Articles

Assessment of noise pollution and its effect on patients undergoing surgeries under regional anesthesia, is it time to incorporate noise monitoring to anesthesia monitors: an observational cohort study

Operating rooms (OR) are noisy places, and proper control of intraoperative noise is advised by health care organizations to avoid its hazardous effects. Finding a smartphone application to measure and control...

Authors: Hany Mohammed El-Hadi Shoukat Mohammed, Sahar Sayed Ismail Badawy, Ahmed Ibrahim Hussien Hussien and Antony Adel Fahmy Gorgy

Comparison of bupivacaine versus bupivacaine-dexamethasone infiltration for postoperative analgesia in skin graft donor sites: a randomized trial

Skin grafting, both partial and complete thickness, is frequently used in reconstruction of traumatic soft tissue defects. It is of great value not only for functional and anesthetic purposes in the field of p...

Authors: Ramy Mahrose, Ahmed Mohammed Elsayed and Asmaa Adel Sabry

Warm blood cardioplegia versus cold crystalloid cardioplegia for coronary artery bypass grafting (CABG) in patients with low ejection fraction

Patients with reduced ejection fraction (EF) undergoing CABG are more likely to develop postoperative morbidity and mortality. It is controversial about which cardioplegia solution, temperature, and method of ...

Authors: Ramy Mahrose, Mohamed S. Shorbagy, Khaled M. Shahin and Shady Eid Elwany

The use of modified bite block to improve the safety and efficacy of oral fiber optic intubation in patients with limited neck mobility: a randomized comparative study

One critical aspect of anesthesia is to provide airway management. Fiber optic intubation is the safest solution but can be difficult in patients with limited neck mobility. Insertion of the fiber optic bronch...

Authors: Amira Abdelfattah Shaban

Onset and recovery of ultrasound guided out-of-plane versus in-plane interscalene block in arthroscopic shoulder surgery

The aim of this study was to assess the out-of-plane versus the in-plane approaches for the interscalene brachial plexus block, as regards the performance time, the onset, the progression and the recovery of s...

Authors: Ghada M. Samir and Mahmoud Abd El-Aziz Ghallab

Comparison of target controlled infusion and manual infusion of propofol for sedation in spinal anesthesia

The purpose of this study was to compare the quality of sedation during surgery under spinal anesthesia with propofol using target-controlled infusion versus manual infusion regarding sedation, hemodynamics, r...

Authors: Gülten Arslan and Özlem Sezen

Cryptococcus Neoformans meningoencephalitis in an HIV-seronegative patient: a case report

Authors: Deniz Kizilaslan, Cem Erdoğan, Ece Aslı Yılmaz and Pelin Karaaslan

Personal Protection Prior to Preoperative Assessment—Little more an anaesthesiologist can do to prevent SARS-CoV-2 transmission and COVID-19 infection

Authors: Vinodhadevi Vijayakumar

Perioperative temperature monitoring in general and neuraxial anesthesia: a survey study

Perioperative hypothermia is an unintended decrease in the core temperature of patients. Hypothermia has many proven complications. The aim of this study is to investigate the perioperative temperature monitor...

Authors: Ahmet Yüksek, Gamze Talih, Cigdem Unal Kantekin and Cevdet Yardımcı

Truncus Arteriosus - modified Van Praagh’s Type 3A and Anesthesia: a case report.

One of the rare complex congenital anomalies is truncus arteriosus—modified Van Praagh’s type 3A. Survival of this type of truncus arteriosus child beyond infancy without surgical treatment is unreported. Anes...

Authors: Vinodhadevi Vijayakumar, Sampathkumar Muthuramalingam and Arimanickam Ganesamoorthi

Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma!

Adult tracheomalacia can be caused by long standing goitre or malignant infiltration and has a high morbidity. We anticipated possibility of postoperative tracheomalacia (based on preoperative dynamic cervical...

Authors: Shagun B. Shah and A. Kulkarni

Ultrasound-guided erector spinae plane catheter for postoperative continuous analgesia in a patient undergoing pericardial window opening surgery for pericardial tamponade: a case report

Anesthetic management of pericardial tamponade is requiring full use of abilities for anesthesiologists because of associated cardiovascular problems inherent to this condition, with its associated comorbidities.

