Articles

A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome

Eisenmenger syndrome belongs to the 0.4–4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the ane...

Authors: Ravindra Kr. Gehlot, Devendra Verma and L. K. Raiger

Neutrophil gelatinase-associated lipocalin as a biomarker for predicting acute kidney injury after coronary artery bypass grafting

Early and precocious determination of acute kidney injury (AKI) is essential to prevent morbidity and mortality following coronary artery bypass grafting (CABG). Evaluation of the perioperative renal function ...

Authors: Haitham Mohy El Din Mahmoud Othman, Alaa Eid Mohamed Hassan, Mayar Hassan Elsersi, Ahmed Kamal Mohamed Ali Soliman and Dalia Fahmy Emam

Stress hyperglycemia as a prognostic factor in acute ischemic stroke patients: a prospective observational cohort study

Hyperglycemia is a risk factor for infarct expansion and poor outcome for both diabetic and non-diabetic patients. We aimed to study the prognostic value of stress hyperglycemia on the outcome of acute ischemi...

Authors: Hanaa A. El-Gendy, Mahmoud A. Mohamed, Amr E. Abd-Elhamid and Mohammed A. Nosseir

Norepinephrine versus ephedrine for hypotension prophylaxis during cesarean section under spinal anesthesia

Spinal anesthesia is the preferred anesthetic method for elective cesarean sections (C.S.) due to considerable risks regarding airway management associated with physiological changes of pregnancy. Hypotension ...

Authors: Ashraf E. Elagamy, Aiman M. Kamaly, Mohamed I. Shahin and Mohamed Saleh

Bupivacaine-dexmedetomidine versus bupivacaine-nalbuphine in ultrasound-guided supraclavicular brachial plexus block: a prospective, randomized, double-blind study

Brachial plexus block is frequently performed for ambulatory upper limb surgery as an alternative to general anesthesia. It can significantly reduce pain, reduce post-operative nausea, and vomiting and allowin...

Authors: H. S. Mohamed and G. S. Gad

Anesthesia for cesarean delivery: general or regional anesthesia—a systematic review

General anesthesia and regional anesthesia are the anesthetic techniques of choice for cesarean delivery. These anesthetic techniques have their effects on both the fetus and mother. The choice of anesthetic t...

Authors: Mahadi Iddrisu and Zahid Hussain Khan

Implementation of enhanced recovery after surgery in gynecological operations: a randomized controlled trial

To investigate the effects of enhanced recovery after surgery (ERAS) in patients undergoing gynecologic surgery on length of hospital stay, pain management, and complication rate.

Authors: Amr Nady Abdelrazik and Ahmad Sameer Sanad

Intraoperative clonidine vs lidocaine on hemodynamic response to laryngoscopic intubation and immune function in gynecological surgeries

This prospective randomised double-blind study was carried out on forty patients American Society of Anesthesiologists (ASA) physical status I–II , aged 40–60 years, scheduled for elective abdominal gynecologi...

Authors: Sawsan Gaber Mohamed, Noha Mahmoud Hamdy and Amira Abo Elnasr Awad

Successful airway management of twin coincidental supraglottic and thyroid masses with difficult fiber optic intubation: a case report

Aberrant airway anatomy in cases of laryngeal carcinomas makes airway management a herculean task for the anesthesiologist. What can further compound the situation is an external compression by thyroid mass.

Authors: Chashamjot Bawa, Babita Ramdev, Rashi Sarna and Praveena Venkatreddy Reddum

Comparative study between the effect of dexmedetomidine and lidocaine infusion in lumbar fixation on hemodynamics, fentanyl requirements, and postoperative analgesia

Spinal surgery is associated with high incidence of severe postoperative pain difficult to easy control. Appropriate treatment modalities decreased the postoperative morbidity, increased patient satisfaction, ...

Authors: Nayera S. Mohammed, Mariam K. Habib, Essam A. Abbas, Sahar M. Mahmoud and Ibraheem A. Ramadan

Evaluation of real-time tracheal ultrasound versus colorimetric capnography as a point of care tool for confirmation of endotracheal intubation: a randomized controlled study

Endotracheal intubation is essential for optimal airway control during general anesthesia or resuscitation of critically ill patients. Misplacement of the endotracheal tube (ETT) can lead to devastating, preve...

