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


The Effect of Intrathecal Meperidine on Maternal and Newborn Outcomes After Cesarean Section: A Systematic Review and Meta-Analysis Study.

Anesth Pain Med 2020 Apr 15;10(2):e100375. Epub 2020 Mar 15.

Biostatistics Department, Modelling in Health Research Center, llam University of Medical Sciences, llam, Iran.

Context: Spinal anesthesia is the most preferred method for cesarean section. This meta-analysis was performed to determine the effect of minimum and maximum intrathecal doses of meperidine (pethidine) [5 to 40 mg] on the maternal and newborn outcomes after cesarean section.

Evidence Acquisition: The data were collected through the systematic search in the ISI, PubMed, Scopus, Google Scholar, Barakat, MagIran, SID, Irandoc, and EMBASE medical databases. Read More

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http://dx.doi.org/10.5812/aapm.100375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322789PMC

Effect of Different Levels of Positive End-Expiratory Pressure (PEEP) on Respiratory Status during Gynecologic Laparoscopy.

Anesth Pain Med 2020 Apr 18;10(2):e100075. Epub 2020 Apr 18.

Division of Vascular and Endovascular Surgery, Department of General & Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: During gynecologic laparoscopy, pneumoperitoneum, and the position of the patient's head can lead to pathophysiologic changes in cardiovascular and respiratory systems, complicating the management of anesthesia in these patients. One of the strategies for improving the respiratory status of patients undergoing laparoscopy is the use of Positive End-Expiratory Pressure (PEEP).

Objectives: This study aimed to evaluate the effect of different levels of PEEP on the respiratory status of patients undergoing gynecologic laparoscopy. Read More

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http://dx.doi.org/10.5812/aapm.100075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322673PMC

The Role of Integrative Educational Intervention Package (Monthly ITE, Mentoring, Mocked OSCE) in Improving Successfulness for Anesthesiology Residents in the National Board Exam.

Anesth Pain Med 2020 Apr 23;10(2):e98566. Epub 2020 Apr 23.

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

Background: National Board of Anesthesiology (NBA) pass rate is an important and critical step in clinical residency programs.

Objectives: This study was designed to assess the relationship between an integrative educational intervention (IEI) and the relative annual pass rate (RAPR). RAPR is defined as ratio of NBA pass rate of Shahid Beheshti University of Medical Sciences (SBMU) to the NBA pass rate of all the anesthesiology residency programs across Iran. Read More

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http://dx.doi.org/10.5812/aapm.98566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260396PMC

Risk of Opioid Use Disorder from Exposure to Opioids in the Perioperative Period: A Systematic Review.

Anesth Pain Med 2020 Feb 19;10(1):e101339. Epub 2020 Feb 19.

Department of Anesthesiology, University of Illinois, Chicago, USA.

Opioid use disorder, a major source of morbidity and mortality globally, is regularly linked to opioids given around the time of surgery. Perioperative period, however, is markedly heterogeneous, with the diverse providers using opioids distinctively, and the various drivers of opioid misuse at-play dissimilarly, throughout the perioperative period. The risk of opioid use disorder may, therefore, be different from opioids given at the various phases of perioperative care, and the ensuing recommendations for their use may also be dissimilar. Read More

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http://dx.doi.org/10.5812/aapm.101339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158240PMC
February 2020

Anesthesiomics: Could a New Name Be Coined for Anesthesia?

Authors:
Ali Dabbagh

Anesth Pain Med 2020 Feb 3;10(1):e100988. Epub 2020 Feb 3.

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

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http://dx.doi.org/10.5812/aapm.100988DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158238PMC
February 2020

A Cost-Consequence Analysis Examining the Differences Between Non-Rechargeable and Rechargeable Systems.

Anesth Pain Med 2020 Feb 4;10(1):e100308. Epub 2020 Mar 4.

Pain Unit, Hospital Universitario Quiron Salud, Madrid, Spain.

Background: Spinal cord stimulation (SCS) is an effective treatment option to relieve chronic intractable pain, and failed back surgery syndrome (FBSS) is a key indication.

Objectives: The objective of the current study was to analyze the cost consequences of using non-rechargeable (NR)-SCS and rechargeable (R)-SCS.

Methods: Real data taken from a review of 86 patients were used to simulate costs and review which patients might have benefitted more from R-SCS. Read More

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http://dx.doi.org/10.5812/aapm.100308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158244PMC
February 2020

Effects of Simulation Study of High Neuraxial Block During Epidural Analgesia for Labor Pain on Pre/Posttest Evaluation in Junior Clinical Trainees.

