疗根治性乳房切除术后疼痛的疗效。方法:这项前瞻性随机对照研究在坦塔大学医院进行了40例计划进行改良乳房根治术的患者。纳入本研究的标准包括年龄在18至60岁之间的成年女性患者，她们计划接受改良乳房根治术(MRM)， ASA I, II和III。这项研究共招募了20名参与者，两组中随机分配了相同数量的参与者。随机化过程采用计算机生成方法进行。采用密闭包膜法将患者分为两组:1组(对照组):术后每6小时静脉滴注对乙酰氨基酚500 mg。组(2):术前3天每12小时给予度洛西汀30 mg，术前2小时30 mg，术后12小时30 mg，术后每6小时静脉给予对乙酰氨基酚500 mg。结果:2组术后2、4、6、18、30、36、48 h与1组比较，差异均有统计学意义(P值<0.001)，两组术后基线、PACU、12、24、42 h HR差异均无统计学意义。2组术后2、4、6、18、30、36、48 h MAP较1组明显降低，两组基线、PACU、12、24、42 h差异无统计学意义(P值<0.001)。2组术中芬太尼用量明显低于1组(P值<0.001)。2组VAS评分在2、4、6、18、30、36、48 h较1组明显降低(P值<0.05)。2组患者满意度明显高于1组。结论:改良乳房根治术后围手术期应用度洛西汀控制疼痛安全有效。
{"title":"Duloxetine for post-operative analgesia after modified radical mastectomy: A prospective randomized study","authors":"Dina Abdel Monem Elfeky, Ashraf Elsayed Alzeftawy, Mohamed Samir Abdel Ghafar, Motaz Amr Abdel Moez","doi":"10.33545/26643766.2023.v6.i4a.429","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.429","url":null,"abstract":"Background: Insufficient management of postoperative pain has been shown to be correlated with prolonged hospitalization, escalated healthcare expenses, disrupted sleep patterns, heightened risk of depression, compromised functional abilities, and a worse quality of life. The objective of this research is to assess the efficacy of duloxetine in managing postoperative pain following radical mastectomy.Methods: This prospective randomised controlled work was performed on (40) individuals scheduled for modified radical mastectomy in Tanta University Hospital. The criteria for inclusion for this study consisted of adult female patients between the ages of 18 and 60 who were scheduled to have a modified radical mastectomy (MRM), ASA I, II and III. A total of 20 participants were recruited for this research, with an equal number of participants being randomly assigned to each of the two groups. The process of randomization was conducted using a computer-generated method. The patients were allocated by closed envelop into 2 groups: Group (1) (control group): Participants received 500 mg of IV acetaminophen (every 6 hours post operatively). Group (2): Participants received duloxetine 30 mg every 12 h for 3 days prior to operation, 30 mg 2 h prior to surgery and 30 mg 12 h following surgery and 500 mg of IV acetaminophen (every 6 hours following surgery).Results: There was significant decrease at 2,4,6,18,30,36 and 48 h in group 2 contrasted to group 1 (P value <0.001) and statistically insignificant difference in postoperative HR at baseline, PACU, 12, 24 and 42 h among both groups. A substantial decrease in postoperative MAP was existed at 2,4,6,18,30,36 and 48 h in group 2 contrasted to group 1 and statistically insignificant difference at baseline, PACU, 12, 24 and 42 h among both groups (P value <0.001). A statistically substantial decrease in intraoperative fentanyl consumption was existed in group 2 compared to groups 1 (P value <0.001). There was substantial decrease in VAS at 2,4,6,18,30,36 and 48 hours in group 2 contrasted to group 1 (P value<0.05). The satisfied patients in group 2 were significantly higher in group 2 compared to group 1.Conclusions: The current work showed that the use of perioperative duloxetine was safe and effective in controlling pain after modified radical mastectomy.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136200027","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4a.427
Ayman Abdelmaksoud Yousef, Gehan Morsy Eid, Wail Ebrahim Messbah, Eman Ahmed Azzam
Background: Pediatric patients are susceptible to significant levels of stress and anxiety during the phase of perioperative. The use of sedative premedication has the potential to mitigate the levels of anxiety and emotional distress experienced by individuals. The use of dexmedetomidine and midazolam as preoperative sedatives for pediatric patients has been more prevalent in recent years. However, the impact of these sedatives on postoperative respiratory adverse events (PRAEs) remains uncertain.Objectives and Aims: The objective of this research is to assess the effectiveness of intranasal dexmedetomidine as a premedication for general anesthesia in pediatric patients who are having adenotonsillectomy and have respiratory comorbidities.Methods and Subjects: The present research was conducted at Tanta University Hospitals, specifically in the Department of Anesthesiology. It used a prospective double-blind randomized controlled trial (RCT) and focused on pediatric patients who were scheduled to undergo adenotonsillectomy and had a recent mild infection of upper respiratory tract.Results: A statistically important variance was observed among the groups under study in terms of Total PRAEs. Additionally, a comparison among the two group’s revealed differences in heart rate (HR), excluding the baseline HR, as well as at fifteen minutes post sedation, thirty minutes post sedation, at induction, fifteen minutes intraoperatively, and thirty minutes intraoperatively in terms of mean arterial blood pressure (MAP) measured in millimeters of mercury (mmHg).Conclusion: The results of this research indicate that intranasal administration of dexmedetomidine might effectively induce sedation before to surgery and perhaps mitigate the risk of PRAEs.
