Article
Anesthesiology
Donia Hany Saad, Ahmed Mansour Ahmed Abdou, Moustafa Abdelaziz Moustafa, Saad Eldesouky Elzayat, Aly Mahmoud Moustafa Ahmed
Summary: Ultrasound-guided pterygopalatine fossa block can effectively control hemodynamics and improve surgical field conditions during functional endoscopic sinus surgery (FESS), leading to reduced anesthesia consumption and improved recovery patterns.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Nahla N. Shehab, Walaa Y. Elsabeeny, Sayed M. Abed
Summary: This study aimed to compare the effects of different drugs, including dexmedetomidine, ketamine, and midazolam, in combination with propofol for sedation in cancer patients undergoing GI endoscopy. The results showed that dexmedetomidine-propofol and ketamine-propofol had better sedation efficacy compared to midazolam-propofol, with the superior sedative effect of ketamine-propofol than dexmedetomidine-propofol. Ketamine-propofol also had more stable heart rate and mean arterial pressure.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Asmaa Fawzy Amer, Tarek Abdel Hay Mostafa, Radwa Fathy Mansour
Summary: The study aimed to evaluate the efficacy of dexmedetomidine in combination with bupivacaine for postoperative pain control after laparoscopic sleeve gastrectomy. The results showed that intraperitoneal dexmedetomidine prolonged the duration of analgesia and reduced the consumption of analgesics compared to intravenous dexmedetomidine. There was a significant difference in visual analog scale scores at 6, 12, and 18 hours postoperatively.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Waleed Abdalla, Mona A. A. Ammar, Asmaa Ali, Dina Ragab, Mohamed Taeimah
Summary: The study aimed to assess the impact of high and low-dose L-carnitine supplementation on diaphragmatic muscle function. The results showed that high-dose L-carnitine had a positive effect on diaphragmatic excursion, while it had no significant effect on diaphragmatic thickening. Additionally, serum levels of L-carnitine were positively correlated with diaphragmatic function measures.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Mahmoud Salem Soliman, Ghada Mohammed Mostafa, Walaay Elsabeeny, Mohamed Badr, Tarek Ahmed Radwan, Safinaz Hassan Osman
Summary: This study investigated the effects of using exogenous melatonin as an adjuvant to propofol in sedation. The results showed that exogenous melatonin significantly reduced the amount of propofol infusion needed for sedation.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Eslam Albayadi, Abelrahman Soliman, Wesam F. Alyeddin
Summary: This study investigated the prevalence of work-related musculoskeletal disorders (WRMSDs) among anesthesiologists in Ismailia/Egypt, as well as their related risk factors. The results showed that a significant proportion of anesthesiologists suffer from WRMSDs, with back pain and neck pain being the most commonly reported symptoms. Possible risk factors included excessive bending and twisting, poor work ergonomics, and suboptimal patient positioning. Anesthesiologists also reported sleep difficulties, anxiety, and the need for medication to control pain, but did not require sick leave.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Soha Elmansy, Mohammed Abdelkhalek, Sherif Farouk, Randa Shoukry, Ahmed Khames
Summary: This study compared the effectiveness of the erector spinae plane block (ESPB) with opioid-based analgesia in relieving pain in rib fractures patients. The results showed that ESPB provided superior analgesia and improved respiratory function compared to opioid-based analgesia. Additionally, ESPB was associated with fewer side effects, less opioid consumption, and better patient satisfaction.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Sherif M. Soaida, Safinaz H. Osman, Abeer Ahmed, Dalia Saad, Mohamed A. Selim
Summary: This study compared the performance of the Ambu-Aura-i laryngeal mask and the Air-Q Intubating Laryngeal airway as conduits for endotracheal intubation. The Aura-i group showed shorter insertion time, longer time to remove the device, and higher airway leak pressure compared to the Air-Q group. Both devices had similar number of insertion attempts, time to insert an endotracheal tube, and fibre-optic laryngoscopic view grades. The study concluded that both the Ambu-Aura-i laryngeal mask and the Air-Q intubating laryngeal airway are efficient conduits for endotracheal intubation, with advantages for the Ambu-Aura-i mask in terms of device insertion time and use during mechanical ventilation.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Salwa Omar Elkhattab, Zakaria Abdelaziz Mustafa, Mohamed Mohamed Kamal, Gamal Saad Abdelhamid Hassab
Summary: This study aimed to evaluate the nephroprotective effect of levosimendan compared to beta agonists in patients with LCOS after cardiac surgery. The results showed that at discharge from ICU, the incidence of renal failure was 13.3% in the beta agonist group and 0% in the levosimendan group. Therefore, levosimendan may have a better nephroprotective effect in reducing the incidence of kidney failure in patients with LCOS after cardiac surgery. Rating: 7 out of 10.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Yasser Essam Elfeil, Ehsan Akram Deghidy
