Objective: To compare the effect of sevoflurane and total intravenous anesthesia (TIVA) on anesthesia induction, maintenance and postoperative recovery in patients receiving cardiac surgeries. Methods: Overall, 80 patients admitted in our hospital to receive cardiac surgery between January 2015 and January 2017 were enrolled in our study. They were randomized into the sevoflurane anesthesia (SA...

Objective: In order to prolong the duration of intrathecal lidocaine, various drugs are used along with it. Due to the promising effects of tizanidine on central nervous system, it can be assumed that tizanidine can have a positive effect on increasing the anesthesia duration too. Thus, we aimed to investigate the effect of oral tizanidine on the duration of lidocaine spinal anesthesia.Me...

background hypotension during spinal anesthesia is common and can lead to severe injuries and even death. administration of crystalloid fluids is advised to prevent occurrence of hypotension; however its effectiveness is still the matter of arguments. objectives this study was designed to compare the effects of ringer`s lactate and hydroxyethyl starch 6% on hemodynamic parameters after spinal a...

background the incidence of transient neurologic symptoms (tns) after spinal anesthesia with lidocaine is reported as high as 40%. objectives this prospective clinical trial was designed to determine the incidence of tns in patients who underwent spinal anesthesia with two different needles, in two different surgical positions. patients and methods the present randomized clinical trial was cond...

Aims and Objectives: The aims of the study were to compare efficacy side effects popliteal block unilateral spinal anesthesia in patients undergoing below knee surgeries. Methods: This was a comparative comprising Sixty divided into two groups depending on whether surgery done under (Group SA) or PB). parameters compared between studied included hemodynamic changes, onset motor block, duration ...

Background: Duration of spinal anesthesia depends on the type of anesthetic agent, dosage and additive materials such as epinephrine, ephedrine and opioid. We compared the duration of spinal anesthesia with lidocaine 5% with or without epinephrine in addict and non-addict patients undergoing inferior limb fracture surgery. Methods: This single blinded randomized clinical trial was performed on ...

Anesthesia providers in low-income countries may infrequently provide regional anesthesia techniques for obstetrics due to insufficient training and supplies, limited manpower, and a lack of perceived need. In 2007, Kybele, Inc. began a 5-year collaboration in Ghana to improve obstetric anesthesia services. A program was designed to teach spinal anesthesia for cesarean delivery and spinal labor...

Background: We assessed whether intrathecal low-dose bupivacaine with dexmedetomidine could reduce the incidence of spinal anesthesia (SA)-related hypotension. Methods: In total, 47 patients undergoing urological or orthopedic surgery under SA were randomized into two groups. SA was induced using 12.5 mg of hyperbaric bupivacaine alone (Group B; n = 24 patients) or 6 mg of hyperbaric bupivacain...