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Anesthesiology and Pain Medicine

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https://www.readbyqxmd.com/read/29868463/persistent-hypothermia-and-excessive-sweating-following-intrathecal-morphine-administration-in-a-teenage-boy-a-case-report
#1
Sara Ferraz, Telma Caria, Aline Vaz Da Silva, Maria Jose Candeias, Teresa Cenicante
Introduction: Opioids are used intrathecally to manage surgical pain. There are few reports of hypothermia after spinal morphine injection, none in the pediatric population. We present a teenager's case of mild hypothermia. Case Presentation: A 15-year-old boy was scheduled for elective abdominal laparotomy. General anesthesia was combined with spinal anesthesia, using levobupivacaine and morphine. In the recovery room, he presented a decreased tympanic temperature (34...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868462/relationship-between-anthropometric-findings-and-results-of-corticosteroid-injections-treatment-in-chronic-plantar-heel-pain
#2
Mohammad Amin Valizadeh, Ahmadreza Afshar, Ebrahim Hassani, Ali Tabrizi, Shaghayeg Rezalo, Nilsa Dourandish
Background: Chronic plantar heel pain (CPHP) is one of the common, disabling, and painful problems in the foot. Obesity is one of the known causes of CPHP. The aim of this study is to investigate the relationship between the body mass and the treatment of chronic plantar heel pain. Methods: In a cohort study, 80 CPHP patients, including 16 men and 64 women, who referred to orthopedic clinic from 2014 to 2016, were investigated. All the patients were initially treated by corticosteroid injections...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868461/the-addition-of-a-head-rotation-when-the-ramped-position-fails-to-provide-good-laryngeal-visualization-a-preliminary-study
#3
Wasa Ueda, Shigeto Hatakeyama, Young-Chang P Arai
Although several studies have reported that the ramped position (torso and head elevated) significantly improves laryngoscopic view, in our experience, the ramped position fails to provide good laryngeal visualization in some cases. When the ramped position failed to provide good laryngeal visualization, we added a head rotation in order to improve laryngeal visualization in 62 patients. The method significantly improved laryngeal visualization and did not cause laryngeal disturbances postoperatively.
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868460/anesthesia-preoperative-clinic-evaluation-of-obstructive-sleep-apnea-using-nasal-fiberoptic-videoendoscopy-a-pilot-study-comparison-with-polysomnography
#4
Sandeep Jain, Peter J Kallio, Kenneth Less, Jutta Novalija, Paul S Pagel, Thomas J Ebert
Background: Nasal fiberoptic videoendoscopy is an established technique to assess upper airway pathology in conscious and sedated patients. Objectives: The authors conducted a prospective proof-of-concept pilot study to evaluate whether airway narrowing detected using nasal fiberoptic videoendoscopy in the anesthesia preoperative clinic was capable of defining the severity of obstructive sleep apnea (OSA) in patients scheduled for elective surgery. Methods: After application of topical local anesthesia (4% lidocaine with phenylephrine), sixteen patients (ASA physical status 2 or 3) underwent nasal fiberoptic videoendoscopy in sitting position...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868459/long-lasting-orthostatic-hypotension-and-constipation-after-celiac-plexus-block-a-case-report
#5
Fardin Yousefshahi, Mamak Tahmasebi
This case report presents a 55 years old man, presented with abdominal pain and diagnosed with a metastatic pancreatic tumor, who developed long lasting orthostatic hypotension and constipation following a celiac plexus block.
