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Anesthesiology and Pain Medicine

Ali Dabbagh, Nilofar Massoudi, Maryam Vosoghian, Kamran Mottaghi, Alireza Mirkheshti, Ardeshir Tajbakhsh, Parissa Sezari, Mohammadreza Moshari, Soodeh Tabashi
Background: Although mentoring has been accepted as an effective and nourishing component in medical learning, known mentoring programs for the residents are lacking in most countries. Objectives: To evaluate the mentoring program for anesthesiology residents at Shahid Beheshti University, an examination was designed to explore the styles of mentoring programs, as well as the aims and outcome followed by such programs. Methods: In October 2016, Anesthesiology Department of Shahid Beheshti University of Medical Sciences enrolled all the nine educational wards in "mentorship program"...
February 2019: Anesthesiology and Pain Medicine
Mohammad Mehdi Forouzanfar, Khaghan Mohammadi, Behrouz Hashemi, Saeed Safari
Background: Choosing a proper medication for pain management of patients with acute renal colic has been a challenge for physicians treating these patients. Objectives: The present study was performed with the aim of comparing intravenous (IV) ibuprofen and IV ketorolac in pain management of these patients. Methods: In the present double-blind clinical trial study, patients suspected with renal colic presented to the emergency department were randomly divided into 2 groups receiving IV ibuprofen or IV ketorolac and were compared regarding effectiveness (pain reduction 15, 30, and 60 minutes after injection), treatment success, and possible side effects...
February 2019: Anesthesiology and Pain Medicine
Mona Blough El Mourad, Mona Raafat Elghamry, Radwa Fathy Mansour, Mohamed Elsayed Afandy
Background: Management of difficult airway due to laryngeal mass is a major challenge to the anesthesiologists, and awake fiberoptic intubation (AFOI) would be the technique of choice. Objectives: The current study aimed at comparing the effects of administration of dexmedetomidine-propofol or ketofol for sedation during AFOI in terms of intubation conditions, hemodynamic stability, and patients and anesthesiologist's satisfaction. Methods: Eighty adult patients, 18 - 60 years old, ASA (the American Society of Anesthesiologists) physical status I-III, with difficult airway due to laryngeal mass and planned for AFOI were enrolled...
February 2019: Anesthesiology and Pain Medicine
Faranak Behnaz, Pardis Soltanpoor, Houman Teymourian, Niki Tadayon, Gholam Reza Mohseni, Mahshid Ghasemi
Background: Various mechanisms have been suggested for analgesic effects of drugs used in infra-clavicular block and each has contributed to pain relief. Objectives: The aim of this study was to compare the degree of sympathetic block and measure tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-1 levels before and after infra-clavicular block with ropivacaine and bupivacaine in patients undergoing arterio venous fistula (AVF) surgery. Methods: Forty-eight patients undergoing AVF surgery were randomly divided to two groups, undergoing infra-clavicular block with ropivacaine and bupivacaine...
February 2019: Anesthesiology and Pain Medicine
Samira Rajaei, Yousef Fatahi, Ali Dabbagh
The meeting between Rumi and Shams, in the 13th century, was a turning point in the life of Rumi leading to a revolutionary effect in his thoughts, ideas, and poems. This was an ever-inspiring meeting with many results throughout the centuries. This meeting has created some footprints in cellular and molecular medicine: The discovery of two distinct genes in Drosophila, i.e. Rumi and Shams and their role in controlling Notch signaling, which has a critical role in cell biology. This nomination and the interactions between the two genes has led us to a number of novel studies during the last years...
February 2019: Anesthesiology and Pain Medicine
Mohamed E Oriby
Background: Dental rehabilitation surgery is associated with significant fear and anxiety with subsequent psychological disturbances. Midazolam has been used frequently as a premedication. However, it may be associated with side effects. Dexmedetomidine and ketamine combination has been suggested as an effective premedication in improving preoperative sedation and analgesia. Objectives: This study compared the effects of combined intranasal dexmedetomidine and oral ketamine versus intranasal midazolam on anxiolysis and postoperative analgesia...
