Anesthesiology

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Article Anesthesiology

Endothelial glycocalyx shedding during active COVID-19 infection and its effect on disease severity

Amr Ragheb Hieba, Emad Abdelmoenam Arida, Hassan Aly Hassan Osman, Salma Alaa El Din Mostafa Imbaby, Heba Abdel Hamid Ahmed Moharem

Summary: This study aimed to demonstrate the effect of COVID-19 on markers of endothelial shedding and its effect on patient morbidity and mortality. The results showed that patients with severe symptoms had higher levels of syndecan-1 and heparan sulfate, and there was an association between markers of endothelial shedding with thrombotic and cardiovascular complications. Syndecan-1 and heparan sulfate may be used as good indicators to monitor COVID-19 activity.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations

Abeer A. Hassanin, Hossam Elden M. Moharam, Shimaa H. Hassan, Sahar A. Hashish

Summary: This study aimed to assess the impact of adding fentanyl to local anesthetics in peribulbar block for vitrectomy. The results showed that the fentanyl group had a faster onset of motor block, significant differences in block duration and intensity, lower postoperative pain scores, higher patient satisfaction, and no complications.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Propofol/dexmedetomidine Versus Desflaurane Effects on Post Hepatectomy Hepatocellular Injury

Ola A. Saad Ali A. Lashin, Hany M. Mohamed M. Elzahaby, Sahar M. Talaat M. Taha, Mohamed M. Abd-Elfattah M. Ghoneim, Mohamed M. Mohamed Awad M. Rashed

Summary: This study compared the effects of propofol/dexmedetomidine intravenous infusion vs. desflurane inhalational anesthesia on post-hepatectomy hepatocellular injury. The results showed that propofol/dexmedetomidine group exhibited less hepatocellular injury and better hepatic functions compared to the desflurane group during the first six postoperative days.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Ultrasound continuous erector spinae catheter versus paravertebral catheter for pain management in modified radical mastectomy for cancer patients: A randomized double-blind

Suzan Adlan, Eman Sameh, Fatma Hanafi Mahmoud, Reham Mohamed Gamal, Taher Thabet

Summary: This study compared the effectiveness of erector spinae plane block (ESPB) and paravertebral block (PVB) catheters for pain management in modified radical mastectomy (MRM). The results showed that both methods had comparable analgesic efficacy, but ESPB was easier to perform and safer than PVB.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Deep neuromuscular blocking and sugammadex reversing-drug is an efficient strategy permitting successful laparoscopic surgery under low insufflation pressure: Prospective multicenter study

Hany A. Shehab, Ibrahim E. M. Mostafa, Samar A. Salman

Summary: Comparing deep neuromuscular blockade and low abdominal insufflation pressure to conventional blockade and pressure for laparoscopic cholecystectomy, the former allows better control of intraoperative hemodynamic response, faster recovery, and better postoperative outcomes.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Comparison of analgesic efficacy of ultrasound-guided erector spinae block with port site infiltration following laparoscopic cholecystectomy

Magdy Mohammed Mahdy, Essam Ezzat Abdelhakeem, Ayman Mohamed Fawzy, Mostafa Samy Abbas

Summary: This study compared the analgesic efficacy of erector spinae plane block (ESPB) with port site infiltration in laparoscopic cholecystectomy. The results showed that ESPB was superior to port site infiltration in reducing analgesic consumption and prolonging postoperative rescue analgesia time.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study

Mohamed Abdelgawad Abdelhalim Aboelsuod, Sameh Hamdy Seyam

Summary: This study aimed to determine the influence of dexmedetomidine and magnesium sulfate on hemodynamic parameters in patients undergoing rhinoplasty. The results showed no significant difference in mean arterial pressure between the two groups, but there was a significant difference in heart rate. The second group had higher bleeding scores and lower surgeon satisfaction compared to the first group. In conclusion, dexmedetomidine is effective in achieving controlled hypotension in rhinoplasty patients.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Correlation between shock index and postoperative outcomes for patients undergoing on-pump coronary artery bypass graft surgery (an observational study)

