improve local aesthetic effects in Bier's Block? a double blind placebo controlled study".
|
|
- Ethelbert Simon
- 6 years ago
- Views:
Transcription
1 Title of the article: Does the use of nitro-glycerine patch improve local aesthetic effects in Bier's Block? a double blind placebo controlled study". Type of article: Original Ahmed Said Elgebaly, MD. Assistant professor Department of Anesthesia and Postsurgical Intensive Care, Faculty of Medicine, Tanta University, Egypt. Address of corresponding author: Dr. Ahmed Said Elgebaly Department of Anesthesia and Postsurgical Intensive Care, 19 Elfaloga Street, Elgharbia, Tanta, Egypt Tel: elgebaly_13@hotmail.com Funding: Author received no funding for this study. Conflict of Interest: No Conflict of Interest
2 Does the use of nitro-glycerin patch improve local anaesthetic effects in Bier's Block? a double blind placebo controlled study Abstract: Background: Bier's block is a costeffective, simple, and reliable technique of regional anaesthesia. It provides rapid onset, easy application and effective anaesthesia with safe termination and turning away of adverse effects that are inherent to general anesthesia. Local anaesthetics have been used with numerous additives to cut back bandage pain, length post deflation analgesia and improve block quality. Aim: Assess the nitroglycerin patch as anew additive to Bier's block and its impacts on the dose and effects of local anaesthetic. Design: A prospective, randomized, double-blinded placebo controlled study. Methods: Forty patients of each sexes belonging to ASA I or II undergoing elective tendon repair surgeries of the forearm and hand. Patients were divided into two equal groups as follows: Group C received only lidocaine (1.5 mg/kg 0.25%), and Group N received lidocaine (1.5 mg/kg 0.25%) + five mg transcutaneous nitroglycerin patch. Onset and recovery times for sensory and motor block, (VAS) Visual analogue score scores for bandage pain, postoperative VAS score, analgesic requirements; patient satisfaction and surgeon opinion were recorded. Results: Sensory block onset time was shorter in Group N (3.80±1.0) than C (5.72±1.46) and motor block onset time was shorter in Group N (10.72±1.93) than C (13.56±1.26). Sensory block recovery time was prolonged in Group N (10.56±1.12) than C (6.88±1.45), and motor block recovery time was prolonged in Group N (13.04±1.57) than C (11.96±1.72). Bandage pain had lower VAS scores in Group N. Post operative VAS scores showed significant differences between both groups at the following points of measurement 30 minutes, 1 hour and 4 hours after bandage deflation. Post operative analgesic effect was the longest in Group N (187.20±60.79 min) than C (51.60±25.28 min). Patients' satisfaction and surgeons' opinion were better in Group N than C. Conclusion: Transcutaneous nitroglycerin patch as a supplementation to Bier's block reduced the dose of lidocaine used, the sensory and motor block onset times, VAS scores, analgesic consumption intra- and post-operatively. Length the sensory and motor block recovery times, duration of post-operative analgesic effect and delayed the first time to analgesic requirement with better patient satisfaction and surgeon opinion and no adverse effects. Key words: Bier's block, nitroglycerin patch and local anesthetics.
3 Introduction: Providing satisfactory and prolonged analgesia is an important goal within the management of postoperative pain. Bier's block is a technique that is mostly used for providing anaesthesia and analgesia during the operation. Using additives with lidocaine may prolong the duration of postoperative analgesia (3). Intravenous regional anesthesia (IVRA) which was firstly described by August Bier in 1902 (1) is used successfully as a sole technique for upper limb surgeries. (2) It is a reliable, simple, cost-effective and widely accepted technique of regional anesthesia. (3) Disadvantages of Bier's block are including the potential for local anaesthetic toxicity, emergence of pain following removal of the bandage (within three five minutes), and lack of postoperative analgesia. (4)(5) Several adjuncts have been used including narcotics, non steroidal anti-inflammatory drugs (NSAIDS), muscle relaxants, α 2 agonists and neostigmine. (6) Nitroglycerine (NTG) and nitric oxide generator contained in transcutaneous nitroglycerine, help in distribution of local anaesthetic agents to neuron trunks by vasodilatation (7) (8). Aim of this study is to assess if the supplementation of five mg nitroglycerin patch to low dose lidocaine whether or not will improve the overall Bier's block effect either intra- or post operatively as primary outcomes and also, analgesic requirements, patient satisfaction and surgeon opinion as secondary outcomes. Materials and methods: After obtaining the approval from the native Ethics and Research Committee and written informed consent from all the study participants. A double-blind prospective randomized study enrolled forty ASA physical status I or II patients of each sexes, aged 18 years and undergoing elective tendon repair surgeries of the forearm.patient refusal, Reynauld s disease, Sickle cell disease, crush injuries, swelling or skin infection at the site of injection, patients with history of allergy to nitroglycerin or lidocaine and surgeries > 60 minutes or < 30 minutes were excluded from the study. After history taking, complete clinical examination and laboratory investigations, monitoring of the patient with non invasive blood pressure (NIBP), ECG and peripheral oxygen saturation was performed. ; A 20 Gauge intravenous cannula was inserted in the contra lateral hand for crystalloid infusion.randomization by use of sealed envelopes and allocation of patients to two equal groups were done as follows:
4 Group C ( Control group ): 40 cc of 1.5 mg/kg of 0.25 % lidocaine diluted in normal saline (0.9 % NaCl) was used for administering Bier's block. Empty Nitroglycerin patch was applied on the ventral aspect of proximal forearm of the operative arm 2 hours preoperatively. Group N ( Lidocaine and transdermal Nitroglycerin patch group): 40 cc of 1.5 mg/kg of 0.25% lidocaine diluted in normal saline (0.9 % NaCl) with application of 5 mg of transcutaneous Nitroglycerin patch was used for administering Bier's block. Nitroglycerin patch was applied on the ventral aspect of proximal forearm of the operative arm 2 hours preoperatively. Another 22 Gauge intravenous cannula was inserted in the dorsum of operative hand (as distal as possible) for injection of the study drugs. A double pneumatic bandage was placed on the upper arm with generous layers of cotton padding on operative side ensuring that no wrinkles are formed and the bandage edges do not touch the skin and then it was exanguated by 2 min. elevation and wrapping with an Esmarch bandage. Before lidocaine was injected, circulatory isolation of the arm was verified by inspection, absence of radial pulse and loss of pulse oximetry tracing in the ipsilateral index finger, then the lidocaine solution was injected by inflation to a minimum of 250 mmhg for bandage lying at proximal site. Block onset was estimated after ten minutes of local anaesthetic administration. Distal bandage was inflated up to 250 mmhg after fifteen minutes and the proximal bandage was deflated after taking out transdermal nitroglycerin patch. If no block occurs up to 15 minutes the patient was excluded and replaced with another matched one. Deflation of cuff not done until thirty minutes after lidocaine injection passed because systemic toxicity of lidocaine may occur and was not inflated for more than one and half hours. Assessment of demographic data, duration of surgery, sensory and motor block onset and recovery times, onset time of bandage pain and number of patients complaining from it, intra-operative and 24 hours postoperative analgesic requirements. Postoperative VAS score and first time of analgesic requirement were recorded. Also, patient satisfaction, by asking the patient to rate the operative conditions according to the following numerical scale: 0= Unsuccessful. 1= Poor. 2= Moderate (pain required supplemental analgesia).3= Good (Minor pain with no need of supplemental analgesia). 4= Excellent (No pain), surgeon opinion as surgeon was blind to patient randomization and asked to rate the score of the operative conditions such as movement of limb or bleeding and the score was according to the following numerical scale: 4 = Excellent.3 = Good. 2= Acceptable.1= Poor.0= Unsuccessful.
