Excessive sweating following intrathecal μ agonists: Effective atropine management
Publication date: Available online 20 May 2016 Source:Egyptian Journal of Anaesthesia Author(s): Alaa Mazy Many thermal distortions may accompany the profound extended analgesia of intrathecal μ agonists. Hypothermia is the commonest, but a syndrome including a profuse sweating was also reported. Conservative management for this sweating extends patient suffering more than 6h. Other treatment options showed variable success rates. In a case series, atropine sulfate showed effective sweat suppression following intrathecal morphine 0.3mg or fentanyl 25mcg. Treatment options and possible mechanisms of sweating are revi...
Source: Egyptian Journal of Anaesthesia - May 20, 2016 Category: Anesthesiology Source Type: research
Comparative study between transdermal fentanyl and melatonin patches on postoperative pain relief after lumber laminectomy, a double-blind, placebo-controlled trial
Conclusion The use of preoperative TDF 50μg/h or TDM 7mg was an effective and a safe adjuvant for acute pain after surgery. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 20, 2016 Category: Anesthesiology Source Type: research
Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure
Conclusions Placing the anesthetic in the fornix makes the DTFNBA more effective and reliable block. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 20, 2016 Category: Anesthesiology Source Type: research
Attenuation of hemodynamic response to laryngoscopy and endotracheal intubation with two different doses of labetalol in hypertensive patients
Conclusion Both doses of labetalol (0.15mg/kg and 0.3mg/kg) attenuate hemodynamic response to laryngoscopy and intubation in dose dependent manner. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 20, 2016 Category: Anesthesiology Source Type: research
Suppression of fentanyl-induced cough. A priming dose of intravenous dexmedetomidine–magnesium sulfate: A double blind, randomized, controlled study
Conclusion Pretreatment with dexmedetomidine–magnesium sulfate could effectively suppress fentanyl induced cough following injection of 2μg/kg fentanyl injected within 5s. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 11, 2016 Category: Anesthesiology Source Type: research
A novel manoeuvre in a case of foreign body esophagus: An unusual management of a usual presentation
We describe a case of an eight year old male child, who presented to the emergency department with history of ingesting a marble, and a novel yet simple manoeuvre, to minimise chances of downward displacement and maximise chances of successful and atraumatic extraction with minimal manipulation of trachea and esophagus. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 11, 2016 Category: Anesthesiology Source Type: research
One year prevalence of critically ill burn wound bacterial infections in surgical ICU in Egypt: Retrospective study
Publication date: Available online 25 April 2016 Source:Egyptian Journal of Anaesthesia Author(s): Hossam Mohamed Introduction Burns are one of the most common and devastating forms of trauma. Patients with serious thermal injury require immediate specialized care in order to minimize morbidity and mortality. (1) The main purpose of this study was to determine the prevalence of bacterial wound infection in critically ill burn patients in surgical intensive care unit in Egypt. Objectives The aim of this study was to determine the bacterial isolates in sever burn wound infection, suitability to antibiotics and there ...
Source: Egyptian Journal of Anaesthesia - May 11, 2016 Category: Anesthesiology Source Type: research
Combined hyponatremia and hypocalcemia after intravascular absorption of 1.5% glycine during operative hysteroscopy. A case report
We report a case of intravascular absorption of more than one liter of 1.5% glycine. A 36years old female developed metabolic acidosis, hyponatremia and hypocalcemia during operative hysteroscopy scheduled for resection of a uterine fibroid. Serum sodium reached down to 119mmol/l and ionized calcium to 0.898mmol/l. Serial estimations of arterial blood gases and serum electrolytes were followed. Management was successful in preventing serious side effects. Meticulous monitoring of distending media input/output balance remains the cornerstone in prevention of intravascular absorption. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 11, 2016 Category: Anesthesiology Source Type: research
Assessment of the analgesic potency of ropivacaine 0.2% versus ropivacaine 0.5% in transversus abdominis plane block after cesarean delivery
Conclusion Ropivacaine 0.2% when used in TAP block provided postoperative analgesia similar to ropivacaine 0.5% in TAP block after cesarean delivery. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 11, 2016 Category: Anesthesiology Source Type: research
Dexmedetomidine versus ketofol effect on the incidence of emergence agitation associated with sevoflurane-based anesthesia in children undergoing orthopedic surgery
Conclusion We found that ketofol in a dose (propofol 1mg/kg in a combination with ketamine 0.25mg/kg) was as effective as dexmedetomidine in a dose of 0.3μg/kg for prevention of EA, but with better analgesic effect and without delaying of emergence. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - March 28, 2016 Category: Anesthesiology Source Type: research
Postoperative analgesia of ultrasound guided rectus sheath catheters versus continuous wound catheters for colorectal surgery: A randomized clinical trial
Conclusion Ultrasound-guided rectus sheath catheters provided better postoperative analgesia compared with wound catheter continuous infusion for colorectal surgery without undesirable side effects. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - March 10, 2016 Category: Anesthesiology Source Type: research
Role of intrathecal nalbuphine on prevention of postspinal shivering after knee arthroscopy
Conclusion Intrathecal nalbuphine is an effective and safe method to prevent shivering during spinal anesthesia in patients undergoing knee arthroscopy. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - March 2, 2016 Category: Anesthesiology Source Type: research
A dose reduction study of local anesthetic with addition of dexmedetomidine on postoperative epidural analgesia after total knee arthroplasty
Conclusion Dexmedetomidine is an effective adjuvant to epidural bupivacaine for postoperative analgesia after total knee arthroplasty through reducing the amount of local anesthetic. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - February 28, 2016 Category: Anesthesiology Source Type: research
Intraoperative lidocaine infusion attenuates tourniquet induced hypertension in patients undergoing anterior cruciate ligament reconstruction under general anesthesia
Conclusion Intraoperative use of lidocaine bolus (1mg/kg), followed by infusion (2mg/kg/h), started 10min before tourniquet inflation attenuated the TIH in patients undergoing anterior cruciate ligament reconstruction under general anesthesia. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - February 15, 2016 Category: Anesthesiology Source Type: research
Effect of intranasal dexmedetomidine or intranasal midazolam on prevention of emergence agitation in pediatric strabismus surgery: A randomized controlled study
Conclusion Administration of intranasal dexmedetomidine to children undergoing strabismus surgery under sevoflurane anesthesia resulted in a reduced incidence of EA compared with intranasal midazolam or placebo. The incidence of POV and intraoperative OCR was also significantly lower with dexmedetomidine. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - February 4, 2016 Category: Anesthesiology Source Type: research
