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Anesthesiology and Pain Medicine

Farnad Imani, Poupak Rahimzadeh, Hamid-Reza Faiz, Shiva Nowruzina, Asadolla Shakeri, Mohammad Ghahremani
Background: Paracetamol and non-steroidal anti-inflammatory drugs (e.g. ketorolac) can be considered for mild to moderate post-caesarean pain. As a selective α-2 agonist adrenergic receptor, dexmedetomidine has analgesic and sedative effects without causing respiratory depression. Objectives: This study aimed to evaluate the effects of adding dexmedetomidine to paracetamol or ketorolac on post-caesarean pain and the associated complications thereof. Methods: Sixty pregnant women, who were candidates for caesarean section with spinal anesthesia, were randomly assigned to either of two groups of 30 patients...
October 2018: Anesthesiology and Pain Medicine
Sun Kyung Park, Ji Min Han, Keumo Lee, Woo Jin Cho, Ji Hun Oh, Yun Suk Choi
Background: Spinal epidural lipomatosis (SEL) is a rare disease, defined as diffuse hypertrophy of unencapsulated adipose tissue causing spinal canal compression and progressive neurologic deficits. However, there are few studies on SEL in Korea. Objectives: The purpose of this study was to describe the prevalence and clinical characteristics of SEL in Korea. Methods: Of the 3702 symptomatic patients (1575 males and 2127 females) who underwent lumbar spine magnetic resonance imaging (MRI) at the age of 20 years or older from January 2014 to December 2016, 42 patients (27 males and 15 females) diagnosed with SEL were selected...
October 2018: Anesthesiology and Pain Medicine
Marayam Narimani, Ali Ansari Jaberi, Tayebeh Negahban Bonabi, Tabandeh Sadeghi
Background: Considering the contradictory results on the role of complementary therapies in correcting post-operative side effects, the aim of this study was to evaluate the effect of acupressure on pain severity in patients undergoing coronary artery graft admitted to a coronary care unit. Methods: In this double-blind, randomized, clinical trial, 70 patients were selected randomly after coronary artery bypass grafting (CABG) surgery based on inclusion criteria and then assigned to two groups (35 in acupressure and 35 in control) randomly by the minimization method...
October 2018: Anesthesiology and Pain Medicine
Pooya Derakhshan, Farnad Imani, Zahra Sadat Koleini, Amin Barati
Background: Spinal anesthesia, as an effective approach, is widely performed in various surgeries with possible complications. To reduce the side effects, many adjuvants are used to maintain desirable sensory and motor blockades and increase the quality and prolong the analgesia. Methods: In the current double-blind, randomized clinical trial, 105 participants aged 18 - 60 years with ASA class I or II who were candidate for lower limb surgery were randomly allocated to patients receiving bupivacaine 15 mg + normal saline 1 mL (B group), bupivacaine 15 mg + epinephrine 10 µg (BE group), and bupivacaine 15 mg + sufentanyl 5 µg (BS group)...
October 2018: Anesthesiology and Pain Medicine
Susilo Chandra, Pryambodho Pryambodho, Annemarie Chrysantia Melati, Rizki Iwan Kusuma
Background: The frequency of postoperative sore throat (POST) after laryngeal mask airway insertion (LMA) was relatively high. Lidocaine might reduce the pain and inflammatory response. Additionally, inhalation form might result in a better distribution, which results in a better airway analgesia and minimal systemic effect. Objectives: To compare the incidence of sore throat post LMA insertion after 1.5 mg/kg of lidocaine inhalation and 10 mg of intravenous dexamethasone...
October 2018: Anesthesiology and Pain Medicine
Houman Teymourian, Shayesteh Khorasanizadeh, Padideh Ansar, Leila Nazari, Masih Ebrahimy Dehkordy
Objectives: In this study, we aimed to compare the effects of bupivacaine alone and in combination with dexmedetomidine on postoperative analgesia, neonatal Apgar score, and bispectral index (BIS), which has been shown to correlate with increased sedation and loss of consciousness in women undergoing cesarean section under spinal anesthesia. Methods: A total of 152 term parturient women scheduled to have elective cesarean section with American Society of Anesthesiologist (ASA) physical status I or II were allocated randomly into two groups to receive either bupivacaine plus placebo (BV group) or bupivacaine plus dexmedetomidine (BVD group)...
October 2018: Anesthesiology and Pain Medicine
Ozkan Onal, Irem Gumus, Mehmet Sari, Muhammed Emin Zora, Mehmet Ali Acar
No abstract text is available yet for this article.
