Articles

Dexmedetomidine versus magnesium sulfate as adjunct to general anesthesia in patients undergoing video-assisted thoracoscopy

This study was designed to evaluate the effects of infusion of magnesium sulfate compared to dexmedetomidine on the postoperative analgesic consumption and pain control in patients scheduled for video-assisted...

Authors: Mohammed Abdelsalam Menshawi and Hany Magdy Fahim

COVID-19 with peripartum cardiomyopathy: a case report

The world has been facing the novel coronavirus SARS-CoV-2 pandemic. The novel coronavirus primarily affects the lungs but also affects multiple organ systems including the cardiovascular system causing myocar...

Authors: Sunaina Tejpal Karna, Pooja Thaware and Pooja Singh

Inadvertent severe hypercapnia during general anesthesia: drop-in oxygen saturation or electrocardiography changes; which one warns us earlier?

During general anesthesia especially when the nurse or anesthesiologist forgets to change manual to controlled mode after successful endotracheal intubation, capnography shows End-tidal Co2 above 20 mmHg after...

Authors: Ali Solhpour, Ardeshir Tajbakhsh, Saeid Safari, Maryam Movaffaghi, Mohamad Amin Pourhoseingholi and Fereshteh Soltani

Can vena cava ultrasound-guided volume repletion prevent general induced hypotension in elderly patients? A mini-fluid challenge

Hypotension is often occurring after induction of general anesthesia (IGA) and can cause organ hypoperfusion and ischemia which associated with adverse outcomes in patients having both cardiac and non-cardiac ...

Authors: Samar Rafik Amin and Enas W. Mahdy

Magnesium sulphate within multimodal analgesia, pre-emptive, or preventive analgesia

Magnesium (Mg) is a non-competitive N-methyl d-aspartate receptor antagonist with antinociceptive effects. Multimodal therapy is the optimal strategy for perioperative pain control to minimize the need for opioid...

Authors: Walid Y. Kamel and Aktham Adel Shoukry

Is lumbar erector spinae plane block (L-ESPB) a lumbar plexus block?: a case report of three cases

Lumbar erector spinae plane block (L-ESPB) is being used in fractured hip patients for the postoperative pain relief and as a sole anesthetic technique. Various clinical and cadaveric studies have differences ...

Authors: Ashok Jadon, Rajendra Kumar Sahoo and Santosh Kumar Sharma

Iatrogenic operative hysteroscopic intravascular absorption syndrome: a recurring possibility!

Operative hysteroscopic intravascular absorption syndrome (OHIA) is the constellation of signs and symptoms due to fluid overload during hysteroscopic procedures. It can present with hyponatremia, deranged coa...

Authors: Reena Ravindra Kadni, Mita Eunice Sarkar, Indira Menon and Anne Marie Kongari

Accuracy and precision of non-invasive continuous haemoglobin concentration monitoring in diabetic patients

Accuracy and precision of non-invasive continuous haemoglobin concentration (SpHb) provided by Masimo device in diabetic patients is poorly studied. This retrospective analysis aimed to provide data on SpHb ac...

Authors: Rosanna Carmela De Rosa and Antonio Romanelli

Efficacy of neural prolotherapy versus local corticosteroid soft tissue injection for treatment of chronic anserine bursitis: a prospective randomized clinical trial

Anserine bursitis is characterized by the presence of spontaneous pain with tenderness at the inferomedial aspect of the knee joint. Neural prolotherapy aims to relieve pain of a variety of chronic musculoskel...

Authors: Emmanuel Kamal Aziz Saba

The accuracy of Pleth Variability Index for directed fluid optimization in donors in living donor liver transplantation

Fluid management strongly affects hepatic resection and aims to reduce intraoperative bleeding during living donation. The Pleth Variability Index (PVI) is a tool to assess the fluid responsiveness from the pu...

