Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 2013
Comparative StudyDo the choices of airway affect the post-anesthetic occurrence of nausea after knee arthroplasty? A comparison between endotracheal tubes and laryngeal mask airways.
The primary goal of this study was to assess the impact of airway devices on the incidence of nausea after knee arthroplasty and their interaction with the use of nitrous oxide. ⋯ The frequency of PONV was almost twice with ETT as with LMA. Longer duration of anesthesia, neuromuscular blockade and non-standardized antiemetic regimen may have contributed to the increase PONV in ETT group. Prospective randomized studies are necessary to further explore whether and to which extend airway devices influence the incidence of PONV.
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Middle East J Anaesthesiol · Oct 2013
Randomized Controlled Trial Comparative StudyComparison larygeal mask airway with the endotracheal tube for the external dacryocystorhionostomy surgery. A randomized clinical trial.
General anesthesia (GA) is considered the gold standard for external dacryocystorhinostomy (DCR) surgery. There are few reports about laryngeal mask airway (LMA) use in DCR surgery. The aim of this study was to compare the use of endotracheal intubation (ETT) vs LMA for airway management during DCR surgery. ⋯ LMA can be used in external DCR, to decrease the hemodynamic changes, to decrease coughing, straining at the end of anesthesia and the incidence of PONV.
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Middle East J Anaesthesiol · Oct 2013
Case ReportsAvoiding ECMO in a patient with "pump" lung post-cardiopulmonary bypass.
As newer anesthesia ventilators are developed their capabilities are becoming more similar to intensive care unit (ICU) ventilators. However, in situations where there is severe decrease in lung compliance, an ICU ventilator may be superior in its ability to regulate inspiratory flow improving both ventilation and oxygenation. We present a case where an ICU ventilator was brought to the operating room and used in the treatment of ARDS post-cardiopulmonary bypass and ultimately allowed us to avoid extracorporeal membrane oxygenation (ECMO) therapy.
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Middle East J Anaesthesiol · Oct 2013
Randomized Controlled Trial Comparative StudyEffect of intravenous magnesium sulphate on postoperative pain following spinal anesthesia. A randomized double blind controlled study.
Magnesium sulphate (MgSO4), NMDA receptor antagonist, is known to reduce perioperative requirement of anesthetics and analgesics. However, no studies assessed the effect of MgSO4 on onset and recovery from spinal anesthesia. A prospective, randomised, double blind study was designed to assess the effect of intravenous (IV) MgSO4 on onset and recovery from spinal anesthesia and post operative analgesic requirement following below umbilical surgery. ⋯ Intravenous MgSO4 improves postoperative analgesia without affecting the onset and recovery from spinal anesthesia.
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Middle East J Anaesthesiol · Oct 2013
Randomized Controlled Trial Comparative StudyTheophylline versus acetaminophen in the treatment of post-dural puncture headache (PDPH).
Post-dural puncture headache (PDPH) is the most frequent complication of procedures associated with dural puncture for spinal anesthesia or following accidental dural puncture during epidural anesthesia. Since invasive treatments have known complications, pharmacologic management may be preferable. The aim of this study was to evaluate and compare the efficacy of theophylline and Acetaminophen in treatment of PDPH. ⋯ Theophylline is a safe and effective treatment for PDPH. It may be tried in PDPH patients before using any invasive technique. Further investigations studying other Methylxanthines are recommended as well.