October 2018: Anesthesiology and Pain Medicine
Ziae Totonchi, Rasoul Azarfarin, Louise Jafari, Alireza Alizadeh Ghavidel, Bahador Baharestani, Azin Alizadehasl, Farideh Mohammadi Alasti, Mohammad Hassan Ghaffarinejad
Background: The use of short-acting anesthetics, muscle relaxation, and anesthesia depth monitoring allows maintaining sufficient anesthesia depth, fast recovery, and extubation of the patients in the operating room (OR). We evaluated the feasibility of extubation in the OR in cardiac surgery. Methods: This clinical trial was performed on 100 adult patients who underwent elective noncomplex cardiac surgery using cardiopulmonary bypass. Additional to the routine monitoring, the patients' depth of anesthesia and neuromuscular blocked were assessed by bispectral index and nerve stimulator, respectively...
October 2018: Anesthesiology and Pain Medicine
Dita Aditianingsih, Chaidir Arif Mochtar, Susilo Chandra, Raden Besthadi Sukmono, Ilham Wahyudi Soamole
Background: Postoperative pain management is important for the early recovery of the living donor patient. Patient-controlled opioid analgesia, epidural analgesia, or a combination of both is the preferred pain management after abdominal surgery although these approaches have serious side effects. The transversus abdominis plane (TAP) block has been increasingly used for postoperative pain management and the addition of dexamethasone to local anesthetic can prolong the duration of action...
October 2018: Anesthesiology and Pain Medicine
Farahzad Janatmakan, Fatemeh Javaherforoosh Zadeh, Masomeh Alizadeh, Zeinab Alizadeh, Amin Bahreini
The alterations in liver function in patients after major liver resection are complex. Partial hepatectomy surgery is considered as a selective therapeutic approach in many benign and malignant liver tumors, secondary metastases, and liver trauma. According to surgical techniques most often based on vascular control and hepatic venous closure (Pringle maneuver), related complications such as ischemia and decreased venous return during and after surgery can be seen. In this study, the effects of Mannitol and N-acetylcysteine, on liver function, after hepatectomy surgery, were compared...
October 2018: Anesthesiology and Pain Medicine
Masoumeh Albooghobeish, Ali Ghomeishi, Sara Adarvishi, Abdolkazem Neisi, Kamran Mahmoodi, Masoomeh Asadi, Fereshteh Amiri, Nasrin Khajeh Ali, Maryam Kouchak, Saba Arya Nasab
Background: Postoperative nausea and vomiting (PONV), as one of the complications after laparoscopic cholecystectomy, occurs in over 40% - 77% of cases. Considering the numerous complications of synthetic drugs, there is a growing tendency towards the use of herbal medicines due to their unique features. Ginger root is one of the herbal compounds effective on nausea and vomiting. Objectives: The aim of this study was to evaluate the effect of preoperative Zintoma capsules on PONV after laparoscopic cholecystectomy...
October 2018: Anesthesiology and Pain Medicine
Soudabeh Haddadi, Reyhaneh Shahrokhirad, Malek Moien Ansar, Shideh Marzban, Mitra Akbari, Arman Parvizi
Background: Retrobulbar block is one of the chosen methods for local anesthesia in cataract surgery. Since it is a painful procedure, using analgesic and sedative drugs is recommended. Current medications have side effects and evaluating of new drugs or new uses of existing safer drugs is necessary. Objectives: The aim of this study was to compare the administration of melatonin and acetaminophen on pain and hemodynamic changes during retrobulbar block. Methods: In a double-blinded randomized trial, 180 patients undergoing cataract surgery were randomly divided into three groups: Melatonin group (received melatonin 6 mg), acetaminophen group (received acetaminophen 500 mg), and control group (received placebo)...
October 2018: Anesthesiology and Pain Medicine
Simin Atashkhoei, Reyhaneh Abri, Bahman Naghipour, Pouya Hatami Marandi, Mohammad Taher Fazeli Danesh
Background: Despite preventive strategies, hypotension is the most common complication of spinal anesthesia in cesarean section. Objectives: The aim of this study was to assess the effect of glucose-containing crystalloid infusion on maternal hemodynamic status after spinal anesthesia for cesarean section. Methods: In this prospective, randomized, double-blind clinical trial, 80 parturients undergoing elective cesarean section with spinal anesthesia were studied...
August 2018: Anesthesiology and Pain Medicine
Valiollah Hassani, Shahla Chaichian, Abolfazl Rahimizadeh, Mohammad Esmaeil Darabi, Mohammad Rezvan Nobahar, Morteza Jabbary Moghaddam, Mohsen Homaie, Gita Fotouhi, Yousef Alimohamadi, Yousef Moradi
Background: Perioperative inadvertent hypothermia (PIH) commonly occurs after major surgical procedures under local or general anesthesia and increases the risk of complications such as organ failure, hypoperfusion, and peripheral vasoconstriction, as well as adverse postoperative outcomes, such as wound infection and increased surgical bleeding. Objectives: We hypothesized that the intra-operative warming may affect these complications and thus, we aimed to compare the most appropriate temperature of the warmer to decrease patients' complications...
