Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled Trial Comparative StudyAttenuation of hemodynamic responses following laryngoscopy and tracheal intubation -- comparative assessment of clonidine and gabapentin premedication.
The present study was conducted to compare the effect of clonidine and gabapentin premedication in modifying the hyperdynamic response following laryngoscopy and tracheal intubation. ⋯ The data propose that both clonidine and gabapentin have effective role in blunting hyperdynamic responses after laryngoscopy, more so with gabapentin.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled Trial Comparative StudyRobotic laparoscopic radical cystectomy inhalational versus total intravenous anesthesia: a pilot study.
Robotic assistance may refine laparoscopic radical cystectomy. Steep Trendelenburg tilt (TT) and pneumoperitoneum (PP) are challenging anesthesia maneuvers. In view of those maneuvers, would inhalational anesthesia or total intravenous anesthesia (TIVA) be the more appropriate anesthetic management for this kind of surgery? This issue is under consideration in this clinical trial. ⋯ Though the number of patients is small in this study (n = 15), it nevertheless brings to light the advantages of TIVA during the robotic laparoscopic radical cystectomy (RLRC), by shortening the duration of PP without an increase in prothrombin and fibrinogen concentrations. A lager number of clinical trial are needed to further clarify this issue.
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Middle East J Anaesthesiol · Jun 2009
Randomized Controlled TrialThe prophylactic effect of rectal acetaminophen on postoperative pain and opioid requirements after adenotonsillectomy in children.
Postoperative pain in children is common after adenotonsillectomy. Rectal acetaminophen has been used effectively for postoperative pain management in small children. The aim of this randomized double blind study was to evaluate the prophylactic effect of rectal acetaminophen on postoperative pain management and opioid requirements in children undergoing adenotonsillectomy. ⋯ We conclude that prophylactic rectal acetaminophen is effective in reducing pain after adenotonsillectomy and postoperative analgesic requirement.
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Middle East J Anaesthesiol · Jun 2009
Controlled Clinical TrialEffects of sevoflurane on postoperative liver functions in morbidly obese as compared to the non-obese patients.
To assess the effect of sevoflurane anesthesia on hepatic function in morbidly obese versus non-obese patients undergoing abdominal surgeries. ⋯ Sevoflurane induces elevation of the serum liver enzymes in morbidly obese patients with variable onsets.
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Middle East J Anaesthesiol · Jun 2009
Controlled Clinical TrialPediatric cancer pain management at a regional cancer center: implementation of WHO Analgesic Ladder.
To collect data on the prevalence of various types of cancer pain in a sample of children with cancer, and to implement the WHO Analgesic Ladder in the management of pain in pediatric cancer. ⋯ Cancer pain in pediatric age group can be well managed in accordance with the WHO Analgesic Ladder. Aggressive symptoms and control of treatment of related side effect are also needed to ensure successful implementation and the WHO Analgesic Ladder.