Anesth Pain Med 2020 Feb 17;10(1):e100045. Epub 2020 Feb 17.

Hyogo College of Medicine, Hyogo, Japan.

Background: Since a high neuraxial block is one of the serious complications in obstetric anesthesia, simulation training is required for the education of rapid diagnosis and treatment of this complication.

Objectives: This study aimed to evaluate the effects of a simulation study of the high neuraxial block during epidural analgesia for labor pain on pre- and post-simulation tests in junior clinical trainees, who had graduated a medical school within one or two years and being under a two-month program for anesthesia during the Japanese Postgraduate Medical Education.

Methods: Twenty-two junior clinical trainees participated in this study from September 2016 to May 2017. Read More

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http://dx.doi.org/10.5812/aapm.100045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158245PMC
February 2020

Short-Term Efficacy of Epidural Injection of Triamcinolone Through Translaminar Approach for the Treatment of Lumbar Canal Stenosis.

Anesth Pain Med 2020 Feb 29;10(1):e99764. Epub 2020 Feb 29.

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Epidural steroid injection is a non-operative minimally invasive procedure for pain relief in spinal canal stenosis. However, there is no significant consensus regarding its efficacy.

Objectives: In this study, we aimed to evaluate the effectiveness of translaminar injection of triamcinolone in lumbar canal stenosis. Read More

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http://dx.doi.org/10.5812/aapm.99764DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158243PMC
February 2020

Regional Catheters for Postoperative Pain Control: Review and Observational Data.

Anesth Pain Med 2020 Feb 19;10(1):e99745. Epub 2020 Feb 19.

Institute of Medicine, Suranaree University of Technology, Korat, Thailand.

Context: Perioperative analgesia is an essential but frequently underrated component of medical care. The purpose of this work is to describe the actual situation of surgical patients focusing on effective pain control by discarding prejudice against 'aggressive' measures.

Evidence Acquisition: This is a narrative review about continuous regional pain therapy with catheters in the postoperative period. Read More

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http://dx.doi.org/10.5812/aapm.99745DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158241PMC
February 2020

Electroconvulsive Therapy-Related Anxiety: A Survey in an Academic Hospital in the North of Iran.

Anesth Pain Med 2020 Feb 12;10(1):e99429. Epub 2020 Feb 12.

Guilan University of Medical Sciences, Rasht, Iran.

Background: Electroconvulsive therapy (ECT) is a medical treatment most commonly used in the most severe psychiatric diseases; however due to unreal anxiety, it is not widely accepted by patients and their families.

Objectives: The present study aimed to investigate the main causes of ECT-related anxiety (ERA) in an academic hospital in the north of Iran.

Methods: In this study, the participants were hospitalized psychiatric patients with proper communication skills. Read More

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http://dx.doi.org/10.5812/aapm.99429DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158242PMC
February 2020

Correlation of Preoperative State Anxiety and Pain Six Weeks After Surgical Correction of Pectus Excavatum.

Anesth Pain Med 2020 Feb 16;10(1):e98969. Epub 2020 Feb 16.

Department of Pediatric Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands.

Background: Pain is a major concern in the early postoperative phase after correction of pectus excavatum. Most studies only focus on pain management in the first days after surgery and describe methods to alleviate the pain immediately postoperatively. The severity of postoperative pain may be influenced by anxiety. Read More

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http://dx.doi.org/10.5812/aapm.98969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158239PMC
February 2020

Predicting Factors of Pain Duration in Patients with Chronic Pain: A Large Population-based Study.

Anesth Pain Med 2020 Feb 10;10(1):e95776. Epub 2020 Feb 10.

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

Background: Chronic pain is the third main problem of global health and the most common cause of long-term disabilities. The duration that patients suffer from chronic pain is directly proportional to the extent of the suffering and to the amount of health care resources allocated to this problem. There is no research that has studied the risk factors associated with the long pain duration in chronic pain patients. Read More

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http://dx.doi.org/10.5812/aapm.95776DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158237PMC
February 2020

Comparing the Effect of Bupivacaine and Ropivacaine in Cesarean Delivery with Spinal Anesthesia.

Anesth Pain Med 2020 Feb 18;10(1):e94155. Epub 2020 Jan 18.

