Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2007
Randomized Controlled TrialThe effect of betamethasone gel in reducing sore throat, cough, and hoarseness after laryngo-tracheal intubation.
Tracheal intubation for general anesthesia often leads to traumatization of the airway mucosa resulting in postoperative sore throat, hoarseness and cough. This study was undertaken to determine the effects of betamethasone gel in reducing these complications. ⋯ Betamethasone gel, when was used for lubrication of endotracheal tubes pre-operatively, was shown to be effective in decreasing postoperative sore throat, hoarseness, and cough.
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Middle East J Anaesthesiol · Feb 2007
Randomized Controlled Trial Comparative StudyPost-thoracotomy analgesia--comparison epidural fentanyl to intravenous pethidine.
To evaluate the efficacy of postthoracotomy analgesia with intermittent epidural fentanyl. 50 patients were allocated randomly into 2 groups. The first group received intermittent epidural fentanyl and the second group received intermittent intravenous analgesia using pethidine. The variables studied were: pain score; total amount of additional intravenous opioid analgesia, and ventilatory function parameters [forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and FEV1/FVC ratio]: ⋯ The analgesic effect of intermittent epidural fentanyl is not adequate and postoperative pain relief has not any significant advantage over the more easily-applied intravenous analgesia. However, better preservation of ventilatory function makes epidural fentanyl a useful adjunct analgesia in reduction of post-thoracotomy pulmonary complications.
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Middle East J Anaesthesiol · Feb 2007
Randomized Controlled Trial Comparative StudyRecovery profile for magnetic resonance imaging in pediatric daycase--sevoflurane vs. isoflurane.
Magnetic resonance imaging (MRI) is gaining ground over other investigations particular in study of brain and soft tissues. The MRI procedure is painless but requires an immobile patient for a successful study. Children are required to be sedated or anesthetized for this procedure. We compared two inhalational anesthetics, namely sevoflurane and isoflurane, for the recovery profile of each with aim to determine the ideal drug for early discharge of children. ⋯ Sevoflurane can be an ideal inhalational anesthetic for Volatile Induction and Maintenance Anesthesia (VIMA) in children under going daycase MRI examinations.
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Sepsis and shock are severe conditions that, when together, may cause multiple organ failure. The anesthesiologist must be able to take a careful history and physical, as well as be aware that additional tests are necessary to assess the patient status, as preoperative systemic blood pressure is not indicative of adequate volume status. ⋯ Ketamine is notable for induction in these patients because it is less likely to decrease systemic vascular resistance too quickly. One must not take this lightly, as death may ensue if proper management is not taken.