Authors: Tamer Nabil Abdelrahman, Gamal A. Abdelhameed and Simon H. Armanious

Comparison of the hypotensive efficacy of propofol infusion versus nitroglycerin infusion in functional endoscopic sinus surgery

FESS is a common minimally invasive surgery that requires a clear field to be performed well. Hypotensive anesthesia is one of the most common maneuvers performed to help in keeping the field clear. An ideal d...

Authors: Rasha Gamal Abu-sinna and Tamer Nabil Abdelrahman

A case of Gayet-Wernicke encephalopathy with misleading symptoms

The dramatic evolution of incoercible vomiting in pregnancy is at the origin of a rare and serious neurological complication known as EGW; its symptomatology is polymorphic posing a diagnostic problem. MRI is ...

Authors: Mohamed Hadbi, Dalila Benalakma and Nadia Fellah

Assessment for acute pain management in post-total knee replacement (TKR): a prospective cohort study in two Saudi Arabian medical centers

Acute pain in post joint replacement surgeries is common, which makes the management of acute pain following joint replacement surgeries to be very important. Thus, this study was conducted to evaluate acute p...

Authors: Mariam Ahmad Alameri, Syed Azhar bin Syed Sulaiman, Abdullah Moh’d Talaat Ashour and Ma’ad Faisal Al-Saati

Comparative study between continuous adductor canal block and intravenous morphine for postoperative analgesia in total knee arthroplasty

Postoperative pain after total knee arthroplasty (TKA) is known to range from moderate (30% of patients) to severe (60% of patients). Inadequate management for postoperative pain may induce various immobility-...

Authors: Hithem Mohammed Gamil Mohammed Ali, Bassel Mohammed Essam Nour Eldin, Heba Abd Elazim Labib Ahmed, Ramy Mounir Wahba Gobran and Diaa Eldin Mahmoud Heiba

Dexamethasone as a bupivacaine adjuvant for ultrasound-guided interscalene brachial plexus block: a prospective randomized study

Finding adjuvants to local anesthetic used in interscalene block that could efficiently extend the analgesia duration has recently been the focus of researchers. The aim of the work was to determine whether th...

Authors: Maha Abd el Fattah Metawie Badran, Ayman Mokhtar Kamaly, Hadil Magdy Abdel Hamid and Raham Hassan Mostafa

Predictors of perioperative morbidity and mortality in adult living donor liver transplantations: report of results of a tertiary hospital

The aim of this study was to investigate the risk factors effective in perioperative morbidity and mortality in 161 living donor liver transplantations (LDLT).

Authors: Burcu Hizarci, Pelin Karaaslan, Gokhan Ertugrul, Mesut Yilmaz, Yavuz Demiraran and Huseyin Oz

Insights of COVID-19 pandemic impact on anesthetic management for patients undergoing cancer surgery in the National Cancer Institute, Egypt

New corona virus disease COVID-19 is a pandemic outbreak viral infection that is highly contagious. The disease can affect any age groups. Majority of patients show mild or no symptoms. Immunocompromised patie...

Authors: Walaa Y. Elsabeeny, Omnia Y. Abd El Dayem, Ahmed Rabea, Rania S. M. Ibrahim, Heba G. M. Mahmoud, Eman Kamal, Randa A. Osman and Ayman Ghoneim

Analgesic effect of combined transversus abdominis plane block and rectus sheath block in laparoscopic cholecystectomy: prospective randomized study

We aimed to investigate the combination of the subcostal transversus abdominis plane block and rectus sheath block (ScTAP-RS) versus wound infiltration on opioid consumption and assess effects on pain scores i...

Authors: Ibrahim Hakki Tor, Erkan Cem Çelik and Muhammed Enes Aydın

Evaluation of the safety and efficacy of beta blockers in septic patients: a randomized control trial

Sepsis is a common fatal complication of an infection. As part of the host response, sympathetic stimulation can result in many serious complications such as septic myocardial depression and metabolic, hematol...

