conclusions it seems that, in patients undergoing pncl, sa is as effective and safe as ga. patients who undergo pncl under sa require smaller amounts of analgesic dose and show hemodynamic stability during surgery and recovery time. also, sa technique provides decreased blood loss and shortened surgery as well as anesthesia times compared to ga. results map and heart rate show no significant di...

background: this randomized controlled study was designed to compare the postoperative analgesic efficacy of intraperitoneal ketamine versus bupivacaine in patients undergoing laparoscopic cholecystectomy. methods: we randomly divided 60 patients undergoing elective laparoscopic cholecystectomy into two groups. the intervention group patients received intraperitoneal ketamine (0.5 mg/ kg) dilut...

Many of people have hospital anxiety, fear of surgery and are afraid to take medicine. Nosocomephobia is the name of the phobia relating to the fear of hospitals. Reducing the anxiety is a routine part of pre-operative nursing care. The aim of this study is to investigate the prevalence of anxiety in pre-surgical patients. This descriptive study was done in Shahriar hospital. Sample size was 11...

retained gauze after surgery is an uncommon error and it may be associated with many complications. we are reporting our case to call attention to the fact that retained gauze may become symptomatic even after a very long interval. herein we report on a patient who developed infection and fistula with discharge from this error 35 years after a surgery for femur fracture and insertion of a im na...

background: postoperative nausea and vomiting (ponv) is the commonest consequence after surgery which can lead to multiple difficulties on different body systems. the aim of this study was to compare dexamethasone and metoclopramide effect in preventing ponv and pain. methods : in a clinical trial, 60 asa 1-2 patients who were candidate for elective inguinal surgery were randomly divided into t...

Background and Purpose: Preoperative fast is the essential part of preoperative care for those patients who are candidates for elective surgery. Fast prolongation results in side effects such as: sweating, irritability, decrease in blood sugar and restlessness. Despite the noticeable changes in fasting guidelines and their application in many countries, it seems that in Iran, these rules are no...

objective: to detect whether the preoperative combined administration of rectal diclofenac and paracetamol is superior to placebo or rectal diclofenac alone for pain after abdominal hysterectomy. materials and methods: ninety female patients (american society of anesthesiologists (asa) physical status i-ii), scheduled for abdominal hysterectomy were recruited to this double blind trial and were...

background: to determine the prevalence of outpatient and hospitalization for cataract surgery in iran. methods: a random cluster sampling was done in a cross-sectional study on cataract surgeries performed in treatment centers of ophthalmology in iran between 2000 and 2005. one week of each season was selected randomly and all cataract surgery files of the center were studied. this study repor...

Background: Surgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracturepatients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting duringthe surgical treatment of fracture patients with concomitant COVID-19 infection.Methods: Demographic and fracture related data of 13 fracture patients ...