Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2013
Randomized Controlled Trial Comparative StudyComparison of three methods of preventing rocuronium induced pain on injection using venous occlusion technique: a randomized prospective double blind controlled study.
Intravenous administration of rocuronium bromide causes pain at the site of injection in most patients. The mechanism that leads to this side effect is still unknown and multiple drugs' pretreatments were used to prevent its occurrence with varying success rates. ⋯ Remifentanyl is a better choice of opioid in preventing pain on rocuronium injection using venous occlusion technique than fentanyl, with efficacy comparable to Xylocaine.
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Middle East J Anaesthesiol · Feb 2013
Randomized Controlled TrialSpinal anaesthesia for pelvic surgery: low concentrations of lignocaine and bupivacaine are effective with less adverse events.
The aim of this study was to compare the clinical efficacy of 5% lignocaine, 2.5% lignocaine, 0.5% bupivacaine and 0.25% bupivacaine in subarachnoid block for pelvic surgeries. ⋯ [corrected] For subarachnoid block for pelvic surgeries longer than two hours 0.25% bupivacaine is a better choice as compared to 0.5% bupivacaine. However for short duration surgeries lasting up to one hour, 2.5% lignocaine is a better choice as compared to 5% lignocaine as the lower concentrated solutions of bupivacaine and lignocaine are more haemodynamically stable compared to their higher concentrations and with similar duration of ensory and motor block.
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Middle East J Anaesthesiol · Feb 2013
Randomized Controlled Trial Comparative StudyPostoperative sore throat in children: comparison between proseal LMA and classic LMA.
Postoperative sore throat after minor pediatric surgery although uncommon and the symptoms are mild, the incidence may be affected by several factors. This study was designed to compare the frequency and severity of post operative sore throat in children undergoing elective surgery following the use of proseal LMA (PLMA) compared to classic LMA (cLMA). ⋯ The incidence of sorethroat was lower in the Proseal LMA group compared to Classic LMA at 6 hours postoperatively.
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Middle East J Anaesthesiol · Feb 2013
Case ReportsContinuous intraoperative TEE monitoring for a child with Fontan pathway undergoing post spinal fusion.
The following case report describes a very challenging surgical case where the use of intraoperative, continuous TEE monitoring in the prone position was crucial for the anesthetic management (diagnosis and treatment) of a patient with single ventricle physiology. The use of TEE monitoring enabled the anesthesia team to continuously assess hemodynamic stability and respond immediately to hypotension and bradycardia in our patient, thereby providing optimal anesthetic care of the intraoperative spinal fusion patient with Fontan physiology.
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Middle East J Anaesthesiol · Feb 2013
Review Meta AnalysisAnalgesic efficacy of continuous intravenous magnesium infusion as an adjuvant to morphine for postoperative analgesia: a systematic review and meta-analysis.
The efficacy of perioperative intravenous magnesium administration on postoperative opioid use, opioid-related side effects (e.g., nausea and vomiting) and pain are uncertain, as randomized controlled trials on this topic have reported disparate results. The objective of this systematic review is to determine if perioperative magnesium reduces opioid use, opioid-related side effects, and postoperative pain. ⋯ Based on the results of this systematic review, perioperative intravenous magnesium may be a useful adjuvant for the management of postoperative pain providing analgesia through a different mechanism of action than that of opioids and would make a potential addition to a multimodal anlgesic treatment plan; however, the decrease in opioid use with perioperative magnesium infusion does not appear to be associated with a decresea in opioid-related side effects.