Articles

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

Ultrasound-guided penile block for circumcision instead of anatomical landmark method in newborn babies

The primary objective of this study is to compare the effectiveness of the newborn’s penile block performed by the surgeon using the classical landmark method and the penile block performed by the anesthesiolo...

Authors: Serap Aktas Yildirim, Hamiyet Ozcan and Ayda Turkoz

Anesthetic management of a patient undergoing abdominal surgery with bilateral ventricular peritoneal shunt in situ

Ventriculoperitoneal (VP) shunts are commonly performed procedures for a variety of disorders and are mostly long standing. These patients when present for non-neurological surgeries like gastrointestinal, uro...

Authors: Renu Bala, Priyanka Bansal, Srishti Malhan and Himani Mittal

COVID-19 pandemic: choosing a loose-fitting PAPR for better protection? Add an N95 FFR

Authors: Omprakash Srinivasan, Vinodhadevi Vijayakumar and Arimanickam Ganesamoorthi

Retrograde intubation: largely ignored technique in difficult airway algorithms

Authors: Reena

Assessment the role of tranexamic acid in prevention of postpartum hemorrhage

Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality and morbidity worldwide. It is believed that hemostatic imbalance secondary to release of tissue plasminogen activator (tPA) and s...

Authors: Nevein Gerges Fahmy, Fahmy Saad Latif Eskandar, Walid Albasuony Mohammed Ahmed Khalil, Mohammed Ibrahim Ibrahim Sobhy and Amin Mohammed Al Ansary Amin

Intravenous lidocaine reduces perioperative opioids without negatively affecting the electrical stapedial reflex threshold in pediatric cochlear implants

Total intravenous anesthesia (TIVA) with propofol and remifentanil is frequently used for pediatric cochlear implants (CIs) surgery as it does not suppress the electrical stapedial reflex threshold (ESRT). How...

Authors: W. Z. Bakhet, L. M. El Fiky and H. A. Debis

Comparative study of intrathecal preservative-free midazolam versus nalbuphine as an adjuvant to intrathecal bupivacaine (0.5%) in patients undergoing elective lower-segment caesarean section

Intrathecal anesthesia is common for parturients undergoing lower-segment caesarean section. Various adjuvants are added to intrathecal bupivacaine for potentiating pharmacological effects, improving quality o...

Authors: Manisha Kapdi and Shruti Desai

Preoperative oral melatonin can reduce preoperative anxiety and postoperative analgesia in a dose-dependent manner

Preoperative anxiety has deleterious effects on patients’ outcome through its influence on intraoperative requirements of anesthetics and analgesics (Bayrak et al., J Coll Physicians Surg Pak 29:868–873, 2019)...

Authors: Mohamed Lotfy and Mohamad Ayaad

Effect of inverse ratio ventilation on hemodynamics and respiratory mechanics in obese patients undergoing laparoscopic sleeve gastrectomy

Obesity has become a global epidemic problem affecting every system and is associated with many consequences including coronary artery disease, hypertension, diabetes mellitus, dyslipidemia, obstructive sleep ...

Authors: Noha Hussein Sayed, Mohamed Saeed Abd Elaziz, Amgad Serag Elkholy and Mohamed Osman Taeimah

Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in India

Authors: Nazia Nazir and Savita Gupta

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