شیما شیبانی
استادیار بیهوشی/ دانشگاه علوم پزشکی مشهد
[ 1 ] - تاخیر در بیدار شدن پس از بیهوشی
مقدمه : تاخیر کوتاه مدت در بیدارشدن بیماران بعد از اعمال جراحی تحت بیهوشی عمومی، یافته شایعی بوده و اغلب ناشی از باقیماندن اثر داروهای بیهوشی است. اما به هوش نیامدن طولانی مدت پس از خاتمه عمل می تواند به یک معضل برای متخصص بی هوشی تبدیل گردد. بیمار معرفی شده گزارش چنین موردی است. معرفی بیمار: بیمار خانم 28 ساله با تشخیص موکورمایکوزیس جهت آندوسکوپی و تخلیه سینوسها به اتاق عمل آورده شد که به علت...
[ 2 ] - Frequency of Acute Kidney Injury in Patients Treated With Normal Saline after Off-Pump Coronary Artery Bypass Grafting
Introduction: Acute kidney injury (AKI) is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. This study investigated the frequency of postoperative AKI in low risk adult patients undergoing off-pump coronary artery bypass grafting (CABG).Materials & Methods: All consecutive adult patients of American Society of Anesthe...
[ 3 ] - Successful Repair of Type a Aortic Dissection in a Term Pregnancy: A Case Report
Stanford type A acute aortic dissection (AAD) is a very rare complication, with potentially lethal consequences in pregnancy. In fact, pregnancy has been regularly associated with the possibility of aortic. dissection in almost half of young women. Herein, we present the case of a 38-year-old woman in her 37th week of pregnancy. The patient’s medical history was indicative of G4L2Ab1(4 gestaiti...
[ 4 ] - Role of Magnesium Sulfate in Preventing Vasospasm and Maintaining Hemodynamic Stability in Patients Undergoing Endovascular Coiling for Brain Aneurysm
Introduction: Themaintenance of hemodynamic stability in brain aneurysm surgery has paramount clinical significance in order to prevent vasospasm in the patients with aneurysmal subarachnoid hemorrhage. Regarding this, the present study was conducted to assess the role of magnesium sulfate in preventing vasospasm and maintaining hemodynamic stability during endovascular coiling procedure for br...
[ 5 ] - پنوموتوراکس و پنوموپریتوئن به‌دنبال تراکئوستومی
Aim and Background: Percutaneous tracheostomy, a common surgical procedure in the field of otolaryngology, is associated with complications, such as bleeding, infection, subcutaneous emphysema, pneumothorax, recurrent laryngeal nerve injury and tracheal ring fracture. However, the incidence of pneumothorax and pneumoperitoneum in a single individual is rare. Case report: A 70-year-old woman wa...
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