562 results match your criteria Anesthesiology and pain medicine[Journal]


Improving the Training Process of Anesthesiology Residents Through the Mentorship-Based Approach.

Anesth Pain Med 2019 Feb 23;9(1):e88657. Epub 2019 Feb 23.

Anesthesiology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Although mentoring has been accepted as an effective and nourishing component in medical learning, known mentoring programs for the residents are lacking in most countries.

Objectives: To evaluate the mentoring program for anesthesiology residents at Shahid Beheshti University, an examination was designed to explore the styles of mentoring programs, as well as the aims and outcome followed by such programs.

Methods: In October 2016, Anesthesiology Department of Shahid Beheshti University of Medical Sciences enrolled all the nine educational wards in "mentorship program". Read More

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http://dx.doi.org/10.5812/aapm.88657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412912PMC
February 2019
1 Read

Comparison of Intravenous Ibuprofen with Intravenous Ketorolac in Renal Colic Pain Management; A Clinical Trial.

Anesth Pain Med 2019 Feb 19;9(1):e86963. Epub 2019 Feb 19.

Emergency Department, Shoahadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Choosing a proper medication for pain management of patients with acute renal colic has been a challenge for physicians treating these patients.

Objectives: The present study was performed with the aim of comparing intravenous (IV) ibuprofen and IV ketorolac in pain management of these patients.

Methods: In the present double-blind clinical trial study, patients suspected with renal colic presented to the emergency department were randomly divided into 2 groups receiving IV ibuprofen or IV ketorolac and were compared regarding effectiveness (pain reduction 15, 30, and 60 minutes after injection), treatment success, and possible side effects. Read More

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http://dx.doi.org/10.5812/aapm.86963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412918PMC
February 2019

Comparison of Intravenous Dexmedetomidine-Propofol Versus Ketofol for Sedation During Awake Fiberoptic Intubation: A Prospective, Randomized Study.

Anesth Pain Med 2019 Feb 26;9(1):e86442. Epub 2019 Feb 26.

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: Management of difficult airway due to laryngeal mass is a major challenge to the anesthesiologists, and awake fiberoptic intubation (AFOI) would be the technique of choice.

Objectives: The current study aimed at comparing the effects of administration of dexmedetomidine-propofol or ketofol for sedation during AFOI in terms of intubation conditions, hemodynamic stability, and patients and anesthesiologist's satisfaction.

Methods: Eighty adult patients, 18 - 60 years old, ASA (the American Society of Anesthesiologists) physical status I-III, with difficult airway due to laryngeal mass and planned for AFOI were enrolled. Read More

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http://dx.doi.org/10.5812/aapm.86442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412910PMC
February 2019

Sympatholytic and Anti-Inflammatory Effects of Ropivacaine and Bupivacaine After Infraclavicular Block in Arterio Venous Fistula Surgery.

Anesth Pain Med 2019 Feb 10;9(1):e85704. Epub 2019 Feb 10.

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

Background: Various mechanisms have been suggested for analgesic effects of drugs used in infra-clavicular block and each has contributed to pain relief.

Objectives: The aim of this study was to compare the degree of sympathetic block and measure tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-1 levels before and after infra-clavicular block with ropivacaine and bupivacaine in patients undergoing arterio venous fistula (AVF) surgery.

Methods: Forty-eight patients undergoing AVF surgery were randomly divided to two groups, undergoing infra-clavicular block with ropivacaine and bupivacaine. Read More

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http://dx.doi.org/10.5812/aapm.85704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412917PMC
February 2019

Meeting Between Rumi and Shams in Notch Signaling; Implications for Pain Management: A Narrative Review.

Anesth Pain Med 2019 Feb 8;9(1):e85279. Epub 2019 Jan 8.

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

The meeting between Rumi and Shams, in the 13th century, was a turning point in the life of Rumi leading to a revolutionary effect in his thoughts, ideas, and poems. This was an ever-inspiring meeting with many results throughout the centuries. This meeting has created some footprints in cellular and molecular medicine: The discovery of two distinct genes in Drosophila, i. Read More

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http://dx.doi.org/10.5812/aapm.85279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412915PMC
February 2019

Comparison of Intranasal Dexmedetomidine and Oral Ketamine Versus Intranasal Midazolam Premedication for Children Undergoing Dental Rehabilitation.

Authors:
Mohamed E Oriby

Anesth Pain Med 2019 Feb 6;9(1):e85227. Epub 2019 Feb 6.

Department of Anesthesia and Surgical Intensive Care, Tanta University, Tanta, Egypt.

