Dr. Davood Ommi, MD - Shahid Beheshti Medical University - Assistant Professor

Dr. Davood Ommi

MD

Shahid Beheshti Medical University

Assistant Professor

Tehran, Tehran | Iran (Islamic Republic of)

Main Specialties: Anesthesiology

Additional Specialties: Anesthesiologist

Dr. Davood Ommi, MD - Shahid Beheshti Medical University - Assistant Professor

Dr. Davood Ommi

MD
Introduction

Primary Affiliation: Shahid Beheshti Medical University - Tehran, Tehran , Iran (Islamic Republic of)

Specialties:

Additional Specialties:

Research Interests:

Metrics

24

Publications

920

Profile Views

43

Reads

7

PubMed Central Citations

Publications

24Publications

43Reads

7PubMed Central Citations

Comparison effect of pre-emptive gabapentin and oxycodone on pain after abdominal hysterectomy : a double blind randomized clinical trial

Acta Medica Iranica

Gabapentin is popular analgesic adjuvants for improving postoperative pain management. The aim of this study was to compare the preventive effects of pre-emptive oxycodone and gabapentin on acute pain after elective abdominal hysterectomy. One hundred patients undergoing abdominal hysterectomy were randomly assigned to oxycodone group received 10 mg of oxycodone and gabapentin group received 10 mg of gabapentin 1 hour before surgery. The anesthetic technique was standardized, and the postoperative assessments included the amount of meperidine consumption, PONV and VAS for postoperative pain at arrival to recovery, 6, 12 and 24 h after surgery. Bleeding loss assessed during surgery. Postoperative pain scores were significantly lower in the gabapentin group compared with the oxycodone group. (P=0.0001) The total meperidine used in the gabapentin group was significantly less than in the oxycodone group. Postoperative nausea and vomiting (PONV) and blood loss during surgery were significantly decreased in gabapentin group. Based on the results of this study, Pre-emptive use of gabapentin 1200 mg orally, significantly decreases postoperative pain and PONV, rescues analgesic requirements and also bleeding loss during surgery in patients who undergo abdominal hysterectomy. Significant side effects were not observed.

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April 2018
5 Reads

Incidence and Antimicrobial Resistance of Campylobacter and Salmonella from Houseflies (Musca Domestica) in Kitchens,Farms, Hospitals and Slaughter Houses

Proceedings of the National Academy of Sciences, India - Section B: Biological Sciences.

Abstract Carriage status of Campylobacter and Salmonella was investigated in houseflies in Shahrekord and Isfahan provinces of Iran. This was a longitudinal study conducted from June 2013 to May 2014. Flies were collected from household kitchens, animal farms, slaughter houses and hospitals and put in sample bottles filled with peptone water. Bacteria were isolated and DNA was extracted from bacterial isolates using a commercial kit. Confirmation of the organisms was carried out by polymerase chain reaction using primer sets for detection of these pathogens. Out of 600 houseflies 19.5 % (117/600) were positive for Campylobacter and 15.8 % (95/600) were positive for Salmonella organisms. The recovery frequencies of the two organisms in different locations were similar. Higher proportions of infected flies were obtained during summer whereas low proportions were obtained during winter of all the organisms (P\0.05). The organisms had low to moderate resistance to different antimicrobial agents. It is concluded that houseflies do harbor antimicrobial resistant diarrheagenic pathogens including Campylobacter and Salmonella, more so during summer. The data support the importance of taking into account the houseflies in future plans aimed at stemming infections caused by these organisms. Keywords Salmonella Campylobacter Antimicrobial resistance Houseflies Polymerase chain reaction Season Iran

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January 2016
5 Reads

Hypnosis versus intravenous sedation in regional anesthesia of ophthalmic surgery

12th Intemational Congress of Anesthesiology, Critical Care and Pain Medicine of iran