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

Background: Spinal anesthesia is the most common technique used for cesarean delivery due to some advantages compared to regional anesthesia. It is easily performed and provides a rapid onset of block. Though bupivacaine is a generally used long-acting amide type local anesthetic drug for spinal anesthesia, ropivacaine may sometimes be selected. Read More

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http://dx.doi.org/10.5812/aapm.94155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144247PMC
February 2020

The Effect of Phenylephrine Infusion on Maternal Hemodynamic Changes During Spinal Anesthesia for Cesarean Delivery.

Anesth Pain Med 2020 Feb 12;10(1):e99094. Epub 2020 Feb 12.

Pain Research Center, Department of Anesthesiology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Spinal anesthesia is used as a common anesthetic technique in many routine and outpatient surgeries.

Objectives: The aim of this study was to determine the effect of phenylephrine on maternal hemodynamic changes during spinal anesthesia for cesarean delivery.

Methods: This double-blind randomized controlled trial was conducted on 116 pregnant women candidate for the elective cesarean section through spinal anesthesia in the Shahid Akbarabadi Hospital, Tehran in 2019. Read More

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http://dx.doi.org/10.5812/aapm.99094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144416PMC
February 2020

Effects of Pulsed Radiofrequency on a Standard Model of Muscle Injury in Rats.

Anesth Pain Med 2020 Feb 4;10(1):e97372. Epub 2020 Feb 4.

Laboratory of Experimental Hepatology and Gastroenterology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.

Background: Pulsed radiofrequency (PRF) affects animal and plant tissues; however, the mechanism has not been defined. We hypothesized that the magnetic field produced by PRF exerts its effects by the magnetic sensitivity of transitions between spin states -a spin-correlated radical-pair mechanism (SCRPM)- which, in turn, affects the rates of chemical reactions with participation of paramagnetic species.

Objectives: This study aimed to evaluate the effects of PRF on redox equilibrium and inflammatory status in a standard model of muscle injury in rats. Read More

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http://dx.doi.org/10.5812/aapm.97372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144246PMC
February 2020

Effect of Dexmedetomidine Combined with Inhalation of Isoflurane on Oxygenation Following One-Lung Ventilation in Thoracic Surgery.

Anesth Pain Med 2020 Feb 12;10(1):e95287. Epub 2020 Feb 12.

Emergency Medicine Department, Tabriz University of Medical Sciences, Tabriz, Iran.

Background: One-lung ventilation (OLV) is commonly used during thoracic surgery. At this time, hypoxemia is considered one of the remarkable consequences of the anesthesia management. Hypoxic pulmonary vasoconstriction (HPV) is the defense mechanism against hypoxia. Read More

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http://dx.doi.org/10.5812/aapm.95287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145426PMC
February 2020

Retraction Note: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology's TURP Syndrome-A Case Report.

Authors:
Farnad Imani

Anesth Pain Med 2019 12 16;9(6):e100185. Epub 2019 Dec 16.

Pain Research Center, Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.

[This retracts the article e90285 in vol. 9.]. Read More

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http://dx.doi.org/10.5812/aapm.100185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7122217PMC
December 2019

Corrigendum to: Operative Hysteroscopy Intravascular Absorption Syndrome: The Gynaecology's TURP Syndrome-A Case Report.

Authors:
Farnad Imani

Anesth Pain Med 2019 Dec 16;9(6):e100184. Epub 2019 Dec 16.

Pain Research Center, Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.

[This corrects the article e90285 in vol. 9.]. Read More

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http://dx.doi.org/10.5812/aapm.100184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119217PMC
December 2019

Ketamine as Adjuvant for Acute Pain Management.

Anesth Pain Med 2019 Dec 29;9(6):e100178. Epub 2019 Dec 29.

Paolo Procacci Foundation, Rome, Italy.

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http://dx.doi.org/10.5812/aapm.100178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119219PMC
December 2019

Comment on "The Effect of Nitroglycerine Infusion on Postoperative Pain in Lower Limb Surgery: A Clinical Double-Blind Study".

Anesth Pain Med 2019 Dec 29;9(6):e98592. Epub 2019 Dec 29.

Department of Critical Care Medicine, Emam Hossein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.5812/aapm.98592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119218PMC
December 2019

Response to Letter to Editor by Dr. Aminnejad et al.

Anesth Pain Med 2019 Dec 10;9(6):e97558. Epub 2019 Nov 10.

Neuroscience Research Center, Department of Biochemistry, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

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http://dx.doi.org/10.5812/aapm.97558DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118444PMC
December 2019

Effect of Low-Dose Intravenous Ketamine on Prevention of Headache After Spinal Anesthesia in Patients Undergoing Elective Cesarean Section: A Double-Blind Clinical Trial Study.