5 Complications as [CNS (circum oral numbness, headache, convulsions or coma) or CVS ( bradycardia, arrhythmia or hypotension)] were recorded. Statistical analysis Data were fed to the computer and analyzed using IBM SPSS software package version Qualitative data were described using number and percent. Quantitative data were described using mean and standard deviation. Comparison between different groups regarding categorical variables was tested using Chisquared test (χ2). The distributions of quantitative variables were tested for normality using Kolmogorov-Smirnov test, Shapiro-Wilk test and D'Agstino test. If it reveals normal data distribution, parametric tests was applied. If the data were abnormally distributed, non-parametric tests were used. For normally distributed data, comparison between more than two population were analyzed F-test (ANOVA) to be used. For abnormally distributed data, Kruskal Wallis test was used to compare between different groups and pair wise comparison was assessed using Mann- Whitney test. P-value of (> 0.05) was considered not statistically significant, P-value of ( 0.05) was considered statistically significant and P-value of ( 0.001) was considered statistically highly significant. Results: Demographic data were comparable with insignificant difference in age, sex, weight, ASA physical status, duration and type of surgery. [Table 1] Sensory block onset time was shorter in Group N (3.80±1.0) than Group C (5.72±1.46) and motor block onset time was shorter in Group N (10.72±1.93) than Group C (13.56±1.26). Sensory block recovery time was prolonged in Group N (10.56±1.12) than Group C (6.88±1.45), and motor block recovery time was prolonged in Group N (13.04±1.57) than Group C (11.96±1.72). [Table 2] VAS scores for bandage pain showed significant differences between the two groups at the following points of measurement 10, 15, 20 and 30 minutes after tourniquet inflation. Also, there was a significant difference in number of patients complained of bandage pain between the two groups whereas in Group C 52% of patients complained of bandage pain and in Group N 24% of patients complained of bandage pain. Onset time of bandage pain was longer in Group N (29.17±2.04 min) than Group C (21.54±3.15 min) [Table 3]. Post operative VAS scores showed significant differences between the two groups at the following points of measurement 30 minutes, 1 hour and 4 hours after bandage deflation with lower VAS scores in Group N (1.36 ±0.81, 1.92 ±0.40) [Table 4]. Post
6 operative analgesic effect was longer in Group N (187.20±60.79 min) than Group C (51.60±25.28 min). Post operative analgesic requirement was the lowest in Group N (33.60±9.95 mg) [Table 5] [Figure1]. In the present study, the patients' satisfaction about the operation and surgeons' opinion of the operative conditions were better in Group N than Group C. No adverse effects or complications were seen in this study. No evidence of central nervous system complications (as circum oral numbness, headache, convulsions or coma) or cardiac complications (as arrhythmias, hypotension or bradycardia) were seen after lidocaine administration, before and during surgery and after release of the bandage. Discussion: Our study results showed that the addition of 5 mg transcutaneous nitroglycerin patch as adjuvant to the lidocaine during Bier's block, reduced the dose of lidocaine to 1.5 mg/kg lidocaine 0.25%, shortened the sensory and motor block onset times, prolonged the sensory and motor block recovery times, decreased VAS scores and analgesic consumption, prolonged the duration of post-operative analgesic effect of Bier's block and delayed the first time to analgesic requirement and improved the quality of Bier's block with no adverse effects. The beneficial effects of NTG seem to be influenced by a direct potent vasodilatory effect that promotes distribution of lidocaine to nerves that is mainly dose dependant. (9) The details of the pain relieving mechanism of NTG have been well understood by several studies (10, 11). NTG exerts its analgesic effect as it is metabolized to nitric oxide (NO) in the cell. NO causes an increase in the intracellular concentration of cyclic guanosine monophosphate, which produces pain modulation in the central and peripheral nervous systems. NO generators also induce antiinflammatory effects and analgesia by blocking hyperalgesia and the neurogenic component of inflammatory edema by topical application. (12) The first study on adding nitroglycerin to lidocaine for Bier's block for hand and forearm surgery was performed by Sen S et al; (13) who studied the effect of adding nitoglycerin to lidocaine for Bier's block on 30 patients undergoing hand surgery in two groups. The control group (group C, n = 15) received a total dose of 40 ml with 3 mg/kg of lidocaine diluted with saline, and the NTG group (group NTG, n = 15) received an additional 200 μg NTG, In agreement with our results Sen S et al; (13) proved that there was hemodynamic stability in the perioperative period, shortened the onset time of sensory block with prolonged sensory block recovery time, shortened the onset time of motor block with prolonged recovery time, shortened VAS scores of bandage pain, and improved quality of anaesthesia in group NTG, VAS scores were lower in group NTG
7 after bandage release and in the postoperative period. First analgesic requirement time was longer in group NTG than in group C. Postoperative analgesic requirements were significantly smaller in group NTG. Similar results were obtained by various other authors a Cakmak BM et al; (5) who studied 60 patients undergoing elective hand, wrist, and forearm surgery procedures distributed into three groups, lidocaine group (group L) which received 3mg/kg lidocaine 2% diluted with saline to a total volume of 40mL, lidocaine and lornoxicam group (group LL) which received 3mg/kg lidocaine 2% was diluted with saline to a total volume of 40mL and also 8mg lornoxicam was added to the solution, and lidocaine with lornoxicam and transdermal nitroglycerin group (group LL-N) which received 3mg/kg lidocaine 2% was diluted with saline to a total volume of 40mL and also 8mg lornoxicam was added to the solution and nitroglycerin patch 5 mg was applied to the surgical site, they found that shortened sensory and motor block onset times and prolonged sensory and motor block recovery times in group LL-N and LL groups compared with L group. Previous researches did not study the patients' satisfaction, surgeons' opinion and adverse effects or complications.in the present study we focused on these parameters and found that the patients' satisfaction about the operation and surgeons' opinion of the operative conditions were better in Group N than Group C with no adverse effects or complications were seen in this study. Contrary to Cakmak BM et al; (5) and although we used the transcutaneous nitroglycerin as they did but in our study we got the same results with low lidocaine concentration (40 cc of 1.5 mg/kg of 0.25 % lidocaine diluted in normal saline (0.9 % NaCl) was used for administering Bier's block). Low lidocaine concentration was the primary and effective cause for decreasing the resulted adverse effects and complications intra and postoperative and increase patients' satisfaction, surgeons' opinion in our study. Also, Asadi HK et al; (14) studied the analgesic effect of nitroglycerin when added to lidocaine for Bier's block on 40 patients scheduled for elective forearm and hand surgery and agreed our results by reporting shorter sensory block onset time and delay in sensory block recovery time after bandage release in the nitroglycerin group with shorter motor block onset time and delay in recovery time after bandage release in the first group, the frequency of opioid injections was significantly lower in those who administered lidocaine and nitroglycerin. Elmetwaly et al; (6) studied the effect of adding ketamine or nitroglycerin to lidocaine for Bier's block on Seventy-five patients undergoing hand surgery and found that postoperative VAS scores were higher for the first 4 h in control group compared with the other study groups. Also, Cakmak BM et al; (5) noted and agreed these results by approving that postoperative VAS scores were higher for the first 4 hours in group C compared with the other study group.