Background: Dental rehabilitation surgery is associated with significant fear and anxiety with subsequent psychological disturbances. Midazolam has been used frequently as a premedication. However, it may be associated with side effects. Read More

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http://dx.doi.org/10.5812/aapm.85227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412317PMC
February 2019

A Comparative Study of Fractionated Versus Single Dose Injection for Spinal Anesthesia During Cesarean Section in Patients with Pregnancy-Induced Hypertension.

Anesth Pain Med 2019 Feb 6;9(1):e85115. Epub 2019 Feb 6.

Department of Anesthesiology and Intensive Care, Cipto Mangunkusumo National Hospital, University of Indonesia, Jakarta, Indonesia.

Background: Local anesthetics for spinal anesthesia in one-single injection are known to induce more severe hypotension than a fractionated dose in healthy obstetric patients. Hypotension in obstetric patients with pregnancy-induced hypertension, including preeclampsia, during spinal anesthesia, could compromise fetal well-being.

Objectives: This study aimed to compare the mean arterial pressure (MAP), the total dose of ephedrine required, and level of sensory blockade between the fractionated-dose and single-dose spinal anesthesia injection in obstetric patients with pregnancy-induced hypertension who underwent a cesarean section. Read More

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http://dx.doi.org/10.5812/aapm-85115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413406PMC
February 2019
1 Read

Efficacy of Preoperative Administration of Acetaminophen and Melatonin on Retrobulbar Block Associated Pain in Cataract Surgery: A Letter to Editor.

Anesth Pain Med 2019 Feb 24;9(1):e84957. Epub 2019 Feb 24.

Department of Anesthesiology and Critical Care, Qom University of Medical Sciences, Qom, Iran.

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http://dx.doi.org/10.5812/aapm.84957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412315PMC
February 2019

Appendectomy Pain Control by Transversus Abdominis Plane (TAP) Block in Children.

Anesth Pain Med 2019 Feb 20;9(1):e83975. Epub 2019 Feb 20.

Anesthesiology Department, Children's Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Background: Pain control after surgery in children is very important. Despite having good analgesic effects, the use of opioids is, however, limited due to side effects.

Objectives: This study was aimed to investigate the effect of transverse abdominis plane (TAP) block on the intensity and frequency of pain after appendectomy in children. Read More

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http://anesthpain.com/en/articles/83975.html
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http://dx.doi.org/10.5812/aapm.83975DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412316PMC
February 2019
2 Reads

Comparing the Effect of Clonidine and Dexmedetomidine on Intraoperative Bleeding in Spine Surgery.

Anesth Pain Med 2019 Feb 24;9(1):e83967. Epub 2019 Feb 24.

Department of Anesthesia, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Discopathy is one of the most common spinal surgeries. Hemodynamic control is important in bleeding reduction during the surgery. Clonidine and dexmedetomidine both are α agonists that help stabilize hemodynamics and prevent the increase of intraoperative bleeding. Read More

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http://dx.doi.org/10.5812/aapm.83967DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408748PMC
February 2019
1 Read

Effect of Hypoxemia in the Determination of Short-Term Prognosis of Coronary Artery Bypass Graft Patients: A Prospective Study.

Anesth Pain Med 2019 Feb 16;9(1):e81785. Epub 2019 Feb 16.

Department of Anesthesiology, Pain and Critical Care, Tehran University of Medical Sciences, Tehran, Iran.

Background: Respiratory failure and hypoxemia are the known complications of anesthesia and surgery. As a major surgery mainly at advanced ages, the coronary artery bypass graft (CABG) surgery could lead to hypoxemia in the early post-operative phase. Currently, the fraction of partial pressure of arterial oxygen to the fraction of inspired oxygen (PiO/FiO) is used to determine the severity of the respiratory assault. Read More

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http://dx.doi.org/10.5812/aapm.81785DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408866PMC
February 2019
1 Read

The Effect of Different Doses of Isoflurane on Hemodynamic Changes and Bleeding in Patients Undergoing Endoscopic Sinus Surgery under General Anesthesia.

Anesth Pain Med 2019 Feb 18;9(1):e57864. Epub 2019 Feb 18.

Department of Anesthesiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Nowadays, endoscopic sinus surgery is one of the most common surgeries in the field of ear, nose, and throat. This surgery has always been followed by bleeding and can cause hemodynamic disorders due to the direct effect of the endoscopic sinus surgery.

Objectives: This study aimed to investigate the hemodynamic changes with different doses of isoflurane during endoscopic sinus surgery. Read More

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http://dx.doi.org/10.5812/aapm.57864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413045PMC
February 2019

Musculoskeletal Disorders a Universal Source of Pain and Disability Misunderstood and Mismanaged: A Critical Analysis Based on the U.S. Model of Care.