Anesth Pain Med 2019 Dec 28;9(6):e97249. Epub 2019 Nov 28.

Department of Anesthesiology, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

Background: Spinal anesthesia is the most commonly used method for elective cesarean section, which is a popular technique due to its simplicity, reliability, and speed to achieve adequate anesthesia. Headache following dura perforation is the most important delayed complication following spinal and epidural anesthesia.

Objectives: To evaluate the impact of low-dose intravenous ketamine in patients undergoing cesarean section under spinal anesthesia on the prevention of dura perforation headache (PDPH). Read More

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http://dx.doi.org/10.5812/aapm.97249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118677PMC
December 2019

Assessment of Factors Predicting Inadequate Pain Management in Chronic Pain Patients.

Anesth Pain Med 2019 Dec 1;9(6):e97229. Epub 2019 Dec 1.

Brain and Spinal Cord Injury Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Background: Inadequate pain management is highly prevalent and is associated with significant costs and socioeconomic problems, which can lead to disparities in patient care. Specific groups are at higher risk of this problem. A few studies have evaluated the predictive risk factors of inadequate pain management. Read More

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http://dx.doi.org/10.5812/aapm.97229DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118688PMC
December 2019

Comparative Effect of Local Anesthesia with Lidocaine 2% Versus Topical Anesthesia on Cognitive Function in Ophthalmic Surgery.

Anesth Pain Med 2019 Dec 8;9(6):e97172. Epub 2019 Dec 8.

Department of Ophthalmology, Beni-Suef University, Beni-Suef, Egypt.

Background: Multiple clinical trials targeted the assessment of cognitive function following local versus general anesthesia in patients undergoing ophthalmic surgery, but no previous clinical trials have focused on the effect of topical anesthesia on cognitive function.

Objectives: This study aimed to compare the effect of local anesthesia with lidocaine 2% versus topical anesthesia with Oxybuprocaine (benoxinate hydrochloride 0.4%) on cognitive function in patients undergoing elective cataract surgery. Read More

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http://dx.doi.org/10.5812/aapm.97172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118683PMC
December 2019

Comparison of Infusion of Propofol and Ketamine-Propofol Mixture (Ketofol) as Anesthetic Maintenance Agents on Blood Pressure of Patients Undergoing Orthopedic Leg Surgeries.

Anesth Pain Med 2019 Dec 2;9(6):e96998. Epub 2019 Nov 2.

Department of Anesthesia, Birjand University of Medical Sciences, Birjand, Iran.

Background: Some studies have reported the effects of anesthesia induction using a single propofol dose and low ketamine doses in short-term outpatient operations.

Objectives: In this study, we aimed to evaluate the intra and post-operative hemodynamic effects of ketamine-propofol mixture (Ketofol) infusion in comparison with propofol infusion.

Methods: This study was performed on 54 class I and II of the American Society of Anesthesia patients aged 15 to 45 years who were candidates for leg fracture surgery. Read More

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http://dx.doi.org/10.5812/aapm.96998DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118446PMC
December 2019

Effect of Intravenous Propofol and Inhaled Sevoflurane Anesthesia on Postoperative Spirometric Indices: A Randomized Controlled Trial.

Anesth Pain Med 2019 Dec 3;9(6):e96559. Epub 2019 Dec 3.

School of Public Health, Kashan University of Medical Sciences, Kashan, Iran.

Background: Anesthetic drugs may directly or indirectly affect respiratory function. We investigated the effects of intravenous propofol and inhaled sevoflurane anesthesia on postoperative spirometric indices in patients undergoing inguinal herniorrhaphy surgery.

Methods: We randomly assigned 111 patients, aged 18 - 65 years, undergoing inguinal herniorrhaphy surgery, to receive either intravenous propofol or inhaled sevoflurane. Read More

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http://dx.doi.org/10.5812/aapm.96559DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118678PMC
December 2019

A Literature Review of Intrathecal Morphine Analgesia in Patients Undergoing Major Open Hepato-Pancreatic-Biliary (HPB) Surgery.

Anesth Pain Med 2019 Dec 2;9(6):e94441. Epub 2019 Dec 2.

Department of Anaesthesia, Austin Hospital, Melbourne, Australia.

Context: The optimal analgesic method for patients undergoing major open hepato-pancreatic-biliary surgery remains controversial. Continuous epidural infusion at the thoracic level remains the standard choice, however concerns have been raised due to associated complications. Single shot intrathecal morphine has emerged as a promising alternative offering similar analgesia with an enhanced safety profile. Read More

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http://dx.doi.org/10.5812/aapm.94441DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118737PMC
December 2019

Comparison of Premedication with Low-Dose Midazolam Versus Etomidate for Reduction of Etomidate-Induced Myoclonus During General Anesthesia for Electroconvulsive Therapy: A Randomized Clinical Trial.

