journal
https://read.qxmd.com/read/38028114/prevalence-of-postoperative-hypothermia-in-the-post-anesthesia-care-unit
#1
JOURNAL ARTICLE
Mohammad Taghi Ashoobi, Maryam Shakiba, Atoosa Keshavarzmotamed, Ali Ashraf
BACKGROUND: Unwanted postoperative hypothermia is an unpleasant event that can cause various complications. OBJECTIVES: As this serious complication and its provoking causes have not been investigated sufficiently, this study was designed and conducted to determine the prevalence of hypothermia and its associated factors in the post-anesthesia care unit after elective surgery. METHODS: Four hundred patients undergoing elective surgeries were enrolled in the present cross-sectional research after termination of surgery and at the time of arrival at the post-anesthesia care unit of Poursina Public University Hospital...
October 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38028113/the-analgesic-effects-of-preemptive-ultrasound-guided-pericapsular-nerve-group-block-in-comparison-with-erector-spinae-plane-block-in-elderly-undergoing-hip-arthroplasty-a-randomized-controlled-trial
#2
JOURNAL ARTICLE
Marwa Mohamed Medhat, Alshaimaa Abdel Fattah Kamel, Dina Abdelhameed Elsadek Salem, Sherif A Alagamy, Heba M Fathi
BACKGROUND: Perioperative pain management strategies in the elderly undergoing hip arthroplasty need special and safe preemptive care. OBJECTIVES: The primary aim of this study was to compare the analgesic effects of preemptive ultrasound-guided pericapsular nerve group (PENG) block and lumbar erector spinae plane block (L-ESPB) in the elderly undergoing hip arthroplasty. The time to the first postoperative rescue analgesia was measured. The secondary aim was to assess the ease of spinal positioning (EOSP), onset of sensory block, block performance time, and patient satisfaction...
October 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38028112/the-effects-of-remifentanil-dexmedetomidine-and-metoral-as-adjuncts-to-thiopental-on-hemodynamic-status-after-electroconvulsive-therapy-in-patients-with-major-depressive-disorder-a-randomized-controlled-clinical-trial
#3
JOURNAL ARTICLE
Nastaran Tajabadi, Alireza Kamali, Anita Alaghmand, Hamidreza Jamilian, Shirin Pazooki, Amin Tajerian
BACKGROUND: Depression is a prevalent mental disorder affecting more than 300 million people of all ages globally. Despite being the first-line treatment for depression, antidepressant medications are only effective for 60% - 70% of patients. Electroconvulsive therapy (ECT) is an effective treatment for severe cases, although it can result in short-term side effects. OBJECTIVES: This study aimed to compare the effectiveness of remifentanil, dexmedetomidine, and metoral as premedications for ECT in patients with major depressive disorder (MDD)...
October 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024009/the-efficacy-of-dexmedetomidine-alone-or-with-melatonin-on-delirium-after-coronary-artery-bypass-graft-surgery-a-randomized-clinical-trial
#4
JOURNAL ARTICLE
Fatemeh Javaherforooshzadeh, Abbas Babazadeh Dezfoli, Amal Saki Malehi, Behnam Gholizadeh
BACKGROUND: One of the most common cognitive disorders after major surgery is delirium which can increase morbidity and mortality. This study compared the effect of dexmedetomidine with or without melatonin to reduce delirium following coronary artery bypass graft (CABG) surgery. METHODS: This trial was a double-blind, randomized, controlled clinical trial. Eighty patients in two different groups with the administration of dexmedetomidine alone or with melatonin undergoing CABG surgery in Golestan Hospital, Ahvaz, 2022 - 2023, were randomly allocated...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024008/post-cesarean-delivery-analgesia-using-spinal-anesthesia-ropivacaine-fentanyl-vs-ropivacaine-sufentanil
#5
JOURNAL ARTICLE
Ahmad Reza Mohtadi, Atusa Ahmadi Chegeni, Kaveh Behaeen, Mohsen Savaie, Ali Ghomeishi
BACKGROUND: To improve the quality of intraoperative and postoperative analgesia during spinal anesthesia, intrathecal opioids are used as adjuvant drugs in combination with local anesthetics. OBJECTIVES: This study aimed to compare the intrathecal injection of ropivacaine-fentanyl with ropivacaine-sufentanil in terms of the duration of analgesia after cesarean section (CS). METHODS: This randomized, double-blind clinical trial study was conducted on women referred to Imam Khomeini Hospital of Ahvaz City for elective CS in 2021...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024007/refractory-complex-regional-pain-syndrome-a-case-report-and-review-of-literature