Ahmed Said, Maged Salah, Marwa Samir, Rami Magdy

Summary: The study found a good correlation between shock index (SI), which is the ratio of heart rate and systolic blood pressure, and postoperative cardiovascular complications, acute kidney injury, and prolonged mechanical ventilation. SI was also significantly correlated with in-hospital mortality and complications.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Assessment of early paediatric airway sequelae after using cuffed or uncuffed endotracheal tubes with ultrasound and flexible endoscopy

Mohammed Nassef Elsayed, Ahmed Mohammed Al-Attar, Emad Eldin Abd Elmonem Arida, Aliaa Rabia Abd Elaziz

Summary: This study aimed to compare the early airway changes in paediatrics using Cuffed tracheal tubes (CTT) and uncuffed tracheal tubes (UTT), and to investigate the correlation between endoscopic and ultrasonographic findings in detecting post intubation sequelae. Results showed that the rate of tube exchange was significantly lower in the CTT group, but there were no significant differences in subglottic diameter changes, incidence of stridor, laryngospasm and croup, and occurrence of airway injuries between the two groups. There was a positive correlation between subglottic diameter changes and airway injury prevalence. Short-term endotracheal intubation did not affect the incidence or severity of airway injuries. Using the external diameter of the endotracheal tube is crucial for proper sizing in paediatrics.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

The effect of combined ultrasound-guided transverse thoracic muscle plane block and rectus sheath plane block on the peri-operative consumption of opioids in open heart surgeries with median sternotomy

Fady Medhat Mokhtar Nessim, Alaa Eid Mohamed Hassan, Fahmy Saad Latif Eskander, Riham Fathy Galal Nady

Summary: This study aims to evaluate the effects of combined TTP and RSP blocks on postoperative pain and fast-track extubation in cardiac surgery patients. The results showed that combined TTP and RSP blocks can reduce intraoperative opioid consumption, accelerate extubation time, and improve hemodynamic parameters. However, there was no significant difference between the two groups in postoperative opioid use and VAS pain scores.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Effect of Adding Infiltration between The Popliteal Artery and Capsule of The Knee Block (IPACK) to Continuous Adductor Canal Block after Total Knee Arthroplasty

Hatem Mohammed Ahmed Abdo, Mohamed Saeed Abd Elaziz, Amr Essam Eldin Abd Elhamid, Amr Ahmed Kassem, Diaaeldein Mahmoud Haiba

Summary: This study compared the effects of continuous adductor canal block (CACB) alone and a combination of continuous adductor canal block and infiltration between the popliteal artery and capsule of the knee block (IPACK) on postoperative pain management after total knee arthroplasty. The results showed significant differences between the two groups in terms of visual analog score at 2, 4, 8, and 12 hours postoperatively, as well as total nalbuphine consumption on the first day. However, there were no significant differences in terms of demographic data, ambulation abilities, and functional tests between the two groups.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Evaluating the perioperative analgesic effect of ultrasound-guided trigeminal nerve block in adult patients undergoing maxillofacial surgery under general anesthesia: A randomized controlled study

Maha Misk, Abdelrhman Alshawadfy, Medhat Lamei, Fatma Khames, Mohamed Abd Elgawad, Hamdy A. Hendawy

Summary: This study evaluated the safety and efficacy of ultrasound-guided trigeminal nerve block (USGTNB) for pain control in patients undergoing maxillofacial surgery under general anesthesia. Results showed that USGTNB significantly reduced intraoperative fentanyl consumption and hemodynamic parameters, as well as postoperative pain and nalbuphine consumption. USGTNB had a better safety profile and patient satisfaction compared to general anesthesia alone.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Effect of magnesium levels on mean tissue perfusion during and after bariatric surgeries: A randomised control trial

Ahmed Yahya Ibrahim Ahmed, Mounir Kamal Mohamed Ahmed Afifi, Emad Abdelmoenam Elmonem Arida, Mohamed Mahmoud Abdelhady