Anesth Pain Med 2018 Dec 15;8(6):e85532. Epub 2018 Dec 15.

Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.

Musculoskeletal disorders are the leading source of pain and disability globally but are especially prevalent in the industrialized nations including the U.S. In addition to the substantial individual suffering caused the rising monetary costs of these disorders are noteworthy. Read More

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http://anesthpain.com/en/articles/85532.html
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http://dx.doi.org/10.5812/aapm.85532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348332PMC
December 2018
1 Read

Perioperative Cardiac Troponin I Levels in Patients Undergoing Total Hip and Total Knee Arthroplasty: A Single Center Study.

Anesth Pain Med 2018 Dec 19;8(6):e84228. Epub 2018 Nov 19.

Tabriz University of Medical Sciences, Tabriz, Iran.

Background: Cardiac injury is one of the significant perioperative complications in major orthopedic surgeries and its early diagnosis is useful in the reduction of postoperative comorbidity. The cardiac troponin is a sensitive and specific biomarker for detecting this damage.

Objectives: The aim of this study was to evaluate the levels of perioperative cardiac troponin I (cTnI) before and after arthroplasty in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). Read More

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http://dx.doi.org/10.5812/aapm.84228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347731PMC
December 2018

The Effect of Low-Level Laser on Postoperative Pain After Elective Cesarean Section.

Anesth Pain Med 2018 Dec 20;8(6):e84195. Epub 2018 Nov 20.

Canadian Optic and Laser Center, COL Center, Victoria, Canada.

Background: Postoperative pain is one of the major concerns about a cesarean in pregnant women that can lead to serious complications and delayed recovery for patients.

Objectives: The objective is to investigate the effect of low power laser on acute pain after elective cesarean.

Methods: In this randomized, double-blind clinical trial, 80 candidates for an elective cesarean were divided randomly into two groups, control and laser. Read More

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http://dx.doi.org/10.5812/aapm.84195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347730PMC
December 2018
2 Reads

Differential Diagnosis of Churg-Strauss Syndrome with Tingling Sensation and Weakness of the Lower Extremities.

Anesth Pain Med 2018 Dec 28;8(6):e84179. Epub 2018 Nov 28.

Department of Internal Medicine, Division of Rheumatology, Jeju National University Hospital, Jeju, Korea.

Introduction: Churg-Strauss syndrome (CSS; or eosinophilic granulomatosis with polyangiitis) is an extremely rare autoimmune condition characterized by hypereosinophilia and vasculitis of small or medium-sized blood vessels, occurring in patients with asthma and allergic rhinitis.

Case Presentation: A 47-year-old man (height, 175.8 cm and weight, 74. Read More

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http://dx.doi.org/10.5812/aapm.84179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347737PMC
December 2018
5 Reads

Effect of Social Factors on Surgical Outcomes in Cervical Disc Disease.

Anesth Pain Med 2018 Dec 19;8(6):e84140. Epub 2018 Nov 19.

Department of Neurosurgery, Scanmed St. Raphael Hospital, Cracow, Poland.

Background: Daily clinical practice shows us how diametrically different surgical outcomes can occur in particular groups of patients sharing the same diagnosis and being subjected to the same treatment. Patient-reported outcomes appear to be significantly influenced by social factors and patients' emotional status. Data on such variables were collated and analyzed statistically with the aim of confirming our clinical observations. Read More

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http://anesthpain.com/en/articles/84140.html
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http://dx.doi.org/10.5812/aapm.84140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347669PMC
December 2018
14 Reads

Cardiopulmonary Bypass Alone Does Not Cause Postoperative Cognitive Dysfunction Following Open Heart Surgery.

Anesth Pain Med 2018 Dec 3;8(6):e83610. Epub 2018 Dec 3.

Department of Anesthesiology and Intensive Care, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.

Background: Postoperative cognitive dysfunction (POCD) is commonly observed following cardiac surgery. The utilization of cardiopulmonary bypass (CPB) is associated with many possible mechanisms to cause POCD. However, there is no evidence confirming that CPB alone is the cause of POCD. Read More

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http://dx.doi.org/10.5812/aapm.83610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347738PMC
December 2018
1 Read

Flow Cytometry of CD64, HLA-DR, CD25, and TLRs for Diagnosis and Prognosis of Sepsis in Critically Ill Patients Admitted to the Intensive Care Unit: A Review Article.

Anesth Pain Med 2018 Dec 5;8(6):e83128. Epub 2018 Dec 5.

Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.