{"title":"The effect of intranasal dexmedetomidine premedication in children undergoing adenotonsillectomy suffering from recent mild upper respiratory tract infection","authors":"Ayman Abdelmaksoud Yousef, Gehan Morsy Eid, Wail Ebrahim Messbah, Eman Ahmed Azzam","doi":"10.33545/26643766.2023.v6.i4a.427","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.427","url":null,"abstract":"Background: Pediatric patients are susceptible to significant levels of stress and anxiety during the phase of perioperative. The use of sedative premedication has the potential to mitigate the levels of anxiety and emotional distress experienced by individuals. The use of dexmedetomidine and midazolam as preoperative sedatives for pediatric patients has been more prevalent in recent years. However, the impact of these sedatives on postoperative respiratory adverse events (PRAEs) remains uncertain.Objectives and Aims: The objective of this research is to assess the effectiveness of intranasal dexmedetomidine as a premedication for general anesthesia in pediatric patients who are having adenotonsillectomy and have respiratory comorbidities.Methods and Subjects: The present research was conducted at Tanta University Hospitals, specifically in the Department of Anesthesiology. It used a prospective double-blind randomized controlled trial (RCT) and focused on pediatric patients who were scheduled to undergo adenotonsillectomy and had a recent mild infection of upper respiratory tract.Results: A statistically important variance was observed among the groups under study in terms of Total PRAEs. Additionally, a comparison among the two group’s revealed differences in heart rate (HR), excluding the baseline HR, as well as at fifteen minutes post sedation, thirty minutes post sedation, at induction, fifteen minutes intraoperatively, and thirty minutes intraoperatively in terms of mean arterial blood pressure (MAP) measured in millimeters of mercury (mmHg).Conclusion: The results of this research indicate that intranasal administration of dexmedetomidine might effectively induce sedation before to surgery and perhaps mitigate the risk of PRAEs.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977456","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4a.436
Ahmed A Abdel Wahed, M. S. Abdelghany, Shaimaa F. Mostafa, Osama M Shalaby, A. Eldaba
{"title":"Intraoperative fluid management of large volume liposuction surgery, cardiometry guided stroke volume variation versus Rohrich formula, a prospective randomized trial","authors":"Ahmed A Abdel Wahed, M. S. Abdelghany, Shaimaa F. Mostafa, Osama M Shalaby, A. Eldaba","doi":"10.33545/26643766.2023.v6.i4a.436","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.436","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331472","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4b.439
Alaa Eid Abd Elkader, A. Elgebaly, Mohamed Ahmed Lotfy
{"title":"Continuous insulin infusion versus sliding scale for perioperative glycemic control in diabetic patients undergoing elective hip arthroplasty","authors":"Alaa Eid Abd Elkader, A. Elgebaly, Mohamed Ahmed Lotfy","doi":"10.33545/26643766.2023.v6.i4b.439","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4b.439","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327447","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4a.431
Amer Bahir Soliman, Wafaa Madhy Attia, Attia Gad Elhaq Ebrahim, M. E. Okab
{"title":"Difficult intubation predictors in obstructive sleep apnea patient","authors":"Amer Bahir Soliman, Wafaa Madhy Attia, Attia Gad Elhaq Ebrahim, M. E. Okab","doi":"10.33545/26643766.2023.v6.i4a.431","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.431","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330720","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 : 2023-10-01DOI: 10.33545/26643766.2023.v6.i4a.433
Marwa Mosad Elgohary, Sameh Mohamed Refat Alshehdawy, N. S. El-shmaa, Ashraf Elsayed El Zeftawy, Kamal Eldeen Ali Heikal
