A randomized controlled study of the effects of adding ultra-low dose naloxone to lidocaine for intravenous regional anesthesia
Conclusion The addition of ultra-low-dose naloxone 100ng to lidocaine for IVRA in upper limb surgery, prolonged the duration of sensory and motor block, and reduced tourniquet pain, as well as intraoperative and postoperative analgesic consumption. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 29, 2015 Category: Anesthesiology Source Type: research
Effect of small dose propofol or midazolam to prevent laryngospasm and coughing following oropharyngeal surgeries: Randomized controlled trial
Conclusion We conclude that intravenous administration of small dose of propofol or midazolam before tracheal extubation decreases the incidence and severity of laryngospasm and coughing in adult patients undergoing oropharyngeal surgeries. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 28, 2015 Category: Anesthesiology Source Type: research
Randomized controlled comparative trial between low dose dexmedetomidine sedation and that of fentanyl in children after surgical procedures in surgical Pediatric Intensive Care Unit
Conclusions: Low dose dexmedetomidine provides adequate sedation for mechanically ventilated children and also early extubation as compared with fentanyl. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 21, 2015 Category: Anesthesiology Source Type: research
Anaesthesia management in a patient with a severe biotinidase deficiency for congenital scoliosis repair
Publication date: Available online 17 October 2015 Source:Egyptian Journal of Anaesthesia Author(s): Ebrahim Almasri, Rashad AlQasim, Puja Deshpande A 17year old female patient with a biotinidase enzyme deficiency, cerebral palsy, aphamis, generalized hyperreflexia and spasticity, epilepsy and mental retardation came for the severe kyphoscoliotic deformity correction. Biotinidase enzyme deficiency is an autosomal recessive disorder with incidence of 1:60,000 neonatal birth. Treatment with biotin results in a rapid biochemical and clinical improvement. This enzyme deficiency involves neurological, neuromuscular, r...
Source: Egyptian Journal of Anaesthesia - October 18, 2015 Category: Anesthesiology Source Type: research
Anesthetic management of a case of retroperitoneal tumor with pemphigus vulgaris with multiple comorbid conditions
We present a case of 50year old female with a diagnosis of intraabdominal mass suffering from pemphigus vulgaris, myasthenia gravis, hypothyroidism, diabetes mellitus. Extra care to protect skin and mucus membranes from trauma during procedures is essential. Adrenocortical suppression following prolonged steroid therapy is another hazard to be tackled in the perioperative period. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 17, 2015 Category: Anesthesiology Source Type: research
Efficacy of Dexmedetomidine for endotracheal tube tolerance, analgesia and sedation – A prospective randomised double blind controlled trial
Conclusions Patients receiving Dexmedetomidine tolerated the endotracheal tube better, required lesser morphine, were adequately sedated, arousable, stable haemodynamics and lacked respiratory depression. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 3, 2015 Category: Anesthesiology Source Type: research
Comparison of post-operative recovery with or without pre-extubation throat wash in patients undergoing intranasal surgery under general anaesthesia
Conclusion Throat wash, after removal of throat pack in nasal surgery, ensures clearer airway and decreases the risk of adverse respiratory events in immediate post-extubation period. The adverse sequel due to un-recognised debris in the upper airway is minimised resulting in smooth recovery and rapid discharge from the post-anaesthesia care unit. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 29, 2015 Category: Anesthesiology Source Type: research
Massive hydrothorax with malpositioned central venous catheter – Ultrasound detection
We report a case of a 2year old child with hydrothorax causing desaturation due to malpositioned central venous catheter diagnosed by ultrasound in the delay for getting a radiograph. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 29, 2015 Category: Anesthesiology Source Type: research
Subarachnoid block in a patient with extensive neurofibromatosis at the back
Publication date: Available online 28 September 2015 Source:Egyptian Journal of Anaesthesia Author(s): Qazi Ehsan Ali, Zaid Saghir Ahmed, Syed Hussain Amir, Sajad Hussain Najar, Abdullah Zoheb Azhar Neurofibromatosis is an autosomal dominant disease characterized by widespread effects on different systems of the body. A 65year old male who had to undergo surgery on the left thigh had neurofibromatosis type 1 with extensive neurofibromas all over his body, including the entire back. Patient was given spinal anaesthesia, at L3–L4 intervertebral space. Successful subarachnoid block was obtained and the surgery...
Source: Egyptian Journal of Anaesthesia - September 29, 2015 Category: Anesthesiology Source Type: research
A rare case of normotensive HELLP syndrome complicated with massive ascites: Spontaneous resolution
Publication date: Available online 26 September 2015 Source:Egyptian Journal of Anaesthesia Author(s): Ahmed Samy El-Agwany, Ahmed Abdelhadi Abdelsadek HELLP develops in approximately 0.1–0.8% of pregnancies overall and as many as 15–20% of patients with HELLP syndrome do not have antecedent hypertension or proteinuria. The risk factor for development of ascites is extensive structural damage of the microvasculature in patients complicated by HELLP. The aim of this study is to report a case with HELLP syndrome complicated with massive ascites after vaginal delivery that eventually resolved spontaneously. (Sourc...
Source: Egyptian Journal of Anaesthesia - September 27, 2015 Category: Anesthesiology Source Type: research
Application of conventional blood glucose control strategy in surgical ICU in developing countries: Is it beneficial?
Conclusion Tight glycemic control for critically ill patients in ICU in poor resources countries showed increased incidence of hypoglycemia with no significant benefits when compared with conventional glycemic control. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 27, 2015 Category: Anesthesiology Source Type: research
A comparative study between dexmedetomidine and propofol in combination with fentanyl for conscious sedation during extracorporeal shock wave lithotripsy
Conclusion Dexmedetomidine with fentanyl can be used safely and effectively, and it may be a valuable alternative to propofol with fentanyl for conscious sedation during ESWL. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 12, 2015 Category: Anesthesiology Source Type: research
Vasopressin infusion during combine spinal epidural anesthesia for cesarean section in a patient with severe mitral stenosis with pulmonary hypertension
Publication date: Available online 12 September 2015 Source:Egyptian Journal of Anaesthesia Author(s): Ashish K. Kannaujia, Chetna Shamshery, Ashish Bhowmik Presence of mitral stenosis deteriorates the already compromised cardiac status of a pregnant female. Decision between regional and general anesthesia can be crucial in such cases. Our patient a 20-year-old, and primigravida scheduled for emergency cesarean section due to acute fetal distress was a diagnosed case of severe mitral stenosis and pulmonary hypertension (48mmHg). During antenatal she was on anticoagulants and was monitored regularly. In the operat...
Source: Egyptian Journal of Anaesthesia - September 12, 2015 Category: Anesthesiology Source Type: research
Effect of dexmedetomidine on emergence agitation in children undergoing adenotonsillectomy under sevoflurane anesthesia: A randomized controlled study
Conclusion Dexmedetomidine decreased significantly the incidence of agitation with sevoflurane in pediatric patients undergoing adenotonsillectomy and it was associated with a shorter time to extubation, lower incidence of postoperative nausea and vomiting and shorter post-anesthesia care unit length of stay. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 11, 2015 Category: Anesthesiology Source Type: research
Oral nifedipine as a premedication for induced hypotension in functional endoscopic sinus surgery (FESS)
Conclusion Administration of a single preoperative dose of nifedipine (20mg) can significantly reduce the blood loss during FESS and improves the visualization of the operative field and it also lowers the amount of GTN needed to achieve target hypotension. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 10, 2015 Category: Anesthesiology Source Type: research