Sepsis is an important health problem with a high burden on health systems. Finding new aspects of immune system function in sepsis showed a new role for flow cytometry in the diagnosis of sepsis. We made a review on the role of CD64, HLA-DR, CD25, and TLRs as more useful flow cytometric tools in diagnosing sepsis, both in adults, and neonates. Read More

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http://dx.doi.org/10.5812/aapm.83128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347736PMC
December 2018
1 Read

Comparison of the Effect of Intra-Rectal Administration of Lidocaine Gel and Lidocaine Plus Fentanyl on Pain Reduction in Prostate Biopsy: A Randomized Clinical Trial.

Anesth Pain Med 2018 Dec 28;8(6):e82778. Epub 2018 Nov 28.

Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Objectives: The aim of this study was to compare the effect of intra-rectal administration of lidocaine gel alone versus lidocaine gel plus topical fentanyl on pain reduction in prostate biopsy.

Methods: In a double-blind randomized clinical trial, 96 patients who met the inclusion criteria were randomly assigned into two groups. 1) The treatment group: Lidocaine gel (2%) 50 g and 2) the intervention group: Lidocaine gel (2%) 50 g and fentanyl gel 50 µg. Read More

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http://dx.doi.org/10.5812/aapm.82778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347735PMC
December 2018

Cognitive Processing Styles and Mindfulness on Pain Intensity Prediction in People with Primary Headache.

Anesth Pain Med 2018 Dec 19;8(6):e82470. Epub 2018 Nov 19.

Islamic Azad University of Alborz, Karaj, Iran.

Background: Primary headaches are the most common cause of absence from work and school and one of the most common reasons for referring to the neurologists.

Objectives: The present study was designed to investigate the relationship of cognitive processing style and mindfulness with pain intensity and the ultimate aim was to provide the role of pain-related cognitive processes and mindfulness in the prediction of headache intensity.

Methods: The study was conducted descriptively by using the correlation method. Read More

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http://dx.doi.org/10.5812/aapm.82470DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347729PMC
December 2018

Procedure-Specific Pain Intensity Four Days After Day Surgery and the Relationship with Preoperative Pain: A Prospective Cohort Study.

Anesth Pain Med 2018 Dec 17;8(6):e81366. Epub 2018 Nov 17.

Department of Anesthesiology and Pain Medicine, Jessa Hospital, Hasselt, Belgium.

Background: Identification of painful procedures is essential for the development of procedure-specific pain-treatment schedules. The aim of this study was firstly, to analyze the prevalence of acute postsurgical pain (APSP) after various types of day surgery on the fourth postoperative day, and secondly, to assess the predictive value of preoperative pain for the development of APSP after different types of surgical procedures.

Methods: From November 2008 to April 2010, patients scheduled for elective day surgery were enrolled in this prospective cohort study. Read More

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http://dx.doi.org/10.5812/aapm.81366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347732PMC
December 2018

Analgesic Effect and Hemodynamic Changes Due to Dexmedetomidine Versus Fentanyl During Elective Colonoscopy: A Double-Blind Randomized Clinical Trial.

Anesth Pain Med 2018 Dec 21;8(6):e81077. Epub 2018 Nov 21.

Babol University of Medical Sciences, Babol, Iran.

Background: There are different methods used for anesthesia during a colonoscopy procedure.

Objectives: The aim of this study was to compare the analgesic effect and hemodynamic changes due to dexmedetomidine and fentanyl during elective colonoscopy.

Methods: This double-blind clinical trial was conducted on 80 patients aged 20 - 70 years, candidates for elective colonoscopy, who were randomly divided into two equal groups. Read More

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http://anesthpain.com/en/articles/81077.html
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http://dx.doi.org/10.5812/aapm.81077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347670PMC
December 2018
6 Reads

Transmuscular Quadratus Lumborum Block Reduces Length of Stay in Patients Receiving Total Hip Arthroplasty.

Anesth Pain Med 2018 Dec 20;8(6):e80233. Epub 2018 Nov 20.

Department of Anesthesiology and Perioparative Medicine, Drexel University College of Medicine, Philadelphia, United States.

Background: Total hip arthroplasty is a common procedure being performed at an increasing rate in the United States. Recovering from this surgery to the extent that one can participate in criteria for discharge relies heavily on effective postoperative analgesia. Many regional anesthetic techniques are deployed in this realm. Read More

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http://anesthpain.com/en/articles/80233.html
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http://dx.doi.org/10.5812/aapm.80233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347734PMC
December 2018
1 Read

Pain Management Using Acupuncture Method in Migraine Headache Patients; A Single Blinded Randomized Clinical Trial.

