Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparison of epidural butorphanol versus epidural morphine in postoperative pain relief.
Epidural route is preferable for postoperative pain relief in thoraco-abdominal and lower limb surgeries. We aimed to compare epidural butorphanol versus morphine for postoperative analgesia up to 24 hours in open nephrectomy surgery. ⋯ Epidural butorphanol appears to provide safer and faster postoperative analgesia without much untoward effects but its analgesic action is short so more repeated doses are required than morphine via epidural catheter up to 24 hours.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyComparison of the 'sniffing the morning air' position and simple head extension for glottic visualization during direct laryngoscopy.
This was a prospective randomized single-blinded clinical trial comparing the glottic views obtained during direct laryngoscopy between the 'sniffing the morning air' position and simple head extension. ⋯ Sniffing position provided better glottic visualization score and increased the successful rate of intubation as compared to simple head extension.
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Middle East J Anaesthesiol · Feb 2014
Randomized Controlled Trial Comparative StudyGlideScope videolaryngoscope versus flexible fiberoptic bronchoscope for awake intubation of morbidly obese patient with predicted difficult intubation.
Awake fiberoptic intubation is the gold standard for management of predicted difficult intubation. The purpose of this study was to test whether Glide Scope video laryngoscopy (GVL) will provide significant advantages over fiberoptic bronchoscopy (FOB) for awake intubation in morbidly obese patients with predicted difficult intubation. We therefore tested the hypothesis that intubation using GVL is faster than intubation with FOB. ⋯ GVL can be used as a useful alternative to FOB in morbidly obese patients with predicted difficult intubation.
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Middle East J Anaesthesiol · Feb 2014
Observational StudyGeneral anesthesia in cesarean sections: a prospective review of 465 cesarean sections performed under general anesthesia.
In many countries, neuraxial blocks comprise the majority of anesthetics given for cesarean section. In Iran, however general anesthesia for cesarean section is prevalent. In our institution, the rate of general anesthesia for cesarean section is 39%, providing an opportunity to collect data regarding airway management in the parturients. We report on the outcomes of a series of patients who received general anesthesia for cesarean section. ⋯ General anesthesia for cesarean section is safe with minimal risk.