Summary: The primary aim of this study was to investigate the effect of magnesium on tissue perfusion and its potential to increase perfusion or decrease the effects of hypoperfusion. The secondary aim was to examine its impact on postoperative pain, analgesic consumption, sedation, and side effects.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Role of Thoracoscore and ESOS in Prediction of Outcomes after Thoracic Surgeries

Islam Morsy, Amr A. Abdelwahab, Heba Salem, Mohammed Said ElSharkawy, Hussein Gamal Almawardy

Summary: This study compared the ability of ESOS and Thoracoscore in predicting mortality after thoracic surgery. The results showed that ESOS had higher sensitivity and specificity, making it an effective tool for predicting mortality.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Effect of caudal nalbuphine on postoperative emergence agitation in pediatrics undergoing infra-umbilical surgeries: Randomized double-blind study

Mohamed F. Mostafa, H. A. Youssef, Rehab Okely, Ahmed Aboulfotouh

Summary: This study aimed to investigate whether adding nalbuphine to caudal block in pediatric patients could improve postoperative emergence agitation (EA). The results showed no significant difference in postoperative EA scores between the two groups, but the nalbuphine group had better outcomes in terms of postoperative sedation and analgesia.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Opioid Free Anesthesia versus Opioid Based Anesthesia for Hemodynamic Stability in Geriatric Patients Undergoing Arthroscopic Shoulder Surgery, A Randomized Comparative Study

Dalia Khaled, Osama Mohamed, Iman Alaa, Antony Adel

Summary: Geriatric patients pose a challenge for anesthesia due to physiological and pharmacological differences. Opioids, although effective for pain control, can cause serious complications in the elderly. Non-opioid analgesics are being considered as a safer alternative for adequate analgesia.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial

Shady Rady Abdalla, Ahmed Abdalla Mohamed, Marianne Magdy Roshdy, Maha Mohamed Ismail, Ashraf Mohamed Abdelreheem, Walaa Mohamed Bahnas, Mahmoud Salem Soliman

Summary: This study compared the effectiveness of Baska Mask (BM) airway and ProSeal Laryngeal Mask Airway (PLMA) as supraglottic airway devices (SGAs) for ventilation. The results showed that BM had shorter insertion time, lower leak fraction, higher seal pressure, and lower incidence of sore throat and gastric tube insertion complications compared to PLMA.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Ultrasound guided erector spinae plane block versus intrathecal morphine for analgesia following major hepatopancreaticobiliary surgery

Magdy Mohammed Mahdy Sayed, Mohamed Galal Abdel-Rahim, Mahmoud Talaat Abd Elhafeez, Mostafa Samy Abbas

Summary: The study compared the effectiveness of bilateral erector spinae plane block (ESPB) and intrathecal morphine for analgesia following major hepatopancreaticobiliary surgery. It was found that although intrathecal morphine resulted in lower opioid consumption, ESPB provided effective pain control with a reduced incidence of postoperative nausea, vomiting, and pruritus.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

The perioperative analgesic effect of opioid free anesthesia using combination of dexmedetomidine, ketamine and lidocaine in adolescent patients undergoing Scoliosis Surgery; A randomized Controlled Trial

Laila Elahwal, Maram Elmazny, Shimaa Mostafa Elrahwan

Summary: This study evaluated the analgesic effect of a combination of dexmedetomidine, ketamine, and lidocaine compared to fentanyl-based anesthesia in adolescent scoliosis surgery. The results showed that the combination treatment provided adequate pain management during and after surgery and reduced the overall opioid requirements.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Premedication with Oral Midazolam Suppress Fentanyl- Induced Cough in Children: A Randomized Double-Blind Trial

Mohamed Said Mostafa Elmeligy, Neveen A. Kohaf, Reda K. Abdelrahman

Summary: This study aimed to investigate the efficacy of different oral midazolam doses in controlling fentanyl-induced cough (FIC) in children. The results demonstrated that premedication with 0.7 mg/kg oral midazolam was more effective in suppressing FIC compared to 0.5 mg/kg oral midazolam and placebo in children undergoing elective surgeries with orotracheal intubation.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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