Purpose: To compare the efficacy of hypnosis and intravenous (IV) sedation in controlling of important .ariables of vital signs and to evaluate the patient anxiety before and after topical anesthesia in ophthalmic surgery. Methods: This study was designed as a double-blind stratified randomized clinical trial. Hypnotism was administered for hypnotism group, and midazolam, fentanyl and propofolwere given intravenously to IV sedation group. The patients were monitored and the baseline variables consisted of mean arterial pressure, pulse rate, respiratory rate, and 02 saturation were registered every IS minutes during surgery. Patient anxiety was measured via.Spielbegers State Anxiety Index score(STAI) before and after surgery. Results: A total of 90 patients were participated in the study,with SO% (N=4S) assigned to hypnosis group and SO% (N=4S) assigned to IV sedation group. Patients characteristics including age,gender,body mass index(BMI) duration of surgery were similar among the groups (P>O.OS). Spielbegers State Anxiety Index score(STAI) before and after surgery were not significantly different in both groups(p>O.OS.Heart rate,respiratory rate,mean arterial pressure were lower among hypnosis group as well as this group had higher 02 saturation during surgery(p

View Article
September 2015
5 Reads

Neurocysticercosis: Manifestations, Diagnosis and Treatment

International Clinical Neuroscience Journal

Neurocysticercosis, is the infection caused by the larval form of the tapeworm Taenia solium. It is considered as the most common parasitic disease of the central nervous system and the most common cause of acquired epilepsy. This has primarily been a disease that remains endemic in countries with poor economy, but because of increased migration neurocysticercosis is being diagnosed more frequently worldwide. During the past decades improved diagnostics, imaging, and treatment have led to more accurate diagnosis and improved prognosis for patients. This article is a review about the current data about neurocysticercosis, including recent diagnostics and treatment developments. Keywords: Cysricercosis, epilepsy, tapeworm, CNS

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September 2015
4 Reads

A Survey on Cortical Bone Trajectory for Spinal Fusions

International Clinical Neuroscience Journal

There have been a number of developments in screw design and implantation techniques over recent years, including proposal of an alternative trajectory entitled as cortical bone trajectory (CBT). Cortical bone trajectory has been investigated in recent medical treatments as an alternative for screw fixation aimed at increasing purchase of pedicle screws in higher density bone. CBT screw insertion follows a lateral path in the transverse plane and caudocephalad path in the sagittal plane. This technique has been advocated because it is reportedly less invasive, improves screw−bone purchase and reduces neurovascular injury. Furthermore CBT pedicle screw fixation provides stabilization to multilevel lumbar segment with low-grade spondylolisthesis comparable to the standard trajectory pedicle screw construct. However, these claims have not been supported by robust clinical evidence. Recent investigations focus on evaluations of CBT as a pioneer method. Keywords: cortical, trajectory, osteoporosis, fixation, spinal, fusion

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September 2015
4 Reads

Effects of Clonidine Premedication on Intraoperative Blood Loss in Patients With and Without Opium Addiction During Elective Femoral Fracture Surgeries.

Anesth Pain Med 2015 Aug 22;5(4):e23626. Epub 2015 Aug 22.

Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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August 2015
8 Reads
2 PubMed Central Citations(source)

Effects of Clonidine Premedication on Intraoperative Blood Loss in Patients With and Without Opium Addiction During Elective Femoral Fracture Surgeries

Anesth Pain Med

Background: Opium is an addictive agent and one of the most common narcotics With great challenges of intraoperative hemodynamic instabilities. Objectives: The current study aimed to assess the effects of clonidine on intraoperative blood loss in patients with and without opium addiction in femoral fracture surgeries. Patients and Methods: In a randomized clinical trial, 160 candidates for elective femoral fracture operations under general anesthesia were divided into four groups of 40 subjects: group 1 (placebo 1), subjects without addiction received placebo 90 minutes before the operation; group 2 (placebo 2), patients with opium addiction received placebo as group 1; group 3 (Clonidine 1), patients without addiction received clonidine 90 minutes before the operation and group 4 (Clonidine 2), patients with opium addiction received clonidine as premedication. Results: Intraoperative blood loss in clonidine recipient groups, patients with and without addiction, was less than that of the placebos (both P values < 0.01) and the difference magnitude was higher in patients with opium addiction. Conclusions: Premedication with clonidine to decrease intraoperative blood loss can be more effective in patients with opium addiction than the ones without addiction. Keywords: Opium; Clonidine; Substance Abuse; Hemorrhage