Authors: Raouf Ramzy Gadallah, Eman Mohamed Kamal Aboseif, Dalia Ahmed Ibrahim, Hany Victor Zaki and Mohamed Nabil Mohamed Abdelmaksoud

Intraoperative infusion of lidocaine 2% reduces postoperative fentanyl requirements for pain control in renal transplantation surgery

Intravenous lidocaine has been shown to be an analgesic and anti-inflammatory medication with modulation of excessive inflammatory response.

Authors: Mostafa K. Abdellatif and Tamer H. Ibrahim

Predictors of postoperative atrial fibrillation after coronary artery bypass grafting: a prospective observational cohort study

This study was conducted to determine the effect of certain predictors on the incidence of postoperative atrial fibrillation (POAF) during ICU stay after coronary artery bypass graft (CABG) surgery.

Authors: Hanaa A. El-Gendy, Mohamed H. Dabsha, Gamal M. Elewa and Amr H. Ali

Temporal insular glioma–rare case report for a venous air embolism

Venous air embolism (VAE) is a well-known entity in the field of neuroanesthesia, with established surgeries and positions where its occurrence is high. The insular cortex is a deep area within the lateral sul...

Authors: Swati Jain, Dinesh Kumar, Nikhilesh Chandra and Mahak Kakkar

A comparative study between dexmedetomidine and dexamethasone as an intrathecal adjuvant for prevention of perioperative shivering in cesarean section

One of the most common problems in parturients receiving regional anesthesia during cesarean section is shivering. It usually interferes with the readings of the oxygen plethysmography (SpO₂) and electrocardiogra...

Authors: Mohamed Abdul Mohsen Abdul Naiem Ismaiel, Omar Mohamed Taha El Safty, Ashraf El Sayed El-Agamy, Omar Mohamed Zafer Mohamed and Mohamed Mourad Mohsen Mohamed Ali

Safety and efficacy of dexamethasone as an adjuvant to bupivacaine in bilateral transversus abdominis plane block in children undergoing major abdominal surgery

This prospective randomized controlled double-blind clinical study was conducted on 52 patients of both genders divided into two groups (26 patients each). Local anaesthetic solution of isobaric bupivacaine 0....

Authors: Wael Abd Elmoneim Mohamed Abdelwahab, Hany Mohamed Elzahaby, Hanaa Abd Allah ElGendy, Ahmad Taha Saeed Abd Elwahab and Rania Maher Hussien

Comparative study between intranasal dexmedetomidine and intranasal ketamine as a premedication for anxiolysis and sedation before pediatric general anesthesia

This study compared dexmedetomidine versus ketamine as regard sedation and anxiolysis produced by giving them through intranasal route to pediatric patients undergoing adenotonsillectomy. This study was double...

Authors: Ahmed Elsayed Ahmed Mohamed Elshafeey, Gehan Fouad Kamel Youssef, Ehab Hamed Abd Elsalam, Mohamed Saleh and Ramy Mahrose

Adductor canal block to manage flexion contracture deformity (FCD) of knee before total knee replacement (TKR) ‐ a case report

The fixed contracture deformity (FCD) which is often present in patients awaiting total knee replacement (TKR) affects the surgical outcome. Therefore, it is necessary to reduce the severity of the FCD before ...

Authors: Jadon Ashok, Sudarshan Pavan, Sinha Neelam and Chakraborty Swastika

Fast-track management of airway complications following shoulder arthroscopy

Authors: Vibhuti Sharma and Ranju Gandhi

Prediction of fluid responsiveness in mechanically ventilated patients in surgical intensive care unit by pleth variability index and inferior vena cava diameter

Patients may have signs of hypovolemia, but fluid administration is not always beneficial. We are in need of bedside devices and techniques, which can predict fluid responsiveness effectively and safely. This ...

Authors: Diaaeldin Badr Metwally Kotb Aboelnile, Mohamed Ismail Abdelfattah Elseidy, Yasir Ahmed Elbasiony Mohamed Kenawey and Ibrahim Mohammed Alsayed Ahmed Elsherif

A comparative study between effect of combined intravenous and nebulized amikacin versus intravenous amikacin alone in mechanically ventilated patients with ventilator-associated pneumonia (VAP)

Aerosolized antibiotic administration offers the theoretical advantages of achieving high drug concentrations at the infection site together with lower systemic absorption. This study aims to compare the effec...

