objective: to compare the effect of intrathecal midazolam versus neostigmine added to lidocaine on the duration of sensory block and the duration of postoperative pain relief in women undergoing colporaphy in spinal anesthesia. materials and methods: in this double blind clinical trial we evaluated 60women (asa) i,ii that were candidate to elective colporaphy. the patients were randomly divided...

introduction: post dural puncture headache is still a common complication among young women undergone cesarean section, although use of small size spinal needles reduced its prevalence. several methods have been suggested for prevention and treatment of this side effect; such as complete bed rest, hydration, non-opioid analgesics, caffeine, codeine, which none of them proved to be totally effec...

background : hyperbaric and isobaric bupivacaine has been shown to reduce bispectral index (bis) during spinal anesthesia. the aim of this study was to compare the effect of isobaric bupivacaine and hyperbaric bupivacaine on the bis during cesarean section with spinal anesthesia. methods : in this double-blind randomized controlled clinical trial, 84 pregnant women with asa ( american society o...

results ketamine group had significant pain relief properties in compare with control group in first hours after cesarean section (0.78 ± 1.09 vs. 1.72 ± 1.22, vas score, p = 0.00). total dose of meperidine consumption in women of ketamine group was significantly lower than women of control group (54.17 ± 12.86 vs. 74.44 ± 33.82 mg, p = 0.02). there were no significant drug side effects in part...

conclusions administration of two different doses of intravenous ondansetron, 6 mg and 12 mg, significantly attenuates spinal induced hypotension, bradycardia and shivering compared to the control saline group. however, the hemodynamic profiles and shivering in experimental groups were not statistically different. results demographic data were not statistically different among groups. hr was st...

background spinal anesthesia is an important and commonly used method for surgical anesthetic in operating rooms. however, even with identical drug dosage and administration mode, the extent of drug distribution in vivo is highly variable and difficult to control. preanesthetic administration of fluids immediately before spinal anesthesia (preload) is normal practice. the choice of fluid type m...

conclusions an intraoperative dex infusion maintains blood glucose levels at a constant level relative to baseline in diabetic patients within 24 hours postoperatively. the frequency of hyperglycemia was low in group a in the perioperative period compared with that in the control group (group b). methods twenty diabetic patients were randomly allocated to two groups (n = 10). group a patients w...

Background: Pregnancy causes a small increase in risk of venous thromboembolism (VTE), but a large increase in concern upon presentation during cesarean section with symptoms of pulmonary embolism (PE). Pulmonary embolism clinical manifestations during spinal anesthesia could be misleading. We have presented 2 interesting cases of pregnant women underwent spinal anesthesia for cesarean section ...

The influence of body-mass index (BMI) on spinal anesthesia is still controversial, with discrepant results reported in previous studies. To compare spinal anesthesia in obese and non-obese subjects, the anesthesia profiles in patients who underwent spinal anesthesia using intrathecal hyperbaric bupivacaine were compared. A total of 209 patients undergoing elective total knee replacement arthro...

 Background: Calcium (Ca+2) plays an important role in many biophysiological mechanisms .The present study was carried out to assess alterations in total serum calcium level before and after operations in consider to the type of anesthesia. Materials and Methods: This descriptive study was conducted on 74 women who candidate for gynecological abdominal operations during one year at Al-z...