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August 2015
5 Reads

Surgical outcome of patients with Foramen Magnum Meningioma

International Clinical Neuroscience Journal

Purpose: In this study we aimed to investigate the benefits of far-lateral approach without partial condylectomy in patients with foramen magnum meningiomas over surgical approach with condylectomy. Methods: From 1980 to 2011, a total of 17 patients with foramen magnum meningiomas were treated surgically via far-lateral approach without condylectomy. The follow up period of this study was 6 to 24 months. Result: In this study, most of the tumor removals were done as complete resection. Operative deaths and significant complications were not noticed during procedure. Although all of the patients improved in their motor function, sensory deficits were resolved in 85% of patients by microsurgical far-lateral approach without partial condylectomy. Conclusion: Results of this study revealed that far-lateral approach without condylectomy is safe and effective in resection of foramen magnum meningiomas. Keywords: Magnum Meningiomas; Far-lateral approach; Condylectomy

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July 2015
5 Reads

Brain Tumors in Elderly

International Clinical Neuroscience Journal

Brain tumors in elderly are increasing as the number of people, who comprise the older population, does. About half of the patients with brain tumors appear to be over 60 years of age. In this review article, Glioblastoma multiform, as the most common malignant tumor of the central nervous system (CNS) in elderly, is discussed in details of definition, prognosis, diagnosis, treatment and differential diagnosis. Other tumors such as meningioma, pituitary adenoma, the CNS lymphoma and metastasis are also included to be reviewed. Treatment plans, either conservative or aggressive, classic or novel, approved or under investigation, are presented. Furthermore different attitudes of treatment in the past and recently are also argued. Conventional therapy, surgery, radiotherapy, chemotherapy radioimmunotherapy, hormonal therapy and some other novel methods of treatments are discussed in details for the glioma. Determining factors which may be associated to the patient’s response to each treatment plan are also discussed. Finally, some age related issues are provided to be paid attention to consider an old patient with brain tumor, and planning an optimal treatment in order to make the best management decisions. Until recently, people with brain tumors in elderly, were used to be treated in conservative plans and often were excluded of the clinical trials but now the number of patients who desire and receive more aggressive therapy for brain tumors is increasing. Keywords: Brain Tumor; Elderly; Glioblastoma; Treatment INTRODUCTION Brain tumors, either primary or metastatic, are considered as one of the major causes of significant morbidity and mortality in the elderly. The National Cancer Institute statistics, has reported an increase in overall incidence of cancers by more than 10% in the past 20 years, with an average annual percentage change of approximately 1-2% 1-3. As well for brain tumors with the highest increase noted belonging to the population aged over 60 years old 1. The epidemiologic factors are not well defined and the incidence of those genetically transmitted diseases associated with brain tumors, such as neurofibromatosis and the familial cancer syndromes (e.g., Li-Fraumeni), did not really show a significant increased rate 4,5. No environmental factors such as pesticides, electromagnetic fields, or radiation exposure, have been effective in increasing the rate of brain tumors. Although there is a higher risk for meningioma in patients who had previously received head radiation therapy (RT) 1,6,7. However, recently, the controversy has been argued whether the incidence began to raise, markedly prior to the introduction of computed tomography (CT) scans in 1973, followed by the magnetic resonance imaging (MRI), allowing to make earlier and more accurate ICNSJ

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July 2015
5 Reads

The comparison between steroid and hypertonic saline 10% with steroid in transforaminal epidural injection in patients with unilateral foraminal stenosis

International Clinical Neuroscience Journal

Background: Chronic radicular low back pain is a common disease that limits patient’s daily activity. Epidural steroid injection is becoming the mainstay of therapies for radicular low back pain due to contained bulged disc. Purpose: To determine the effect of adding hypertonic saline to epidural steroid injections to provide pain relief for chronic radiculopathy back pain secondary to foraminal stenosis. Methods: In a randomized clinical trial, 50 patients with unilateral radicular low back pain due to unilateral foraminal stenosis were enrolled. Epidural steroid injections were performed using transforminal approach. In hypertonic saline group 80 mg of triamcinolone plus 2 ml of 10% hypertonic saline, and in control group 80 mg of triamcinolone plus 2 ml of normal saline were injected. Outcome measures were numerical rating scale (NRS), Oswestry disability index, and proportion of responder patients (NRS<3) were measured at baseline, 1, 3, and 6 months post-procedure. Results: Comparison of pain score between two groups showed that pain score was not significantly different at 1 (p=0.24), 3 (p=0.31) and 6 month (p=0.38). Significant pain relief (NRS<3) in 76% of patients within 1 months. Percent of patient with NRS<3 was 48% and 32% in hypertonic and 40% and 32% in steroid group at 3 and 6 month, respectively. Conclusion: Hypertonic saline added to steroid did not significantly increase pain relief effect of epidural steroid injection.