Authors: Dalia M. El Fawy, Azza Yousef Ibrahim, Ahmed Mostafa Mohamed Abdulmageed and Eman Abo Bakr El Seddek

Non-availability of anesthesia scavenging system and decontamination of the outflow gas from the anesthesia machine during this COVID-19 pandemic

Authors: Arimanickam Ganesamoorthi, Vinodhadevi Vijayakumar, Vasanthakumar Vellaichamy and Gopalakrishnan Panneerselvam

Comparative randomized study of continuous serratus anterior plane block versus continuous paravertebral block in post-mastectomy pain

Many analgesic methods have been used to control post-mastectomy pain. Both thoracic paravertebral and serratus anterior blocks are recent regional techniques with promising results. The aim of this study was ...

Authors: Essam Mahran, Suzan Adlan and Nelly Alieldeen

May regional anesthesia be a better choice for the COVID-19 pandemic?

Authors: Bahadir Ciftci, Mursel Ekinci and Yunus Oktay Atalay

Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure

The excision of the pilonidal sinus starts at 1833. Local, spinal, or general anesthetic procedures for the disease are widely used. The excision of the pilonidal sinus by using ligaSure reduces blood loss, re...

Authors: Ayman Esmail Hussien and Amira Ibrahim Fahim

Deep bradycardia after sugammadex: is it due to anaphylaxis or by any other unknown mechanism(s) of sugammadex?

Sugammadex is a ɣ-cyclodextrin containing 8-thiopropionate side chains, which selectively binds to nondepolarizing aminosteroid neuromuscular blocking agents. Here, we report a case who developed deep bradycar...

Authors: Fulya Yilmaz and Koray Bas

Comparison of post-spinal back pain after midline versus paramedian approaches for urologic surgeries

Low back pain after spinal anesthesia is of concern in lithotomy position. During our study, low back pain in both midline and paramedian approaches after spinal anesthesia in lithotomy position was compared.

Authors: Payman Dadkhah, Masoud Hashemi, Babak Gharaei, Mohammad Hassan Bigdeli and Ali Solhpour

Intranasal dexmedetomidine versus intranasal midazolam as pre-anesthetic medication in pediatric age group undergoing adenotonsillectomy

The pre-operative period is a very stressful event for most of the individuals undergoing surgery especially the pediatric patients. So, relieving their pre-operative anxiety becomes an important concern for a...

Authors: Bassem B. Saad, Ayman I. Tharwat, Haidi N. Ghobrial and Sanaa M. Elfawal

High-dose intravenous immunoglobulin therapy for novel coronavirus disease 2019: a brief report of two cases

Authors: Cem Erdogan, Bahadir Ciftci, Deniz Kizilaslan, Mursel Ekinci, Gülsen İptec, Ali İhsan Gemici and Pelin Karaaslan

Comparative study between volume-controlled ventilation and pressure-controlled ventilation in prevention of postoperative pulmonary atelectasis in morbidly obese patients undergoing laparoscopic gastric sleeve surgery

Atelectasis can result during general anesthesia from mechanical ventilation and decrease in lung volume particularly in morbidly obese patients undergoing abdominal laparoscopic sleeve surgery, which may resu...

Authors: Ramy Mohammed Hassan, Hoda Omar Mahmoud, Wael Ahmed Abd el Aal, Mona Ahmed Mohamed Abdelmotaleb and Tarek Samir Shabana

Rivastigmine patch (Exelon patch) compared to melatonin patch in prevention of postoperative delirium in the elderly

Postoperative delirium (PD) is an acute, transient disorder of consciousness, attention, perception, and cognition. Many theories, such as decreased cholinergic neurotransmission and surgery-induced disturbanc...

Authors: Rania Maher Hussien and Aktham Adel Shoukry

A longitudinal analysis of anesthesia data for cataract surgery: selection of working correlation structure

Cataract surgery is most commonly done under local anesthesia with anesthesia and sedation controlled. Anesthetic depth and awareness monitoring during surgery frequently lead to irregular-timed observations. ...

