Anesthetic management of a patient with 10l of blood loss during operation for a retroperitoneal mass
Publication date: Available online 11 February 2015 Source:Egyptian Journal of Anaesthesia Author(s): Xueqin Zhu , Yu Gui , Binbin Zhu , Jian Sun Bleeding is a common problem during resection of a retroperitoneal mass. Massive bleeding may occur in case of injury of an adjacent major vessel or organ. This case report describes a successful anesthetic management of a patient with 10l of blood loss within three hours surgery. A 44-year-old woman who underwent an operation for resection of a retroperitoneal mass, went to a hypovolemic shock, due to acute life-threatening intra-operative bleeding, and was successfully ...
Source: Egyptian Journal of Anaesthesia - February 13, 2015 Category: Anesthesiology Source Type: research
Propofol dexmedetomidine versus propofol ketamine for anesthesia of endoscopic retrograde cholangiopancreatography (ERCP) (A randomized comparative study)
Conclusion Dexmedetomidine–propofol combination as TIVA during ERCP showed better intra-and post-procedural hemodynamic stability, less PONV, less postoperative cognitive dysfunctions and shorter recovery time when compared with ketamine–propofol combination. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 25, 2015 Category: Anesthesiology Source Type: research
Comparison of the preemptive analgesia of low dose ketamine versus magnesium sulfate on parturient undergoing cesarean section under general anesthesia
Conclusions Preemptive dose of either ketamine (0.3mg/kg) or MgSO4 (30mg/kg) in patients undergoing cesarean section under general anesthesia could suppress the pressor response to endotracheal intubation and skin incision and decreased the intraoperative fentanyl requirement. Ketamine showed a significant preemptive analgesic effect compared to MgSO4 at 2 and 6h postoperatively. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 23, 2015 Category: Anesthesiology Source Type: research
Difficult intubation in a patient with carcinoma colon due to tracheobronchopathia osteochondroplastica: An incidental finding or otherwise
Conclusion Awareness of this entity and its anticipation in patients with colorectal carcinoma may help anesthetists to manage similar cases appropriately in the future. Also it shall help in future research being directed to this condition. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 20, 2015 Category: Anesthesiology Source Type: research
Ultra-low-dose naloxone added to fentanyl and lidocaine for peribulbar anesthesia: A randomized controlled trial
Conclusion Addition of ultra-low-dose naloxone to fentanyl and lidocaine for peribulbar anesthesia prolongs the duration of postoperative analgesia without increasing the adverse effects. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 17, 2015 Category: Anesthesiology Source Type: research
Complications of IV sedation for dental treatment in individuals with intellectual disability
Conclusion IV sedation with Propofol for patients with intellectual disability for dental treatment appears to be with minor complications. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 15, 2015 Category: Anesthesiology Source Type: research
Liposomal bupivacaine – New trends in Anesthesia and Intensive Care Units
Publication date: Available online 13 January 2015 Source:Egyptian Journal of Anaesthesia Author(s): Alexandru Florin Rogobete , Ovidiu Horea Bedreag , Mirela Sărăndan , Marius Păpurică , Gabriela Preda , Maria Corina Dumbuleu , Corina Vernic , Emil Robert Stoicescu , Dorel Săndesc Progress made on local anesthetics controlled release formulation and their ability to induce motor and sensory block for a longer period of time brings significant advantages in clinical practice. The use of sustained release formulations provides analgesia for a long period of time with one administration, thus limiting the c...
Source: Egyptian Journal of Anaesthesia - January 13, 2015 Category: Anesthesiology Source Type: research
Blue rubber bleb nevus syndrome – Anaesthetic experience of prolonged bowel surgery in a twelve year old child and review
We describe the perioperative anaesthetic management of a child of BBRNS with gastrointestinal bleeding disorder scheduled for resection of multiple nevi and discuss the relevant anaesthetic concerns. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 6, 2015 Category: Anesthesiology Source Type: research
Intraoperative change in P-wave polarity, an accidental finding: Anaesthesiologist’s dilemma
We report a case of 61year old female posted for an orthopaedic procedure where intraoperative changing p wave polarity was noticed on monitor. Since, the patient was asymptomatic and haemodynamically stable, we decided to proceed with a spinal anaesthetic after much dilemma. The intraoperative period went uneventful with continued changes in p wave polarity. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 19, 2014 Category: Anesthesiology Source Type: research
Postoperative urinary retention after general and spinal anesthesia in orthopedic surgical patients
Conclusion Urinary retention is more common after spinal than general anesthesia in orthopedic patients. Adding narcotics to the local anesthetics intrathecally causes more incidence of postoperative urinary retention, which may delay patients discharge and transabdominal ultrasonography is a reliable, noninvasive, inexpensive and simple method to measure bladder volume postoperatively. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 19, 2014 Category: Anesthesiology Source Type: research
Comparative study between dexmedetomidine-ketamine and fentanyl-ketamine combinations for sedation in patients undergoing extracorporeal shock wave lithotripsy. A randomized double blinded study
Conclusion Dexmedetomidine/ketamine combination was accompanied by more prolonged analgesia in the recovery period, prolonged sedation, and delayed request of first dose analgesia with less nausea and vomiting than fentanyl/ketamine combination. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 13, 2014 Category: Anesthesiology Source Type: research
Fentanyl, dexmedetomidine, dexamethasone as adjuvant to local anesthetics in caudal analgesia in pediatrics: A comparative study
Conclusion Both caudal dexmedetomidine and caudal dexamethasone added to local anesthetics are good alternatives in prolongation of postoperative analgesia compared to caudal local anesthetic alone or added to caudal fentanyl. Also they showed less side effects compared to caudal fentanyl. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 12, 2014 Category: Anesthesiology Source Type: research
Anaesthetic management of a case of schwannoma with intraoral extension
We report a 16 year old male with mandibular nerve schwannoma with intraoral extension. Intraoral examination revealed a diffuse swelling in the left side of soft palate with deviation of uvula to right side. He was advised gargles with 4ml of 2% xylocaine viscous and 2–3puffs of 10% xylocaine spray done in oral cavity and oropharynx. Check laryngoscopy revealed Cormack and Lehane grade 1 view. Patient was intubated using standard induction technique and successfully managed (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 12, 2014 Category: Anesthesiology Source Type: research
Dexmedetomidine versus ketofol for moderate sedation in Endoscopic Retrograde Cholangiopancreatography (ERCP) comparative study
Conclusion Ketofol (1:1) provided better hemodynamic stability than dexmedetomidine and standard alternative to it in moderate sedation during ERCP. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - November 30, 2014 Category: Anesthesiology Source Type: research
Effect of adding magnesium sulphate to bupivacaine on the clinical profile of ultrasound-guided thoracic paravertebral block in patients undergoing modified radical mastectomy
Conclusion Adding magnesium sulphate to bupivacaine in ultrasound-guided paravertebral block resulted in more efficient analgesia and opioid-sparing in female patients undergoing modified radical mastectomy. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - November 27, 2014 Category: Anesthesiology Source Type: research