Anesth Pain Med 2019 Dec 23;9(6):e94388. Epub 2019 Dec 23.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: A variety of anesthetics including methohexital, thiopental sodium, propofol, ketamine, and etomidate are used for electroconvulsive therapy (ECT), each accompanied by adverse effects that can cause unpleasant experiences for patients. Etomidate-induced myoclonus is among the adverse effects. We attempted to assess the effect of premedication with low-dose midazolam compared to etomidate on the reduction of this complication. Read More

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http://dx.doi.org/10.5812/aapm.94388DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118685PMC
December 2019

Comparison of the Ketamine-Lidocaine and Fentanyl-Lidocaine in Postoperative Analgesia in Axillary Block in Upper Limb Fractures By Ultrasound Guidance.

Anesth Pain Med 2019 Dec 1;9(6):e92695. Epub 2019 Dec 1.

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

Background: Regional anesthesia provides safe anesthesia for upper extremity surgery. Axillary plexus block approach for hand and forearm surgery is commonly used. The use of adjuvants in combination with local anesthetics for peripheral nerve blocks enhances the quality and duration of anesthesia and postoperative analgesia. Read More

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http://dx.doi.org/10.5812/aapm.92695DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118445PMC
December 2019

Prevalence of Chronic Orofacial Pain in Elderly Patients Referred to Shiraz Dental School From 2005 to 2017.

Anesth Pain Med 2019 Dec 7;9(6):e91182. Epub 2019 Dec 7.

Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Orofacial pain is presented mainly as a pain in the front part of the head, including the oral cavity. Adult and elderly patients are important target groups affected by this chronic pain, which may cause several problems.

Methods: In this cross-sectional study, the characteristics of patients who suffered from orofacial pain were evaluated. Read More

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http://dx.doi.org/10.5812/aapm.91182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118676PMC
December 2019

The Effect of Propofol Infusion Before Administration of Its Bolus Dose on Propofol Injection Pain and Serum Complement C3 Levels; A Randomized Clinical Trial.

Anesth Pain Med 2019 Dec 27;9(6):e84067. Epub 2019 Nov 27.

Department of Anesthesia, Iran University of Medical Sciences, Tehran, Iran.

Background: Pain on injection with propofol is still a major problem associated with anesthesia. Several factors involved in this event have been studied with respect to their pain attenuating effects.

Objectives: The purpose of this study was to evaluate the effect of propofol infusion before administration of its bolus dose of propofol on the resulted pain at its induction dose and on serum complement C3 levels. Read More

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http://dx.doi.org/10.5812/aapm.84067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118443PMC
December 2019

High Frequency, Low Background Rate Extrapleural Programmed Intermittent Bolus Ropivacaine Provides Superior Analgesia Compared with Continuous Infusion for Acute Pain Management Following Thoracic Surgery: A Retrospective Cohort Study.

Anesth Pain Med 2019 Oct 9;9(5):e97052. Epub 2019 Oct 9.

Department of Anaesthesia, Austin Hospital, Heidelberg, Australia.

Background: Thoracic surgery often results in severe postoperative pain. Regional analgesia via surgically placed extrapleural local anaesthetic (LA) and continuous infusion (CI) is an effective technique, however usually requires supplemental opioid to achieve satisfactory patient analgesia. We hypothesized that high frequency, low background rate extrapleural programmed intermittent boluses (PIB) of LA by could achieve superior patient analgesia and reduced oral morphine equivalent daily dosage (OMEDD) requirements for up to 3 days after thoracic surgery vs. Read More

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http://dx.doi.org/10.5812/aapm.97052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925520PMC
October 2019

Effect of Hemodynamic Changes in Plasma Propofol Concentrations Associated with Knee-Chest Position in Spinal Surgery: A Prospective Study.

Anesth Pain Med 2019 Oct 24;9(5):e96829. Epub 2019 Sep 24.

Physiology and Pharmacology Department, INCyL, IBSAL, University of Salamanca, Salamanca, Spain.

