Articles

Effect of BIS monitoring on sevoflurane consumption in patients undergoing breast cancer surgeries under general anesthesia—a prospective observational study

The bispectoral index (BIS), a parameter derived from electroencephalogram, has been used to assess the depth of anesthesia. The objectives of this study were to evaluate the effect of BIS monitoring on sevofl...

Authors: Archana Nair, Sudha Padmam, Subha Ravindran, Rachel Cherian Koshy and K. M. Jagathnath Krishna

Evaluation of von Willebrand factor as a marker for early diagnosis of Acute Respiratory Distress Syndrome in comparison to Interleukin-6

Acute respiratory distress syndrome (ARDS) constitutes a clinical phenotype of severe lung injury associated with many causes. Endothelial activation and injury is a component of ARDS. The release of von Wille...

Authors: Dalia M. ELfawy, Mohmmed Abd Elkalek, Ehab Hamed, Samer Ibrahem, Doaa M. A. ELzoghby and Waleed Abdalla

Magnesium sulfate intravenous infusion versus intrathecal injection for prevention of post-spinal shivering during lower limb fracture surgery: a randomized controlled study

Shivering is a prevalent adverse event after spinal anesthesia, often disturbing to medical staff and hazardous to patients. Intravenous magnesium sulfate [MgSO₄] has been proven to be effective in prevention of ...

Authors: Sherif Abdullah Mohamed, Nevan Mohamed El Mekawy, Raed Mohamed Abdelfattah, Ahmed Ibrahim Abdelkhalik Elsonbaty and Mohamed Ibrahim Abdelkhalik Elsonbaty

Dexamethasone to decrease post-anesthesia sore throat (POST) and hoarseness-which is the most effective route: intravenous, topical, or nebulization? A prospective randomized trial

Postoperative sore throat (POST) is common after endotracheal intubation making patients uncomfortable and anxious in postoperative period. The present study was undertaken to compare efficacy of equal dose of...

Authors: Shalini Sharma, Vatika Bhardwaj, Shailja Sharma and Shelly Rana

A comparative study between the effect of verapamil versus nalbuphine as an adjuvant in supraclavicular brachial plexus block

Brachial plexus block has substituted general anesthesia in the majority of patients planned for upper limb surgeries as it avoids the undesired effects of the medications used in general anesthesia as well as...

Authors: Mohammed Ibrahim Khamis, Ahmed Saeed Mohamed, Hesham Mohamed El Azazy, Hala Salah El Ozairy and Mohamed Moien Mohamed

MDI or nebulization in moderate to severe COVID-19 disease with COPD: which one is better?

Authors: Geetanjali T. Chilkoti, Prakash G. Gondode and Spriha S. Tiwari

Compilation of the resuscitation guidelines for COVID-19 patients in resource-constrained developing nations

The world is presently struggling with the pandemic of COVID-19 (coronavirus disease). Owing to the poor outcome and high contagiousness of COVID-19, cardiopulmonary resuscitation (CPR) of COVID-19-positive pa...

Authors: Kompal Jain, Rajeev Chauhan, Summit Bloria and Rashi Sarna

Thoracic spinal anesthesia for cesarean section in severe pre-eclampsia: exploring a new dimension

Severe pre-eclampsia poses a dilemma for the anesthesiologist especially in emergency situations where cesarean deliveries are done for the un-investigated or partially investigated parturient. Hemodynamic sta...

Authors: Rajeev Chauhan, Pranshuta Sabharwal, Rashi Sarna and Shyamcharan Meena

Pre-emptive quadratus lumborum block for laparoscopic bariatric surgery: a prospective randomized controlled study

Laparoscopic bariatric surgeries in morbidly obese patients have shown a steep rise recently. Quadratus lumborum block (QLB) has been used to decrease pain in various kinds of surgeries. The purpose of this st...

Authors: Ahmed S. Omran, Doaa M. KamalELDin and Walid H. Nofal

Comparison of postoperative analgesic effects of two doses of dexamethasone in ultrasound-guided transversus abdominis plane block for inguinal hernia repair: a randomized controlled trial

Ninety patients American Society of Anesthesiologists (ASA) I–II, aged (18–60 years), were enrolled in this randomized controlled trial. All enrolled patients had undergone elective primary unilateral open ing...

Authors: Amani H. Abdel-wahab, Ekram A. Osman and Abubakr Y. Ahmed

Comparative study between medial canthus episcleral block versus peribulbar block in intracapsular cataract surgery

Ophthalmic regional anesthesia is now the most common anesthetic technique used for eye surgeries. There are various modes of needle-based ophthalmic anesthesia which are retrobulbar, peribulbar, and episclera...