Authors: Ayhan Şahin, Ahmet Gültekin, Selami Gürkan, Onur Baran and Cavidan Arar

Microlaryngeal surgery, difficult airway and a missing throat pack: C Mac D-blade to the rescue!

Skilful use of the C Mac D-blade videolaryngoscope, with preservation of spontaneous respiration, can avert preoperative tracheostomy and guide microlaryngeal surgery (MLS) tube insertion in patients with larg...

Authors: Shagun B. Shah, M. Bhardwaj, Ajay K. Bhargava and Vani Bhageria

Airway spatula introducer for King Vision videolaryngoscope

Authors: Arimanickam Ganesamoorthi and Vinodhadevi Vijayakumar

Terlipressin infusion for prevention of vasoplegic syndrome in patients treated with angiotensin II receptor antagonist undergoing coronary artery bypass graft surgery: a randomized controlled study

Preoperative use of renin angiotensin system antagonists has been considered an independent risk factor for development of vasoplegic syndrome. The aim of this study was to demonstrate efficacy of prophylactic...

Authors: Mohamed Saleh, Sherine Kamal Zaki Kodeira and Abdelkhalek Abdelmoneim Aboulseoud

Comparative study between sequential combined spinal epidural anesthesia versus epidural volume extension in lower limb surgery

This randomized, double-blind study was designed to compare between sequential combined spinal epidural anesthesia versus epidural volume extension in lower limb surgery as regards hemodynamics, sensory, and m...

Authors: Karim Youssef Kamal Hakim

A multimodal approach to postoperative analgesia in ICU following major surgery

Authors: Sarah Vitug, Elizabeth Hong, Peter Roffey and Duraiyah Thangathurai

Erector spinae plane block in laparoscopic cholecystectomy: a case report

Ultrasound-guided erector spinae plane block has been reported to reduce postoperative pain following a laparoscopic surgery, which is one of the most common abdominal surgeries. The case reports and randomize...

Authors: Onur Baran, Bünyamin Kır, Ayhan Şahin and Cavidan Arar

Comparison of the Effects of Midazolam-Ketamine or Midazolam-Propofol Combinations on Hemodynamic Stability, Patient Comfort, and Post-anesthesia Recovery in Children Undergoing Sedation for Magnetic Resonance Imaging Procedures

Magnetic resonance imaging (MRI) requires complete immobility of the subject during the acquisition of each sequence, which is highly important for image quality. MRI may necessitate sedation, particularly in ...

Authors: Öznur Uludağ, Mevlüt Doğukan, Recai Kaya, Atilla Tutak and Ebru Dumlupınar

Adenosine as cardioprotective in off-pump coronary artery bypass grafting

To assess the effect of adenosine as a cardioprotective drug and its role in attenuating ischemia-reperfusion injury during off-pump coronary artery bypass surgery.

Authors: Mai Mohsen Abdel Aziz, Ahmad Mostafa Abdel Hamid and Hadil Magdy Abdel Hamid

Anaesthetic management of Castleman’s disease associated with paraneoplastic pemphigus: report of a rare case

Castleman’s disease is a rare lymphoproliferative disease which can mimic other malignant tumours and can be associated with paraneoplastic pemphigus especially in the paediatric age group. This presentation c...

Authors: Rajasree O., Divya V. Gladston, Arya Jayadevan and Rachel Cherian Koshy

Dexmedetomidine versus midazolam sedation for autistic children undergoing electroencephalogram: a prospective randomized trial

Dexmedetomidine procedural sedation for pediatric patients undergoing radiological imaging has proved to be effective and safe.

Authors: Hoda Shokri and Amr A. Kasem

Rocuronium reversal: sugammadex versus neostigmine in asthmatic patients undergoing open cholecystectomy

Sugammadex is a new selective relaxant binding drug that provides a rapid decrease in free rocuronium in the plasma and also at the nicotinic receptor that helps in proper awakening of patients, which is extre...

Authors: Niven Gerges Fahmy, Tamer Youssef Elie Hamawy and Heba Abdel Azim Labib

Efficacy of tranexamic acid in reducing blood loss, blood and blood products requirements in Cesarian sections for patients with placenta accreta

Placenta accreta is an obstetric emergency and the main cause of maternal morbidity and mortality due to the associated bleeding and coagulopathy. Tranexamic acid has been widely used to decrease blood loss in...