8 Study limitations and recommendations: The major limitation of present study was the current small sample size since we were able to enroll only 40 patients. More studies with high and sufficient sample sizes are required to confirm these results. We recommend further larger studies to determine the effect of different doses of lidocaine and nitroglycerin and other additives that can affect Bier's block conditions Conclusion: From the present study results we conclude that, the addition of five mg transcutaneous nitroglycerin patch as supplementation to 1.5 mg/kg lidocaine 0.25% for Bier's block reduced the dose of lidocaine, sensory and motor block onset times, VAS scores and analgesic consumption. Length the sensory and motor block recovery times, the duration of post-operative analgesic effect, the first time to analgesic requirement, improved the quality of Bier's block with better patients' satisfaction and surgeons' opinion and no side effects. References: 1. Gupta B, Verma RK, Kumar S, et al. Comparison of analgesic efficacy of dexmedetomidine and midazolam as adjuncts to lignocaine for intravenous regional anesthesia. Anesth Essays Res. 2017; 11: Verma RN, Hasnain S, Sreevastava DK, et al. Anesthetic management of forearm fractures using a combination of haematoma block and intravenous regional anesthesia. Med J Armed Forces India. 2016; 72(3): Marashi S, Yazdanifard A, Shoeibi G. The Analgesic Effect of Intravenous Neostigmine and Transdermal Nitroglycerin Added to Lidocaine on Intravenous Regional Anesthesia (Bier's Block): A Randomized, Controlled Study in Hand Surgery. Inter J of Pharmacol. 2008; 4(3): Jafarian AA, Imani F, Salehi R, et al. Simple arm tourniquet as an adjunct to double-cuff tourniquet in intravenous regional anesthesia. Anesth Pain Med. 2016; 6(3): e Cakmak BM, Cakmak G, Akpek E, Arslan G, Sahin MS. Peri- and postanalgesic properties of lidokain, lornoxicam, and nitroglycerine combination at intravenous regional anesthesia. Biomed Res Int. 2014; 2014: Elmetwaly KF, Hegazy NA, Aboelseoud AA, Alshaer AA. Does the use of ketamine or nitroglycerin as an adjuvant to lidocaine improve the quality of intravenous regional anesthesia? Saudi J Anesth. 2010; 4(2): Glantz L, Godovic G, Lekar M, Kramer M, Eidelman LA. Efficacy of transdermal nitroglycerin combined with etodolac for the treatment of chronic post-thoracotomy pain: an open-label prospective clinical trial. J Pain
9 Symptom Manage 2004; 27(3): Lauretti GR, Perez MV, ReIs MP, PereIra NL. Double- blind evaluation of transdermal nitroglycerine as adjuvant to oral morphine for cancer pain management. J Clin Anesth; 2002; 14(2): Jorge LL, Feres CC, Teles VE. Topical preparations for pain relief: efficacy and patient adherence. J Pain Res. 2010; 4: Lauretti GR, Lima IC, Reis MP, et al. Oral ketamine and transdermal nitroglycerin as analgesic adjuncts to oral morphine therapy for cancer pain management. Anesthesiol. 1999; 90(6): Hashimoto S, Kobayashi A. Clinical pharmacokinetics and pharmacodynamics of glyceryl trinitrate and its metabolites. Clin Pharmacokinet 2003; 42(3): Butterworth JF, Mackey DC, Wasnick JD. Hypotensive agents. Butterworth JF, Mackey DC, Wasnick JD. (eds) Morgan & Mikhail's Clinical Anesthesiology. 5 th ed. New York. McGraw-Hill. 2013; 15: Sen S, Ugur B, Aydin ON, Ogurlu M, Gursoy F, Savk O. The analgesic effect of nitroglycerin added to lidocaine on intravenous regional anesthesia. Anesth Analg. 2006; 102(3): Asadi HK, Mehri D. The analgesic effect of nitroglycerin added to lidocaine on quality of intravenous regional anesthesia in patients undergoing elective forearm and hand surgery. Acta Cir Bras. 2013; 28(1):
10 Table (1): Demographic data: Group C Group N P value (n=20) (n=20) Age (yr) ±9.91 ±9.31 Sex (%) M F Weight (kg) ±12.53 ±9.97 ASA (%) I II Duration of surgery (min) ± ± Data are represented as mean ±SD, yr: year, kg: kilogram, min: minute M: male, F: f Table (2): Sensory and motor block onset and recovery times: Group C Group N (n=20) (n=20) P value Sensory block 5.72 ± ±1.0 <0.001 * onset time (min) Motor block ± ±1.93 <0.001 * onset time (min) Sensory block recovery time (min) 6.88 ± ±1.12 <0.001 * Motor block ± ±1.57 <0.001 * recovery time (min) Data are represented as mean ±SD * statistically significant at p <0.05
11 Table (3): VAS scores for tourniquet pain: Group C Group N (n=20) (n=20) P value 5 Min ± ± Min ± ±0.63 <0.001 * 15 Min ± ±0.35 <0.001 * 20 Min ± ±0.58 <0.001 * 25 Min ± ±0.78 <0.001 * 30 Min ± ± * End of surgery 2.24 ± ± Data are represented as mean ±SD * statistically significant at p <0.05 min: minute Table (4): Post operative VAS score: Group C Group N (n=20) (n=20) P value 30 min ± ±0.81 <0.001 * 1 hr 2.96 ± ±0.40 <0.001 * 2 hrs 2.08 ± ± hrs 2.16 ± ±1.05 <0.001 * 6 hrs 2.0 ± ± hrs 2.08 ± ± hrs 1.68 ± ± hrs 1.44 ± ± hrs 0.76 ± ± hrs 0.44 ± ± Data are represented as mean ±SD * statistically significant at p <0.05 hr: hour Table (5): Analgesic requirements: Intraoperative (Pethidine 0.5 mg/kg) Postoperative (Ketorolac 30 Group C (n=20) ± ±14.70 mg) mg: milligram kg: kilogram Data are represented as mean ±SD Group N (n=20) ± ±9.95 P value * * * statistically significant at p <0.05
THE EFFECT OF NITROGLYCERIN AS AN ADJUVANT TO LIDOCAINE IN INTRAVENOUS REGIONAL ANESTHESIA
THE EFFECT OF NITROGLYCERIN AS AN ADJUVANT TO LIDOCAINE IN INTRAVENOUS REGIONAL ANESTHESIA Rahman Abbasivash *, Ebrahim Hassani *, Mir Moussa Aghdashi **, and Mohammad Shirvani *** Implication Statement
More information4 ORIGINAL ARTICLE ANESTESHIA. Hosein Kimiaei Asadi I, Dariush Mehri II
4 ORIGINAL ARTICLE ANESTESHIA The analgesic effect of nitroglycerin added to lidocaine on quality of intravenous regional anesthesia in patients undergoing elective forearm and hand surgery 1 Hosein Kimiaei
More informationBier s block is a frequently used intravenous regional. Original Article Journal of Kathmandu Medical College, Vol. 2, No. 1, Issue 3, Jan.-Mar.
