Comments on an article published in EgJA in Oct. 2016
Publication date: Available online 15 February 2017 Source:Egyptian Journal of Anaesthesia Author(s): M.S. Raghuraman (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - February 15, 2017 Category: Anesthesiology Source Type: research
Fentanyl versus magnesium sulphate as adjuvant to peribulbar anesthesia in cataract surgery
Conclusions Addition of fentanyl (2μg/ml) or magnesium sulphate (50mg) to peribulbar block in patients undergoing cataract surgery equally prolongs the duration of postoperative analgesia. In addition to this effect, fentanyl fastens the onset lid and globe akinesia and provides better akinesia score. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 16, 2017 Category: Anesthesiology Source Type: research
Evaluation of dexmedetomidine as a sole agent in sedation of cancer patients undergoing radiological interventional procedures
Conclusion Dexmedetomidine can be used alone for sedation of interventional procedures when minimal to mild pain is in prospect thus provides an alternative for anesthesiologists for high risk patients but cannot be used alone when intense pain is anticipated. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 12, 2017 Category: Anesthesiology Source Type: research
Intubation stress responses: Pre-anesthetic dexmedetomidine versus fentanyl in pre-eclamptic patients undergoing caesarean delivery: A prospective double blind randomized study
Conclusions Dexmedetomidine given over 10min before induction of general anesthesia significantly reduced the measured hemodynamic variables compared to baseline values. Dexmedetomidine successfully attenuated the intubation stress response and provided a significant hemodynamic stability more than fentanyl which given 3min before the induction of anesthesia in sever pre-eclamptic patients. Neither drug was associated with any harmful neonatal outcome. Pan African Clinical Trials Registry (PACTR201508001198128). (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 11, 2017 Category: Anesthesiology Source Type: research
Effect of low dose ketamine versus dexmedetomidine on gag reflex during propofol based sedation during upper gastrointestinal endoscopy. A randomized controlled study
Conclusion Dexmedetomidine with propofol in patients undergoing UGIE was safe and effectively, can reduce the incidence of gag reflex better than ketamine when added to propofol, with less propofol consumption and better in recovery time. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 10, 2017 Category: Anesthesiology Source Type: research
Superficial parotidectomy under local anesthesia, case report
Publication date: Available online 11 January 2017 Source:Egyptian Journal of Anaesthesia Author(s): Mohamed Ibrahim For superficial parotidectomy general anesthesia is ideal, but certain patients may be unfit. The present case had uncontrolled hypertension together with difficult airway. To avoid any suspected complications, we decided to do the operation under local anesthesia. We planned to block the maxillary nerve and superficial cervical plexus with greater auricular nerve together with incision site infiltration. A mixture of bupivacaine 0.25% and lignocaine 1% with adrenaline 1: 200,000 was prepared. The block w...
Source: Egyptian Journal of Anaesthesia - January 10, 2017 Category: Anesthesiology Source Type: research
Maternal care bundle: The effect of a multimodal approach on the prevention of maternal hypotension following spinal anesthesia in parturients undergoing elective or urgent cesarean section
Conclusions The application of a maternal care bundle had significantly decreased the incidence of spinal induced hypotension in parturient undergoing elective or urgent Cesarean delivery. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 8, 2017 Category: Anesthesiology Source Type: research
Airway management of a patient with severe post burn mento-sternal contracture: A novel approach
Publication date: Available online 7 January 2017 Source:Egyptian Journal of Anaesthesia Author(s): Poonam Gupta, Charu Bamba Airway management in patients with severe post burn mentosternal contracture is always a challenge for the anaesthesiologist. Difficulty in intubation occurs due to contracture and fixed flexion deformity of the neck resulting in nonalignment of oropharyngeal and laryngeal axis. We are reporting a case with severe postburn mentosternal contracture in whom endotracheal intubation was done successfully by using a Pro seal Laryngeal Mask Airway without its introducer along with a tube exchanger aft...
Source: Egyptian Journal of Anaesthesia - January 7, 2017 Category: Anesthesiology Source Type: research
The role of ondansetron in prevention of post-spinal shivering (PSS) in obstetric patients: A double-blind randomized controlled trial
Conclusion Ondansetron (8mg) was effective in reducing post-spinal shivering in parturients underwent elective cesarean delivery and decreasing the requirement to meperidine together with lower incidence of post-spinal hypotension and nausea when compared to placebo (saline). (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - January 4, 2017 Category: Anesthesiology Source Type: research
Immediate post-discectomy percutaneous facet nerve continuous and nerve root pulsed radiofrequency and intraluminal injection of steroid with hyaluronidase improved outcome of surgery for lumbar disk herniation
Conclusion Open discectomy provided significant improvement of LBP and disability secondary to LDH. Discectomy with adjuvant therapy including PRF, CTRFN and triamcinolone and hyaluronidase intraluminar injection significantly improved outcome compared to discectomy alone. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 28, 2016 Category: Anesthesiology Source Type: research
Giant paraganglioma in a child: Medical and anaesthetic concerns
We present a 12year old girl with giant paraganglioma with severe hypertension and end organ damage. Diagnosis was confirmed with 24h urinary Vanillymandelic Acid (VMA) and CT scan. Preoperative blood pressure was controlled with intravenous nitroprusside, and oral prazosin, amlodepine, labetalol and metoprolol. General anaesthesia with epidural analgesia was given. Intra operative blood pressure rise was managed with infusion of nitriglycerine (NTG), esmolol, nitroprusside and propofol. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 28, 2016 Category: Anesthesiology Source Type: research
Efficacy of postsurgical ultrasound guided serratus intercostal plane block and wound infiltration on postoperative analgesia after female breast surgeries. A comparative study
Conclusion There is considerable evidence that serratus intercostal plane block in addition to general anesthesia provide better postoperative pain control with little adverse effects compared with wound infiltration, indicating that a perioperative serratus intercostal plane block is a feasible and effective method for an improved postoperative pain treatment after breast surgery. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 18, 2016 Category: Anesthesiology Source Type: research
Randomized controlled trial of two oral regimens of gabapentin versus placebo in patients for Cesarean section under spinal anesthesia regarding postoperative pain, sedation, nausea and vomiting
Conclusion Gabapentin 900mg was more effective than 600mg in reducing post Cesarean section pain, opioid consumption, nausea, and vomiting. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 15, 2016 Category: Anesthesiology Source Type: research
Impact of augmented renal clearance on enoxaparin therapy in critically ill patients
Conclusion ARC patients showed short activity of enoxaparin. This finding draws the attention towards dose adjustment in this type of patients. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 8, 2016 Category: Anesthesiology Source Type: research
Comparative study between ultrasound guided tap block and paravertebral block in upper abdominal surgeries. Randomized controlled trial
Conclusion We concluded that ultrasound guided transversus abdominis plane block and thoracic paravertebral block were safe and effective anesthetic technique for upper abdominal surgery with longer and potent postoperative analgesia in thoracic paravertebral block than transversus abdominis block. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 8, 2016 Category: Anesthesiology Source Type: research