February 2019: Anesthesiology and Pain Medicine
Alfan Mahdi Nugroho, Adhrie Sugiarto, Susilo Chandra, Laras Lembahmanah, Rafidya Indah Septica, Annisaa Yuneva
Background: Local anesthetics for spinal anesthesia in one-single injection are known to induce more severe hypotension than a fractionated dose in healthy obstetric patients. Hypotension in obstetric patients with pregnancy-induced hypertension, including preeclampsia, during spinal anesthesia, could compromise fetal well-being. Objectives: This study aimed to compare the mean arterial pressure (MAP), the total dose of ephedrine required, and level of sensory blockade between the fractionated-dose and single-dose spinal anesthesia injection in obstetric patients with pregnancy-induced hypertension who underwent a cesarean section...
February 2019: Anesthesiology and Pain Medicine
Reza Aminnejad, Seyed Mehdi Sabouri
No abstract text is available yet for this article.
February 2019: Anesthesiology and Pain Medicine
Mahin Seyedhejazi, Samira Motarabbesoun, Yashar Eslampoor, Nasrin Taghizadieh, Nazanin Hazhir
Background: Pain control after surgery in children is very important. Despite having good analgesic effects, the use of opioids is, however, limited due to side effects. Objectives: This study was aimed to investigate the effect of transverse abdominis plane (TAP) block on the intensity and frequency of pain after appendectomy in children. Methods: In a single-blinded clinical trial, 40 children aged from 4 to 16 years, candidates for the appendectomy, were divided randomly to intervention and control groups...
February 2019: Anesthesiology and Pain Medicine
Farahzad Janatmakan, Sholeh Nesioonpour, Fatemeh Javaherforoosh Zadeh, Alireza Teimouri, Mahshid Vaziri
Background: Discopathy is one of the most common spinal surgeries. Hemodynamic control is important in bleeding reduction during the surgery. Clonidine and dexmedetomidine both are α2 agonists that help stabilize hemodynamics and prevent the increase of intraoperative bleeding. Objectives: In this study, the effects of clonidine and dexmedetomidine were compared in bleeding reduction during spinal surgery. Methods: This randomized, double-blind clinical trial was conducted in 120 patients aged 20 to 50 years with ASA class I or II, undergoing spinal surgery...
February 2019: Anesthesiology and Pain Medicine
Fardin Yousefshahi, Elham Samadi, Omalbanin Paknejad, Ehsan Bastan Hagh, Saber Aminzadeh
Background: Respiratory failure and hypoxemia are the known complications of anesthesia and surgery. As a major surgery mainly at advanced ages, the coronary artery bypass graft (CABG) surgery could lead to hypoxemia in the early post-operative phase. Currently, the fraction of partial pressure of arterial oxygen to the fraction of inspired oxygen (PiO2 /FiO2 ) is used to determine the severity of the respiratory assault. Objectives: This study aimed to find the effect of hypoxemia measured by PaO2 /FiO2 at the first hour following CABG in the determination of short-term prognosis of CABG...
February 2019: Anesthesiology and Pain Medicine
Reza Akhondzadeh, Ali Ghomeishi, Farhad Soltani, Artadokht Khoshooei
Background: Nowadays, endoscopic sinus surgery is one of the most common surgeries in the field of ear, nose, and throat. This surgery has always been followed by bleeding and can cause hemodynamic disorders due to the direct effect of the endoscopic sinus surgery. Objectives: This study aimed to investigate the hemodynamic changes with different doses of isoflurane during endoscopic sinus surgery. Methods: In a randomized clinical trial, 90 patients were selected based on ASA class I and II, and divided into three groups of 30 people...
February 2019: Anesthesiology and Pain Medicine
Khalid M Malik, Rena Beckerly, Farnad Imani
Musculoskeletal disorders are the leading source of pain and disability globally but are especially prevalent in the industrialized nations including the U.S. In addition to the substantial individual suffering caused the rising monetary costs of these disorders are noteworthy. In the U.S. alone the annual costs have been estimated to be $874 billion 5.7% of the annual U.S. G.D.P. Despite these expenditures the care provided to patients with musculoskeletal disorders is highly variable and has regularly been shown to have suboptimal outcomes...
December 2018: Anesthesiology and Pain Medicine
Mir Mohammad Taghi Mortazavi, Jafar Ganjpour Sales, Masoud Nouri-Vaskeh, Masoud Parish, Salar Abdolhosseynzadeh
Background: Cardiac injury is one of the significant perioperative complications in major orthopedic surgeries and its early diagnosis is useful in the reduction of postoperative comorbidity. The cardiac troponin is a sensitive and specific biomarker for detecting this damage. Objectives: The aim of this study was to evaluate the levels of perioperative cardiac troponin I (cTnI) before and after arthroplasty in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA)...