Original Article, Vol. 2, No. 1, Issue 3, Jan.-Mar., 2013 Tabdar S 1, Lama S 2, Kadariya ER 3 1 Assistant Professor, 2 Lecturer, Department of Anaesthesiology and Intensive Care Kathmandu Medical College
More informationREVISTA BRASILEIRA DE ANESTESIOLOGIA
Rev Bras Anestesiol. 2013;63(4):311-316 REVISTA BRASILEIRA DE ANESTESIOLOGIA Official Publication of the Brazilian Society of Anesthesiology www.sba.com.br SCIENTIFIC ARTICLE Comparison of Lornoxicam and
More informationThe Analgesic Effect of Ondansetron when Added to Lidocaine for Intravenous Regional Anesthesia
International Journal of Multidisciplinary and Current Research ISSN: 2321-3124 Research Article Available at: http://ijmcr.com The Analgesic Effect of Ondansetron when Added to Lidocaine for Intravenous
More informationThe impact of Verapamil addition to Ketamine and Lidocaine Intravenous regional Anesthesia: A Randomized controlled study
Original Research Article The impact of Verapamil addition to Ketamine and Lidocaine Intravenous regional Anesthesia: A Randomized controlled study Sarat Babu Chevuri 1*, Vijay Rekha 1 1 Associate Professor
More informationIntravenous Regional Anesthesia with Drug Combinations of Lidocaine, Ketamine, and Atracurium
ISPUB.COM The Internet Journal of Anesthesiology Volume 18 Number 1 Intravenous Regional Anesthesia with Drug Combinations of Lidocaine, Ketamine, and Atracurium G Mir, A Naqeeb, T Waani, A Shora Citation
More informationINTRAVENOUS REGIONAL ANESTHESIA (BIERS BLOCK);
; TO COMPARE THE ANALGESIC EFFECTS OF COMBINATION OF 0.5% LIDOCAINE PLUS KETROLAC IN INTRAVENOUS REGIONAL ANESTHESIA TECHNIQUE WITH THOSE OF LIDOCAINE 0.5 % ALONE TO PREVENT POST OPERATIVE PAIN ORIGINAL
More informationDexamethasone Improves Outcome Of Infraclavicular Brachial Plexus Block
Tanta Medical Journal Vol. (6), April 2008 Original Article ABSTRACT Dexamethasone Improves Outcome Of Infraclavicular Brachial Plexus Block Mohamed Samy Seddik Department of Anesthesia & Intensive Care,
More informationComparison of Bier's Block and Systemic Analgesia for Upper Extremity Procedures: A Randomized Clinical Trial
J Arch Mil Med. 1 August; (3): e1977. Published online 1 August 3. DOI: 1.81/jamm.1977 Research Article Comparison of Bier's Block and Systemic Analgesia for Upper Extremity Procedures: A Randomized Clinical
More informationEffect of transdermal nitroglycerin patch on intrathecal neostigmine with bupivacaine for post operative analgesia
Original Research Article Effect of transdermal nitroglycerin patch on intrathecal neostigmine with bupivacaine for post operative analgesia Viralben P. Patel 1*, Prakash Patel 2, Shweta S. Mehta 3, Gunvanti
More informationISSN X (Print) Original Research Article. DOI: /sjams *Corresponding author Suresh T
DOI: 10.21276/sjams.2016.4.8.7 Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2016; 4(8A):2762-2766 Scholars Academic and Scientific Publisher (An International Publisher
More informationComparative Study of Equal Doses of Intrathecal Isobaric Bupivacaine and Isobaric Ropivacaine for Lower Limb Surgeries and Perineal Surgeries
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/229 Comparative Study of Equal Doses of Intrathecal Isobaric Bupivacaine and Isobaric Ropivacaine for Lower Limb Surgeries
More informationIntra-articular Adjuvant Analgesics Following Knee Arthroscopy: Comparison between Dexmedetomidine and Fentanyl
Intra-articular Adjuvant Analgesics Following Knee Arthroscopy: Comparison between Dexmedetomidine and Fentanyl 1 Mostafa El-Hamamsy, 2 Mohsen Dorgham 1 Anaesthesia Dept., Faculty of Medicine, El-Fayoum
More informationBIER ' S BLOCK USING DIFFERENT DOSES OF PARACETAMOL ADDED TO LIDOCAINE IN PATIENTS UNDERGOING HAND SURGERIES.