{"title":"Comparative study of three different techniques for postoperative analgesia after abdominal hysterectomy","authors":"Marwa Mosad Elgohary, Sameh Mohamed Refat Alshehdawy, N. S. El-shmaa, Ashraf Elsayed El Zeftawy, Kamal Eldeen Ali Heikal","doi":"10.33545/26643766.2023.v6.i4a.433","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.433","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327703","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}
Background: Managing pain in patients with rib fractures poses significant challenges, the medical community has developed ultrasound (US)-guided myofascial plane blocks. These blocks have shown to be a useful method of delivering analgesia while minimizing the occurrence of unwanted effects. The objective of this research is to compare and evaluate the analgesic efficacy of US-guided rhomboid intercostal block in combination with sub-serratus plane block (RISS) with that of US-guided thoracic erector spinae block (ESPB) in patients with numerous rib fractures.Methods:A comparative prospective randomized double-blind study involving 90 patients who had sustained unilateral multiple fractures (≥ three ribs) was conducted.Patients were categorized equally into 2 groups. Group I: received ESPB in the form of a bolus dose of 30 mL of bupivacaine 0.25% and group II: received RISS block using a mixture of 30 ml of bupivacaine 0.25%. Results: Total morphine consumption during the first 24 hours was significantly high in ESPB group. The time to first analgesic requirement was significantly short in ESPB group.Peak expiratory flow rate in ESPB group and RISS group showed significant elevation at 30 min and 6 hrs., 12 hr. and 24 hr. post block as compared to admission, while it showed significant elevation at 12 hrs in RISS group as compared to ESPB group. Numerical pain rating scale was significantly higher in ESPB group at 12 hours. Conclusions: RISS block is more effective for pain relief at 12 hours, for increasing time to first analgesic requirement and for decreasing total morphine consumption than ESPB.
{"title":"Analgesic effect of rhomboid intercostal block with sub serratus plane block versus thoracic erector Spinae block in multiple rib fractures: A randomized study","authors":"Hazem Ebrahim Gamea, Wafaa Madhy Attia, Hesham Mohammed Marouf, Jehan Mohamed Darwish","doi":"10.33545/26643766.2023.v6.i4a.430","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i4a.430","url":null,"abstract":"Background: Managing pain in patients with rib fractures poses significant challenges, the medical community has developed ultrasound (US)-guided myofascial plane blocks. These blocks have shown to be a useful method of delivering analgesia while minimizing the occurrence of unwanted effects. The objective of this research is to compare and evaluate the analgesic efficacy of US-guided rhomboid intercostal block in combination with sub-serratus plane block (RISS) with that of US-guided thoracic erector spinae block (ESPB) in patients with numerous rib fractures.Methods:A comparative prospective randomized double-blind study involving 90 patients who had sustained unilateral multiple fractures (≥ three ribs) was conducted.Patients were categorized equally into 2 groups. Group I: received ESPB in the form of a bolus dose of 30 mL of bupivacaine 0.25% and group II: received RISS block using a mixture of 30 ml of bupivacaine 0.25%. Results: Total morphine consumption during the first 24 hours was significantly high in ESPB group. The time to first analgesic requirement was significantly short in ESPB group.Peak expiratory flow rate in ESPB group and RISS group showed significant elevation at 30 min and 6 hrs., 12 hr. and 24 hr. post block as compared to admission, while it showed significant elevation at 12 hrs in RISS group as compared to ESPB group. Numerical pain rating scale was significantly higher in ESPB group at 12 hours. Conclusions: RISS block is more effective for pain relief at 12 hours, for increasing time to first analgesic requirement and for decreasing total morphine consumption than ESPB.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136246753","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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