December 2018: Anesthesiology and Pain Medicine
Sara Poursalehan, Sholeh Nesioonpour, Reza Akhondzadeh, Soheila Mokmeli
Background: Postoperative pain is one of the major concerns about a cesarean in pregnant women that can lead to serious complications and delayed recovery for patients. Objectives: The objective is to investigate the effect of low power laser on acute pain after elective cesarean. Methods: In this randomized, double-blind clinical trial, 80 candidates for an elective cesarean were divided randomly into two groups, control and laser. The type of surgery was the same for both groups, which contained the spinal anesthesia technique...
December 2018: Anesthesiology and Pain Medicine
WooSeong Jeong, So Hui Yun, Jin Seok Kim
Introduction: Churg-Strauss syndrome (CSS; or eosinophilic granulomatosis with polyangiitis) is an extremely rare autoimmune condition characterized by hypereosinophilia and vasculitis of small or medium-sized blood vessels, occurring in patients with asthma and allergic rhinitis. Case Presentation: A 47-year-old man (height, 175.8 cm and weight, 74.8 kg) complained of a tingling sensation in his leg. He had a history of hypertension and asthma in the previous two years, and history of sinus surgery for sinusitis in the previous one year...
December 2018: Anesthesiology and Pain Medicine
Bartosz Godlewski, Magdalena Katarzyna Stachura, Estera Twardowska-Staszek, Ryszard Adam Czepko, Ryszard Czepko
Background: Daily clinical practice shows us how diametrically different surgical outcomes can occur in particular groups of patients sharing the same diagnosis and being subjected to the same treatment. Patient-reported outcomes appear to be significantly influenced by social factors and patients' emotional status. Data on such variables were collated and analyzed statistically with the aim of confirming our clinical observations. Methods: We analyzed a group of 100 patients following cervical disc surgery...
December 2018: Anesthesiology and Pain Medicine
Ratna Farida Soenarto, Arif Mansjoer, Nurmiati Amir, Maipe Aprianti, Aries Perdana
Background: Postoperative cognitive dysfunction (POCD) is commonly observed following cardiac surgery. The utilization of cardiopulmonary bypass (CPB) is associated with many possible mechanisms to cause POCD. However, there is no evidence confirming that CPB alone is the cause of POCD. Objectives: The current study aimed at evaluating several factors suspected to cause POCD following cardiac surgery in Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Methods: The current prospective cohort study was conducted on 54 patients who were candidates for cardiac surgery...
December 2018: Anesthesiology and Pain Medicine
Ata Mahmoodpoor, Seyedpouya Paknezhad, Kamran Shadvar, Hadi Hamishehkar, Ali Akbar Movassaghpour, Sarvin Sanaie, Ali Akbar Ghamari, Hassan Soleimanpour
Sepsis is an important health problem with a high burden on health systems. Finding new aspects of immune system function in sepsis showed a new role for flow cytometry in the diagnosis of sepsis. We made a review on the role of CD64, HLA-DR, CD25, and TLRs as more useful flow cytometric tools in diagnosing sepsis, both in adults, and neonates. According to our results, we concluded that for diagnosis and treatment of the septic, flow cytometry can play an important role so that it can be used as a novel method in individualized treatment of septic patients based on their immune system situation...
December 2018: Anesthesiology and Pain Medicine
Farsad Imani, Mohammadreza Khajavi, Tayeb Gavili, Pejman Pourfakhr, Reza Shariat Moharari, Farhad Etezadi, Seyed Reza Hosseini
Objectives: The aim of this study was to compare the effect of intra-rectal administration of lidocaine gel alone versus lidocaine gel plus topical fentanyl on pain reduction in prostate biopsy. Methods: In a double-blind randomized clinical trial, 96 patients who met the inclusion criteria were randomly assigned into two groups. 1) The treatment group: Lidocaine gel (2%) 50 g and 2) the intervention group: Lidocaine gel (2%) 50 g and fentanyl gel 50 µg. During the prostate biopsy, the VAS score was recorded...
December 2018: Anesthesiology and Pain Medicine
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