AAMJ, Vol. 10, N. 3, Sep, 2012, Suppl-3 BIER ' S BLOCK USING DIFFERENT DOSES OF PARACETAMOL ADDED TO LIDOCAINE IN PATIENTS UNDERGOING HAND SURGERIES. Reda K. Abdel-Rahman*, Montaser S. Ahmed**, Mahmoud
More informationEffectiveness of Low Dose Lidocaine With and Without Tramadol for Intravenous Regional Anesthesia: A Randomized Prospective Study
Med. J. Cairo Univ., Vol. 81, No. 1, September: 665-669, 2013 www.medicaljournalofcairouniversity.net Effectiveness of Low Dose Lidocaine With and Without Tramadol for Intravenous Regional Anesthesia:
More informationThe intensity of preoperative pain is directly correlated with the amount of morphine needed for postoperative analgesia
The intensity of preoperative pain is directly correlated with the amount of morphine needed for postoperative analgesia This study has been published: The intensity of preoperative pain is directly correlated
More informationCOMPARISON OF ROPIVACAINE AND LIDOCAINE SENSORY AND MOTOR BLOCK AND POST OPERATIVE ANALGESIC REQUIREMENT IN INTRA- VENOUS REGIONAL ANESTHESIA
COMPARISON OF ROPIVACAINE AND LIDOCAINE SENSORY AND MOTOR BLOCK AND POST OPERATIVE ANALGESIC REQUIREMENT IN INTRA- VENOUS REGIONAL ANESTHESIA Salah M. kamal Department of Anesthesia and Intensive care,
More informationEfficacy of the Valsalva Maneuver on Needle Projection Pain and Hemodynamic Responses During Spinal Puncture
156 Research Paper International Journal of Medical Sciences 2011; 8(2):156-160 Ivyspring International Publisher. All rights reserved. Efficacy of the Valsalva Maneuver on Needle Projection Pain and Hemodynamic
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol. 3/ Issue 74/Dec 29, 2014 Page 15535
RANDOMISED CLINICAL TRIAL TO COMPARE THE EFFECT OF PRETREATMENT OF KETAMINE AND LIGNOCAINE ON PROPOFOL INJECTION PAIN Hanumanthappa V. Airani 1, Bhagyashree Amingad 2, Chandra Kumar B. M 3 HOW TO CITE
More informationThe analgesic effect of lornoxicam when added to lidocaine for intravenous regional anaesthesia
British Journal of Anaesthesia 97 (3): 408 13 (2006) doi:10.1093/bja/ael170 Advance Access publication July 15, 2006 The analgesic effect of lornoxicam when added to lidocaine for intravenous regional
More informationPre-operative Care For Surgery of Forearm Fracture. WONG Mei Chee OT (CMC)
Pre-operative Care For Surgery of Forearm Fracture WONG Mei Chee OT (CMC) Pre-operative Nursing Considerations for Surgery of Forearm Fracture 1. Patient s problems - Diagnosis: Clinical features, x-ray
More informationComparison of 0.5% Lignocaine with Tramadol and with Nalbuphine for Day Care IVRA in Upper Limb: an Interventional Study
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 9 Ver. VIII (September). 2016), PP 99-105 www.iosrjournals.org Comparison of 0.5% Lignocaine
More informationComparison Of 0.5%Bupivacaine And 0.5% Bupivacaine Plus Buprenorphine in Brachial Plexus Block
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 1 Ver. VIII (Jan. 2016), PP 01-08 www.iosrjournals.org Comparison Of 0.5%Bupivacaine And 0.5%
More informationComparison of preoperative infraorbital block with periincisional infiltration for postoperative pain relief in cleft lip surgeries
Original Article Comparison of preoperative infraorbital block with periincisional infiltration for postoperative pain relief in cleft lip surgeries V. Gaonkar, Swati R. Daftary Department of Anaesthesia,
More informationIntroducttion. Sweety Rana 1, SP Singh 1, M Asad 1, V Bakshi 2
doi:10.17659/01.2018.0018 Journal of Case Reports 2018;8(1):67-71 Comparative Evaluation of the Efficacy of Intrathecal Fentanyl, Clonidine and Fentanyl-Clonidine Combination as an Adjuvant to Bupivacaine
More informationS Kannan, Prem Kumar. Assistant Professor, Saveetha Medical College and Hospital, Chennai.
Original Article CLINICAL COMPARISON OF TWO DIFFERENT VOLUMES OF 0.5% BUPIVACAINE FOR CLAVICULAR SURGERIES USING COMBINED INTERSCALENE AND SUPERFICIAL CERVICAL PLEXUS BLOCK 2 S Kannan, Prem Kumar,2 Assistant
More informationAnesthesia for Total Hip and Knee Arthroplasty
Anesthesia for Total Hip and Knee Arthroplasty Typical approach Describe anesthesia technique Rather Describe issues with THA and TKA How anesthesia can modify Issues Total Hip Total Knee Blood Loss ++
More informationKeywords: Dexmedetomidine, fentanyl, tympanoplasty, monitored anaesthesia care. INTRODUCTION:
13 Original article A COMPARATIVE OBSERVATIONAL STUDY BETWEEN DEXMEDETOMIDINE V/S COMBINATION OF MIDAZOLAM- FENTANYL FOR TYMPANOPLASTY SURGERY UNDER MONITORED ANESTHESIA CARE Dr. Parul Pachotiya (Professor
More informationOriginal Article COMPARATIVE EVALUATION OF ADDING CLONADINE V/S DEXMEDETOMIDINE DURING BIER S BLOCK IN UPPER LIMB ORTHOPAEDIC SURGERIES
Original Article COMPARATIVE EVALUATION OF ADDING CLONADINE V/S DEXMEDETOMIDINE DURING BIER S BLOCK IN UPPER LIMB ORTHOPAEDIC SURGERIES Veena chatrath 1, Radhe sharan 2, Sumit soni 3*, Chandni kansal 4
More informationInternational Journal of Drug Delivery 5 (2013) Original Research Article
International Journal of Drug Delivery 5 (2013) 239-244 http://www.arjournals.org/index.php/ijdd/index Original Research Article ISSN: 0975-0215 Comparative study of duration of analgesia with epidural
More informationControlled Trial of Wound Infiltration with Bupivacaine for Post Operative Pain Relief after Caesarean Section
Bahrain Medical Bulletin, Vol.23, No.2, June 2001 Controlled Trial of Wound Infiltration with Bupivacaine for Post Operative Pain Relief after Caesarean Section Omar Momani, MD, MBBS, JBA* Objective: The
More informationSingle-cuff forearm tourniquet in intravenous regional anaesthesia results in less pain and fewer sedation requirements than upper arm tourniquet
British Journal of Anaesthesia 111 (2): 271 5 (2013) Advance Access publication 18 March 2013. doi:10.1093/bja/aet032 Single-cuff forearm tourniquet in intravenous regional anaesthesia results in less
More informationThe use of a muscle relaxant to supplement local anaesthetics for Bier's
Archives of mergency Medicine, 1988, 5, 79-85 The use of a muscle relaxant to supplement local anaesthetics for Bier's blocks R. McGLON,1 F. HYS2 & P. HARRIS3 'The General Infirmary, Leeds, 2Accident and
More informationASSESSMENT OF THE ROLE OF DEXAMETHASONE AS AN ADJUVANT IN SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES
ORIGINAL ARTICLE ASSESSMENT OF THE ROLE OF DEXAMETHASONE AS AN ADJUVANT IN SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES Priyesh Bhaskar, Mamta Harjai (e) ISSN Online: 2321-9599 (p) ISSN Print: 2348-6805