Background: Anesthesia induction and maintenance with propofol can be guided by target-controlled infusion (TCI) systems using pharmacokinetic (Pk) models. Physiological variables, such as changes in cardiac output (CO), can influence propofol pharmacokinetics. Knee-chest (KC) surgical positioning can result in CO changes. Read More

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http://dx.doi.org/10.5812/aapm.96829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925539PMC
October 2019

Comparison of Two Acupuncture Protocols (K1, DU25 or K1, DU26) Efficacy on Recovery Time of Patients After General Anesthesia, a Randomized Control Clinical Trial.

Anesth Pain Med 2019 Oct 28;9(5):e96172. Epub 2019 Oct 28.

Pain Research Center, Rasoul Akram Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Background: Acupuncture has been used for more than two thousand years as part of traditional Chinese medicine.

Objectives: This randomized prospective clinical trial aimed to compare the effect of acupuncture on K1 (Yongquan) and DU26 (Renghong) with acupuncture on K1 (Yongquan) and DU25 (Suliao), with sham acupuncture on the recovery time of general anesthesia.

Methods: The patients (51) were randomly assigned to three groups: (A) acupuncture on K1 and DU26, (B) acupuncture on K1 and DU25, and (C) sham acupuncture. Read More

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http://dx.doi.org/10.5812/aapm.96172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935292PMC
October 2019

Comparison of Transforaminal Triamcinolone and Dexmedetomidine in Radicular Low-Back Pain: A Randomized Double-Blind Clinical Trial.

Anesth Pain Med 2019 Oct 23;9(5):e96117. Epub 2019 Oct 23.

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

Background: Administration of steroids in the lumbar transforaminal block for lumbar radicular pain is considered one of the preferred treatment methods though it is associated with some complications.

Objectives: The effects and side effects of triamcinolone and dexmedetomidine in the lumbar transforaminal block were investigated in the present study.

Methods: In this study, 30 patients, aged 40 - 70 years, suffering from lumbar radicular pain arising from the lumbar disc protrusion were equally divided into two groups of triamcinolone (T) and dexmedetomidine (D). Read More

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http://dx.doi.org/10.5812/aapm.96117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935293PMC
October 2019

Comparison Effect of Tranexamic Acid (TA) and Tranexamic Acid Combined with Vitamin C (TXC) on Drainage Volume and Atrial Fibrillation Arrhythmia in Patients Undergoing Cardiac Bypass Surgery: Randomized Clinical Trial.

Anesth Pain Med 2019 Oct 22;9(5):e96096. Epub 2019 Oct 22.

Department of Biostatistics, Faculty of Healt, Golestan University of Medical Sciences, Gorgan, Iran.

Background: Tranexamic acid and vitamin C are potent antifibrinolytic and oxidative stress agents that reduce blood loss and transfusion blood in cardiopulmonary bypass (CPB).

Objectives: The aim of this study was to evaluate the efficacy of tranexamic acid (TA) and tranexamic acid combined with vitamin C (TXC) on drainage volume (blood loss) and atrial fibrillation (AF) in patients undergoing cardiac bypass surgery in Gorgan, Shafa hospital, Iran.

Methods: This study is a double-blind randomized clinical trial. Read More

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http://dx.doi.org/10.5812/aapm.96096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935295PMC
October 2019

Superior Hypogastric Plexus Block in the Lateral Position: A Case Report.

Anesth Pain Med 2019 Oct 21;9(5):e94706. Epub 2019 Oct 21.

Brain and Spinal Cord Injury Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Patients with severe visceral abdominal or pelvic pain are sometimes candidates for celiac or superior hypogastric block. These blocks are performed in the prone position that is usually very painful for these patients. We introduce another position for these blocks that can be better tolerated. Read More

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http://dx.doi.org/10.5812/aapm.94706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935289PMC
October 2019

Comparison the Effect of Active Cyclic Breathing Technique and Routine Chest Physiotherapy on Pain and Respiratory Parameters After Coronary Artery Graft Surgery: A Randomized Clinical Trial.

Anesth Pain Med 2019 Oct 16;9(5):e94654. Epub 2019 Oct 16.

Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Background: There are limited reports available on preferred chest physiotherapy methods in patients with coronary artery graft (CABG) surgery.

Objectives: The aim of this study was to compare the effect of active cyclic breathing technique (ACBT) and routine chest physiotherapy on pain and respiratory parameters in patients undergoing CABG surgery.

Methods: This randomized clinical trial was carried out from July to November 2018. Read More

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http://dx.doi.org/10.5812/aapm.94654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935291PMC
October 2019

A High Dose of Fentanyl May Accelerate the Onset of Acute Postoperative Pain.

Anesth Pain Med 2019 Oct 20;9(5):e94498. Epub 2019 Oct 20.