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July 2015
4 Reads

Molecular detection and antimicrobial resistance of Pseudomonas aeruginosa from houseflies (Musca domestica) in Iran.

J Venom Anim Toxins Incl Trop Dis 2015 30;21:18. Epub 2015 May 30.

Young Researchers and Elite Club, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran.

View Article
June 2015
4 Reads
1 PubMed Central Citation(source)

Effect of Ondansetron on postoperative shivering after craniotomy

Global Anesthesia and Perioperative Medicine

Introduction: Postoperative shivering (POS) is anearly complication following craniotomy. Preventive pharmacologic drugs are the mainstay of treatment. Meperidine is the drug of choice but with increased risk of apnea. Objectives: To assess the preventive effect of Ondansetron on POS after craniotomy. Methods: In a randomized, double-blinded, placebo-controlled trial, 80 patients with ASA I to II between ages of 20-60 years scheduled for elective craniotomy were enrolled in the study. Patients received either intravenous ondansetron 4 mg (n=40) or saline (Control group) (n=40) 10 minutes before end of surgery. Results: POS observed in 2patients (5%) in Ondansetron group that was significantly lower than in the control group in 10 patients (25%) (P=0.012). The relative risk (RR) of having post operative shivering while taking Ondanseton was 0.41 (95% CI: 0.19-0.96; p=0.020). In ondansetron group, mean (± SD) core temperature in preoperative time (36.6 ± 0.66) was significantly higher than in postoperative (34.2 ± 0.56) (p=0.001). Besides, mean (± SD) peripheral temperature in preoperative (36.5 ± 0.72) was significantly higher than in postoperative (34.4 ± 0.51) (p=0.001). Conclusion: Ondansetron could significantly decrease post-operative shivering incidence after craniotomy compare to placebo. Ondansetron does not have any significant effect on core or peripheral temperature

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June 2015
6 Reads

Molecular detection and antimicrobial resistance of Aeromonas from houseflies (Musca domestica) in Iran

REVISTA MVZ CÓRDOBA

Objective. This study aimed to report the molecular detection and antimicrobial resistance of Aeromonas among houseflies (Musca domestica) in Shahrekord and Isfahan provinces of Iran. Materials and methods. Flies were caught from household kitchens, cattle farms, animal hospitals, human hospitals, slaughter house and poultry farms and put in collection separate sterile tubes. Isolation was accomplished by culture of flies in alkaline peptone water followed by identification with Aeromonas-specific Polymerase Chain Reaction (PCR). Results. Out of 600 houseflies 73 (12.2%) were infected with Aeromonas spp. Significantly higher frequencies of Aeromonas were isolated in Shahrekord province (13.0%; 39/300) than in Isfahan province (11.3%; 34/300). The recovery frequencies of the organisms were significantly lower in kitchens as compared to those in cattle farms and hospital wards which were similar. Higher proportions of infected flies were obtained during summer whereas low proportions were obtained during winter. Conclusions. It is concluded that houseflies do harbor diarrheagenic pathogens, including Aeromonas especially during summer. The carried organisms are resistant to a number of antimicrobials at different levels. Thus, future plans aimed at stemming infections caused by these organisms should take flies into account. Control efforts of infections caused by this particular bacterium should therefore take into account Musca domestica. Key words: Pathogens, locations, Polymerase chain reaction, resistant, seasons (Source: CAB)

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June 2015
5 Reads

Intrathecal injection of CD133-positive enriched bone marrow progenitor cells in children with cerebral palsy: feasibility and safety.

Cytotherapy 2015 Feb 1;17(2):232-41. Epub 2014 Nov 1.