More informationStudy of effect of addition of Ketamine and Atracurium to Lidocaine in Intravenous Regional Anaesthesia
Original article: Study of effect of addition of Ketamine and Atracurium to Lidocaine in Intravenous Regional Anaesthesia Dr. Neeta M. Charwande 1, Dr. Pravin S. Thorat 2, Dr. H S Rawat 3, Dr. Avinash
More informationResearch and Reviews: Journal of Medical and Health Sciences
Research and Reviews: Journal of Medical and Health Sciences Evaluation of Epidural Clonidine for Postoperative Pain Relief. Mukesh I Shukla, Ajay Rathod, Swathi N*, Jayesh Kamat, Pramod Sarwa, and Vishal
More informationComparison of fentanyl versus fentanyl plus magnesium as post-operative epidural analgesia in orthopedic hip surgeries
Original Research Article Comparison of fentanyl versus fentanyl plus magnesium as post-operative epidural analgesia in orthopedic hip surgeries P V Praveen Kumar 1*, Sreemanth 2 1 Associate Professor,
More informationAs laparoscopic surgeries are gaining popularity, Original Article. Maharjan SK 1, Shrestha S 2 1. Introduction
, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 Original Article Maharjan SK 1, Shrestha S 2 1 Associate Professor, 2 Assistant Professor, Department of Anaesthesiology and Intensive Care Kathmandu Medical College,
More informationEffects of IV Ondansetron during spinal anaesthesia with Ropivacaine and Fentanyl
Original article Effects of IV Ondansetron during spinal anaesthesia with Ropivacaine and Fentanyl 1Dr Bipul Deka, 2 Dr Bharat Talukdar, 3 Dr. Amal Kumar Laha, 4 Dr. Rupak Bhattacharjee 1Assistant Professor,
More informationInduction position for spinal anaesthesia: Sitting versus lateral position
11 ORIGINAL ARTICLE Induction position for spinal anaesthesia: Sitting versus lateral position Khurrum Shahzad, Gauhar Afshan Abstract Objective: To compare the effect of induction position on block characteristics
More informationA Comparative Study of Epidural, Bupivacaine with Buprenorphine and Bupivacaine with Fentanyl in Lower Limb Surgeries
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 12 Ver. III (Dec. 2014), PP 23-28 A Comparative Study of Epidural, Bupivacaine with Buprenorphine
More informationBeta Blockers for ENT Surgery
Beta Blockers for ENT Surgery Dr. Giuliano Michelagnoli U.O. Anestesia e Rianimazione Nuovo Ospedale di Prato Perioperative Beta-Blockade 1. Reduction of perioperative cardiovascular risk 2. Multimodal
More informationComparative evaluation of ropivacaine versus dexmedetomidine and ropivacaine in epidural anesthesia in lower limb orthopaedic surgeries
Original Research Article Comparative evaluation of ropivacaine versus dexmedetomidine and ropivacaine in epidural anesthesia in lower limb orthopaedic surgeries Vivek Maratha 1*, Manu Kapil 2, Sandeep
More informationEVALUATION OF THE TOURNIQUET LEAK DURING FOREARM INTRAVENOUS REGIONAL ANESTHESIA
EVALUATION OF THE TOURNIQUET LEAK DURING FOREARM INTRAVENOUS REGIONAL ANESTHESIA - Manual vs Automatic Pump Injection - Roshdi Roshdi Al-Metwalli * Summary Background: The present study was conducted to
More informationKetoprofen, diclofenac or ketorolac for pain after tonsillectomy in adults?
British Journal of Anaesthesia 82 (1): 56 60 (1999) Ketoprofen, diclofenac or ketorolac for pain after tonsillectomy in adults? P. Tarkkila* and L. Saarnivaara Department of Anaesthesia, Otolaryngological
More informationA COMPARATIVE STUDY OF LIGNOCAINE 0.5% AND ROPIVACAINE 0.2% FOR INTRAVENOUS REGIONAL ANESTHESIA FOR ELECTIVE UPPER LIMB SURGERY
A COMPARATIVE STUDY OF LIGNOCAINE 0.5% AND ROPIVACAINE 0.2% FOR INTRAVENOUS REGIONAL ANESTHESIA FOR ELECTIVE UPPER LIMB SURGERY S. Asrar 1, Devesh S 2, Vidushi S 3, Meenaxi S 4*, Anumeha J 5 Department
More informationComparison of 5µg and 10 µg of Dexmedetomidine as an adjuvant with Bupivacaine (heavy) under Spinal anaesthesia in Urological surgeries
Original Research Article DOI: 1.181/9-99.17.67 Comparison of µg and 1 µg of Dexmedetomidine as an adjuvant with Bupivacaine (heavy) under Spinal anaesthesia in Urological surgeries Mahadeva Prasad DR
More informationAssistant Professor, Anaesthesia Department, Govt. General Hospital / Guntur Medical College, Guntur, Andhra Pradesh, India.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 8 Ver. I (August. 2016), PP 87-91 www.iosrjournals.org A Comparative Study of 0.25% Ropivacaine
More informationJournal of Anesthesia & Pain Medicine
Research Article ISSN: 2474-9206 Journal of Anesthesia & Pain Medicine Evaluating the Effect of Various Doses of Magnesium Sulfate on Quality of Cataract Intra Operative Sedation and Recovery Mojtaba Rahimi
More informationWITH ISOBARIC BUPIVACAINE (5 MG/ML)
, 49, 2013, 3 63 (5 MG/ML) (5 MG/ML).,.,.,..,..,, SPINAL ANESTHESIA: COMPARISON OF ISOBARIC ROPIVACAINE (5 MG/ML) WITH ISOBARIC BUPIVACAINE (5 MG/ML) D. Tzoneva, Vl. Miladinov, Al. Todorov, M. P. Atanasova,
More informationIntravenous lidocaine infusions. Dr Ian McConachie FRCA FRCPC
Intravenous lidocaine infusions Dr Ian McConachie FRCA FRCPC Thank the organisers for inviting me. No conflicts or disclosures Lidocaine 1 st amide local anesthetic Synthesized in 1943 by Lofgren in Sweden.
More informationOriginal Article INTRODUCTION. Abstract
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2016/600 Randomized Clinical Comparison of Epidural Bupivacaine with Fentanyl and Epidural Levobupivacaine with Fentanyl
More informationEfficacy Of Ropivacaine - Fentanyl In Comparison To Bupivacaine - Fentanyl In Epidural Anaesthesia
ISPUB.COM The Internet Journal of Anesthesiology Volume 33 Number 1 Efficacy Of Ropivacaine - Fentanyl In Comparison To Bupivacaine - Fentanyl In Epidural Anaesthesia S Gautam, S Singh, R Verma, S Kumar,
More informationPostoperative Analgesia for Circumcision in Children: A Comparative Study of Caudal Block versus High Dose Rectal Acetaminophen or EMLA Cream
Postoperative Analgesia for Circumcision in Children: A Comparative Study of Caudal Block versus High Dose Rectal Acetaminophen or EMLA Cream Jehan Ahmed Sayed 1 and Mohamed Amir Fathy 2 1 Department of
More informationJMSCR Vol 07 Issue 04 Page April 2019
www.jmscr.igmpublication.org Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.76 A study to compare the antiemetic efficacy of ondansetron
More informationTracheal intubation in children after induction of anesthesia with propofol and remifentanil without a muscle relaxant
Original Article Tracheal intubation in children after induction of anesthesia with propofol and remifentanil without a muscle relaxant Mirmohammad Taghi Mortazavi, 1 Masood Parish, 1 Naghi Abedini, 2
