Articles

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

Role of preemptive chlorpheniramine maleate in reducing postoperative agitation after functional endoscopic sinus surgeries (FESS)

Agitation with general anesthesia for ear, nose, and throat (ENT) surgeries was so frequent reaching up to 55.4%. Chlorpheniramine maleate a first-generation antihistaminic that antagonizes histamine H1-recept...

Authors: Tamer Nabil Abdelrahman and Amr Ahmed Kasem

A randomized trial comparing deep and moderate neuromuscular blockade in patients undergoing ambulatory gynecologic laparoscopy

Deep neuromuscular blockade (NMB) is known to improve surgical conditions, compared to moderate neuromuscular blockade (NMB), which is expected to improve postoperative quality of recovery (QOR). However, it i...

Authors: Wahba Z. Bakhet

Half-dose sugammadex with neostigmine versus full-dose sugammadex for reversal of rocuronium in laparoscopic bariatric surgery

Sugammadex reverses rocuronium more effective than neostigmine during deeper neuromuscular blockade levels. Relying upon the high cost of sugammadex we hypothesized that combined neostigmine with half-dose sug...

Authors: Mohamed A. Ghanem, Mohamed Nasr, Abd el Aziz Motawee and Samah El-kenany

Single-dose intrathecal analgesia: a safe and effective method of labor analgesia for parturients in low resource areas

Epidural analgesia is often said the gold standard of the labor analgesia. But in the areas where the availability of epidural catheters, multiparameter monitors, trained staff is scarce, we need to rethink fo...

Authors: Gian Chauhan, Poonam Samyal and Anshit Abhi Pathania

Spinal mepivacaine versus bupivacaine for ultrasound guided transvaginal oocyte retrieval. A comparative study

The most important limitation for spinal anesthesia in the ambulatory setting is the prolonged motor blockade and delayed postoperative ambulation. The current study was conducted to compare spinal mepivacaine...

Authors: Mohammed Abdelsalam Menshawi and Hany Magdy Fahim

Dexmedetomidine versus remifentanil infusion for controlled hypotension in shoulder arthroscopy: a comparative study

The correct performance of the shoulder arthroscopic technique requires appropriate visualization through a video camera which raises the need for providing satisfactory bloodless surgical field. The current s...

Authors: Mohammed Abdelsalam Menshawi and Hany Magdy Fahim

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