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Register a new userlidocaine intravenous infusion in gynecological abdominal surgeries to reduce anesthesia requirements
التسريب الوريدي لليدوكائين في الجراحات البطنية النسائية للتقليل من استهلاك المتطلبات التخديرية
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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مقدمة: أظهر الليدوكائين تأثيرات مثبطة للنقل العصبي ومضادة للالتهاب. هدف البحث هو دراسة تأثير الاستخدام الوريدي لليدوكائين مع أدوية التخدير العام على استهلاك المورفينات و المخدرات الانشاقية أثناء الجراحة و الحاجة من المسكنات في الفترة التالية للعمل الجراحي . مكان الدراسة: أجريت الدراسة في قسم التخدير و الإنعاش - مشفى تشرين الجامعي في اللاذقية خلال عامي 2017- 2018 نوع الدراسة: دراسة مقارنة عشوائية مزدوجة التعمية عينة الدراسة: الجراحات البطنية النسائية .
Background: Lidocaine had shown to inhibit neural conduction and antiinflammatory properties. The purpose of this research was to study the effect of using intravenous lidocaine with general anesthesia drugs on opioids and inhaled anesthesics consumption during surgery and the require of analgesics after surgery. Setting: This study was carried out in the department of anesthesia and reanimation at Tishreen University Hospital, Lattakia, Syria during 2017-2018. Type of study: Double-blinded randomized comparative study.
References used
BARAL, BK. BHATTARAI, BK. RAHMAN, TR. SINGH , SN. REGMI, R. Perioperative intravenous lidocaine infusion on postoperative pain relief in patients undergoing upper abdominal surgery. Nepal Med Coll J. 12(4): 2010 Dec;215-220
CAIO MARCIO BARROS DE OLIVEIRA, RIOKO KIMIKO SAKATA, ALEXANDRE SLULLITEL, REINALDO SALOMÃO, VERA LUCIA LANCHOTE, ADRIANA MACHADO ISSY. Effect of intraoperative intravenous lidocaine on pain and plasma interleukin-
MEFKUR BAKAN, TARIK UMUTOGLU, UFUKTOPUZ, HARUN UYSAL, MEHMET BAYRAM, HUSEYIN KADIOGLU, ZIYA SALIHOGLU. Opioid-free total intravenous anesthesia with propofol, dexmedetomidine and lidocaine infusions forlaparoscopic cholecystectomy: a prospective, randomized, double-blinded study. Rev Bras Anestesiol. 65(3): 2015;191-199
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Objective: Many children experience acute asthma exacerbations ,Many children
also require hospitalization despite treatment in an emergency department with current
standard therapy (corticosteroids ,and inhaled salbutamol). These hospitalizations
may be
avoided if effective adjunctive therapies can be developed to adequately treat severe
exacerbations.
Background & Objective: IV sedation has become established as an alternative to general anesthesia in dental treatment of patients with intellectual disability.
AIM: This study was designed to evaluate analgesic efficacy and clinical safety of intra
venous propofol sedation for handicapped, and determine the effect of gender, age, time of treatment on the recovery time for the patient.
Methods & Materials: Twenty eight handicapped patients with cerebral palsy, intellectual disability, Down syndrome, classified as ASA 1(15 males, 13 females) in the age-group of 3-34 years, and in the weight group of 10-60 kg were selected, Who had undergone deep intravenous sedation using a mean dose
of 2.5 mg/kg as only one dose before treatment. The handicapped were treated at maxillio-facial hospital
at Faculty of dentistry - Damascus University in the hospital setting then in the recovery room were observed for vital signs.
Results: IV sedation with propofol was effective for dental treatment in all cases. The dental proucedures were: extraction, ART, and scaling. The mean treatment time was 21 minutes. There was no significant effect for recovery time (p<0.05) with gender, age, weight of the patient and the time of treatment.
Conclusions: The results of this study showed that intravenous propofol sedation appears to be a safe and effective method for dental treatment of handicapped patients, when administered and monitored by a qualified anesthetist, offering the practitioner an alternative to general anesthesia.
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.
The re-use of return air in central conditioning systems is one of the most important
procedures for saving power consumption. However, the requested fresh air of the people
existed within the conditioning space imposes determining the number of ti
mes to be used.
This research aims to link the work of the central conditioning system (heating) of a
facility with the number of people existing within this facility by modifying the ratio of
mixed fresh air and return air to save the electrical power consumption. Also, to raise the
temperature of the mixture air by controlling the flow of hot water continuously rather than
using on-off technique. As well as, to respond to any change in the number of people and
get rid of repeated machine starting.
Our research has been done by using specialized physical model consisted of test
room, heat and movement sensors, pump, water tank, heat exchanger and air mixing
blades. These devices are controlled by microcontroller type PIC16F877A.
The experimentally obtained results showed the ability of controlling the amount of
return air depending on the number of people and controlling the speed of the pump
continuously providing a saving of electrical energy consumption up to 68% compared
with the case of full speed.
Fear of a painful dental injection
specially in children is significant barrier to regular visits to the
dentist, so the aim of this study was to assess the efficacy of
primary maxillary second molars anesthesia using lidocaine 10%
nasal spray during restorative cavity preparation.
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