TAP block, needle through introducer approach
Publication date: Available online 3 September 2016 Source:Egyptian Journal of Anaesthesia Author(s): Hani A. Alnajjar Since introduction of transversus abdominis plane (TAP) block to pediatric practice, ultrasonography is considered the standard of care to perform such block in pediatric age group. In spite of the rarity of reported complication of the block in literatures, many practitioners still avoid performing such block in pediatric age group giving the shallow depth of plane and probability of intra-abdominal organs trauma. I am explaining a new approach entailed using Ultrasound (US) guided spinal needle throug...
Source: Egyptian Journal of Anaesthesia - September 3, 2016 Category: Anesthesiology Source Type: research
Awake craniotomy for intracranial lesions: An audit of the anaesthetists ’ initial experience at the University College Hospital, Ibadan
Conclusions This audit showed AC to be a well-tolerated procedure with low rate of complications in our practice, an encouraging prospect for the feasibility of AC for intracranial surgical procedures in developing countries. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 3, 2016 Category: Anesthesiology Source Type: research
Accidental intrathecal administration of dopamine in spinal anaesthesia for caesarean section: A case report
Publication date: Available online 2 September 2016 Source:Egyptian Journal of Anaesthesia Author(s): Udita Naithani, Devendra Verma, Abhilasha Thanvi, Rekha Bayer Inadvertent intrathecal administration of a wrong drug can be a catastrophic event. We are reporting a case of 24year old female patient who underwent elective caesarean section for oligohydramnios. During subarachnoid block resident doctor wrongly loaded 2ml of Dopamine hydrochloride (80mg) in the syringe assuming it to be 0.5% hyperbaric bupivacaine and injected it intrathecally. After 5min there was no sensory-motor blockade and the senior anaesthesiolo...
Source: Egyptian Journal of Anaesthesia - September 2, 2016 Category: Anesthesiology Source Type: research
Dexmedetomidine versus labetalol infusions for controlling emergence hypertension in cranial surgeries for supratentorial tumors
Conclusion Both dexmedetomidine and labetalol had favorable effects on hemodynamics at time of emergence from anesthesia in comparison with control group without prolongation of the time of extubation. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 1, 2016 Category: Anesthesiology Source Type: research
Plasma mitochondrial DNA at admission can predict the outcome of acute trauma patients admitted to ICU
Conclusion High at ED admission plasma ccf-mtDNA levels could predict development of additional morbidities during ICU stay of acute trauma patients and showed high sensitivity for prediction of their survival. Very high plasma ccf-mtDNA levels could predict patients liable to develop ARDS. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 31, 2016 Category: Anesthesiology Source Type: research
Dexmedetomidine in PRES: An appropriate therapeutic decision
We report PRES in a young preeclamptic primigravida and the role of dexmedetomidine in controlling her uncontrollable blood pressure in ICU. Dexmedetomidine, has cerebroprotective cardioprotective and renoprotective properties all of which, helped the patient improving clinically. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 31, 2016 Category: Anesthesiology Source Type: research
The feasibility and acceptability of day case surgery in secondary health facility in Nigeria
Conclusion Day case surgery is feasible, safe and well accepted in our hospital. Other secondary health institutions are encouraged to imbibe the practice and reduce unnecessary hospital admissions in suitable patients. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 31, 2016 Category: Anesthesiology Source Type: research
King vision video laryngoscope: A suitable device for severe ankylosing spondylitis
We report a case of severe ankylosing spondylitis with severe restriction in neck movements and limited mouth opening. Conventional laryngoscopy and endotracheal intubation was impossible in this patient as there was no movement at the atlanto-occipital join. So, we decided to use King Vision™ video laryngoscope for intubation which proved to be of great use. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 31, 2016 Category: Anesthesiology Source Type: research
Outcome of combined peribulbar ropivacaine 0.75% block and general anesthesia for retinal detachment surgery: A randomized controlled study
Conclusions PB block combined with GA improved significantly operating conditions and lower incidence of OCR. Patients in the block group also had better postoperative analgesia. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 29, 2016 Category: Anesthesiology Source Type: research
Choice of sedative for deep brain stimulation in Parkinson ’s disease: Our experience and comparison of two cases
Conclusion The choice of sedation for DBS in PD should take into consideration factors such as patient cooperation, ‘drug off’ state due to pre-op medication stoppage, GABA versus non-GABA mediated mechanism of drugs, amount of dependence on PD drugs, severity of disease and finally requirement of the testing team. No drug can be singled out to be better and must be chosen based on individual merits of the patient and disease. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 27, 2016 Category: Anesthesiology Source Type: research
Continuous spinal anesthesia for elderly patients with cardiomyopathy undergoing lower abdominal surgeries
Conclusion We can conclude that, CSA was effective and safe technique for patients with cardiomyopathy undergoing lower abdominal surgeries. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 26, 2016 Category: Anesthesiology Source Type: research
Fluoroscopy-guided caudal epidural blood patch for relieving post-dural puncture headache after lumbar spine surgery
Conclusions The results indicated that fluoroscopically guided caudal epidural blood patch could treat lower lumbar epidural tear after spinal surgery. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 21, 2016 Category: Anesthesiology Source Type: research
Combination of intravenous dexmedetomidine with topicalization of airway for placement of double lumen tube in a spontaneously breathing patient of giant lung bullae
Publication date: Available online 16 August 2016 Source:Egyptian Journal of Anaesthesia Author(s): Vikas Karne, Karampreet Singh Sembhi Lung bulla occupying more than 30% of hemithorax is described as giant bulla which is now treated surgically with positive outcomes. During intraoperative period, these patients are vulnerable to hyperinflation, hypoxia and hypercarbia due to significantly increased dead space and reduced functional alveoli, gas exchange and oxygen reserve. Real hazard is rupture of bulla, which can lead to life threatening tension pneumothorax if it occurs before lung isolation. Hence, a technique of...
Source: Egyptian Journal of Anaesthesia - August 15, 2016 Category: Anesthesiology Source Type: research
Disturbed fluid responsiveness and lactate/pyruvate ratio as predictors for mortality of septic shock patients
Conclusion After fluid resuscitation and hemodynamic stability, persistently elevated BLL could predict mortality, while elevated BPL could predict survival of septic shock patients. Continuous non-invasive evaluation of fluid responsiveness judged by PVI and SI could provide sensitive screening for survival outcome of shocked patients. Wider scale comparative studies are mandatory for establishment of discriminative PVI and BLL cutoff points for prediction of survival of shocked patients. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 12, 2016 Category: Anesthesiology Source Type: research
Edward ’s syndrome: A rare cause of difficult intubation-utility of left molar approach
Publication date: April 2016 Source:Egyptian Journal of Anaesthesia, Volume 32, Issue 2 Author(s): Teena Bansal, Savita Saini Edward’s syndrome (trisomy 18) is an autosomal abnormality with dysmorphic face, visceral deformities and delayed mental and motor development including congenital heart disease. Challenges may arise during mask ventilation, laryngoscopy and/or intubation of the trachea due to dysmorphic face. Difficult airway cart should be kept ready. Left molar approach using a standard Macintosh blade improves the laryngoscopic view in patients with difficult midline laryngoscopy. We hereby present a c...
Source: Egyptian Journal of Anaesthesia - July 20, 2016 Category: Anesthesiology Source Type: research