Authors: Amr M. Hilal Abdou, Khaled M. Abdou and Mohammed M. Kamal

Comparison between single-dose suxamethonium and rocuronium after pretreatment with dexmedetomidine in rapid sequence induction

Rapid sequence induction is a well-established anesthetic procedure used in patients with a high risk of gastric aspiration. Suxamethonium has been the drug of choice; however, it carries potential risks and s...

Authors: Ossama Hamdy Salman

Histopathological and analgesic effects of intrathecal dexmedetomidine, racemic ketamine, and magnesium sulfate in rats

This study aims to investigate the histopathological and analgesic effects of intrathecal administration of dexmedetomidine, preservative-free racemic ketamine, and magnesium sulfate in Sprague Dawley rats. Th...

Authors: Erhan Ozyurt, Zekiye Bigat, Bilge Karsli, Arda Tasatargil, Inanc Elif Gurer and Nurten Kayacan

Serratus anterior plane block for cardiothoracic surgeries: a meta-analysis of randomized trials

Comparison of serratus anterior plane block to different analgesic methods for anterolateral thoracic wall incisions. Meta-analysis was used to address this concern. Authors systemically searched the MEDLINE, ...

Authors: Tarek Abdel hay Mostafa, Ahmed Mostafa Abd El-Hamid, Basem Mofreh Abdelgawad and Dina Hosny Elbarbary

Effect of the use of dexmedetomidine as a local anesthetic adjuvant to bupivacaine 0.125% in epidural labor analgesia: randomized controlled study

Multiple methods exist for the management of pain during normal labor. Epidural analgesia has been reported to be an effective method in that perspective. The current study was conducted to evaluate the effica...

Authors: Mohamed Elsayed Afandy, Motaz M. A. Abusabaa, Hashem Adel Lotfy and Radwa Fathy Mansour

Inferior vena cava collapsibility index as a predictor of fluid responsiveness in sepsis-related acute circulatory failure

Assessing fluid responsiveness is the key to successful resuscitation of critically-ill sepsis patients. The use of IVC variation is favored among the dynamic methods of fluid responsiveness assessment in the ...

Authors: Ahmed Ibrahim Nagi, Azza Mohamed Shafik, Amr Mohamed Abdel Fatah, Wessam Zaher Selima and Amira Fathy Hefny

Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy

Pain relief after knee arthroscopy is very important for early recovery and rehabilitation. The study was conducted to evaluate the effects of adding dexamethasone (8 mg) to intra-articular morphine (10 mg) an...

Authors: Heba Fouad Toulan, Raafat Abdel-Azim Hammad, Amr Mohammed Talaat and Ahmed Abd El-Daeem Abd El-Haq

Dexmedetomidine versus magnesium sulphate as an adjuvant to local anesthesia in single-injection percutaneous peribulbar anesthesia for cataract extraction

The aim of the study was to evaluate the impact of addition of dexmedetomidine or magnesium sulphate to the standard local anesthetics mixture as a primary objective and to compare between both as a secondary ...

Authors: Aya Abuelyossr M., N. A. Mohammad, Khaled M. Maghawry, Maha Sadek Elderh and Mai Mohsen AbdulAziz

Efficacy of interrupted cyclic treatment with prednisolone on cancer pain: a randomized crossover study

Interrupted cyclic treatment with a low oral dose of prednisolone combined with stepladder analgesics would reduce the pain scores in cancer patients with reported less side effects. Following ethical approval...

Authors: Mohamed A. Ghanem

A case of a different approach for difficult airway: transorbital endotracheal intubation

In patients who have undergone head and neck surgery and received radiotherapy, airway management presents serious difficulties for the anesthesiologist.

Authors: Ozge Dereli, Cengiz Sahutoglu and Taner Balcioglu

Dexmedetomidine versus fentanyl in intraoperative neuromuscular monitoring using propofol based total intravenous anesthesia regimen in kyphoscoliosis correction surgery

Intraoperative neuromuscular monitoring (IONM) is used to reduce the risk of postoperative neurological deficit in patients undergoing kyphoscoliosis correction surgery. Somatosensory evoked potentials (SSEPs)...