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868458/unrestricted-and-restricted-access-to-sugammadex-and-side-effect-profile-in-a-teaching-hospital-centre-for-year-2014-database-audit-study
#6
Vasanth Rao Kadam, Stuart Howell
Background: Sugammadex is used for the rapid reversal of neuro muscular block. It was used on an unrestricted basis in our facility prior to July 2014 but has subsequently been restricted due to the removal of cost subsidies. Our aim is to determine the impact of restricting the use of Sugammadex on clinical outcomes. Methods: A retrospective audit was conducted for the period January 1st to December 31st 2014. Sugammadex use was unrestricted during the first 6 months of this period and restricted over the following period...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868457/effect-of-manual-caudal-and-downward-displacement-of-lower-cervical-adipose-tissue-on-laryngoscopic-grade-of-patients-with-morbid-obesity
#7
Sarvin Sanaie, Issa Bilejani, Mirmohammadtaghi Mortazavi, Ata Mahmoodpoor, Sohrab Negargar, Elnaz Faramarzi, Nazanin Hazhir, Qasem Golalizadeh Bibalan, Hassan Soleimanpour
Background: The prevalence of obesity has substantially increased all over the world in the past decades and anesthesiologists more commonly encounter these patients. Excess cervical adipose tissues can result in the narrowing of the pharyngeal opening and affect laryngoscopic grade. Objectives: To evaluate the effect of manual caudal and cervical displacement of cervical adipose tissue on laryngoscopic view of morbid obese patients. Methods: A total of 70 patients with a BMI ≥ 35 were enrolled in this study...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868456/effect-of-honey-on-diarrhea-and-fecal-microbiotain-in-critically-ill-tube-fed-patients-a-single-center-randomized-controlled-study
#8
Zahra Vahdat Shariatpanahi, Fatemeh Jamshidi, Javad Nasrollahzadeh, Zohreh Amiri, Houman Teymourian
Background: In patients admitted to the Intensive Care Unit (ICU), Enteral Nutrition (EN) is the first choice for feeding support, however, it is often complicated by gastrointestinal side effects, such as diarrhea. There are no studies that have specifically evaluated effect of a prebiotic, which prevents diarrhea during enteral nutrition. Objective: This study aimed at evaluating the effect of honey in enteral diet during occurrence of diarrhea and fecal microbiotain in critically ill patients...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868455/association-between-disease-severity-and-calcium-concentration-in-critically-ill-patients-admitted-to-intensive-care-unit
#9
Sarvin Sanaie, Ata Mahmoodpoor, Hadi Hamishehkar, Kamran Shadvar, Nasim Salimi, Majid Montazer, Afshin Iranpour, Elnaz Faramarzi
Background: Hypocalcemia is very common in critically ill patients admitted to ICU. However, its clinical importance and relation to patient's outcome during early days of ICU admission is questionable. Based on the mentioned problem, it seems that calcium assessment is highly important in these patients. The present study aimed at evaluating the relationship between different calcium concentrations (total/ionized/corrected) and disease severity in critically ill patients. Methods: A total of 100 patients admitted to intensive care units of Imam Reza and Shohada hospitals during Feb 2014 and Apr 2016 were enrolled in this prospective trial...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29845016/spinal-anesthesia-in-an-infant-with-osteogenesis-imperfecta
#10
Ozkan Onal, Muhammed Emin Zora, Emine Aslanlar, Aysun Ozdemirkan, Jale Bengi Celik
No abstract text is available yet for this article.
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696131/letter-to-the-effect-of-different-doses-of-intrathecal-hyperbaric-bupivacaine-plus-sufentanil-in-spinal-anesthesia-for-cesarean-sections
#11
Mahnaz Narimani Zamanabadi
No abstract text is available yet for this article.
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696130/intraperitoneally-located-tip-of-femoral-vein-catheter-clinical-suspicion-for-avoidance-of-unnecessary-laparotomy
#12
Hamed Shafiee, Saeid Safari, Reza Aminnejad
Central venous catheterization is a common procedure in critical care and trauma patients. Complications are not rare and in some studies more than 15% incidence has been reported (1). Femoral vein is one of the commonest site for this purpose yet it carries complications, such as infection and misplacement. The current study reports an unexpected secondary malposition of right femoral CVC in the peritoneal cavity. It was concluded that in any case of acute abdominal issues, following insertion of femoral venous catheter, evaluation of catheter misplacement by the means of contrast injection through it can be helpful for better diagnosis, and may help avoid unnecessary surgical interventions...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696129/controlled-hypotension-during-rhinoplasty-a-comparison-of-dexmedetomidine-with-magnesium-sulfate
#13
Faranak Rokhtabnak, Soudabeh Djalali Motlagh, Mohamadreza Ghodraty, Alireza Pournajafian, Mojtaba Maleki Delarestaghi, Arash Tehrani Banihashemi, Zeinab Araghi
Objective: The current study aimed at comparing the efficacy of dexmedetomidine and magnesium sulfate to control blood pressure (BP) during rhinoplasty and the resultant effects on the quality of surgical field in terms of bleeding and visibility. Methods: The current randomized, prospective, double-blind study was conducted on 60 patients aged 18 to 50 years classified as ASA (American Society of Anesthesiologists) physical status I who were candidates for rhinoplasty...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696128/electromyographic-findings-after-epidural-steroid-injections-in-patients-with-radicular-low-back-pain-a-prospective-open-label-study
#14