More informationOriginal article: Supraclavicular block with 0.5% levobupivacaine and 0.5% ropivacainecomparative
Original article: Supraclavicular block with 0.5% levobupivacaine and 0.5% ropivacainecomparative study Dr.V.Sai Dilip 1, Dr.G.Chandra Sekhar 1, Dr.Gopala Krishna Murthy 1, Dr.A.S.Kameswara Rao 1, Dr.K.Sivaji
More informationAttenuation of the Hemodynamic Responses to Endotracheal Intubation with Gabapentin Versus Fentanyl: A Randomized Double Blind Controlled Study
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 18, Issue 2 Ser. 1 (February. 2019), PP 83-88 www.iosrjournals.org Attenuation of the Hemodynamic Responses
More informationComparative Study of Effects of Dexmedetomidine as Adjuvant to Bupivacaine and Bupivacaine Alone in Epidural Anesthesia
DOI: 1.17354/SUR//13 Original Article Comparative Study of Effects of Dexmedetomidine as Adjuvant to Bupivacaine and Bupivacaine Alone in Epidural Anesthesia Vishwadeep Singh 1, Geeta Singh, Priyank Srivastava
More information(Senior Resident, Dept of Anaesthesia, Dr. D. Y. Patil Medical College, Dr. D. Y. Patil Vidyapeeth [DPU], Pune)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 4 Ver. IX (April. 2017), PP 25-29 www.iosrjournals.org To Compare the Efficacy of Dexamethasone
More informationMalaysian Orthopaedic Journal 2008 Vol 2 No 2
Randomized Clinical Trial of Periarticular Drug Injection used in combination Patient-Controlled Analgesia versus Patient-Controlled Analgesia Alone in Total Knee Arthroplasty MN Sabran, MBBS, AJM Talha*,
More informationNeostigmine as an adjunct to Bupivacaine, for caudal block in burned children, undergoing skin grafting of the lower extremities
Neostigmine as an adjunct to Bupivacaine, for caudal block in burned children, undergoing skin grafting of the lower extremities Dr. Pramod Gupta, Dr Amy Grace MD Department of Anaesthesiology and Critical
More informationP V Praveen Kumar 1*, P. Archana 2. Original Research Article. Abstract
Original Research Article Comparative clinical study of attenuation of cardiovascular responses to laryngoscopy intubation diltiazem, lignocaine and combination of diltiazem and lignocaine P V Praveen
More informationComparison of analgesic properties of perineural and systemic dexamethasone in patients undergoing upper limb surgeries under supraclavicular block
Original Research Article Comparison of analgesic properties of perineural and systemic dexamethasone in patients undergoing upper limb surgeries under supraclavicular block Sathyan Natarajan 1*, Karthikeyan
More informationDORIS DUKE MEDICAL STUDENTS JOURNAL Volume V,
Continuous Femoral Perineural Infusion (CFPI) Using Ropivacaine after Total Knee Arthroplasty and its Effect on Postoperative Pain and Early Functional Outcomes Eric Lloyd Scientific abstract Total Knee
More informationPROSPECTIVE OBSERVATIONAL STUDY ON PERI-OPERATIVE USAGE PATTERN OF ANALGESICS
IJPSR (2016), Vol. 7, Issue 4 (Research Article) Received on 25 March, 2014; received in revised form, 10 February, 2016; accepted, 09 March, 2016; published 01 April, 2016 PROSPECTIVE OBSERVATIONAL STUDY
More informationThe minimum effective doses of pethidine and doxapram in the treatment of post-anaesthetic shivering
The minimum effective doses of pethidine and doxapram in the treatment of post-anaesthetic shivering I. J. Wrench, P. Singh, A. R. Dennis, R. P. Mahajan and A. W. A. Crossley University Department of Anaesthesia,
More informationAnaesthesia and Pain Management for Endo Exo Femoral Prosthesis (EEFP) Bridging the Gap from Surgery to Rehabilitation
Anaesthesia and Pain Management for Endo Exo Femoral Prosthesis (EEFP) Bridging the Gap from Surgery to Rehabilitation Dr Ajay Kumar Senior Lecturer Macquarie and Melbourne University Introduction Amputee
More informationDOI: / Page. 1 Dr. Seetharamaiah.S., 2 Dr. G.R.Santhilatha, 3 Dr. T.Venugopala rao, 4 Dr. Venugopalan.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 14, Issue 9 Ver. VII (Sep. 2015), PP 44-48 www.iosrjournals.org To evaluate the efficacy of Inj. Dexmedetomidine
More informationCARPAL TUNNEL RELEASE BLOCK Author John Hyndman
Questions CARPAL TUNNEL RELEASE BLOCK Author John Hyndman Web Editor Kirsten Fehrmann - kirstenfehrmann@hotmail.com 1) Why does a LA solution containing Epinephrine cause pain on injection and what can
More informationObjectives 9/7/2012. Optimizing Analgesia to Enhance the Recovery After Surgery CME FACULTY DISCLOSURE
Optimizing Analgesia to Enhance the Recovery After Surgery Francesco Carli, M.D.. McGill University, Montreal, QC, Canada. ASPMN, Baltimore, 2012 CME FACULTY DISCLOSURE Francesco Carli has no affiliation
More informationOptimal sedation and management of anxiety in patients undergoing endobronchial ultrasound (EBUS)
Optimal sedation and management of anxiety in patients undergoing endobronchial ultrasound (EBUS) Georgios Dadoudis Anesthesiologist ICU DIRECTOR INTERBALKAN MEDICAL CENTER Optimal performance requires:
More informationLearning Objectives. Perioperative goals. Acute Pain in the Chronic Pain Patient for Ambulatory Surgery 9/8/16
Acute Pain in the Chronic Pain Patient for Ambulatory Surgery Danielle Ludwin, MD Associate Professor of Anesthesiology Division of Regional and Orthopedic Anesthesia Columbia University Medical Center
More informationJOURNAL OF PHARMACEUTICAL AND BIOMEDICAL SCIENCES
JOURNAL OF PHARMACEUTICAL AND BIOMEDICAL SCIENCES Singh R, Bisoi P, Mohanty SN, Debata PC. Study On Effect of Dexmedetomidine When Added To Bupivacaine On The Onset Time And Duration Of Block In Supraclavicular
More informationOriginal Article Influence of butorphanol on the postoperative remifentanil hyperalgesia
Int J Clin Exp Med 2016;9(2):4685-4689 www.ijcem.com /ISSN:1940-5901/IJCEM0017991 Original Article Influence of butorphanol on the postoperative remifentanil hyperalgesia Chen Lv, Hui Zheng, Mingyang Wei,
More informationPostoperative cognitive dysfunction a neverending story
Postoperative cognitive dysfunction a neverending story Adela Hilda Onuţu, MD, PhD Cluj-Napoca, Romania adela_hilda@yahoo.com No conflict of interest Contents Postoperative cognitive dysfunction (POCD)
More informationOriginal Research Article
A RANDOMIZED COMPARATIVE STUDY TO ASSESS THE EFFECT OF INTRATHECAL NALBUPHINE VERSUS INTRATHECAL FENTANYL AS ADJUVANT TO BUPIVACAINE FOR LOWER LIMB ORTHOPAEDIC SURGERY Debabrata Nath Sharma 1, Manmaya
More informationSEEING KETAMINE IN A NEW LIGHT
SEEING KETAMINE IN A NEW LIGHT BobbieJean Sweitzer, M.D., FACP Professor of Anesthesiology Director of Perioperative Medicine Northwestern University Bobbie.Sweitzer@northwestern.edu LEARNING OBJECTIVES