Authors: Neha Amey Panse, Jyoti Vishnu Kale, Tejaswini Lalasaheb Phalke and Utkarsha Pradeep Bhojane

Impact of COVID-19 on obstetric anesthesia: a systematic review

With an increase in Coronavirus Disease 2019 (Covid-19) incidents around the world, it has become more important than ever to be prepared for the uncertain context of labor and delivery in obstetrics. As medic...

Authors: Shrief Nasr

Starting induction of general anesthesia after complete preparation for emergency surgical drainage in all patients with cardiac tamponade

Authors: Keisuke Yoshida, Shiori Tanaka and Kazuhiro Watanabe

A systematic review and meta-analysis of the use of succinylcholine to facilitate tracheal intubation in neonates

Use of succinylcholine in neonates is surrounded by many controversies. The need to review this topic stems from the fact that though there is an abundance of information, but there are divergent views regardi...

Authors: Bhavna Gupta and Priyanka Mishra

Evaluation of utility and usefulness of webinars on COVID-19 management: a questionnaire-based survey

The COVID-19 pandemic and its consequent “social distancing” has fueled the use of social media platforms for educational purposes. Since the start of the pandemic, a plethora of experts and self-proclaimed ex...

Authors: Rekha Gupta, B. Naveen Naik, Venkata Ganesh, Ajay Singh, Shiv Lal Soni and G. D. Puri

A pilot study comparing dural puncture epidural with 27G Whitacre needle and conventional lumbar epidural labor analgesia

The dural puncture epidural (DPE) technique is relatively a new technique of labor analgesia and has been advocated with the advantage of faster onset of pain relief. However, there are differences of opinion ...

Authors: Ashok Jadon, Surabhi Srivastawa, Neelam Sinha, Swastika Chakraborty, Apoorva Bakshi and Bhupendra Singh

Excision of brain tumour in a peritoneal dialysis dependent patient by awake craniotomy: a case report

End-stage renal disease has a high prevalence worldwide. Quiet often, we come across patients with end-stage renal disease surviving on haemodialysis or peritoneal dialysis who need surgery. The management of ...

Authors: Debashree Roy, Subhajit Guha, Dimple Shah and Indranil Ghosh

Successful recovery from COVID-19 pneumonia with awake early self-proning

Since COVID-19 global pandemic, “early awake proning in non-intubated patients with COVID-19” has been suggested as anecdotal evidence. Hereby, we report an awake and non-intubated patient with COVID-19 pneumo...

Authors: Fulya Yılmaz and Koray Bas

Safety, tolerability, and efficacy of a selective gabapentinoid mirogabalin in neuropathic pain—a topical review

Gabapentin and pregabalin, known as gabapentinoids, have been used effectively as a monotherapy or in combination with other agents for managing chronic neuropathic pain due to various etiologies. These drugs ...

Authors: Abhijit Nair, Subodh Kamtikar and Suresh Seelam

Comparison between ultrasound-guided and anatomical landmark-guided block of internal branch of the superior laryngeal nerve for awake fiber-optic intubation in suspected difficult intubation: a randomized controlled study

Airway anesthesia is pivotal for successful awake intubation provided either topically or by nerve blocks. The widespread use of ultrasonography allows anesthesiologists to evaluate complex and varied anatomy ...

Authors: Abeer M. El Deek, Azza M. Shafik, Al Shymaa Mortada Ali Eltohry and Sanaa Mohamed Al Fawal

The cardioprotective effect of intralipid in decreasing the ischemic insults during off-pump coronary artery revascularization

Off pump coronary artery revascularization (OPCAB) surgeries have benefits over the conventional on pump cardiac surgery, because it avoids the trauma caused by cardiopulmonary bypass (CPB) and minimize aortic...

Authors: Maha Sadek El Derh, Samar Mohamed Abdel Twab and Mohamed Elgouhary

Effect of intraperitoneal instillation of dexmedetomidine or fentanyl as adjuvants to bupivacaine on fast tracking discharge criteria in patients undergoing ambulatory laparoscopic cholecystectomy: a randomised double-blind control trial

Postoperative analgesia in laparoscopic cholecystectomy significantly affects the ambulation and discharge of the patient. This study compares fentanyl and dexmedetomidine as adjuvants to bupivacaine in intrap...