Anesth Pain Med 2018 Dec 20;8(6):e81688. Epub 2018 Oct 20.

Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: There were numerous studies using acupuncture for pain relief and in most, the effect of this technique on preventing migraine attacks has been investigated. In those several studies that surveyed the effect of acupuncture on treatment of migraine headaches, the conclusion was not completely persuaded and they suggested further researches on this topic.

Objectives: The purpose of this study is to examine the effect of acupuncture on controlling acute migraine attacks. Read More

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http://anesthpain.com/en/articles/81688.html
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http://dx.doi.org/10.5812/aapm.81688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334036PMC
December 2018
4 Reads

Comparison of the Post-Caesarean Analgesic Effect of Adding Dexmedetomidine to Paracetamol and Ketorolac: A Randomized Clinical Trial.

Anesth Pain Med 2018 Oct 31;8(5):e85311. Epub 2018 Oct 31.

Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: Paracetamol and non-steroidal anti-inflammatory drugs (e.g. ketorolac) can be considered for mild to moderate post-caesarean pain. Read More

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http://dx.doi.org/10.5812/aapm.85311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252045PMC
October 2018

The Clinical Characteristics of Spinal Epidural Lipomatosis in the Lumbar Spine.

Anesth Pain Med 2018 Oct 20;8(5):e83069. Epub 2018 Oct 20.

Department of Anesthesiology and Pain Medicine, Jeju National School of Medicine, Jeju, Korea.

Background: Spinal epidural lipomatosis (SEL) is a rare disease, defined as diffuse hypertrophy of unencapsulated adipose tissue causing spinal canal compression and progressive neurologic deficits. However, there are few studies on SEL in Korea.

Objectives: The purpose of this study was to describe the prevalence and clinical characteristics of SEL in Korea. Read More

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http://anesthpain.com/en/articles/83069.html
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http://dx.doi.org/10.5812/aapm.83069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252047PMC
October 2018
17 Reads

Effect of Acupressure on Pain Severity in Patients Undergoing Coronary Artery Graft: A Randomized Controlled Trial.

Anesth Pain Med 2018 Oct 20;8(5):e82920. Epub 2018 Oct 20.

Department of Pediatric Nursing, Non-Communicable Disease Research Center, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Background: Considering the contradictory results on the role of complementary therapies in correcting post-operative side effects, the aim of this study was to evaluate the effect of acupressure on pain severity in patients undergoing coronary artery graft admitted to a coronary care unit.

Methods: In this double-blind, randomized, clinical trial, 70 patients were selected randomly after coronary artery bypass grafting (CABG) surgery based on inclusion criteria and then assigned to two groups (35 in acupressure and 35 in control) randomly by the minimization method. The intervention group received acupressure at the LI4 point for 20 minutes in 10-second pressure and 2-second resting periods. Read More

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http://dx.doi.org/10.5812/aapm.82920DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252046PMC
October 2018

Comparison of Adding Sufentanil and Low-Dose Epinephrine to Bupivacaine in Spinal Anesthesia: A Randomized, Double-Blind, Clinical Trial.

Anesth Pain Med 2018 Oct 15;8(5):e69600. Epub 2018 Oct 15.

Department of Anesthesiology, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran.

Background: Spinal anesthesia, as an effective approach, is widely performed in various surgeries with possible complications. To reduce the side effects, many adjuvants are used to maintain desirable sensory and motor blockades and increase the quality and prolong the analgesia.

Methods: In the current double-blind, randomized clinical trial, 105 participants aged 18 - 60 years with ASA class I or II who were candidate for lower limb surgery were randomly allocated to patients receiving bupivacaine 15 mg + normal saline 1 mL (B group), bupivacaine 15 mg + epinephrine 10 µg (BE group), and bupivacaine 15 mg + sufentanyl 5 µg (BS group). Read More

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http://dx.doi.org/10.5812/aapm.69600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252044PMC
October 2018

Comparison Between Lidocaine Inhalation and Intravenous Dexamethasone in Reducing Postoperative Sore Throat Frequency After Laryngeal Mask Insertion.

Anesth Pain Med 2018 Oct 25;8(5):e82131. Epub 2018 Aug 25.

Department of Anesthesiology and Intensive Care, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia.

Background: The frequency of postoperative sore throat (POST) after laryngeal mask airway insertion (LMA) was relatively high. Lidocaine might reduce the pain and inflammatory response. Additionally, inhalation form might result in a better distribution, which results in a better airway analgesia and minimal systemic effect. Read More

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http://dx.doi.org/10.5812/aapm.82131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240788PMC
October 2018

Comparison of the Effect of Bupivacaine in Combination with Dexmedetomidine with Bupivacaine Plus Placebo on Neonatal Apgar Score, Bispectral Index, and Sedation Level of Parturient Women.

