Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled TrialOndansetron and meperidine prevent postoperative shivering after general anesthesia.
Postoperative shivering is one of the common problems following general anesthesia and may lead to multiple complications. The aim of this study was to examine the preventive effects of Ondansetron and Meperidine on postoperative shivering. ⋯ Ondansetron can effectively reduce post operative shivering.
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled TrialEffects of clonidine as premedication on plasma renin activity, serum and urine electrolytes and body fluids in general anesthesia. A randomized double blind placebo controlled clinical trial.
Clonidine is a relative alpha2 agonist that's used as a premedicative drug in anesthesia in recent years. The aim was to asses the effect of oral clonidine as premedicative drug on 24 hours urine output, urine specific gravity, serum and urine electrolyte level and renin plasma activity ⋯ This study suggested that clonidine is a safe premedication drug in anesthesia and does not change the serum electrolytes level.
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled TrialDexmedetomidine premedication of outpatients under IVRA.
Dexmedetomidine is approximately 8 times more selective toward the alpha-2-adrenoceptors than clonidine. It induces analgesia in patients and decreases anesthetic requirements by up to 90%. The current study aimed to evaluate the effects of dexmedetomidine premedication on tourniquet pain, intraoperative - postoperative analgesic requirements, sedation levels, quality of anesthesia, and the hemodynamic parameters when used as a single dose before intravenous regional anesthesia (IVRA). ⋯ The premedication of 0.5 microg/kg low dose dexmedetomidine before IVRA improves the quality of anesthesia and decreases the postoperative analgesic requirement of outpatients undergoing hand surgery without any serious side effects.
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Middle East J Anaesthesiol · Feb 2011
Case ReportsAsymptomatic epiglottic cyst: a rare cause of unanticipated difficult intubation.
Cysts of epiglottis are rare. Following induction of anesthesia, asymptomatic cysts may lead to unanticipated difficulty in ventilation or intubation or both and can be potentially life threatening in such situations.
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Middle East J Anaesthesiol · Feb 2011
Randomized Controlled TrialThe importance of training for ultrasound guidance in central vein catheterization.
To review the complication and success rates associated with CVC placement in patients undergoing cardiovascular surgery depending on the technique utilized and the degree of ultrasound experience of the anesthesia provider. ⋯ With adequate US training, the complications from CVC including carotid artery puncture and pneumothorax can be significantly reduced.