Authors: Bharti Gupta, Versha Verma, Usha Kumari Chaudhary, Ripudaman Sidhu and Ankita Chandel

Pulmonary edema in a pediatric patient undergoing ureteroscopy: a case report

This report demonstrates a case of pediatric pulmonary edema, detected due to the overuse of irrigation fluids during ureteroscopy.

Authors: Irfan Tuna Dusgun, Cengiz Sahutoglu and Taner Balcioglu

Effect of submucosal injection of ketorolac versus dexamethasone on postoperative pain after third molar surgery: a randomized clinical trial

One of the most common dentoalveolar surgeries is the removal of impacted third molars. Moderate to severe pain is predictable after these surgeries, usually leaving the patient in need of an effective analges...

Authors: Dariush Hasheminia, Reyhaneh Faghihian and Farhad Mardani

Cerebroprotein hydrolysate allergy in patients with traumatic brain injury

Authors: Sobhana Devi Pydi, Dhivya Bagavathiammal Chinnappa, Sivakumar Shanmugasundaram and Arun KumarNatarajan

Anesthetic implications and role of preoperative beta blockade in esophageal substitution with stomach in pediatric surgical patients

There is a paucity of literature on the anesthetic management of pediatric esophageal substitution using the stomach. We did a retrospective analysis of all such cases done at our institution. We analyzed the ...

Authors: Raksha Kundal, Ranju Singh, Subhasis Roy Choudhury, Partap Singh Yadav, Ajai Kumar, Shalu Gupta and Vijay Kumar Kundal

Dexmedetomidine as an adjuvant to bupivacaine in ultrasound-guided serratus anterior plane block in patients undergoing video-assisted thoracoscopic surgeries

The purpose of this study was the assessment of the analgesic and hemodynamic implications of dexmedetomidine used as an additive to bupivacaine in ultrasound-guided serratus anterior plane (SAP) block for pat...

Authors: Mohammed Abdelsalam Menshawi and Hany Magdy Fahim

Successful anaesthetic management of a COVID-positive patient with multiple comorbidities: regional anaesthesia to the rescue

The perioperative anaesthetic management of a case of COVID-19 pneumonia with multiple systemic comorbidities, posted for unilateral below knee amputation and debridement of hand, poses a uniquely challenging ...

Authors: Shweta Aghi, Srinivasan Muthuswamy, Nidhi Bhatia, Kamal Kajal and Anjishnujit Bandyopadhyay

Comparison of pretreatment with low-dose midazolam in combination with fentanyl and midazolam alone on the occurrence of etomidate-induced myoclonus—a randomized, double-blind study

Myoclonus is reported to occur in 50–80% of patients receiving etomidate in the absence of pretreatment. The study aimed to evaluate the efficacy of pretreatment with low-dose midazolam and fentanyl, and midaz...

Authors: Khaise Hareed, Nisha Kachru and Rupesh Yadav

Acute hypervolemic hemodilution combined with controlled hypotension to minimize blood loss during operations of spine fusion: remifentanil versus magnesium sulfate

Blood loss is one of the major problems during operations of spine fusion. Several blood-conservative measures were applied to reduce the incidence of blood loss—among them, acute hypervolemic hemodilution (AH...

Authors: Khaled Mohammed Elnaghy, Ibrahimabd-Elsalam Nasr and Eman Mohamed Kamal

Comparative study between ultrasound-guided pudendal nerve block and caudal epidural block anesthesia in children undergoing hypospadias surgery

The aim of the study is to compare the effectiveness and safety of ultrasound-guided pudendal nerve block versus caudal epidural block as a part of multimodal analgesia in children undergoing hypospadias surgery.

