Assessment of the effect of tranexamic acid on perioperative bleeding in pediatric patients undergoing tonsillectomy
Conclusion The present study showed no effect of tranexamic acid in decreasing the tonsillectomy-related bleeding and there is no complication related to tranexamic acid. We are recommending other studies to measure the fibrinolytic activity during tonsillectomy and its inhibition by tranexamic acid. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 9, 2015 Category: Anesthesiology Source Type: research

Comparative study of intra-articular dexmedetomidine versus ketamine as adjuvant analgesics after knee arthroscopy
Conclusion Intra-articular bupivacaine/dexmedetomidine provides better analgesia compared to bupivacaine/ketamine and both are superior to bupivacaine alone following knee arthroscopy. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 31, 2015 Category: Anesthesiology Source Type: research

Dexmedetomidine versus Nefopam for the management of post-spinal anesthesia shivering: A randomized double-blind controlled study
Conclusion Nefopam is better as compared to dexmedetomidine for control of intraoperative shivering under spinal anesthesia due to its rapid onset, higher response rate, no sedation, lesser hemodynamic alterations, lesser requirements of rescue analgesics and lesser costs. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 30, 2015 Category: Anesthesiology Source Type: research

Use of remifentanil in comparison with sodium nitroprusside for controlled hypotension during rhinoplasty: Randomized controlled trail
Conclusion This study confirmed that remifentanil infusion with dose of 0.25–0.5μg/kg/min. induced desired controlled hypotension intraoperatively during rhinoplasty with no complications occurred either intra- or postoperative with advantage of rapid recovery from anesthesia. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 14, 2015 Category: Anesthesiology Source Type: research

Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
We report a case of giant occipital meningoencephalocele presented for surgical excision. Perioperative management of patients with giant meningoencephalocele may be challenging for both anaesthesiologist and neurosurgeon. These patients must be managed closely with an interdisciplinary approach. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 13, 2015 Category: Anesthesiology Source Type: research

Acute pain services in flail chest-a prospective randomized trial of epidural versus parenteral analgesia in mechanically ventilated ICU patients
Conclusion Epidural analgesia significantly decreased the length of ICU stay and duration of mechanical ventilation in our study population. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - June 27, 2015 Category: Anesthesiology Source Type: research

Letter to the editor in response to the study: Preoperative gabapentin alone or in combination with dexamethasone on postoperative pain relief after abdominal hysterectomies. A randomized controlled trial
Publication date: Available online 21 June 2015 Source:Egyptian Journal of Anaesthesia Author(s): Gamunu Ratnayake , Vinod Patil (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - June 21, 2015 Category: Anesthesiology Source Type: research

Intra-articular versus intravenous magnesium-sulfate as adjuvant to femoral nerve block in arthroscopic knee surgery under general anesthesia: Randomized controlled trial
Conclusion The combined use of femoral nerve block with IA or IV MgSO4 is associated with significant reduction of the intensity and duration of postoperative pain and postoperative analgesic requirements in patients undergoing arthroscopic knee surgery with the IA MgSO4 being superior to IV route of administration. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - June 5, 2015 Category: Anesthesiology Source Type: research

Intravenous dexmedetomidine infusion in adult patients undergoing open nephrolithotomy: Effects on intraoperative hemodynamics and blood loss; a randomized controlled trial
Conclusion Dexmedetomidine infusion in patients undergoing open nephrolithotomy under general anesthesia was associated with intraoperative hemodynamic stability, which decreases intraoperative blood loss and the need for intraoperative blood transfusion. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 31, 2015 Category: Anesthesiology Source Type: research

Evaluation of Ambu® aScope™ 2 in awake nasotracheal intubation in anticipated difficult airway using conventional or facilitated technique: A randomized controlled trial
Conclusion The aScope 2 provided a high success rate in awake nasotracheal intubation in patients with anticipated difficult airway and the use of a facilitated technique shortened the time needed to perform successful videoscopic intubation. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 30, 2015 Category: Anesthesiology Source Type: research

A controlled, double blind, study of adding Nalbuphine to Propofol for laryngeal mask insertion conditions and hemodynamics in adults
Conclusion The addition of Nalbuphine to Propofol for LMA insertion provides excellent insertion conditions with stable hemodynamics in adults. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 29, 2015 Category: Anesthesiology Source Type: research

Efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy: A randomized controlled trial
Conclusion Preoperative IV hydrocortisone and tramadol were effective in attenuation of postoperative shivering compared to placebo after percutaneous nephrolithotripsy without increasing the incidence of side effects. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 24, 2015 Category: Anesthesiology Source Type: research

Prevention of sevoflurane agitation in children undergoing congenital hernia repair, impact of adding dexmedetomidine to caudal analgesia
Conclusion The present study suggested that use of dexmedetomidine in addition to lidocaine was effective to control emergency agitation after sevoflurane anesthesia. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - May 21, 2015 Category: Anesthesiology Source Type: research

Two cases of thoracic spinal anaesthesia in patients with severe diseases
Publication date: Available online 8 May 2015 Source:Egyptian Journal of Anaesthesia Author(s): Adriano Bechara de Souza Hobaika , Cáudia Helena Ribeiro Silva , Nilo Garonci Alves , Wirleide Matos Leão , Núbia Campos Faria Isoni This manuscript describes two cases of thoracic spinal anaesthesia for patients with severe diseases, with satisfying results. Patient 1: female, 57years old, submitted to a surgical gastrostomy. She had squamous cell carcinoma of the hypopharynx involving the C6 vertebra, carotid and thyroid, with a fistula in the cervical region. After sedation, an epidural puncture was performed in t...
Source: Egyptian Journal of Anaesthesia - May 9, 2015 Category: Anesthesiology Source Type: research

Non traditional method of endotracheal tube fixation in bearded patients undergoing facial and occipital surgeries
Publication date: Available online 2 May 2015 Source:Egyptian Journal of Anaesthesia Author(s): Shveta Kajal , Mandeep Dhankhar , Sumedha Mukherjee , Gaurav Arya Endotracheal tube should be safely secured to prevent potentially life-threatening complications like accidental extubation. Bearded patients are a challenge to the anaesthesiologists. Most of the methods of endotracheal fixation described in the literature were not suitable in our cases because of the surgical area involved (occipital in one case and face in the other). In our cases, tube fixation was done by a new method which has never been described in...
Source: Egyptian Journal of Anaesthesia - May 3, 2015 Category: Anesthesiology Source Type: research