Chrysanthi Batistaki, Athina Angelopoulou, Maria-Eleni Smyrnioti, Maria-Chrysanthi Kitsou, Georgia Kostopanagiotou
Epidural steroid injections (ESIs) are commonly used in the management of chronic lower back and leg pain. The aim of this study was to investigate the short- and long-term electromyographic and clinical outcome of patients with chronic radicular pain after ESIs. This prospective, open-label study, included patients with chronic radicular pain due to disc herniation or spinal stenosis, who underwent interlaminar, fluoroscopy-guided ESIs. Patients were assessed before ESIs, as well as after 6 and 12 months, clinically (VAS 0-10, BPI, DN4, Rolland Morris, DASS, STAI) and electromyographically for the improvement of spontaneous activity (SA) and of motor unit recruitment/interference pattern (IP/MUR)...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696127/effect-of-oral-clonidine-on-shoulder-tip-pain-and-hemodynamic-response-after-laparoscopic-cholecystectomy-a-randomized-double-blind-study
#15
Hamid Mirhosseini, Mohamad Hossein Avazbakhsh, Meysam Hosseini Amiri, Ahmad Entezari, Reza Bidaki
Background: Shoulder tip pain is a common problem after laparoscopic cholecystectomy. There are a few clinical trial studies on the effect of clonidine on post laparoscopic shoulder pain (PLSP). This study aimed at evaluating the effect of oral clonidine on PLSP in semi-sitting position and post-operative hemodynamic response of patients undergoing LC surgery. Methods: This randomized controlled clinical trial was conducted on 60 patients, who were candidates for elective laparoscopic cholecystectomy surgery under general anesthesia, and were randomly allocated to clonidine and placebo groups...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696126/acute-pain-management-in-emergency-department-low-dose-ketamine-versus-morphine-a-randomized-clinical-trial
#16
Babak Mahshidfar, Mani Mofidi, Maryam Fattahi, Davood Farsi, Peyman Hafezi Moghadam, Saeed Abbasi, Mahdi Rezai
Background: Ketamine, as an opium alternative, has been proposed for pain relief in the emergency department (ED). Objectives: This study was carried out to compare low dose ketamine (LDK) with morphine for pain relief in trauma patients. Methods: In this randomized double-blinded clinical trial, 300 trauma patients from the ED of 2 teaching hospitals in Tehran, Iran were enrolled and randomly divided into 2 equal groups. The 1st group received 0...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696125/comparison-of-arterial-oxygenation-following-head-down-and-head-up-laparoscopic-surgery
#17
Farsad Imani, Fatemeh Shirani Amniyeh, Ehsan Bastan Hagh, Mohammad Reza Khajavi, Saghar Samimi, Fardin Yousefshahi
Background: Regarding the role of gas entry in abdomen and cardiorespiratory effects, the ability of anesthesiologists would be challenged in laparoscopic surgeries. Considering few studies in this area and the relevance of the subject, this study was performed to compare the arterial oxygen alterations before operation in comparison with after surgery between laparoscopic cholecystectomy and ovarian cystectomy. Methods: In this prospective cohort, 70 consecutive women aged from 20 to 60 years who were candidate for laparoscopic cholecystectomy (n = 35) and ovarian cystectomy (n = 35) with reverse (20 degrees) and direct (30 degrees) Trendelenburg positions, respectively, with ASA class I or II were enrolled...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696124/diagnostic-value-of-sonography-for-confirmation-of-endotracheal-intubation-in-the-emergency-department
#18
Farzad Rahmani, Zahra Parsian, Kavous Shahsavarinia, Mahboob Pouraghaei, Sohrab Negargar, Robab Mehdizadeh Esfanjani, Hassan Soleimanpour
Background: Intubation and maintaining airway are crucial in the management of critically ill patients in the emergency department. Correct tracheal intubation should be confirmed by the physician, otherwise oesophageal intubation could lead to hypoxia with detrimental consequences and even death. Sonography can be used to determine proper placement of the tracheal tube. Methods: In this study, 75 patients, with an indication of intubation and age older than 18 years entered the study...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696123/comparative-analysis-of-the-usefulness-of-the-glidescope-%C3%A2-macintosh-and-mccoy-laryngoscopes-for-endotracheal-intubation-in-patients-with-obesity-a-randomized-clinical-trial
#19
Seyed Reza Akbarzadeh, Maryar Taghavi Gillani, Masoumeh Tabari, Negar Morovatdar
Background: Difficult intubation is dangerous and sometimes fatal, especially in patients with obesity. In difficult intubation cases the best device should be applied to decrease the risk of complications. The current study aimed at comparing laryngoscopes, Macintosh, McCoy, GlideScope® and devices for intubation purposes. Methods: A total of 102 patients with obesity and ASA (American society of anesthesiologists) class I or II, and body mass index (BMI) of > 30 kg/m2 were selected...
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696122/comparison-of-magnesium-sulfate-and-tramadol-as-an-adjuvant-to-intravenous-regional-anesthesia-for-upper-extremity-surgeries
#20
Mohammad Ali Sahmeddini, Mohammad Bagher Khosravi, Masoome Seyedi, Zahra Hematfar, Sedighe Abbasi, Arash Farbood
Background: Intravenous Regional Anesthesia (IVRA) is a simple efficient method for providing regional anesthesia of the limbs. However, it has some limitations such as lack of postoperative analgesia. Objectives: This study aimed to compare the analgesic effects of magnesium sulfate and tramadol when added to lidocaine used for IVRA in upper limb surgery. Methods: In this double - blind randomized clinical trial, 69 patients who underwent elective upper limb surgery with IVRA were randomly allocated into 3 groups...
December 2017: Anesthesiology and Pain Medicine
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