Authors: Waleed Abdalla Ibrahim Ahmed, Mohamed Hossam Eldin Hamdy Abd El Wahab Shokier, Amr Ahmed Ali Kasem, Mohamed Hamed Abd El Aziz and Sherif Gorge Anees Saed

Opioid-free general anaesthesia for transthoracic oesophagectomy: does it improve postoperative analgesia and other recovery criteria? A prospective randomised study

Side effects related to intraoperative opioid administration are well known. Recently, it was found that opioids may inhibit cellular immunity through their effects on natural killer cell activity, stimulate a...

Authors: Tamer Nabil Abdelrahman and Wael Sayed Algharabawy

A comparative study of dexmedetomidine and propofol infusion during monitored anesthesia care (MAC) in endoscopic retrograde cholangiopancreatography (ERCP): a randomized controlled trial

Endoscopic retrograde cholangio-pancreatography (ERCP) is an invasive procedure and hence is distressing for awake patients, requiring adequate level of sedation and analgesia. Recent advancements have encoura...

Authors: Nidhi Srivastava, Mamta Harjai, Suraj Kumar, Sujeet Rai, Deepak Malviya and Manoj Tripathi

Ultrasound-guided lumbar ESP block for post-operative analgesia as an alternative mode of analgesia in hip arthroplasty with multiple systemic issues: a case report

Patients with multiple systemic diseases present an anaesthetic challenge in terms of perioperative pain management. We propose that ultrasound-guided erector spinae plane block be used as an alternative mode ...

Authors: Omer Mohammed Mujahid, Samarjit Dey, Suresh Nagalikar, Prateek Arora and Chandan Kumar Dey

A giant scalp tumor on the occiput: a challenge in positioning and airway management

Authors: Shagufta Naaz, Nishant Sahay, Rajnish Kumar and Neeraj Kumar

Impact of Ivabradine on renal function in septic patient with early renal impairment

Acute kidney injury (AKI) with sepsis increases mortality significantly. The pathophysiology of AKI during sepsis is complex and multifactorial. Lower heart rate is associated with better survival in patients ...

Authors: Amr Sobhy, Lobna A. Saleh and Aktham Adel Shoukry

A prospective, randomized controlled, double-blinded study comparing dexmedetomidine and clonidine as an adjuvant to ropivacaine in femoral nerve block for postoperative analgesia in patients undergoing total knee arthroplasty

Total knee arthroplasty (TKA) causes significant postoperative pain, imposing a limitation on postoperative mobilization crucial in regaining joint function. Ultrasound (US)-guided femoral nerve block (FNB) in...

Authors: Aathira Suresh, Gajanan Fultambkar, B. Vijayanand and Abhijit Nair

Anesthesia for Transoral Endoscopic Parathyroidectomy by Vestibular Approach (TOEPVA)

After thyroid diseases, hyperparathyroidism is one of the most common endocrine surgical diseases. The increasing diagnosis of thyroid pathologies in early stages and a societal emphasis on physical appearance...

Authors: Fulya YILMAZ and Koray BAS

Lidocaine and dexmedetomidine combined infusion as an alternative to propofol for sedation in colonoscopy

Colonoscopy is one of the commonly performed procedures for the diagnosis of colonic disorders. Several sedation regimens are administered during colonoscopy. To date, the propofol-based sedation regimen is co...

Authors: Tamer Hamed Ibrahim

Association between preoperative level of hemoglobin A1c and the incidence of acute kindey injury after coronary artery bypass grafting surgery: a cohort study

The development of acute kidney injury (AKI) is an important indicator of clinical outcomes after cardiac surgery. Elevated preoperative hemoglobin A1c level may be associated with acute kidney injury in patie...

Authors: Ghada Mohamed Samir, Omar Mohamed Ali Mohamed Omar, Madiha Metwally Zidan, Hazem Abd El Rahman Fawzy and Marwa Mamdouh Mohamed El Far

Epidural catheter migration during cesarean

Early detection and vigilance of high spinal anesthesia post epidural catheter migration in cesarean section leads to safe conduct of anesthesia. Our case describes the migration of a previously functioning ep...

Authors: Aboud AlJa’bari