: Brachial plexus block is widely used as an efficient and cost effective alternative to general anesthesia for upper limb surgeries. A variety of adjuvants local anesthetics have been compared, however, drugs which prolong the duration anaesthesia analgesia are being constantly studied patient satisfaction effectiveness. Prospective, Interventional, Randomised study was conducted over 105 pati...

Abstract Background Laparoscopic cholecystectomy has changed the surgical management of cholelithiasis and become mainstay uncomplicated gallstone disease. Adequate postoperative pain relief leading to early ambulation is imperative for patient satisfaction discharge patient. The use ultrasound in anesthetic practice ushered a new era ultrasound-guided blocks analgesia, replacing conventional m...

INTRODUCTION In recent years, medical expulsive therapy has been used in the management of distal ureteric stones as a supplement to conservative treatment. Therefore, we conducted a prospective randomized study to evaluate the possible role of tadalafil individually in comparison with proven tamsulosin therapy in ureteric stone expulsion. The aim of this study is to compare the safety and effi...

Introduction and aims: Transversus abdominis plane (TAP) block is a fascial plane block providing postoperative analgesia in patients undergoing surgery with infraumbilical incision. This single blind prospective randomized control study aimed to evaluate the effectiveness of the TAP block for postoperative pain, as part of a multimodal analgesic regimen in patients undergoing TAH. Material and...

Objective: Nerve blocks for postoperative analgesia have increased significantly lately. Beside the use of adjuvants plus local anesthetics in nerve block in order to extend the analgesia time. Materials and Methods: Sixty elderly patients, ASA grades II and III scheduled for surgery after hip fracture under intrathecal anesthesia with pre-operative FICB, The patients were blindly randomly allo...

Objectives: This randomized double-blind controlled trial examined the effects of fentanyl and morphine, alone and in combination, as adjuncts to spinal anesthesia for elective cesarean section. Methods: Sixty women undergoing elective cesarean section, with spinal anesthesia using 0.5% hyperbaric bupivacaine, were randomly allocated to receive morphine 0.2 mg, fentanyl 25 μg, or fentanyl 12.5 ...

BACKGROUND Postanaesthetic shivering is one of the most common unpleasant complications in patients. OBJECTIVES The aim of this study was to compare the efficacy of doxapram, ketamine and meperidine in prevention of shivering after anaesthesia. PATIENTS AND METHODS In this randomized, double-blind clinical trial, 120 patients aged between 20 - 45 years old under general anaesthesia were enr...

Three studies demonstrated that postsuppressional rebound (PSR) may be both reduced and enhanced by manipulating people's attributions about why they experience difficulty during suppression. Telling participants that suppression failures indicate a high motivation to use the suppressed construct produced more PSR than telling them that suppression failures indicate a low motivation to use the ...

INTRODUCTION We hypothesized that modified totally tubeless percutaneous nephrolithotomy (PNL) without indwelling ureteral stent would minimize postoperative discomfort without complications. AIM To evaluate the safety, efficacy, and morbidity of standard, tubeless, and modified totally tubeless PNL as well as the usefulness of modified totally tubeless PNL. MATERIAL AND METHODS From Novemb...

BACKGROUND Circadian variations in the absorption, distribution, protein binding, elimination and metabolism of drugs account for many of the administration-time-dependent differences in their pharmacokinetics. The aim of this study is to determine whether the time of intrathecal injection influences spinal anesthesia. METHODS Ninety patients scheduled for orthopedic surgery were randomly ass...