Shahram Amini
Associate Professor of Anesthesia, Faculty of Medical, Mashhad University of Medical Sciences, Mashhad, Iran
[ 1 ] - Comparing the Effect of Continuous and Intermittent Irrigation Techniques on Complications of Arterial Catheter and Partial Thromboplastin Time in Patients Following Coronary Artery Bypass Grafting Surgery
Background: Different approaches are available to irrigate the arterial catheter, such as continuous and intermittent techniques. However, there is a disagreement regarding the most appropriate method. Aim: this study aimed to compare the effect of two continuous and intermittent irrigation methods on complications of arterial catheter and partial thromboplastin time (PTT) in patients with coro...
[ 2 ] - Effect of Instructional Videos on Postoperative Respiratory Function in Patients Undergoing Off-Pump Open Heart Surgery
Background: Respiratory function in patients undergoing open heart surgery is disrupted after surgery. Patient education on managing complications can reduce occurrence or severity of them. A variety of educational tools has been introduced, but there are controversies about the most appropriate tools. Aim: Determine the effect of instructional videos on respiratory function of the patients af...
[ 3 ] - Comparison of the effect of pressure support ventilation and volume assured pressure support ventilation on weaning patients off mechanical ventilation after cardiac surgery
Background: Weaning from mechanical ventilation in the intensive care unit is an important step in the treatment process. More patients in less than 6 hours after cardiac surgery can be separated from mechanical ventilation and extubated. However, 20-40% of patients after cardiac surgery, due to dysfunctional ventilator weaning response (DVWR), still remain under mechanical ventilation. Therefo...
[ 4 ] - Evaluation of the Effect of Amino Acid Administration on Hypothermia during General Anesthesia in Hypospadias Surgery on Children Aged 2 to 6 Years
Background: Hypothermia is an important complication during surgery, especially in children and is highly associated with serious adverse outcomes. One of the preventive methods is the intraoperative administration of amino acids, which can be effective through increasing thermogenesis and stimulating energy consumption. No studies have been conducted in this regard on children; therefore, we e...
[ 5 ] - Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
Introduction: Ondine’s Curse is a catastrophic but rare condition in adults. It is referred to as a congenital or acquired condition, in which the patient cannot breathe automatically while asleep. Acquired causes of this disease can be any cause affecting the ventrolateral part of the medulla, which is considered to be the breathing center in humans. Case Report: A 51-year-old woman, with...
[ 6 ] - 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...
[ 7 ] - Exogenous Fibrinogen Pertains Beneficial Effects in Managing Post-Cardiac Surgery Bleeding: A Randomized Clinical Trial
Introduction: Post cardiac surgery hemorrhagic syndromes, potentialized by implementing cardiopulmonary bypass, leads to increased hazards of blood products transfusion and pertains serious impacts on immediate patients outcome. The objective of this clinical trial was to investigate the efficiency of exogenous fibrinogen to control hemorrhagic syndromes following cardiac surgery in the intensi...
[ 8 ] - An Investigation of Safety and Efficacy of Intravenous Paracetamol in Pain Management Following Cardiac Surgery
Introduction: Optimum pain management immediately after surgeries can lower the possibility of pain syndrome and its following consequences. Opioids are amongst the analgesics used for postoperative pain control; however, their application can bring about several adverse effects. In this study, all the published articles regarding efficacy of Paracetamol in post-cardiac surgery pain managemen...
[ 9 ] - The prospective validation of EuroSCORE II risk scoring system for patients underwent cardiac surgery: brief report
Background: Various prediction models have been developed aiming to estimate risk-adjusted mortality, morbidity and length of intensive care unit stay following cardiac surgeries. The European system for cardiac operative risk evaluation II (EuroSCORE II) is a prediction model which maps 18 predictors to a 30-day post-operative risk of death. The objective of this study was to evaluate the perf...
[ 10 ] - General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation
Valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. Cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. We described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. Cesarean s...
[ 11 ] - Effect of Intravenous Ketamine on Prevention of Postoperative Shivering: A Comparison with Intravenous Pethedine
Introduction: Postoperative shivering is one of the common problems following general anesthesia and may lead to multiple complications. This study aimed to compare the impact of Ketamine and Pethidine on postoperative shivering. Methods: In a randomized clinical trial, one hundred and thirty-five patients undergoing elective abdominal surgery were recruited for the study. The patients were...
[ 12 ] - Intraperitoneal Hydrocortisone plus Bupivacaine administration For Pain Relief after Laparoscopic Cholecystectomy, A Comparison with Bupivacaine Alone
Introduction: shorter hospital stay and less pain in comparison to open surgery considered to be major benefits for laparoscopic cholecystectomy. We compared the effect of intraperitoneal hydrocortisone plus bupivacaine with bupivacaine alone on pain relief following laparoscopic cholecystectomy. Methods: Sixty two patients participated in this double-blind, randomized clinical trial. Pati...
[ 13 ] - The effect of Pre-incision skin infiltration with Lidocaine on postoperative pain following abdominal hysterectomy
Introduction: Several mehods have been proposed to alleviate pain after hysterectomy. Pre-emptive analgesia has been used to relieve pain following abdominal hysterectomy with conflicting results. This study was performed to evaluate the efficacy of pre-incision skin infiltration of Lidocaine in relieving postoperative pain in patients undergoing abdominal hysterectomy. Methods: 60 patient...
[ 14 ] - Deep sternal wound infection following cardiac surgery Epidemiology and causative germs
Introduction: Deep sternal wound infection is a rare but serious complication after cardiac surgery that can increase mortality and morbidity. The aim of this study was to investigate the incidence and causative germs of deep sternal wound infection following cardiac surgery. Methods: Data were collected retrospectively from patients who underwent different cardiac surgeries includ...
[ 15 ] - The Application of a Reduced Dye Used in Orthopedics as a Novel Treatment against Coronavirus (COVID-19): A Suggested Therapeutic Protocol
The severe acute respiratory syndrome caused by COVID-19 is now a global catastrophic event. Currently thereis no approved drug or vaccine for the disease. Methylene blue (MB, oxidized form, blue color) has been used inmany different areas of clinical medicine, ranging from malaria to orthopedics. Leucomethylene Blue (reduced formof MB, colorless) may be applied for the treatm...
[ 16 ] - Psychometric Properties Persian version of Nursing Delirium Screening Scale
Introduction: Delirium is associated with increased length of hospital stay, mechanical ventilation, self-extubation, and mortality. Early diagnosis of delirium leads promotes rapid management of the treatment process and prevents disease progression. To increase the likelihood of delirium diagnosing, patients should be continuously evaluated by nurses based on an appropriate scale. This study ...
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