there are many factors contributing to success of regional anesthesia. patients’ attitude toward spinal anesthesia is one of the most important of these factors. this is a descriptive study performed on 100 healthy parturient selected for elective cesarean section in alzahra obstetric hospital,tabriz, iran. the aim of this study was to evaluate patients’ attitude and their knowledge about spina...

background & aim:the quality of communication between midwives and parturient women is a determinant of maternal satisfaction with midwifery care. therefore, this study was conducted to determine the communication skills of midwives at maternity wards of mashhad teaching hospitals in 2014.   methods:in this descriptive study, 49 midwives, working at mashhad teaching hospitals, were randomly sel...

Results Transient, mild but significant decrease of serum calcium levels was observed after surgery in up to a fifth of patients, while severe hypocalcemia was shown in about 5% of patients. The reduction of calcemia was more evident in elderly patients, with a concomitant reduction of albuminemia. In severe hypocalcemia, in addition to these two findings, decrease of parathormone levels was sh...

The trousseau’s sign is carpopedal spasm that results from ischemia that is induced by pressure applied to the upper arm. It is a sensitive and specific sign of hypocalcemia. Here the author is sending the short case summary, images of the demonstration of the Trousseau’s sign. This case also had a cluster of seizures induced by hypocalcemia.

Neuraxial analgesia and anesthesia are routinely administered to the parturient. A devastating, albeit rare, complication of neuraxial anesthesia is spinal or epidural hematoma, and primarily occurs in patients with disorders of hemostasis. A parturient with a clinically active coagulation disorder, or someone with a history of easy bruising and/or bleeding, is considered to have an absolute co...

AIM Definitive hypoparathyrodism (hypo-PTH) represents one of the most dangerous complication after total thyroidectomy. Partial or total lesion or accidental removal of parathyroid glands is an unpredictable adverse event, although real incidence is not well defined, such as management of this deficit. We started a prospective evaluation of patients treated with total thyroidectomy in our cent...

Hypocalcemia is a known cause of reversible cardiomyopathy and DiGeorge syndrome is an important cause of hypocalcemia. A 17 days old 2.3 kg female child, first in birth order, born to a primigravida mother by full term LSCS started having tonic-clonic jerks on day 8 of life and was also noticed to have bluishness of lips and nails, when she was referred to us. Child had intermittent episodes o...

BACKGROUND Transient hypocalcemia is one of the postoperative complications of thyroidectomy for thyroid nodules, and intraoperative and postoperative intact parathyroid hormone (iPTH) assays are used to predict postoperative hypocalcemia. OBJECTIVES The current study was conducted to evaluate a single serum iPTH measurement on postoperative day 1 (POD 1) as a means to predict hypocalcemia oc...

Thalassemia is a hematological disorder caused by gene mutation that leads to defective synthesis of hemoglobin complex. One the complications thalassemia hypocalcemia which presented with paresthesia, muscle spasm, low-serum calcium, and intracranial calcification. Hypocalcemia can affect thalassemic patients via various mechanisms. Blood transfusion-related transfusion-independent iron overlo...