#6
Mahmood-Reza Alebouyeh, Seyedeh Fatemeh Morsali, Faegheh Zojaji, Seyed Ali Ebrahimi, Ali Ahani, Ali Antar
INTRODUCTION: Complex regional pain syndrome (CRPS) is characterized by extreme pain in a limb disproportional to the clinical history or physical findings accompanied by the signs of autonomic dysfunction. The pathophysiology of CRPS is obscure, making it challenging to treat. Treatment options include medications, physical therapy, and psychological support. In some cases, surgery or other minimally-invasive procedures such as nerve blocks may be recommended, while several novel treatments, such as ozone therapy, lack sufficient clinical evidence...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024006/the-role-of-dexmedetomidine-in-airway-management-for-tracheostomy-in-pediatric-patient-with-obstructed-airway-due-to-diphtheria-a-case-report
#7
Andy Omega, Faradila Ramadian, Putri Nurra Kusumawardhany Hakim
INTRODUCTION: Diphtheria is an infectious disease caused by exotoxin-producing Corynebacterium diphteriae and was a leading cause of death in childhood during the prevaccine era. This toxin is usually localized in the upper respiratory tract and may cause fatal airway obstruction. Many have used orotracheal intubation to secure the airway in diphtheria cases. However, the efficacy of tracheostomy under sedation while maintaining spontaneous ventilation and analgesia using trans-tracheal and superficial cervical block remains to be elucidated...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024005/a-comparative-study-of-the-effect-of-labetalol-and-remifentanil-on-pain-control-after-bariatric-surgery
#8
JOURNAL ARTICLE
Masood Mohseni, Reza Farahmand Rad, Ali Akbar Jafarian, Mojtaba Rostami, Niloofar Khosravi
BACKGROUND: Finding the optimal combination of anesthetics to maintain hemodynamic stability during surgery can be challenging. Traditionally, strong opioid analgesics such as fentanyl and its newer analogs have been used. However, the use of narcotics is associated with certain side effects. OBJECTIVES: This study compares the effects of labetalol and remifentanil in pain control after bariatric surgery in Hazrat Rasool Akram Hospital. METHODS: This randomized, double-blind clinical trial was conducted on 48 laparoscopic bariatric surgery patients...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024004/the-effects-of-opioid-dependency-use-on-postoperative-spinal-surgery-outcomes-a-review-of-the-available-literature
#9
REVIEW
Luc Fortier, Margaret A Sinkler, Audrey J De Witt, Danielle M Wenger, Farnad Imani, Seyedeh Fatemeh Morsali, Ivan Urits, Omar Viswanath, Alan D Kaye
There is a lack of evidence to support the effectiveness of long-term opioid therapy in patients with chronic, noncancer pain. Despite these findings, opioids continue to be the most commonly prescribed drug to treat chronic back pain and many patients undergoing spinal surgery have trialed opioids before surgery for conservative pain management. Unfortunately, preoperative opioid use has been shown repeatedly in the literature to negatively affect spinal surgery outcomes. In this review article, we identify and summarize the main postoperative associations with preoperative opioid use that have been found in previously published studies by searching on PubMed, Google Scholar, Medline, and ScienceDirect; using keywords: Opioid dependency, postoperative, spinal surgery, specifically (1) increased postoperative chronic opioid use (24 studies); (2) decreased return to work (RTW) rates (8 studies); (3) increased length of hospital stay (LOS) (9 studies); and (4) increased healthcare costs (8 studies)...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024003/prevalence-of-orthopedic-pains-in-children-and-adolescents-a-systematic-review-and-meta-analysis
#10
JOURNAL ARTICLE
Hosein Karimiyarandi, Majid Khalilizad