Department of Regenerative Medicine at Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, Royan Institute for Reproductive Biomedicine, The Academic Center for Education, Culture and Research (ACECR), Tehran, Iran. Electronic address:

View Article
February 2015
11 Reads
2 PubMed Central Citations(source)
3.29 Impact Factor

Frontal assessment battery in a Persian population with Parkinson's disease

International Clinical Neuroscience Journal

Background: Several studies have indicated that executive dysfunction is the main neuropsychological feature of Parkinson’s disease (PD). The Frontal Assessment Battery (FAB) is a short tool for the assessment of executive functions. Purpose: The aim of this study was to determine the relationship between Persian version of FAB scores and age, education, Mini-Mental State Examination (MMSE), and severity of the disease in Iranian patients with PD. Methods: The study involved 60 healthy participants and 60 patients with idiopathic PD. Age, sex, disease duration, and Unified Parkinson’s Disease Rating Scale (UPDRS) scores were noted. FAB and MMSE were administered to all participants. Both groups were compared according to FAB scores, MMSE, age, and education. Results: FAB scores were significantly lower in patients with PD than in healthy controls (P<0.05). In patients with PD, FAB scores were correlated with MMSE (P<0.05) but not with UPDRS (P=0.93). Conclusion: FAB scores were significantly lower in Iranian patients with PD in comparison to controls and it can indicate that this battery has good discriminate validity and can be a useful tool to identify executive dysfunction in Iranian patients with Parkinson’s disease. Also it seems that FAB is not useful test to show disease severity in Iranian patients. Keywords: Executive Functions; Parkinson disease; Frontal Assessment Battery; Unified Parkinson’s Disease Rating Scale

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August 2014
4 Reads

The relationship between cognitive function and fasting blood sugar in patients with type 2 Diabetes

21'h Congress of Neurology & Electrophysiology of Iran

Background: Diabetes is associated with cognitive decline. The brain changes as a result of high fasting blood sugar (FBS) decline cognitive performance and cause cognitive impairment (Cl). However, interaction between the degree of FBS and different cognition sub-items has been remained unclear. This study was conducted to assess the relationship between FBS, with different sub-items of the cognition. Methods: The FBS level was measured in the morning after a l2-hour fast in 650 patients with type 2 diabetes, who were screened on the basis of inclusion and exclusion criteria. Information about lifestyle and treatment for diabetes was collected. Cognition was assessed using Persian version of Montreal Cognitive Assessment Test (MoCA). Subjects classified to normal (MoCA2:26) and impaired cognitive function (MoCA<26). Logistic regression analysis was used to look for other vascular risk factors impacting cognitive function. Also we classified participants according to age, sex and education. Results: Lower FBS level was significantly associated with better MoCA score in low level education patients. Also there was significant negative correlation between FBS level and language, abstraction and orientation. Low HbAlc level was significantly correlated with better cognitive performance. Conclusion: Our finding indicated that FBS levels have effect on some of the cognition sub-items. Considerably more work will need to be done to determine pathological changes in brain for CI as a result of high FBS level.

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June 2014
6 Reads

The relationship between cognitive function and Framingham risk score in persons with cardiovascular risk factors , using montreal cognitive assessment test

21'h Congress of Neurology & Electrophysiology of Iran

Background: Cardiovascular disease (CVD) and related risk factors are leading causes of death and disability among the world. Some of these risk factors could damage cognitive performance such as hypertension and diabetes. Framingham study provides a multifuctorial score that assess 10- year risk of CVD in persons and evaluate whole risk factors. This study will examine the relationship between Framingham general CVD risk score and cognitive function. The aim of this study was to assess the relationship between Framingham Risk Score with different sub-items ofthe cognition. Methods: We included 890 subjects, aged 30-74 years who have no cardiovascular disease at baseline examination. The Framingham risk score (FRS) was obtained for each participant. The score were classified to mild, moderate and high. Cognition was assessed with Montreal Cognitive Assessment Test (MaCA). Also data were analyzed with multivariate logistic regression analyses. Age, gender, education level, other potential correlates of cognitive ability (depression, alcohol consumption) and treatment for hyperlipidemia and diabetes were included in the analyses. Results: There was significant negative correlation between FRS (using lipids) and MaCA score. Also negative correlation between FRS (using lipids) and memory, language and orientation was shown. Higher vascular age (using BMI) was negatively correlated with memory and language. Conclusion: We concluded that FRS is related to cognitive performance, thus cardiovascular risk factors have effects on cognitive function. According to this prevention and treatment of risk factors can decline incidence of cognitive impairment and dementia among individuals with cardiovascular risk factors

