Middle East journal of anaesthesiology
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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.
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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 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
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.