Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparative study between ultrasound determination and clinical assessment of the lumbar interspinous level for spinal anesthesia.
The aim of the current study is to compare the accuracy of the ultrasound (US) versus clinical assessment for determination of the spinal level, using X-ray as the Gold Standard for control. ⋯ Ultrasound examination of the spine is recommended in patients planned for spinal anesthesia, as it is superior to clinical assessment in identification of the interspinous levels. This will decrease the hazard of spinal cord trauma.
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Middle East J Anaesthesiol · Feb 2014
Improved residents' knowledge after an advanced regional anesthesia education program.
Although residents in anesthesia are confident in performing neuraxial anesthesia, many are not confident in performing peripheral nerve blocks. The purpose of this study was to evaluate the effectiveness of a structured regional anesthesia teaching program in a large academic medical center. ⋯ The formal regional anesthesia teaching program developed by the departmental faculty was effective in improving resident knowledge.
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In this case report we have discussed a parturient patient who had epidural analgesia during childbirth and then presented with back pain 50 days postpartum as well as the causes of postpartum back pain.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparison of ilioinguinal/iliohypogastric nerve blocks and intravenous morphine for control of post-orchidopexy pain in pediatric ambulatory surgery.
The present study is a prospective randomized double-blinded study that designed to evaluate and compare the effectiveness of postoperative pain control and incidence of complications between ilioinguinal/iliohypogastric nerve block and intravenous morphine in paediatric patients undergoing unilateral orchidopexy in day surgery unit. ⋯ Ilioinguinal/iliohypogastric nerve block and intravenous morphine administered following general anaesthesia for unilateral orchidopexy in day surgery unit are safe and effective in controlling postoperative pain, morphine analgesia had a higher incidence of postoperative vomiting and itching.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparative hemodynamic advantages of subarachnoid administration of atypical and non-atypical opioids.
Subarachnoid administration of opioids such as pethidine and fentanyl had been proven safe but that oftramadol has been controversial. Tramadol is cheap and readily available, hence the need to further evaluate its intrathecal safety. ⋯ This study shows that intrathecal tramadol 25 mg has higher incidence of post operative nausea and vomitting than 25 microg of intrathecal fentanyl but both drugs were safe.