Anesth Pain Med 2018 Oct 24;8(5):e81947. Epub 2018 Oct 24.

Department of Anesthesiology and Critical Care, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objectives: In this study, we aimed to compare the effects of bupivacaine alone and in combination with dexmedetomidine on postoperative analgesia, neonatal Apgar score, and bispectral index (BIS), which has been shown to correlate with increased sedation and loss of consciousness in women undergoing cesarean section under spinal anesthesia.

Methods: A total of 152 term parturient women scheduled to have elective cesarean section with American Society of Anesthesiologist (ASA) physical status I or II were allocated randomly into two groups to receive either bupivacaine plus placebo (BV group) or bupivacaine plus dexmedetomidine (BVD group). BIS, sedation scale scores, Apgar scores, and hemodynamic characteristics were recorded and statistically compared between the groups. Read More

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http://dx.doi.org/10.5812/aapm.81947DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241160PMC
October 2018
2 Reads

Feasibility of On-table Extubation After Cardiac Surgery with Cardiopulmonary Bypass: A Randomized Clinical Trial.

Anesth Pain Med 2018 Oct 24;8(5):e80158. Epub 2018 Sep 24.

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: The use of short-acting anesthetics, muscle relaxation, and anesthesia depth monitoring allows maintaining sufficient anesthesia depth, fast recovery, and extubation of the patients in the operating room (OR). We evaluated the feasibility of extubation in the OR in cardiac surgery.

Methods: This clinical trial was performed on 100 adult patients who underwent elective noncomplex cardiac surgery using cardiopulmonary bypass. Read More

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http://dx.doi.org/10.5812/aapm.80158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240920PMC
October 2018
2 Reads

Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy.

Anesth Pain Med 2018 Oct 3;8(5):e80024. Epub 2018 Sep 3.

Department of Anesthesiology and Intensive Care, Universitas Indonesia, Jakarta, Indonesia.

Background: Postoperative pain management is important for the early recovery of the living donor patient. Patient-controlled opioid analgesia, epidural analgesia, or a combination of both is the preferred pain management after abdominal surgery although these approaches have serious side effects. The transversus abdominis plane (TAP) block has been increasingly used for postoperative pain management and the addition of dexamethasone to local anesthetic can prolong the duration of action. Read More

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http://dx.doi.org/10.5812/aapm.80024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240789PMC
October 2018
3 Reads

The Comparison of the Effect of Mannitol and N Acetyl Cysteine on Liver Function in Partial Hepatectomy.

Anesth Pain Med 2018 Oct 22;8(5):e79677. Epub 2018 Sep 22.

Department of Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

The alterations in liver function in patients after major liver resection are complex. Partial hepatectomy surgery is considered as a selective therapeutic approach in many benign and malignant liver tumors, secondary metastases, and liver trauma. According to surgical techniques most often based on vascular control and hepatic venous closure (Pringle maneuver), related complications such as ischemia and decreased venous return during and after surgery can be seen. Read More

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http://dx.doi.org/10.5812/aapm.79677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240830PMC
October 2018
11 Reads

The Effect of Preoperative Zintoma Capsule on Postoperative Nausea and Vomiting After Laparoscopic Cholecystectomy.

Anesth Pain Med 2018 Oct 27;8(5):e67132. Epub 2018 Oct 27.

Department of Anesthesiology, School of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Postoperative nausea and vomiting (PONV), as one of the complications after laparoscopic cholecystectomy, occurs in over 40% - 77% of cases. Considering the numerous complications of synthetic drugs, there is a growing tendency towards the use of herbal medicines due to their unique features. Ginger root is one of the herbal compounds effective on nausea and vomiting. Read More

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http://dx.doi.org/10.5812/aapm.67132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241159PMC
October 2018
1 Read

Efficacy of Preoperative Administration of Acetaminophen and Melatonin on Retrobulbar Block Associated Pain in Cataract Surgery.

Anesth Pain Med 2018 Oct 11;8(5):e61041. Epub 2018 Sep 11.

Anesthesiology Research Center, Department of Anesthesiology, Al-Zahral Hospital, Guilan University of Medical Sciences, Rasht , Iran.

Background: Retrobulbar block is one of the chosen methods for local anesthesia in cataract surgery. Since it is a painful procedure, using analgesic and sedative drugs is recommended. Current medications have side effects and evaluating of new drugs or new uses of existing safer drugs is necessary. Read More

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http://dx.doi.org/10.5812/aapm.61041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240829PMC
October 2018
3 Reads

Effect of Glucose Containing Crystalloid Infusion on Maternal Hemodynamic Status After Spinal Anesthesia for Cesarean Section.