Authors: Tamer Hamed Ibrahim

Can propofol procedural sedation implementation increase the acceptance of spinal anesthesia during cesarean section?

Parturients are highly anxious preoperatively. The worries of spinal anesthesia may preclude its acceptance despite being recommended. Procedural sedation is not a routine during regional blocks, but it is sen...

Authors: Alaa Mazy, Nadia Madkour and Hesham Shaalan

Management of a giant cystic hygroma with restricted neck extension in a child with pediatric King Vision® video laryngoscope

Authors: Gnanasekaran Srinivasan, Suman Lata Gupta and Deepak Chakravarthy

Ultrasound-guided combined interscalene and superficial cervical plexus blocks for anesthesia management during clavicle fracture surgery

Authors: Ahmet Kaciroglu, Muhammet Ahmet Karakaya, Ali Ahiskalioglu, Bahadir Ciftci, Mursel Ekinci and Ahmet Murat Yayik

Micro leak of the cuff inflation system of an armored endotracheal tube: an unreported site

Authors: Vinodhadevi Vijayakumar and Arimanickam Ganesamoorthi

Effective erector spinae plane block for postoperative analgesia in a pyothorax patient who underwent emergency re-open thoracotomy—a case report

The appropriate choice of postoperative analgesia for pyothorax surgery is unclear since local infection could contaminate the catheter used for regional blocks and bacteremia can lead to disordered coagulatio...

Authors: Izumi Kawagoe, Daizoh Satoh, Mariko Fukui, Kenji Suzuki and Eiichi Inada

Anesthetic management of a parturient with Ebstein anomaly posted for medical termination of pregnancy

Pregnancy in Ebstein anomaly could cause acute decompensated heart failure. Therefore, medical termination of pregnancy is the next course of action in such cases. We present a case of 25-year-old primigravida...

Authors: Roshan Andleeb and Rajnish Kumar

Ultrasound-guided modified thoracolumbar interfascial plane block is effective for pain management following multi-level lumbar spinal fusion surgery

Authors: Mursel Ekinci, Bahadir Ciftci and Yunus Oktay Atalay

The conundrum of guidelines, recommendations, and strength of recommendation

Authors: Abhijit S. Nair and Sandeep Diwan

A rare cause of complete airway obstruction caused by a defective pilot tube of a reinforced endotracheal tube

The common causes of failure to inflate the lungs after placement of an endotracheal tube include mechanical obstruction of the tube by tight gauzes, tongue blade, tube kinking, patient biting on the tube, obs...

Authors: Rathna Paramaswamy

Fentanyl versus midazolam as additive to local anesthetic mixture for peribulbar block during posterior segment surgery in adult patients a prospective randomized double-blind study

To evaluate analgesic and hemodynamic outcome of fentanyl or midazolam as additives to local anesthetic mixture (LAM) for peribulbar block (PBB) during posterior chamber surgery.

Authors: Ahmed Abdalla Mohamed and Tamer Fayez Safan

Scope of chronotherapy in perioperative medicine—a topical review

Authors: Abhijit S. Nair and Sandeep Diwan

The efficacy of adjuvants to bupivacaine in ultrasound-guided supraclavicular block: a comparative study between dexmedetomidine, ketamine, and fentanyl

Ultrasound-guided supraclavicular block is of increasing importance in upper limb surgeries as it provides excellent pain control and reduced side effects. The search for the ideal adjuvant is still present. I...

Authors: Reham Mustafa Hashim and Rasha Mahmoud Hassan

Single injection pectoral nerve block (Pecs I and Pecs II) versus local anesthetic infiltration for ambulatory breast augmentation combined with monitored anesthesia care

This randomized, double-blind study was designed to compare single injection pectoral nerve block (Pecs I and Pecs II) versus local anesthetic infiltration for ambulatory breast augmentation under monitored an...

Authors: Karim Youssef Kamal Hakim and Wahba Zakaria Wahba

Postoperative analgesia in children undergoing adenotonsillectomy under sevoflurane versus propofol-based anesthesia: a randomized controlled trial

The field of pediatric pain management has changed greatly in the past decades. However, the number of children who experience moderate-to-severe postoperative pain, even with analgesic treatment, remains sign...