Authors: Ahmed Fayez Abd el raof Elsayed, Mohammed Ali Ahmed Zaghlol, Sherif Samir Wahba Rizk Allah and Ahmed Moustafa Mohamed Mohamed

Alveolar cleft and maximum cleft width as predictors for difficult laryngoscopy and intubation in patients with unilateral complete cleft lip and palate

Cleft lip and palate is one of the commonest congenital anomalies, which have an impact on feeding, speech, and dental development away from the significant psychosocial sequel. Early surgical repair aims to r...

Authors: Gamal A. Abdelhameed, Wael A. Ghanem, Simon H. Armanios and Tamer Nabil Abdelrahman

Restrictive versus liberal perioperative fluid strategies to prevent post-dural puncture headache after cesarean delivery

Post-dural puncture headache is a common complication after cesarean delivery. The role of fluid therapy in prevention of post-dural puncture headache is not clear. The aim of this work is to compare restricti...

Authors: M. Elsonbaty, Nora A. Agiza, Tarek Abdelbarr and Heba Salah

A prospective randomized controlled study comparing intravenous dexmedetomidine plus ketamine combination with intravenous dexmedetomidine alone for awake fibreoptic nasotracheal intubation

The purpose of this study was to compare the efficacy and safety of dexmedetomidine versus dexmedetomidine and ketamine for sedation during awake fibreoptic intubation (FOI) in patients posted for elective sur...

Authors: Deepali Jamgade, Gajanan Fultambkar, Sudheer Dara, B. Vijayanand and Abhijit Nair

Neuromuscular blockers and their reversal: have we finally found the on-off switches?

A nondepolarizing neuromuscular blocking agent (NMBA) with a succinylcholine-like quick onset and offset has been the holy grail of the science of neuromuscular blockade. Although this drug is still elusive, t...

Authors: Shagun Bhatia Shah, R. Chawla, A. Pahade and Ashraf EL-Molla

Successfully managed bilateral pneumothorax and subcutaneous emphysema after emergency open surgical tracheotomy

The most common complications we encountered in tracheotomies are hemorrhage, pneumothorax, and tube displacement. In this case report, we describe bilateral pneumothorax following an emergency tracheotomy.

Authors: Fulya Yilmaz

Effect of treatment applied in sepsis on intensive care unit and hospital stay: how effective are albumin/steroid/vasopressor agents?

The incidence and prevalence of sepsis have increased in recent years and it is the most common cause of intensive care admission. The aim of this study was to determine the effects of albumin, steroid, and va...

Authors: Selda Kayaalti and Ömer Kayaalti

Severe liver dysfunction that required transfusion therapy after laparoscopic antireflux surgery

Authors: Satoko Tokimura, Shinju Obara, Atsuyuki Hosono, Takahiro Hakozaki and Shin Kurosawa

Thoracic rhizotomy versus thoracic paravertebral nerve radiofrequency in thoracic cancer pain

Lung cancer is the most frequent occurring malignancy and mostly presenting with pain. Interventional procedures reduce medications and their side effects. Rhizotomy is another modality for control of chest wa...

Authors: Mohamed Adly Elramely and Wael Abdelmoneim Mohammad Abdelwahab

Rise and rise of anesthesiologists under the shadow of COVID-19

Authors: Prakash Gyandev Gondode, Omshubham Asai and Abhinav Lambe

Erector spinae plane block (ESPB): an adjuvant multimodal analgesic in the Combined Mandibulectomy and Neck Dissection (COMMANDO)—a case report

The Combined Mandibulectomy and Neck Dissection (COMMANDO) surgery results in severe postoperative pain and requires multimodal analgesia (MMA) for its management. We speculated that the erector spinae plane b...

Authors: Jadon Ashok, S. Nair Abhijit, Sinha Neelam and K. Shahi Prashant

Incision congruent regional analgesia for postoperative pain management following a giant gluteal neurofibroma excision in a pediatric patient

Authors: Joseph Abraham Poonuraparampil, Rakshit Jayaram, Shruti Bais and Tuhin Mistry

A comparative study of buprenorphine in two different doses as an adjuvant to levobupivacaine in US-guided lumbar plexus block for postoperative analgesia

Lumbar plexus block (LPB) is a proven modality to provide analgesia following lower limb surgeries. The present study compared the effect of buprenorphine in different doses viz. 150 μg and 300 μg as an adjuva...

Authors: Vaibhav Tulsyan, Jai Singh, Lokesh Thakur, Versha Verma and Ashish Minhas

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