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Register a new userEffect of combined fentanyl with bupivacaine in Pediatric Spinal anesthesia
دراسة تأثير مشاركة الفنتانيل مع البوبيفاكائين في التخدير القطني عند الأطفال
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Tishreen University ورقة بحثية
Publication date
2016
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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أجريت الدراسة في قسم التخدير و الإنعاش في مشفيي الأسد و تشرين الجامعيين في عام 2014-2015 و شملت 45 مريض من المراجعين لمشفيي الأسد و تشرين الجامعيين باللاذقية من أجل إجراء عمليات تحت مستوى السرة و المصنفين ASA1 . تم تقسيم المرضى عشوائيا" إلى ثلاثة مجموعات كل مجموعة تضم 15 مريض . - المجموعة الأولى A خضع فيها الأطفال للتخدير القطني باستخدام البوبيفاكائين بجرعة (0.4 ملغ /كغ ) مع سيروم ملحي (بلاسيبو ) . - المجموعة الثانية B خضع فيها الأطفال للتخدير القطني باستخدام البوبيفاكائين بجرعة (0.4 ملغ /كغ ) مع الفنتانيل بجرعة 0.2 مكغ /كغ . - المجموعة الثالثة C: خضع فيها الأطفال للتخدير القطني باستخدام البوبيفاكائين بجرعة (0.4 ملغ /كغ ) مع الفنتانيل بجرعة 0.6 مكغ /كغ . - هدفت الدراسة إلى دراسة تأثير مشاركة الفنتانيل مع البوبيفاكائين على خصائص التخدير القطني عند الأطفال الخاضعين لعمليات أسفل مستوى السرة . و الخلاصة أن إضافة الفنتانيل للبوبيفاكائين يقلل من الحاجة للمسكنات بعد العمل الجراحي ، كما أن إضافته تطيل مدة التخدير القطني مع المحافظة على استقرار هيموديناميكي خلال العمل الجراحي و بأقل اختلاطات ممكنة.
This study was carried out in the department of anesthesia and reanimation at Alassad ,Tishreen university Hospitals , Lattakia , Syria , during the year 2014-2015 , and included 45 patients of either sex (5-15 kilogram of weight ) undergoing lower abdominal and urologic procedures. Patients were divided into three groups : Patients of group A : received spinal anesthesia by using combination between bupivacaine (0.4 mg/kg ) and normasaline (placebo) . Patients of group B : received spinal anesthesia by using combination between bupivacaine (0.4 mg/kg ) and fentanyl (0.2 mcg/kg ) . Patients of group c : received spinal anesthesia by using combination between bupivacaine (0.4 mg/kg ) and fentanyl (0.6 mcg/kg ) . The goal of the study is studying the effects of combination between fentanyl and bupivacaine in the spinal anesthesia for the children whom prepared to subumblical operations . Conclusion : Combination between fentanyl and bupivacaine reduced to use postoperative narcotics and increased the duration of spinal anesthesia, in addition to provided hemodynamic stability during the operation.
References used
OLNEY JW, YOUNG C, WOZNIAK DF, IKONOMIDOU C, JEVTOVICTODOROVIC V. Anesthesia induced developmental neuroapoptosis: Does it happen in humans? Anesthesiology 2004;101:273-5
BIER A. Experiment regarding the cocainization of the spinal cord. Zentralbl Chir 1899;51:361-9
CORNING J.L: SPINAL ANESTHESIA AND LOCAL MEDICATION OF THE CORD. NEW YORK JOURNAL OF MEDICINE 1885; 42: 483-5
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Aim:
Study of advantages of retrobulbar anesthesia and its complications in posterior
vitrectomy using 0.5% bupivacaine with lidocaine 2%
Materials and Methods:
Number of study patients: 1000 patients who underwent a retrobulbar anesthesia
using
a combination of 4 ml bupivacaine 0.5% + 6 ml lidocaine 2% for a Pars-planaposterior
vitrectomy.
Results:
Patients aged between 16-85 years, 55% of whom were males and 45% females, the
indications of the Pars-plana vitrectomy were: 45% diabetic retinopathy, 15% macular
hole, 10 lens-luxation , 7% artificial lens dislocation, 5% chorioiditis,5% posttraumatic
vitreous haemorrhage , 5% macular pucker, 5% rhegmtogenous retinal detachment, 5%
intraocular foreign body, 0.5% endophthalmitis. Complications: 0.4% retrobulbar
hemorrhage, 2% elevated intraocular pressure, 0.2%, expulsive choreoidale haemorrhage,
pain 8%, fear, anxietyand tension 0.2%, eyelid haematome 4%, patient movement 1.3% ,
diplopia 1%, ptosis 1,3%, low heart rate and low arterial pressure 0.3%.
Conclusion :
retrobulbar anesthesia is recommended with the combination of bupivacain and
lidocaine in the posterior vitreorectomy, with some exceptions such as drug allergies,
single eye, high myopy, advanced optic nerve lesions, children, no coopertion.
This study was carried out in the department of anaesthesia and reanimation at
Alassad ,Tishreen university hospitals ,Lattakia ,Syria ,during the year 2015 -2016 ,and
included 80 patients undring transurethral resection of the prostate (TURP).
Pa
tients were divided into two groups :
Patients of group A: recieved spinal anaesthesia by using combination between
bupivacain 10mg and fentanyl ( 50mcg).
Patients of group B :recieved spinal anaesthesia by using standard doses .
The goal of the study : transurethral resection of the prostate (TURP ) can be
perfomed under spinal anesthesia with alow dose of bupivacaine , which can be used as an
alternative to the standard dose .
Conclusion : using low doses Bupivacaine and fentanyl provides an aduqute
anaesthesia with stable hymodynamics and less complication for patients undering
transurethral resection of the prostate ( TURP ).
Purpose: to assess the efficiency of topical anesthesia in
phacoemulsification with IOL implantation.
Department of Ophthalmology, Muasaa Hospital. The research was carried on 56 eyes of 48 patients.
The purposes of the present study were to determine the
effectiveness of infiltration anesthesia in the mandibular
primary molars compared with inferior alveolar nerve block,
and how tooth location, and the type of treatment performed,
and the vo
lume of anesthetic solution relate to the quality of
anesthesia.
The study population consisted of ١١٦ cooperative
children, ٣-٦ years old, requiring the same type of treatment
on contralateral mandibular molars.
Alleviating pain in children is one of the most exciting and rewarding of
professional activities . pediatric regional anesthesia is receiving its deserved attention as an excellent
technique for a balanced intraoperative anesthesia as well as post
operative analgesia .
Continuous caudal block provides adequate duration of analgesia, not only for lower limb and lower
abdominal surgeries, but also for upper abdominal and thoracic surgery , conserving the haemodynamic
stability .
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