Anesth Pain Med 2018 Aug 25;8(4):e80184. Epub 2018 Aug 25.

Department of Anesthesiology and Critical Care, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Background: Despite preventive strategies, hypotension is the most common complication of spinal anesthesia in cesarean section.

Objectives: The aim of this study was to assess the effect of glucose-containing crystalloid infusion on maternal hemodynamic status after spinal anesthesia for cesarean section.

Methods: In this prospective, randomized, double-blind clinical trial, 80 parturients undergoing elective cesarean section with spinal anesthesia were studied. Read More

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http://dx.doi.org/10.5812/aapm.80184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150926PMC
August 2018
3 Reads

Comparative Study of the Effect of Warming at Various Temperatures on Biochemical, Hematologic, and Hemodynamic Parameters During Spinal Fusion Surgery Under Intravenous Anesthesia.

Anesth Pain Med 2018 Aug 29;8(4):e79814. Epub 2018 Aug 29.

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Perioperative inadvertent hypothermia (PIH) commonly occurs after major surgical procedures under local or general anesthesia and increases the risk of complications such as organ failure, hypoperfusion, and peripheral vasoconstriction, as well as adverse postoperative outcomes, such as wound infection and increased surgical bleeding.

Objectives: We hypothesized that the intra-operative warming may affect these complications and thus, we aimed to compare the most appropriate temperature of the warmer to decrease patients' complications.

Methods: The present randomized clinical trial investigated 90 patients undergoing total intravenous anesthesia in posterior spinal fusion surgery, randomly divided into two groups of 45. Read More

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http://dx.doi.org/10.5812/aapm.79814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150925PMC
August 2018
1 Read

Comparison of Ephedrine vs. Norepinephrine in Treating Anesthesia-Induced Hypotension in Hypertensive Patients: Randomized Double-Blinded Study.

Anesth Pain Med 2018 Aug 26;8(4):e79626. Epub 2018 Aug 26.

Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: Hypotension is a common problem in general anesthesia. Maintaining the mean arterial pressure by choosing a vasopressor with minimal complications is still discussed in various surgeries.

Objectives: The aim of this study is comparison of ephedrine versus norepinephrine in treating anesthesia-induced hypotension in hypertensive patients in spinal surgery in a randomized double-blinded study. Read More

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http://dx.doi.org/10.5812/aapm.79626DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150924PMC
August 2018
13 Reads

C-reactive Protein Level on Postoperative Day One is Associated with Chronic Postsurgical Pain After Mastectomy.

Anesth Pain Med 2018 Aug 7;8(4):e79331. Epub 2018 Aug 7.

Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, Hyogo, Japan.

Background: C-reactive protein (CRP) is an acute phase reactant released in response to inflammation or tissue injury. Inflammation is one of the pathogenic factors related to transition from acute postsurgical pain (APSP) to chronic postsurgical pain (CPSP). Although several risk factors are reportedly associated with CPSP, the effects of CRP levels on CPSP have not been examined. Read More

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http://dx.doi.org/10.5812/aapm.79331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139699PMC
August 2018
13 Reads

The Effect of Adding Dexmedetomidine as an Adjuvant to Lidocaine in Forearm Fracture Surgeries by Supraclavicular Block Procedure Under Ultrasound-Guided.

Anesth Pain Med 2018 Aug 25;8(4):e74355. Epub 2018 Jul 25.

Department of Anesthesiology, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: To improve the brachial plexus block (BPB) performance, different compounds have been used as adjuvants to local analgesics.

Objectives: The aim of the present study was to investigate the effects of adding DEX to lidocaine on effectiveness of nerve block, and postoperative pain in forearm fracture surgery by supraclavicular BPB undergoing ultrasound-guided.

Methods: This was a double-blinded randomized clinical trial conducted on 72 patients with ASA classes I and II, which were candidates for forearm fracture surgery. Read More

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http://dx.doi.org/10.5812/aapm.74355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139532PMC
August 2018
26 Reads

Comparison of Three Techniques on Facility of Bag-Mask Ventilation: Thenar Eminence, E-O and E-C.

Anesth Pain Med 2018 Aug 11;8(4):e74226. Epub 2018 Aug 11.

