background: postoperative pain is one of the major problems in patients with femoral or hip fracture. current study investigates the effect of 0.2% and 0.3% bupivacaine in ultrasound-guided fascia iliaca compartment block (ficb) on postoperative pain.   methods: this randomized clinical trial study was conducted in rasoul akram hospital of iran university of medical sciences. forty-eight patien...

background: today, early diagnosis of upper gastrointestinal (gi) tract malignancies and their surgical resection is becoming more feasible. one of the important side effects in upper gi tract malignancies is malnutrition which has direct relationship with postoperative complications. nonetheless, there is no easy regimen of nutrition for these patients especially for the first week after opera...

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign and locally invasive tumor. Massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. Endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. In this article, we r...

  Background: Our institution’s traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. ...

Background: Postoperative nausea and vomiting is a high unpleasant symptom in surgical procedures. This study compares the effectiveness of midazolam with promethazine as multipurpose drug in postoperative nausea and vomiting as a preoperative and anesthetic medication after appendectomy. Methods: This randomized, double – blind clinical trial study was performed in patients who underwent appen...