CONTEXT: Musculoskeletal disorders are among the main causes of death and disability and can impose high costs on individuals and countries. Considering the importance of pain, the present meta-analysis study aimed to investigate the prevalence of orthopedic pains in Iranian children and adolescents. METHODS: The present study was reported in line with PRISMA. The searching process was carried out using keywords, including adolescents, pain, youth, school-age children, shoulder pain, neck pain, shoulder, and neck, AND/OR operators for the articles published during 2000 and 2022 in Scopus, Embase, PubMed, Scientific Information Database, Magiran, International Statistical Institute, and Islamic World Science Citation Center databases...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024002/pulse-pressure-variation-based-intraoperative-fluid-management-versus-traditional-fluid-management-for-colon-cancer-patients-undergoing-open-mass-resection-and-anastomosis-a-randomized-controlled-trial
#11
JOURNAL ARTICLE
Ramy Mahrose, Amr A Kasem
BACKGROUND: Bowel edema leads to decreased perfusion and oxygenation of the intestine at the anastomotic site after colonic mass resection with failure of healing and leakage. Additionally, dehydration causes bowel hypoperfusion and difficulty healing with more complications. Fluid therapy guided by dynamic monitoring of fluid response can help avoid bowel dehydration and edema with fewer complications. OBJECTIVES: The main goal of this study was to compare the effects of intraoperative fluid therapy based on pulse pressure variation (PPV) to traditional fluid therapy to maintain adequate hydration without intraoperative instability of hemodynamics and postoperative complications...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024001/evaluating-the-efficacy-and-safety-of-a-single-dose-tranexamic-acid-in-reducing-blood-loss-during-cytoreductive-surgery-followed-by-hyperthermic-intraperitoneal-chemotherapy-a-randomized-comparative-pilot-study
#12
JOURNAL ARTICLE
Ehab Hanafy Shaker, Ahmed Mohamed Soliman, Ahmed Fahmy Hussein, Ehab Samy Fayek, Mai Mohamed Elrawas
BACKGROUND: Hyperthermic intraperitoneal chemotherapy (HIPEC), following cytoreductive surgery (CRS), is a lengthy procedure, usually associated with considerable bleeding due to the extensive nature of surgery. Various techniques have been used to decrease blood transfusion requirements. OBJECTIVES: This study aimed to evaluate the possible advantage of a single dose of tranexamic acid (TA) in such surgeries. METHODS: In this randomized comparative pilot study, 60 patients scheduled to undergo CRS followed by HIPEC were randomly assigned to 2 equal groups: group 1 (TA group) that received 10 mg/kg of TA in 100 mL of 0...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38024000/effect-of-high-dose-vitamin-d-on-il-1%C3%AE-blood-level-in-patients-with-moderate-stroke-a-randomized-clinical-trial
#13
JOURNAL ARTICLE
Mehran Kouchek, Seyedpouzhia Shojaei, Saied Amniati, Mehran Ghaffari, Sara Salarian, Mir Mohammad Miri, Niloufar Taherpour, Farnoosh Masbough, Mohammad Sistanizad
BACKGROUND: Vitamin D has neuroprotective and anti-inflammatory effects in stroke patients, but its effect on pro-inflammatory and inflammatory cytokines, especially IL-1, has been investigated in a few trials. OBJECTIVES: This study aimed to determine the effect of prescribing a high dose of vitamin D on the anti-inflammatory parameters, short-term and long-term prognosis of patients with ischemic stroke. METHODS: This randomized clinical trial was performed on 42 patients randomly divided into two equal groups of 21 in Imam Hussein Hospital...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38023999/attitudes-of-anesthesiology-postgraduate-residents-toward-the-influential-factors-in-their-success-in-the-iranian-national-board-exam
#14
JOURNAL ARTICLE
Soleiman Ahmady, Zohreh Khoshgoftar, Ali Dabbagh
BACKGROUND: One of the prominent indicators of academic success in postgraduate medical education is the "Residents' Pass Rate" in the "National Board Exam." OBJECTIVES: This study was designed and implemented to assess the attitudes of the anesthesiology residents toward factors affecting their success in the National Board Exam. METHODS: After the Institutional Review Board (IRB) approval, in an attitude assessment study, 20 of the 21 recently graduated anesthesiology residents were asked about the factors affecting their success quantitatively and qualitatively...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38023998/dexmedetomidine-versus-clonidine-as-additives-for-spinal-anesthesia-a-comparative-study
#15
JOURNAL ARTICLE