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June 2014
5 Reads

Association between plasma lipid levels and cognitive function

21'h Congress of Neurology & Electrophysiology of Iran

Background: Low HDL and high level of total cholesterol are vascular risk factors that can effect on brain functions. Cognition is one of the brain functions that maybe affected by these risk factors. This study was conducted to determine the effect of plasma lipid levels on cognitive function in patients with dyslipidemia. Methods: Three hundred and eighty four patients with dyslipidemia were selected in this study. All subjects undertaken a brief interview and Montreal Cognitive Assessment (MoCA) test was used to evaluate cognitive function. Subjects were divided in to two groups: normal (MoCA~26) and cognitively impaired (MoCA<26). Results: There was no statistically significant correlation between total cholesterol and triglyceride level with MoCA score. But significant correlation between HDL level and MoCA score was seen. Also higher level of LDL and VLDL were significantly associated with lower score of MoCA. Conclusion: According to our investigation, control and treatment of dyslipidemia can prevent cognitive decline. However, Future research is necessary to elucidate the mechanisms linking plasma lipid levels and cognitive state and determine the impact of plasma lipid levels on brain changes.

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June 2014
5 Reads

The relationship between cognitive function and brain lesion volumes in multiple sclerosis patients

Iranian Journal of Radiology

Background/Objectives: Magnetic resonance imaging (MRI) plays a critical role in diagnosis of multiple sclerosis (MS) and detecting brain changes during the course of the disease , but many aspects of MR Imaging such as its relationship with MS disabilities has remained unrecognized yet. One of the MS disabilities is cognitive impairment (CI), with an incidence of about 45% to 60%. The purpose of this study was to examine the relationship between cognitive function and the volume of the brain lesions by assessing some of the sub-items of cognition.. Patients and Methods: We assessed cognition using the Montreal Cognitive Assessment (MoCA) Test and brain changes in 46 MS patients in whom brain changes were detected with 1.5 tesla MR Imaging. Brain lesions were classified in three regions consisting of juxtacortical, periventricular and infratentorial. Lesion volumes were estimated using MIPAV software. We used SPSS 20 for data analysis. Also, we classified patients according to age, gender, and education Results: There were no significant correlation between total lesion volumes and MoCA score. But significant correlations between total lesion volumes with visuospatial/executive function were found in persons with higher education. Conclusion: White matter lesion volumes have influence on some of the cognition sub-items in MS patients. Furthermore, MRI determinants can be useful for clinicians to evaluate cognition in MS patients

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May 2014
5 Reads

Effects of clonidine premedication upon postoperative shivering and recovery time in patients with and without opium addiction after elective leg fracture surgeries.

Anesth Pain Med 2013 1;2(3):107-10. Epub 2013 Jan 1.

Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

View Article
November 2013
8 Reads
1 PubMed Central Citation(source)

The effect of pretreatment with clonidine on propofol consumption in opium abuser and non-abuser patients undergoing elective leg surgery.

J Res Med Sci 2012 Aug;17(8):728-31

Anesthesiology Research Center, Department of Anesthesiology, Shahid Beheshti University of Medicine, Tehran, Iran.

View Article
August 2012
12 Reads
1 PubMed Central Citation(source)
0.61 Impact Factor

Evaluating the effects of local injections of bupivacaine and triamcinolone acetate on shoulder joint pain and restricted range of motion following cerebrovascular accidents