Department of Anesthesiology and Intensive Care, Centre of Postgraduate Medical Education, Warsaw, Poland.

Fentanyl is a popular intraoperative analgesic linked with the development of opioid tolerance (OT) or opioid-induced hyperalgesia (OIH). The development of OIH or OT may lead to several issues such as delayed healing after surgery and timely discharge. Moreover, it causes discomfort in patients with higher pain scores, greater use of analgesics, and other associated side effects. Read More

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http://dx.doi.org/10.5812/aapm.94498DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935250PMC
October 2019

Dose Ginger Have Preventative Effects on PONV-Related Eye Surgery? A Clinical Trial.

Anesth Pain Med 2019 Oct 22;9(5):e92072. Epub 2019 Oct 22.

Vocational Health College of Mardin Artuklu University, Mardin, Turkey.

Background: Postoperative nausea and vomiting (PONV) is considered a common complication of anesthesia, which, particularly in eye surgery, may exert pressure on stitches and open or leak the surgical wound, leading to bleeding.

Objectives: We aimed to study the effect of ginger on PONV and changes in vital signs after eye surgery.

Methods: In this triple-blind randomized controlled trial, 120 candidate patients for eye surgery were divided into group A (n = 40) and group B (n = 40). Read More

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http://dx.doi.org/10.5812/aapm.92072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935290PMC
October 2019

Use of Mindfulness-based Cognitive Therapy to Change Pain-related Cognitive Processing in Patients with Primary Headache: A Randomized Trial with Attention Placebo Control Group.

Anesth Pain Med 2019 Oct 20;9(5):e91927. Epub 2019 Oct 20.

Department of Neurology, Shahid Beheshti University of Medical Science, Tehran, Iran.

Background: Mindfulness-based interventions have shown to be efficient in managing chronic pain. Cognitive factors play a prominent role in chronic pain complications and negative cognitive contents about pain are often the first issues targeted in cognitive-based therapies, which are known as first-line treatment of chronic pain over the past decades. Little, however, is known about the manner of thinking about pain or pain-related cognitive processing. Read More

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http://dx.doi.org/10.5812/aapm.91927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925538PMC
October 2019

The Initial Subjective Sensory Change in the Dermatome During Intrathecal Injection of Plain Bupivacaine Predicts the Spread of Sensory Blockade: A Prospective Multi-Level Modeling Study.

Anesth Pain Med 2019 Oct 18;9(5):e91216. Epub 2019 Sep 18.

Department of Anesthesiology, National Hospital Organization Sagamihara National Hospital, Sagamihara, Japan.

Background: Predicting the spread of anesthesia after intrathecal injection of plain local anesthetics is challenging owing to both patient and anesthesiologist-related factors.

Objectives: This study aimed to examine the initial patient-reported sensory changes during intrathecal injections and used multi-level analyses to examine the relationships between these changes and other major factors affecting the spread of anesthesia.

Methods: The participants were 120 consecutive patients with the American Society of Anesthesiologists status I and II, who were scheduled for open repair of inguinal hernias under spinal anesthesia. Read More

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http://dx.doi.org/10.5812/aapm.91216DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925406PMC
October 2019

Gabapentin in Improvement of Procedural Sedation and Analgesia in Oncologic Pediatric Patients: A Clinical Trial.

Anesth Pain Med 2019 Oct 28;9(5):e91197. Epub 2019 Oct 28.

Anesthesiology Department, Federal University of Ceará, Fortaleza, Brazil.

Background: Preoperative anxiety and distress can produce significant psychological impacts on children undergoing oncologic care or investigation. Adjuvant therapy is used for pain management in children; however, pre-analgesia options are restricted because they can cause undesirable outcomes.

Objectives: Our study aimed to investigate the use of gabapentin in procedural sedation as adjuvant therapy in children undergoing oncologic treatment. Read More

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http://dx.doi.org/10.5812/aapm.91197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935294PMC
October 2019

Factors Associated with Poor Satisfaction with Anesthesia in Patients Who Had Previous Surgery: A Retrospective Study.

Anesth Pain Med 2019 Oct 30;9(5):e90915. Epub 2019 Oct 30.

Department of Anesthesiology, Osaka Medical College, Takatsuki, Japan.

Background: As most studies investigating patient satisfaction with anesthesia have some bias, previous results may underrepresent the true level of dissatisfaction with anesthesia.

Objectives: This study aimed to identify factors associated with patient satisfaction with anesthesia.