Murali Manoj Manoharan, Manohar Paneer, Karthikeyan Elavarasan, Kameshwaran Kannappan Punniyakoti
BACKGROUND: Postoperative pain management is vital to improve patient care. Successful postoperative pain relief is currently achieved only through NSAIDs and narcotics. OBJECTIVES: We compared dexmedetomidine and clonidine as additives to hyperbaric levobupivicaine 0.5% for the sub-arachnoid block (spinal anesthesia) concerning the onset time, duration of the block, hemodynamic changes, level of sedation intraoperatively and postoperatively and time taken for the first postoperative analgesic request and frequency...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38023997/s1-transforaminal-epidural-anesthesia-in-percutaneous-transforaminal-endoscopic-discectomy-a-case-series-study
#16
JOURNAL ARTICLE
Seyed Masoud Hashemi, Shima Rajaei, Mani Falsafi, Ebrahim Golmakani, Faranak Behnaz, Alireza Zali, Sogol Asgari
BACKGROUND: Percutaneous transforaminal endoscopic discectomy (PTED) has become popular over the years due to its safety and low invasiveness. This surgery can be performed with different anesthesia techniques; however, the extent to which the surgeon and patient are satisfied with the analgesia is debatable. OBJECTIVES: This study investigated the efficiency of the S1 transforaminal epidural block. METHODS: This retrospective study was conducted on 60 patients with L4 - L5 lumbar disc herniation who underwent PTED under the S1 transforaminal epidural block...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38023996/epigenetic-and-anesthesia-challenges-and-opportunities
#17
JOURNAL ARTICLE
Fatemeh Roodneshin
No abstract text is available yet for this article.
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38023995/comparison-of-analgesic-effects-of-ketorolac-plus-apotel-to-meperidine-in-patients-undergoing-right-thoracotomy-a-double-blind-randomized-clinical-trial
#18
JOURNAL ARTICLE
Mohammad Salehi Aliabad, Shima Sheybani, Hassan Mehrad-Majd, Alireza Sharifian Attar
BACKGROUND: Postoperative pain management using nonsteroidal anti-inflammatory drugs with no narcotic-attributed adverse effects, such as respiratory depression, nausea, and vomiting, is still the subject of extensive research. However, concerns about bleeding and nephrotoxicity have limited routine use. OBJECTIVES: The present trial aimed to compare the effects of ketorolac/apotel and meperidine on postoperative pain relief in patients undergoing thoracotomy. METHODS: This randomized controlled trial enrolled 122 patients who were candidates for right thoracotomy...
August 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38222249/evaluation-of-serum-cortisol-levels-and-response-to-cosyntropin-test-in-methadone-treated-opium-addicts
#19
JOURNAL ARTICLE
Faegheh Zojaji, Alireza Khalesi, Afsane Bahrami, Seyed Ali Ebrahimi, Mahmoud Ganjifard
BACKGROUND: Opium has been used for thousands of years for medical and analgesic purposes, and its misuse has also increased in recent years. Methadone, a synthetic opioid, has been used as an analgesic and to help patients quit opium addiction. However, some evidence suggests that long-term use of opioids can affect the hypothalamic-pituitary-adrenal axis. OBJECTIVES: We aimed to evaluate the serum cortisol level and response to the cosyntropin stimulation test in opium addicts on methadone treatment...
June 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/38021338/comparison-of-the-effectiveness-of-dexmedetomidine-ketamine-and-midazolam-ketamine-regimens-in-sedation-of-children-treated-with-extracorporeal-shock-wave-lithotripsy
#20
JOURNAL ARTICLE
Mehrdad Mesbah Kiaei, Gholamreza Movassaghi, Moahmoodreza Mohaghegh Dolatabadi, Mohammad Mahdi Zamani, Hamid Ahmadi
BACKGROUND: Despite the high acceptability of the extracorporeal shock wave lithotripsy (ESWL) procedure in the treatment of urinary stones at all ages, it is necessary to use a variety of analgesic drugs during the procedure, especially among children. OBJECTIVES: We aimed to evaluate the effect of dexmedetomidine-ketamine (DK) and midazolam-ketamine (MK) compounds in the sedation of children (2-6 years old) undergoing ESWL. METHODS: This randomized, double-blind clinical trial was performed on children aged 2 to 6 years with renal stones undergoing ESWL...
June 2023: Anesthesiology and Pain Medicine
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