Perioperative effects of desflurane versus propofol on hemostasis guided by thromboelastometry in splenectomy with liver cirrhosis
ConclusionsThe current study concluded comparable effects of desflurane and propofol anesthesia on coagulation parameters within acceptable range as monitored by ROTEM and laboratory coagulation tests in cirrhotic patients with hypersplenism. Thus both anesthetics are considered safe in such patients who have high incidence of coagulopathy. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 18, 2018 Category: Anesthesiology Source Type: research

A randomized trial of ultrasound-guided adductor canal block versus fascia iliaca compartment block for postoperative analgesia after arthroscopic knee surgery
ConclusionsACB and FICB provided effective postoperative analgesia for patients experiencing arthroscopic anterior cruciate ligament reconstruction with patellar graft or medial meniscus surgery, with quadriceps muscle strength sparing and early ambulation in ACB patients.Pan African Clinical Trials Registry: PACTR201606001666108. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 16, 2018 Category: Anesthesiology Source Type: research

Diaphragmatic rapid shallow breathing index for predicting weaning outcome from mechanical ventilation: Comparison with traditional rapid shallow breathing index
ConclusionDRSBI has a better diagnostic accuracy than the traditional RSBI in predicting weaning outcome specially when monitored at 30 min from the start of SBT.Trial registration: this clinical trial was registered with ClinicalTrials.gov (NCT03561792) (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - December 14, 2018 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: October 2018Source: Egyptian Journal of Anaesthesia, Volume 34, Issue 4Author(s): (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - November 9, 2018 Category: Anesthesiology Source Type: research

Lidocaine suppressed hyperinflammation in BALB/c mice model sterile injury via downregulation of toll-like receptor 4
ConclusionSystemic therapy of lidocaine effectively inhibits TLR4 protein in BALB/c mice that sustained hyperinflammation due to sterile injury. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 12, 2018 Category: Anesthesiology Source Type: research

Comparative evaluation of intraperitoneal bupivacaine and bupivacaine ketamine combined with lung recruitment for reducing postoperative shoulder pain in laparoscopic cholecystectomy
ConclusionsWe conclude that intraperitoneal instillation of low dose ketamine to bupivacaine 0.25% in elective LC significantly reduced post-operative shoulder pain and analgesic requirement when compared to bupivacaine 0.25% alone. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - October 6, 2018 Category: Anesthesiology Source Type: research

Anesthetic considerations for laparoscopy for rectal cancer in patient with amyotrophic lateral sclerosis: A case report
Publication date: Available online 25 September 2018Source: Egyptian Journal of AnaesthesiaAuthor(s): Bo-Ra Kim, Young-Bok Lee, Su-Jin Kim, Young-Wan KimAbstractAmyotrophic lateral sclerosis, which is also known as motor neuron disease, is a chronic neurodegenerative disease characterized by progressive muscular weakness, respiratory muscle disability, and eventual death. Previous epidemiologic studies have shown no association between cancer and amyotrophic lateral sclerosis. Colorectal cancer arising in patients with amyotrophic lateral sclerosis has rarely been reported. Here, we report a case involving rectal cancer ar...
Source: Egyptian Journal of Anaesthesia - October 4, 2018 Category: Anesthesiology Source Type: research

Erector Spinae Block a safe, simple and effective analgesic technique for major hepatobiliary surgery with thrombocytopenia
Publication date: Available online 3 October 2018Source: Egyptian Journal of AnaesthesiaAuthor(s): Arshad Ayub, Praveen Talawar, Rakesh Kumar, Debesh Bhoi, Ajay Yadav SinghAbstractHepatobiliary surgeries are associated with severe pain, and coagulopathy. Adequate pain control is vital and difficult to achieve for these patients. Epidural analgesia is considered the routine standard technique for the management of both somatic and visceral pain from major abdominal surgeries until now. However, it is invasive, blind and carries the risk of dural or vascular puncture. Coagulopathy found in patients posted for hepatobiliary s...
Source: Egyptian Journal of Anaesthesia - October 4, 2018 Category: Anesthesiology Source Type: research

Dexmedetomidine added to propofol for drug-induced sleep endoscopy in adult patients with obstructive sleep apnea: Randomized controlled trial
ConclusionAddition of dexmedetomidine to propofol is associated with higher incidence of successful completion of the procedure with faster recovery. Cough and gag reflexes were significantly lower with the addition of dexmedetomidine with higher surgeons and patients satisfaction. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 8, 2018 Category: Anesthesiology Source Type: research

Limb girdle muscle dystrophy and caesarian delivery: Anesthetic management and brief review of literature
Publication date: Available online 31 August 2018Source: Egyptian Journal of AnaesthesiaAuthor(s): Sumit Soni, Amarjyoti Hazarika, Balbir KumarAbstractLimb girdle muscle dystrophy (LGMD) is group of rare hereditary disorders primarily involving hip and shoulder muscles. Due to scarcity of literature, definite anesthetic management strategy is lacking. We, report the successful management of 28 yr parturient with LGMD for elective caesarian delivery under spinal anesthesia. The anesthetic management is discussed with brief review of literature. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - September 1, 2018 Category: Anesthesiology Source Type: research

Dexmedetomidine infusion during caesarean section under general anaesthesia: Evaluation of maternal awareness using BIS, maternal and neonatal outcomes
ConclusionsDexmedetomidine is useful adjuvant during general anesthesia for CS as it attenuates hemodynamic responses to surgical stress, reduces needs for analgesic and anesthetic drugs together with favorable maternal and neonatal outcome. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - August 11, 2018 Category: Anesthesiology Source Type: research

Improved spinal MRI findings after epidural blood patch administration: A pediatric case
We report improved spinal MRI findings in a pediatric case of post-dural puncture headache treated by epidural blood patch administration.In this case, a 7-year-old girl with a history of recurrent lumbar punctures and orthostatic headache for three months is presented. Cerebrospinal fluid (CSF) leak was reported at the level of T5-L1 by magnetic resonance imaging (MRI). An autologous epidural blood patch was performed under sedation with a blood volume of 6 ml. Five days after the procedure MRI showed no CSF signal in the extradural space and dural infolding was found to be disappeared. On the seventh day of the procedu...
Source: Egyptian Journal of Anaesthesia - July 31, 2018 Category: Anesthesiology Source Type: research

Ultrasound guided bilateral rectus sheath block and serum TNF-α and IL-6 after radical prostatectomy: A randomized double blinded study
ConclusionGeneral anesthesia combined with bilateral rectus sheath block could decrease serum level of TNF-α and IL-6 after radical prostatectomy as well as decrease postoperative pain intensity with less opioid administration.Clinical trials.gov ID: NCT03074097. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 24, 2018 Category: Anesthesiology Source Type: research

Comparative study between intravenous dexmedetomidine and clonidine as premedication in pediatric patients undergoing spinal anesthesia
ConclusionDexmedetomidine is superior to clonidine as a premedication drug in pediatric patients undergoing spinal anesthesia. (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 19, 2018 Category: Anesthesiology Source Type: research

Golden hour for fibrinogen concentrate infusion to improve post partum hemorrhage
Publication date: April 2018Source: Egyptian Journal of Anaesthesia, Volume 34, Issue 2Author(s): Anouar Jarraya, Trigui Khaled, Manel Kammoun, Kais Ameur, Kamel Kolsi (Source: Egyptian Journal of Anaesthesia)
Source: Egyptian Journal of Anaesthesia - July 10, 2018 Category: Anesthesiology Source Type: research