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Background: Rapid and secure management of airway is an important lifesaving intervention in critically ill patients at emergency wards. Training undergraduate students about airway management must be regarded as a priority in their education period. The aim of the present study was to compare the quality of three ventilation techniques with a bag and mask among two groups of undergraduate students (Novices) and senior group (Experienced) in Tabriz University of Medical Sciences. Read More

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http://dx.doi.org/10.5812/aapm.74226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139725PMC
August 2018
28 Reads

An Evaluation of the Adding Magnesium Sulfate to Ropivacaine on Ultrasound-Guided Transverse Abdominis Plane Block After Abdominal Hysterectomy.

Anesth Pain Med 2018 Aug 29;8(4):e74124. Epub 2018 Jul 29.

Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Science, Bandarabbas, Iran.

Background: Post-hysterectomy pain is extremely annoying and using transverse abdominis plane (TAP) block can be a useful method to manage postoperative pain, but its duration of effect is challenging. Magnesium sulfate increases, in some cases, the effects of local anesthetics on the peripheral nerve blocks.

Objectives: The current study aimed at investigating the effects of adding magnesium sulfate to ropivacaine in the transverse abdominis plane block after hysterectomy. Read More

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http://anesthpain.com/en/articles/74124.html
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http://dx.doi.org/10.5812/aapm.74124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139531PMC
August 2018
6 Reads

The Effects of Pre-Spinal Anesthesia Administration of Crystalloid and Colloid Solutions on Hypotension in Elective Cesarean Section.

Anesth Pain Med 2018 Aug 8;8(4):e69446. Epub 2018 Aug 8.

Department of Anesthesiology, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Irann.

Background: Spinal anesthesia is an appropriate alternative for general anesthesia in many operations, particularly in cesarean section. However, the induced hypotension is the main drawback of this method. Therefore, the current study aimed at comparing the effects of crystalloid and colloid solutions used as the preload on the post-spinal hypotension and its complications in females who are candidate for elective cesarean section. Read More

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http://dx.doi.org/10.5812/aapm.69446DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139530PMC
August 2018
20 Reads

The Association Between Constipation or Stool Consistency and Pain Severity in Patients With Chronic Pain.

Anesth Pain Med 2018 Aug 11;8(4):e69275. Epub 2018 Aug 11.

Multidisciplinary Pain Center, Aichi Medical University, Nagakute, Japan.

Background: Bacteria can influence a variety of gut functions. Some studies showed that stool consistency and constipation were associated with gut microbiome (GM) composition, and enterotype, dysbiosis. Growing evidence indicates the significant role of GM in the homeostatic function of the host body. Read More

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http://dx.doi.org/10.5812/aapm.69275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139698PMC
August 2018
20 Reads

Comparison of the Success Rate of Intubation Between the LMA Fastrach and AirQ-ILA Methods in Patients Undergoing Elective Surgery During General Anaesthesia.

Anesth Pain Med 2018 Aug 11;8(4):e63424. Epub 2018 Aug 11.

Iran University of Medical Sciences, Tehran, Iran.

Background: Rapid placement of a reliable airway is the most important task in anesthesia practice. Airway management is a critical skill to provide safe anesthesia since morbidity. In addition, mortality due to anesthesia could be linked to difficulty or failure in airway management. Read More

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http://dx.doi.org/10.5812/aapm.63424DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139721PMC
August 2018
1 Read

Propofol-Induced Masseter Muscle Spasm in a Woman with a Major Depressive Disorder.

Anesth Pain Med 2018 Jun 30;8(3):e78748. Epub 2018 Jun 30.

Department of Anesthesiology and Critical Care, Qom University of Medical Sciences, Qom, Iran.

Masseter muscle rigidity is a known complication of drugs such as succinylcholine and volatile agents. However, muscle rigidity is an uncommon complication of propofol. We report the case of a 56-year-old ASA-PS class I woman refereeing for colonoscopy due to chronic constipation under deep intravenous sedation. Read More

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http://dx.doi.org/10.5812/aapm.78748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119344PMC
June 2018
1 Read

The Relationship between Arterial and Central Venous Blood Gases Values in Patients Undergoing Mechanical Ventilation after Cardiac Surgery.

Anesth Pain Med 2018 Jun 23;8(3):e74243. Epub 2018 Jun 23.

Anesthesiology Department of Urmia University of Medical Sciences, Urmia, Iran.

Background: The most straightforward method of ascertaining arterial PO, PCO, and other components of blood gas is to measure them directly from a blood sample. In situations in which arterial puncture cannot be achieved or may be technically difficult, the venous blood sample can be used.

Methods: In a prospective analytical study, 80 patients undergoing mechanical ventilation after open-heart surgery in the intensive care unit were evaluated. Read More

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http://dx.doi.org/10.5812/aapm.74243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119237PMC
June 2018
1 Read