Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2012
Comparative StudyDoes management of cardiac arrest scenarios differ between residents of different disciplines? A comparison with simulation.
Training multidisciplinary teams using simulation allows for communication, development and maintenance of teamwork. In this study we compared the behavior of residents from emergency and anesthesiology departments on treatment of cardiac arrest. ⋯ This study demonstrates the use of simulation to identify the deficiencies in basic knowledge and the skills of emergency and anesthesiology residents. It highlights the need to emphasize criteria that should be used in resuscitation.
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Middle East J Anaesthesiol · Jun 2012
Case ReportsSpeechless after general anaesthesia for caesarean section.
'Speechless' patient after general anesthesia may be a real horror for the anaesthetist as well as the patient and his relatives. Whatever the cause "functional or organic" the anaesthetist will be under pressure as his patient is not able to talk. Here we report a 40 years old patient who has no history of medical problems and developed aphemia after general anaesthesia for emergency caesarean section with an uneventful intra-operative course. Clinical examinations and investigations failed to reveal any clear cause and the patient returned her ability to talk and discharged home with normal voice.
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Middle East J Anaesthesiol · Jun 2012
Predictive model for the inadequate labor epidural analgesia: an outcome of the prospective observational study at university women's hospital.
Continuous epidural analgesic infusions provide superior analgesia as compared to other forms of labor analgesia. However, inadequate analgesia after labor epidurals is not uncommon and has been found to be as high as 24% in some studies. The mechanism of these failures include inappropriate epidural catheter location, tissue compartmentalization within epidural space, delayed migration, kinking, occlusion or disconnection of correctly placed epidural catheter. ⋯ In parturients identified as being at high risk for failed epidural, ultrasound guidance, saline-based loss of resistance technique, and appropriate intra-epidural-space length of catheter are the methods that should be utilized to lower the incidence of failure.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled TrialEffects of preoperative single dose Etoricoxib on postoperative pain and sleep after lumbar diskectomy: prospective randomized double blind controlled study.
Etoricoxib, a selective Cox-2 inhibitor has been found to be effective in the management of acute pain. This study evaluates the effect of preoperative use of oral Etoricoxib on post operative pain relief and sleep in patients undergoing single level diskectomy. ⋯ Single preoperative oral dose (120 mg) of Etoricoxib, given one hour before surgery, has significantly reduced the post operative pain at rest and movement and improved sleep in patients undergoing single level diskectomy without any side effects and with good patient satisfaction.
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Middle East J Anaesthesiol · Jun 2012
Randomized Controlled TrialThe effects of remifentanil, lidocaine, metoclopramide, or ketamine pretreatment on propofol injection pain.
Propofol injection pain is a frequent and a well-known complaint distressing for the patients. Although the ethiology of this pain remains obscure, the ideal method for the prevention of propofol injection pain is still controversial. Local anesthetics, opioids, nonsteroidal anti-inflammatory drugs, ketamine, metoclopramide, droperidol have been tested. We aimed to conduct a study comparing various drugs with saline, lidocaine and together at the same time. ⋯ Lidocaine and metoclopramide were equally and the most effective treatments in attenuating pain during intravenous injection of propofol compared to pretreatment with remifentanil and ketamine.