Summary: Spinal hypotension is a common drawback of spinal anesthesia in obstetric anesthesia. The standard method of blood pressure measurement may miss episodes of hypotension within a reasonable time frame. This study found that perfusion index (PI) can predict spinal hypotension, highlighting its importance for early detection and treatment.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Omar Sayed Osman Abdeen, Raouf Ramzy Gad Allah, Tarek Samir Shabana, Thabet Aziz Nasr, Waleed Abdalla Ibrahem
Summary: This cross-sectional study estimates lung ultrasound's sensitivity in detecting the proper position of the endotracheal tube compared to auscultation and fiberoptic bronchoscopy. The results showed that lung ultrasound has a very high sensitivity for detecting the proper endotracheal tube position, compared to fiberoptic bronchoscopy and auscultation.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Reham Mustafa Hashim, Nada Mohamed Radwan, Omar Mohamed Taha Elsafty, Waleed Abdalla Ibrahim, Tarek Samir Shabana
Summary: This study aimed to evaluate the impact of intraoperative terlipressin on systemic and hepatic hemodynamics in liver transplantation recipients. The results showed that terlipressin improved systemic hemodynamics, reduced portal venous pressure and flow, without affecting hepatic artery resistivity index.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Hamed Elgendy, Adel Ganaw, Vipin Kumari, Vijay Settu, Prem Chandra, Hanaa Nafady-Hego, Mohamad Hilani, Hesham Ismail, Mohamed Elkateeb
Summary: This study examined the effects of systemic anticoagulation on arterial catheter patency in COVID-19 patients. The results showed that systemic anticoagulation was associated with a lower failure rate of arterial catheters compared to non-systemic anticoagulation. Platelet level, ultrasound use during catheter insertion, and prone position in the ICU were identified as independent predictors of arterial catheter failure.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Basma M. Ghoniem, Gamal Hendawy Shams, Wafaa Abdelsalam, Sherif Medhat, Mahmoud Fawzy Elsharkawy
Summary: This study evaluated the significance of adding dexmedetomidine, ketamine, and MgSO4 to bupivacaine in caudal block for pediatric analgesia during hypospadias repair. The results showed that dexmedetomidine significantly prolonged the time to first analgesia and decreased the total consumption of rescue opioids compared to ketamine and MgSO4.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Heba Abdelhamid Mohammed, Aliaa Muhammad Belal, Rehab Said Elkalla, Sohair Mostafa Soliman
Summary: This research aimed to assess the safety and efficacy of ultrasound-guided preemptive mid-point transverse process to pleura block for posterolateral thoracotomy. The results showed that the MTP block group had lower pain scores, lesser analgesics consumption, and reduced risk of chronic pain compared to the sham block group. Oxygen saturation and SpO2/FiO2 also significantly improved in the MTP block group. The US-guided MTP block provides effective analgesia for posterolateral thoracotomy.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Samy Abdelrahman Amr, Ahmed Hassan Othman, Rania Mohamed Mohamed Bakri El-Aton, Mohammed Farghaly Abd-El-Hamed, Diab Fuad Hetta
Summary: This study compared the effects of two analgesic methods in cancer patients undergoing major abdominal surgery. The results showed that preperitoneal analgesia and epidural analgesia had similar analgesic effects, but preperitoneal analgesia group showed better performance in cardiovascular side effects. Therefore, preperitoneal analgesia can be used as an alternative to epidural analgesia.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Mona Gad Mostafa Elebieby, Ahmed Elshazli, Ahmed Medhat Ahmed Mohasseb, Mohammed Nashaat Mohammed
Summary: This study compared the analgesic effect of ilioinguinal/iliohypogastric nerve block (IINB) and posterior quadratus lumborum block (PQLB) in adults undergoing unilateral inguinal hernia repair. The results showed that PQLB was superior to IINB in terms of better pain control, lower heart rate and mean arterial pressure, decreased opioid consumption, and higher patient satisfaction.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Hany Mohammed El-Hadi Shoukat Mohammed, Khaled Abdelfattah Sarhan, Tamer Mohammed Atteya Mahmoud
Summary: A yellow CSF tap could indicate contamination with Povidone-iodine. Contaminated spinal needles may cause chemical meningitis. Disposable spinal trays should be used for skin preparation to prevent CSF contamination. A stepwise management protocol is recommended to reduce the incidence of chemical meningitis.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Shimaa Abbas Hassan, Khaled Abdelrahman, Ahmed M. Mandor, George Magdy, Mohamed Galal, Fatma Gadelrab Askar, Amr M. A. Thabet
Summary: This study compared the effects of continuous thoracic paravertebral block (cTPVB) and thoracic epidural block (cTEB) on pulmonary functions after open renal surgeries. It was found that cTPVB provided better preservation of pulmonary functions but required a higher dose of local anesthetic. Both methods exhibited similar analgesic efficacy.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
Mona Raafat Elghamry, Mohamed Samir Abdelghafar, Mohamed Elsayed Afandy
Summary: The combination of erector spinae plane block (ESPB) and interscalene block (IBPB) can be used as an alternative to general anesthesia (GA) for modified radical mastectomy with axillary lymph node dissection (MRM-ALND) in high-risk patients. This technique has a high success rate, provides satisfactory postoperative analgesia, and reduces the potential risks associated with GA.
EGYPTIAN JOURNAL OF ANAESTHESIA
(2023)