August 2018: Anesthesiology and Pain Medicine
Valiollah Hassani, Gholamreza Movaseghi, Reza Safaeeyan, Sahar Masghati, Batool Ghorbani Yekta, Reza Farahmand Rad
Background: Hypotension is a common problem in general anesthesia. Maintaining the mean arterial pressure by choosing a vasopressor with minimal complications is still discussed in various surgeries. Objectives: The aim of this study is comparison of ephedrine versus norepinephrine in treating anesthesia-induced hypotension in hypertensive patients in spinal surgery in a randomized double-blinded study. Methods: This randomized, double-blinded study was approved by Iran University of Medical Sciences, operating room of medical center...
August 2018: Anesthesiology and Pain Medicine
Kazuma Hashimoto, Ayano Tsuji, Shiho Takenaka, Akimune Ohmura, Ryusuke Ueki, Hideki Noma, Michiko Imamura, Yasuo Miyoshi, Nobutaka Kariya, Tsuneo Tatara, Munetaka Hirose
Background: C-reactive protein (CRP) is an acute phase reactant released in response to inflammation or tissue injury. Inflammation is one of the pathogenic factors related to transition from acute postsurgical pain (APSP) to chronic postsurgical pain (CPSP). Although several risk factors are reportedly associated with CPSP, the effects of CRP levels on CPSP have not been examined. Objectives: The present study investigated the relationship between perioperative risk factors, including CRP levels on postoperative day one and CPSP, in patients undergoing mastectomy...
August 2018: Anesthesiology and Pain Medicine
Reza Akhondzadeh, Mahbobe Rashidi, Mohammadreza Gousheh, Alireza Olapour, Amirhossein Baniahmad
Background: To improve the brachial plexus block (BPB) performance, different compounds have been used as adjuvants to local analgesics. Objectives: The aim of the present study was to investigate the effects of adding DEX to lidocaine on effectiveness of nerve block, and postoperative pain in forearm fracture surgery by supraclavicular BPB undergoing ultrasound-guided. Methods: This was a double-blinded randomized clinical trial conducted on 72 patients with ASA classes I and II, which were candidates for forearm fracture surgery...
August 2018: Anesthesiology and Pain Medicine
Maryam Soleimanpour, Farzad Rahmani, Hamid Reza Morteza Bagi, Alireza Ala, Ata Mahmoodpoor, Fatemeh Hassani, Seyed Mahdi Sharifi, Robab Mehdizadeh Esfanjani, Hassan Soleimanpour
Background: Rapid and secure management of airway is an important lifesaving intervention in critically ill patients at emergency wards. Training undergraduate students about airway management must be regarded as a priority in their education period. The aim of the present study was to compare the quality of three ventilation techniques with a bag and mask among two groups of undergraduate students (Novices) and senior group (Experienced) in Tabriz University of Medical Sciences. Methods: This study was a mannequin type research that was carried out in the faculty of medicine, Tabriz University of Medical Sciences...
August 2018: Anesthesiology and Pain Medicine
Farnad Imani, Poupak Rahimzadeh, Hamid-Reza Faiz, Alireza Abdullahzadeh-Baghaei
Background: Post-hysterectomy pain is extremely annoying and using transverse abdominis plane (TAP) block can be a useful method to manage postoperative pain, but its duration of effect is challenging. Magnesium sulfate increases, in some cases, the effects of local anesthetics on the peripheral nerve blocks. Objectives: The current study aimed at investigating the effects of adding magnesium sulfate to ropivacaine in the transverse abdominis plane block after hysterectomy...
August 2018: Anesthesiology and Pain Medicine
Mohammad Reza Gousheh, Reza Akhondzade, Hamid Asl Aghahoseini, Alireza Olapour, Mahbobe Rashidi
Background: Spinal anesthesia is an appropriate alternative for general anesthesia in many operations, particularly in cesarean section. However, the induced hypotension is the main drawback of this method. Therefore, the current study aimed at comparing the effects of crystalloid and colloid solutions used as the preload on the post-spinal hypotension and its complications in females who are candidate for elective cesarean section. Methods: The current randomized, controlled, double-blind study was conducted on the female candidate of elective cesarean section (n = 96; age range: 20 to 40 years)...
August 2018: Anesthesiology and Pain Medicine
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