More informationISSN X (Print) Research Article
Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2014; 2(4B):1255-1259 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)
More informationResearch Article. Shital S. Ahire 1 *, Shweta Mhambrey 1, Sambharana Nayak 2. Received: 22 July 2016 Accepted: 08 August 2016
International Journal of Research in Medical Sciences Ahire SS et al. Int J Res Med Sci. 2016 Sep;4(9):3838-3844 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Research Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20162824
More informationHyperbaric 2% Lignocaine In Spinal Anaesthesia An Excellent Option For Day Care Surgeries
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861. Volume 13, Issue 2 Ver. III. (Feb. 2014), PP 09-13 Hyperbaric 2% Lignocaine In Spinal Anaesthesia An Excellent
More informationSatisfactory Analgesia Minimal Emesis in Day Surgeries. (SAME-Day study) A Randomized Control Trial Comparing Morphine and Hydromorphone
Satisfactory Analgesia Minimal Emesis in Day Surgeries (SAME-Day study) A Randomized Control Trial Comparing Morphine and Hydromorphone HARSHA SHANTHANNA ASSISTANT PROFESSOR ANESTHESIOLOGY MCMASTER UNIVERSITY
More informationLabor Epidural: Local Anesthetics and Beyond
Goals: Labor Epidural: Local Anesthetics and Beyond Pedram Aleshi MD The Changing Practice of Anesthesia September 2012 Review Concept of MLAC Local anesthetic efficacy Local anesthetic sparing effects:
More informationClinical Study Effect of Preemptive Flurbiprofen Axetil and Tramadol on Transurethral Resection of the Prostate under Spinal Anesthesia
Pain Research and Treatment Volume 2016, Article ID 3942040, 5 pages http://dx.doi.org/10.1155/2016/3942040 Clinical Study Effect of Preemptive Flurbiprofen Axetil and Tramadol on Transurethral Resection
More informationParecoxib, Celecoxib and Paracetamol for Post Caesarean Analgesia: A Randomised Controlled Trial
Parecoxib, Celecoxib and Paracetamol for Post Caesarean Analgesia: A Randomised Controlled Trial McDonnell NJ, Paech MJ, Baber C, Nathan E Clinical Associate Professor Nolan McDonnell School of Medicine
More informationMr David A McDonald Service Improvement Manager Whole System patient Flow Improvement Programme Scottish Government
Mr David A McDonald Service Improvement Manager Whole System patient Flow Improvement Programme Scottish Government Introduction Brief update Two main topics Use of Gabapentin Local Infiltration Analgesia
More informationThe use of Pudendal Nerve Block in Hemorrhoidectomy Operations: A Prospective Double Blind Placebo Control Study
Kasr El Aini Journal of Surgery VOL., 10, NO 3 September 2009 97 The use of Pudendal Nerve Block in Hemorrhoidectomy Operations: A Prospective Double Blind Placebo Control Study Sherif Adly and Mohamed
More informationBalanced Analgesia With NSAIDS and Coxibs. Raymond S. Sinatra MD, Ph.D
Balanced Analgesia With NSAIDS and Coxibs Raymond S. Sinatra MD, Ph.D Prostaglandins and Pain The primary noxious mediator released from damaged tissue is prostaglandin (PG) PG is responsible for nociceptor
More informationDigital RIC. Rhode Island College. Linda M. Green Rhode Island College
Rhode Island College Digital Commons @ RIC Master's Theses, Dissertations, Graduate Research and Major Papers Overview Master's Theses, Dissertations, Graduate Research and Major Papers 1-1-2013 The Relationship
More informationComparison of clonidine adjuvants to ropivacaine in subclavian perivascular approach of supra clavicular brachial plexus block
Original Research Article Comparison of clonidine adjuvants to ropivacaine in subclavian perivascular approach of supra clavicular brachial plexus block S. Arul Rajan 1, N. Sathyan 2*, T. Murugan 3 1 Assistant
More informationEfficacy of a single-dose ondansetron for preventing post-operative nausea and vomiting
European Review for Medical and Pharmacological Sciences 2001; 5: 59-63 Efficacy of a single-dose ondansetron for preventing post-operative nausea and vomiting after laparoscopic cholecystectomy with sevoflurane
More informationEvaluation of the Effect of Magnesium Sulphate as Adjunct to Epidural Bupivacaine: An Institutional Based Study
Original article: Evaluation of the Effect of Magnesium Sulphate as Adjunct to Epidural Bupivacaine: An Institutional Based Study RajulSubhash Karmakar 1, ShishirRamachandra Sonkusale 1* 1Associate Professor,
More informationDr. K.Raja Sekhar, Dr. B. Venu Gopalan, Asst. Professor.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 14, Issue 12 Ver. IV (Dec. 2015), PP 52-57 www.iosrjournals.org A Comparative Study of Bupivacaine with
More informationGUIDELINES FOR PERIPHERAL NERVE / PLEXUS BLOCK CATHETER MANAGEMENT DEPARTMENT OF ANAESTHESIOLOGY AND INTENSIVE CARE HOSPITAL KUALA LUMPUR
GUIDELINES FOR PERIPHERAL NERVE / PLEXUS BLOCK CATHETER MANAGEMENT DEPARTMENT OF ANAESTHESIOLOGY AND INTENSIVE CARE HOSPITAL KUALA LUMPUR INTRODUCTION Regional block provides superior pain relief, compared
More informationResearch Article. Comparison of analgesic effect of different doses of granisetron in combination with lidocaine for intravenous regional anesthesia
Available online www.jocpr.com Journal of Chemical and Pharmaceutical Research, 2016, 8(6):12-17 Research Article ISSN : 0975-7384 CODEN(USA) : JCPRC5 Comparison of analgesic effect of different doses
More informationShow Me the Evidence: Epidurals, PVBs, TAP Blocks Christopher L. Wu, MD Professor of Anesthesiology The Johns Hopkins Hospital
Show Me the Evidence: Epidurals, PVBs, TAP Blocks Christopher L. Wu, MD Professor of Anesthesiology The Johns Hopkins Hospital Overview Review overall (ERAS and non-eras) data for EA, PVB, TAP Examine
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acetaminophen, for geriatric surgical patients, 569 570 Acute kidney injury, critical care issues in geriatric patients with, 555 556
More informationAlessandro Di Filippo Manuela Magherini Peggy Ruggiano Antonio Ciardullo Silvia Falsini
DOI 10.1007/s40520-014-0272-5 ORIGINAL ARTICLE Postoperative analgesia in patients older than 75 years undergoing intervention for per-trochanteric hip fracture: a single centre retrospective cohort study
More informationEFFECT OF INTRAVENOUS MAGNESIUM SULPHATE ON POSTOPERATIVE PAIN FOLLOWING SPINAL ANESTHESIA. A RANDOMIZED DOUBLE BLIND CONTROLLED STUDY
scientific articles EFFECT OF INTRAVENOUS MAGNESIUM SULPHATE ON POSTOPERATIVE PAIN FOLLOWING SPINAL ANESTHESIA. A RANDOMIZED DOUBLE BLIND CONTROLLED STUDY Mahendra Kumar *, Neha Dayal **, R.S. Rautela
More information