Authors: Hossam M. Atef, Salah A. Ismail, Ahmad Al-Touny and Sherif Eid Ahmed Abo-rehab

Cervical region trigger point Injection with dry needling versus wet needling by lidocaine in geriatric population: a comparative study

Myofascial pain syndrome is a common musculoskeletal disorder which is characterized by presence of trigger points. Its prevalence is up to 60% in geriatric population, and local treatment is important due to ...

Authors: Dalia A. Ibrahim and Hesham A. Abdelrahem

Bilateral erector spinae plane block provides postoperative analgesia for laparoscopic distal esophagectomy surgery

Authors: Bahadır Ciftci and Mursel Ekinci

Comparing perioperative magnesium sulphate, lidocaine, and their combination in preventing ventricular arrhythmia in off-pump coronary artery bypass grafting

Techniques of coronary artery bypass grafting (CABG) have developed rapidly over the last decades. However, dysrhythmia is a common feature during off pump CABG. The aim of this work was to study effect of per...

Authors: Tarik Saber Sarhan, Ibrahim Fadl Mahmoud and Mohammed A. Seddiq

Intubation using laryngeal mask airway CTrach and laryngeal mask airway Fastrach in anesthetized non-paralyzed patients: a randomized controlled study

Laryngeal mask airway (LMA) CTrach has an integrated fiber optic bundle and battery-powered monitor that enable viewing the larynx. The LMA CTrach is a step in the evolution of LMA Fastrach. This study assesse...

Authors: Ola T. Abdel Dayem and Tamer M. Farahat

Dexmedetomidine versus lidocaine as an adjuvant to general anesthesia for elective abdominal gynecological surgeries

The current study was conducted to compare the effect of perioperative administration of intravenous dexmedetomidine versus lidocaine on the perioperative hemodynamic changes, anesthetic consumption, anesthesi...

Authors: Mohammed Abdelsalam Menshawi and Hany Magdy Fahim

Strategies to restore/save the glycocalyx

Authors: Abhijit S. Nair

Spinal anesthesia for lengthy lower limb orthopedic surgeries: dexmedetomidine plus fentanyl versus dexmedetomidine

Spinal anesthesia is efficient but of limited duration. Intrathecal dexmedetomidine prolongs the sensory and motor blockade of bupivacaine. Dexmedetomidine-opioids combination displayed a clinically controvers...

Authors: Alaa Mazy, Mohamed A. Ghanem, Mohamed Serry E. Abd Elatif and Yehia E. Basyoni

Routine use of ultrasonography in prediction of uncuffed endotracheal tube size in pediatric patients

Endotracheal intubation is a crucial skill in anesthesia. Uncuffed pediatric endotracheal tube (ETT) size can be calculated by various methods like age-based formula or by using ultrasound to measure minimal t...

Authors: Essam Mahran and Suzan Adlan

Efficacy and safety of Cohen Flex-Tip blocker and left double lumen tube in lung isolation for thoracic surgery: a randomized comparative study

The Cohen blocker is one of the lung isolation devices. Unfortunately, most anesthesiologists believe that its efficacy in inducing lung collapse is less than that of the double-lumen tube (DLT). This study ha...

Authors: Amira Abd Elfattah Shaban

Dexmedetomidine versus propofol for sedation in stereotactic brain biopsy: a comparative study

The aim of this study was to assess the effectiveness of intraoperative dexmedetomidine versus propofol infusions on the sedation and the recovery profiles during stereotactic brain biopsy. A total of 40 patie...

Authors: Ghada Mohamed Samir and Dalia Ahmed Ibrahim

Effect of N-methyl-d-aspartate (NMDA) receptor antagonist combination as adjuvant to general anesthesia in functional endoscopic sinus surgery

This randomized, placebo-controlled, double-blind study was designed to assess controlled hypotension using N-methyl-d-aspartate (NMDA) receptor antagonists in patients undergoing functional endoscopic sinus surg...

Authors: Karim Youssef Kamal Hakim and Wahba Zakaria Wahba

Impact of intravenous infusion of labetalol combined with magnesium sulfate versus hydralazine combined with magnesium sulfate on fetomaternal hemodynamics in severe preeclampsia

The aim of this study was to compare the effectiveness of two different protocols, labetalol with magnesium sulfate versus hydralazine with magnesium sulfate intravenous infusion with respect to their impact o...

Authors: Tamer Nabil Abdelrahman, Mohamed Abdelaziz Youssry, Ahmed M. Radwan and Anis Ahmed