Authors: Mohammad Chehrazi, Zahra Geraili, Seyed Mozafar Rabiei, Seyed Hassan Saadat and Majid Khakzad

Pain scores and statistical analysis—the conundrum

Authors: Abhijit S. Nair and Sandeep Diwan

Assessment of job satisfaction, work-related strain, and perceived stress in nurses working in different departments in the same hospital: a survey study

We aimed to evaluate whether working at ICU, inpatient services, or the operating room creates differences in job satisfaction (JS), work-related strain (WRS), and perceived stress (PS) of nurses.

Authors: Cem Erdoğan, Sibel Doğan, Rumeysa Çakmak, Deniz Kizilaslan, Burcu Hizarci, Pelin Karaaslan and Hüseyin Öz

Ultrasound-guided erector spinae block for postoperative analgesia in thoracotomy patients: a prospective, randomized, observer-blind, controlled clinical trial

Thoracotomy is considered the most painful of surgical procedures and providing adequate analgesia is the onus for all anaesthesiologists. This study investigated the efficacy of the ultrasound-guided erector ...

Authors: Mohammed Gomaa Sobhy, Ahmed Mostafa Abd El-Hamid, Dina Hosni Elbarbary and Mohamed Fouad Elmeliegy

Mean platelet volume dynamics as a prognostic indicator in pediatric surgical intensive care unit: a descriptive observational study

Platelet size and activity have a close correlation. The mean platelet volume (MPV) is related to the disease severity and prognosis, especially in critically ill patients.

Authors: Iman Riad M. Abdel-Aal, Akram Shahat El Adawy, Hany Mohammed El-Hadi Shoukat Mohammed and Ahmed Nabil Mohamed Gabah

Perioperative beta-blocker and its effect on coronary artery bypass graft patients outcome after surgery

Beta-adrenergic receptor blockers have been studied for minimizing the effects of catecholamines by blocking their activation of beta receptors. They are used to prevent or treat hypertensive crises, tachycard...

Authors: Mohamed N. Elshafei, Wael Reda Hussein, Oliver M. Shehata and Mohamed A. Tolba

Ultrasound-guided thoracic paravertebral block vs pectoral nerve block for postoperative analgesia after modified radical mastectomy

Thoracic paravertebral block may be used for analgesia after breast surgery. Ultrasound can be used during the whole technique of paravertebral block to increase success rate and decrease its complications. As...

Authors: Islam Gamal Hamed, Ahmed Ali Fawaz, Amal Hamed Rabie, Abd El Aziz Abdallah Abd El Aziz and Tarek M. Ashoor

Comparative study between magnesium sulphate and dexmedetomidine in controlled hypotension during functional endoscopic sinus surgery: a prospective randomized study

Functional endoscopic sinus surgery (FESS) has been proposed as a selected treatment used in patients with chronic sinusitis that have not responded to medical therapy. Due to the nature of the location of end...

Authors: Aya A. Bayoumy, Gihan S. Abo Zeid, Abeer M. El Deek and Marwa A. Elbeialy

Adductor canal block versus femoral nerve block in unicompartmental knee arthroplasty: a randomized, double blind, prospective, comparative study

Minimally invasive knee replacement surgery has grown in early twenty-first century to join international trend of ambulatory joint surgery. Both ultrasound-guided femoral nerve block (FNB) and adductor canal ...

Authors: Simon H. Armanious, Joseph M. Botros, Ibrahim M. EL Ganzoury and Gamal A. Abdelhameed

Comparison between volume-controlled ventilation and pressure-controlled volume-guaranteed ventilation in postoperative lung atelectasis using lung ultrasound following upper abdominal laparotomies: a prospective randomized study

Atelectasis is a common side effect of general anesthesia. Prevention of lung atelectasis, carbon dioxide retention, and chest infection would improve the quality of medical care and decrease hospital stay and...

Authors: Bahaa El-din Ewees Hassan, Ahmed Nagah El-Shaer, Marwa Ahmed Khairy Elbeialy and Shimaa Ahmed Mohamed Ismail