introduction:tapia’s syndrome is a rare complication of recurrent laryngeal and hypoglossal nerve paralysis due to anesthetic airway mismanagement or malpositioning of the patient’s head during surgery. case report:here we present a case of tapia's syndrome in a 22-year-old male after corrective jaw surgery under general anesthesia, with a long period of recovery, related to airway managem...

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 ra...

introduction: considering the anti-inflammatory role of intravenous (iv) lidocaine, its analgesic properties, and its ability to reduce the need for opioids during and after surgery, in this study we decided to evaluate the effect of iv lidocaine infusion on levels of inflammatory factors based on neutrophil to lymphocyte ratio (nlr) in breast cancer surgery candidates. methods: the present stu...

background: b vitamins deficiencies in humans and animals have been known for some time to induce pain and inflammation. these symptoms can be readily alleviated by appropriate administration of vitamins b. the aim of this study was to evaluate opioids requirements and hemodynamic variables and analgesic effect of b vitamins and b vitamins-diclofenac in general anesthesia and post-anesthesia ca...

the intraoperative care of pheochromocytomas can be difficult and lead to serious complications. we present a case of a 46 year-old female undergoing laparoscopic resection of pheochromocytoma, who was scheduled for surgery with phenoxybenzamine and amlodipin. under general anesthesia cardiovascular stability was achieved by peritumoral infiltration of lidocaine during resection.

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...

conclusions both protocols provide excellent anesthesia, but patients receiving sufentnail had more stable anesthesia and less postoperative pain. objectives we planned to compare two clinical protocols for tiva with propofol, and either sufentanil or alfentanil in regards to postoperative pain, hemodynamic stability during the case and time for emergence from anesthesia. patinets and methods t...

Objectives: Desflurane may be useful for ambulatory anesthesia. However, desflurane-induced airway irritability makes its use challenging, especially in children. Ketamine can used to reduce separation anxiety and emergence agitation (EA). ketamine increase bronchial secretions. This study compared desflurane with sevoflurane anesthesia, terms of time EA, preschool children intravenous (IV) pre...

normal 0 false false false en-us x-none ar-sa background: the aim of this study was to compare the postoperative pain scores and morphine requirements between spinal anesthesia (sa) with hyperbaric bupivacaine 0.5% and general anesthesia (ga) with 1 minimal alveolar concentration (mac )of isoflurane in 50% n2o and o2 after elective lower abdominal surgery. materials and methods: in this randomi...

background: there is evidence that electrocardiographic (ecg) changes occur during elective cesarean section in parturients. these changes, mostly in the form of st-segment depression, have been noted in either regional anesthesia or general anesthesia. we performed this study to compare hemodynamic variables and electrocardiographic changes suggestive of myocardial ischemia following administr...