Tehran University Medical Journal

Background: Shoulder pain is a common complication of cerebrovascular accidents. This study was conducted to assess the effects of local injections of bupivacaine and triamcinolone acetate on shoulder joint pain and on restricted range of motion following brain events. Methods: This single-blind clinical trial study included 35 patients with chronic shoulder pain (the controls) and 35 patients with chronic shoulder pain due to brain events (the case group). The study was done at Imam Hossein Hospital & Gandhi Day Clinic during the year 2008-2010. The patients in the two groups received bupivacaine and triamcinolone acetate for subacromial bursa injection and suprascapular nerve block by following the protocol described by Dangoisse et al. The patients were followed up for 12 weeks and they were evaluated for pain and range of motion 1, 6, and 12 weeks after the injections. Results: The mean age of the patients was 60.99.07 years. Statistically significant improvements in pain score (P=0.001) and shoulder joint range of motion (P=0.001) were observed in patients with chronic shoulder pain versus patients with brain events 12 weeks after suprascapulare nerve block and subacromial bours injections by bupivacaine and triamcinolone acetate. Conclusion: Suprascapular nerve block and subacromial bursa injections of bupivacaine and triamcinolone acetate is a safe and efficacious treatment for the treatment of chronic shoulder pain and restricted range of motion but it is not efficacious or of significant value for the treatment of shoulder pain in patients with brain events. Keywords: Bupivacaine, cerebrovascular accident, joint, range of motion, shoulder pain, triamcinolone

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June 2011
5 Reads

Comparison of intraoperative hemodynamic parameters and postoperative analgesia of gabapentin and tizanidine in patients with tibial fractures

JOURNAL OF MEDICAL COUNCIL OF IRAN

Abstract: Background: Preoperative consumption of some drugs can control intra operative and post operative pain. Gabapentin and Tizanidine analgesic effects have been studied but a comparison between analgesic effects of these two drugs has not been studiedbefore. Methods: we studied 60 patients with tibial fractures between 15 to 80 years. They were divided into two groups: 30 patients were given 300 mg Gabapentin orally 1 hour before operation (Group G), and 30 patients were given 8 mg Tizanidine by oral route 1 hour before operation (Group T). pain was assessed 1 hour before untill 12 hours post operation using Visual Analogue Scale (VAS). All patients had general anesthesia. Vital Signs and fentanyl consumption during Surgery, the first time morphine was needed and the total dose of Morphine after operation were assessed. Results: Systolic, diastolic blood pressure and heart rates during operation between two groups were not statistically significant. Intra operative fentanyl dose in group G was significantly less than group T (P=0.001). The first time morphine was needed in group G was significantly longer than group T (P=0.001) and total dose of Morphine Consumption during 12 hours after operation in group G was significantly less than group t (P=0.003). VAS was only different between two group12thhours.Afteroperation. Conclusion: preoperative oral consumption of Gabapentin compared to Tizanidine might facilitate better analgesia and more opioid saving during and after operation. Keyword(s): GABAPENTIN, TIZANIDINE, ANALGESIA

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May 2011
7 Reads

Daemi M. Dexamethasone plus Metoclopramide for prevention of postoperative nausea and vomiting in patient undergoing Adenotonsilectomy - a comparison

Journal of Medical Council of Islamic Republic of Iran

Background: Adenstonsilectomy is the most prevalent procedure in Earand nose and throat specialty, and unfortunately the main reason for delaying dischorging such patients is nausea and vomiting. Meanwhile, the most prevalent side effect of this surgery is recovery from anesthesia. Using medicines with minimum complication and price which can be effective in controlling this problem, and reducing side effects of patient's discharge and relevant problems, is a good option. Methods: In this study, 60 persons were candidates for Adenstonsilectomy, which have been introduced to operation room of Loghman Hospital. They have studied for a period of 6 months. These patients were divided in 2 growps each with 3. cases. In one group Dexamethasone and Metoclopramide was used and in second one Ondansetrone with sterile water at the same dosage. Immediately they received Induction, and stomach were evacuated by NG tube. For preserving the anesthesia they received propofol 150-200 ug/kg with 50% (02 +N20), then they have been supervised between 0-3,3-12,12-24 hours after surgery for nausea and vomiting in recovery room and at E.N.T. Ward. Results: No statistically significant difference in nausea and vomiting has been found in these two studied groups between 0-3,3- 12, and 12-24 hours after surgery. Conclusion: Our study indicated that the compound of Dexamethasone and metoclopramide can be effective, the same as ondanstron, in controlling nausea and vomiting after surgery of Adenstonsilectomy during different hours, and there was no meaningful difference between these two drugs with Ondansetrone, in controlling nausea and vomiting after surgery, and in our study; Ondansetrone has no preference in using Dexamethasone and Metoclopramide simultaneously. Keywords: Dexamethasone, Metoclopramide, Ondansetrone, Adenotonsilectomy, Nausea, Vomiting

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December 2009
4 Reads