Intrathecal Dexmedetomidine or Meperidine for Post-spinal Shivering
Mohamed Hamdy Ellakany
Article Type: Research Article | First Published: September 11, 2014
Background: Shivering occurs frequently during the perioperative period. A prospective, randomized, double-blind study was done to compare between intrathecal dexmedetomidine (5mcg) and intrathecal meperidine (0.2mg/kg) for decreasing the incidence and intensity of shivering after spinal anesthesia for lower abdominal operations.
Methods: Seventy five patients scheduled for lower abdominal operations under spinal anesthesia were randomly allocated to three groups. Spinal anesthesia consisted of 12.5 mg hyperbaric bupivacaine 0.5% in addition to dexmedetomidine (5mcg) (group D) or meperidine ...
Validity of Creatine Kinase as an Indicator of Muscle Injury in Spine Surgery and its Relation with Postoperative Pain
Domingo Lombao Iglesias, Joan Bago Granell, Teresa Vilor Ribero
Article Type: Research Article | First Published: September 10, 2014
Injury to the paraspinal muscle during posterior spinal surgery has been related to the intensity of postoperative pain. The aim of the study was to confirm the validity of serum postoperative creatine kinase (CK) values as an indicator of muscle lesion as well as to assess the relationship of CK with variables indicating surgical invasiveness and investigate the association between CK values and excessive postoperative pain.
Material and Method: The study included 96 patients (mean age 62.8 years) who underwent instrumented spine fusion for degenerative lumbosacral disorders. Serum CK conce...
The Impact Self-Monitoring of Blood Glucose (SMBG) on Metabolic Control in Patients with Type 2 Diabetes. A Developing Country Perspective
Kameel Mungrue and Verna Farrell-Williams
Article Type: Research Article | First Published: October 02, 2014
Introduction: The role of Self-Monitoring of Blood Glucose (SMBG) in patients with type 2 diabetes remains inconclusive. As part of the approach to improve glycaemic control in patients with T2DM in Trinidad a high prevalence setting for T2DM, the Ministry of Heath distributes free glucometers and strips. The aim of this study is to evaluate the impact of SMBG on glycaemic control and to determine patients' behaviors and responses.
Methods: A large outpatient clinic for patients with T2DM was selected for the study. All clients who met the entry were eligible for entry into the study using a ...
Anaesthetic Management in a Patient with Glomus Jugulare Tumour for Ankle Surgery
Monu Yadav, R Gopinath, B Rajesh Kumar, Shibani Padhy, A Anand Ram and Suresh Kumar Chintha
Article Type: Case Report | First Published: September 11, 2014
Anaesthesia has special considerations in any case of intracranial space occupying lesions. Not much of literature is available about anaesthetic considerations in a patient with Glomus jugulare tumour requiring surgery for non neurosurgical procedure. Glomus jugulare tumours arise from the glomus body within the adventitia of the jugular bulb. Glomus bodies are histologically similar to carotid bodies. They are composed of epitheloid cells embedded in capillary net work. Occasionally these tumours are capable of secreting catecholamines. We present a known case of Glomus jugulare tumour with ...
Extremely High Carrier Frequency of the GJB2 Splice Site IVS1+1G>A Mutation in Eastern Siberia is Comparable to the Carrier Frequency of the Sickle Cell Anemia in Africa
Nikolay A. Barashkov, Aisen V. Solovyev, Fedor M. Teryutin, Vera G. Pshennikova1, Leonid A. Klarov, Georgii P. Romanov, Sergey S. Nakhodkin, Kyunney E. Savvinova, Nyurgun N. Gotovtsev, Natalya A. Solovyeva, Andrei A. Kozhevnikov, Lena M. Vasilyeva, Elvira E. Fedotova, Maria V. Pak, Sargylana N. Lekhanova, Elena V. Zakharova, Adyum M. Rafailov, Nikolay V. Luginov, Anatoliy N. Alexeev, Olga L. Posukh, Lilya U. Dzhemileva, Elza K. Khusnutdinova and Sardana A. Fedorova
Article Type: Research article | First Published: September 01, 2014
This study presents data on the carrier frequencies of IVS1+1 G>A mutation in GJB2 gene, causing by autosomal recessive form of deafness among various ethno-geographical groups of Yakut population and in a random sample of the Yakuts. 350 DNA samples of hearing individuals from various ethno-geographical groups of Yakut population: Central (n=60), Vilyui (n=60), Northern (n=60) and random samples of Yakuts (n=170) were obtained from the DNA Bank of the Department of Molecular Genetics of Yakut Research Center of Complex Medical Problems of RAMS (Yakutsk, Russian Federation). The average carrie...
MOCA - 'Improving Home Improvement'
Article Type: Editorial | First Published: August 13, 2014
ABA requires re-certification for all Diplomates of the Board who passed oral exam after 1999. This process called MOCA and designed as a 10 years cycle of activities, which results in re-certification. Anesthesiology is not unique in this process - other 23 specialty Boards require maintenance of the certification program. The goal is to assure continuous improvement, so physicians keep up with growing body of medical knowledge and skills....
Postoperative Respiratory Complications
Rudin Domi, Myzafer Kaci, Herion Dredha, Artan Bodeci, Hektor Sula, Ilir Ohri, Sokol Paparisto, Gjergj Andrea and Enton Bollano
Article Type: Review | First Published: August 04, 2014
The incidence of postoperative pulmonary complications (PRC) it is recently considered to be up to 5%. In the high-risk group, the incidence may reach or even exceed 20%. The mortality associated with PRC can be ranged 10-25%. Fleischman et al found that the incidence of PRC was higher than perioperative cardiac events, considered to be a common postoperative problem. Other authors reported that PRC is associated with a high morbidity profile....
Should Endobronchial Ultrasound be Performed in All Patients with Suspected Sarcoidosis?
Omar Assasa, Mohamed Omballi and Fayez Kheir
Article Type: Editorial | First Published: August 06, 2014
Sarcoidosis is a multisystem inflammatory disease of unknown etiology that is characterized by noncaseating granuloma. Its incidence is 11 cases per 100,000 population in whites and 34 cases per 100,000 population in African Americans. Sarcoidosis most often involves the lung and intrathoracic lymph nodes but can occur in any other organ system. The most common respiratory complaints are dyspnea, shortness of breath and wheezing. However, many patients are asymptomatic and have incidental enlarged mediastinal or hilar lymhadenopathy on routine chest imaging....
Pharmacological Treatment may Impair Mineral Status in Blood
Article Type: Editorial | First Published: July 31, 2014
Some medicines may interact with mineral, with the result that changes occur in the concentration of minerals and other blood parameters that are associated with mineral status. Interpretation of the results of morphological and biochemical blood analyses therefore needs to take into account the drugs used by patients....