Middle East journal of anaesthesiology
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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.
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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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Middle East J Anaesthesiol · Feb 2014
Curriculum development for an advanced regional anesthesia education program: one institution's experience from apprenticeship to comprehensive teaching.
Results of recent attitude survey studies suggest that most practicing physicians are inadequately treating postoperative pain. Residents in anesthesia are confident in performing lumbar epidural and spinal anesthesia, but many are not confident in performing the blocks with which they have the least exposure. Changes need to be made in the training processes to a comprehensive model that prepares residents to perform a wider array of blocks in postgraduate practice. ⋯ We have now redesigned and implemented an advanced regional anesthesia program within our institution to provide residents with experience in regional anesthesia at a competent level. Resident's knowledge in regional anesthesia did improve after the first year of implementation as reflected in improvements between the pre- and post-tests. As the advanced regional anesthesia education program continues to improve, we hope to demonstrate levels of validity, reliability, and usability by other programs.
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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.