Methods: Data from patients aged ≥ 20 years who had previous surgery and were scheduled for additional surgery were obtained retrospectively through preoperative interviews conducted. Read More

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http://dx.doi.org/10.5812/aapm.90915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935288PMC
October 2019

Comparison of Dexmedetomidine and Morphine as Adjuvants to Bupivacaine for Epidural Anesthesia in Leg Fracture Surgery: A Randomized Clinical Trial.

Anesth Pain Med 2019 Aug 27;9(4):e91480. Epub 2019 Aug 27.

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

Background: Epidural block approach and drugs are common options for improving the sensory and motor block duration and postoperative pain management.

Objectives: The study aimed to compare the analgesic effects of dexmedetomidine and morphine as adjuvants to bupivacaine for epidural anesthesia in leg fracture surgery.

Methods: This prospective clinical trial was conducted on patients (n = 80, age range: 18 - 60 years) categorized as ASA class I or II. Read More

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http://dx.doi.org/10.5812/aapm.91480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6829178PMC

Comparison of the Effects of Propofol and Sevoflurane on QT Interval in Pediatrics Undergoing Cochlear Implantation: A Randomized Clinical Trial Study.

Anesth Pain Med 2019 Aug 5;9(4):e88805. Epub 2019 Aug 5.

Pain Research Center, Department of Anesthesiology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Children with sensorineural hearing loss are at risk of cardiac electrophysiologic abnormalities. Inhalational Sevoflurane induction in these children can cause QT prolongation.

Objectives: In order to evaluate the safety of inhalational induction of anesthesia with sevoflurane in children with sensorineural hearing loss, who are candidates for cochlear implant, its electrophysiologic effects was compared with intravenous induction of anesthesia with propofol. Read More

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http://dx.doi.org/10.5812/aapm.88805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885132PMC

Prevalence of Anesthetic and Gastrointestinal Complications of Endoscopic Retrograde Cholangiopancreatography.

Anesth Pain Med 2019 Aug 26;9(4):e95796. Epub 2019 Aug 26.

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

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic method for treatment of many biliary diseases. With respect to rapid recovery and more patient comfort, this procedure is currently performed under light general anesthesia (GA) or conscious sedation.

Objectives: The current study aimed to clarify that intravenous sedation or light general anesthesia can be performed without great fear of anesthesia related complications in ERCP patients and sedative doses of propofol can be used safely in outpatient settings under the supervision of an expert anesthesiologist. Read More

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http://dx.doi.org/10.5812/aapm.95796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825367PMC

The Effect of Nitroglycerine Infusion on Postoperative Pain in Lower Limb Surgery: A Clinical Double-Blind Study.

Anesth Pain Med 2019 Aug 27;9(4):e93848. Epub 2019 Aug 27.

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

Background: Acute postoperative pain causes severe discomfort in patients accompanied by hemodynamic and metabolic instability.

Objectives: The aim of this study was to evaluate the effects of nitroglycerin addition on the infusion of intravenous analgesia pump in patients with lower limb orthopedic surgery.

Methods: This study was a double-blind clinical trial conducted on 75 patients with lower limb fracture. Read More

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http://dx.doi.org/10.5812/aapm.93848DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825369PMC

Influence of Cannulation Point on Infraclavicular Subclavian Vein Catheterization: A Clinical Trial.

Anesth Pain Med 2019 Aug 21;9(4):e92724. Epub 2019 Aug 21.

Department of Surgery, Clinical Research Development Unit of Farshchian Heart Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Background: Choosing a proper approach to subclavian vein cannulation is a challenge for physicians. However, percutaneous infraclavicular subclavian vein cannulation is now an acceptable technique.

Objectives: The present study was performed to compare the success rate and complications of subclavian vein cannulation using the midpoint technique and the lateral technique. Read More

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http://dx.doi.org/10.5812/aapm.92724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825368PMC

Investigating the Effect of Fibrinogen Injection on Bleeding in Coronary Artery Bypass Surgery: A Clinical Trial.

Anesth Pain Med 2019 Aug 27;9(4):e92165. Epub 2019 Aug 27.

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

Background: Prevention and optimal treatment of postoperative bleeding are of great clinical importance in various types of surgeries including coronary artery bypass graft (CABG). Reducing the amount of bleeding will reduce the complications subsequent to blood transfusion. The positive effects of coagulation factors, especially fibrinogen, after cardiovascular bypass could have beneficial effects due to reduced bleeding and less need for blood transfusion. Read More

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http://dx.doi.org/10.5812/aapm.92165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825327PMC