conclusions hs in total thyroidectomy, reduces operating time, blood loss, postoperative pain, drainage volume, voice changes, and postoperative hypocalcemia, compared to conventional techniques. background traditional haemostatic techniques in total thyroidectomy may cause some damages to surrounding tissues. it is believed that these damages can be reduced using ultrasonic dissector devices l...

background: the present study was aimed to evaluate the efficacy of acetaminophen plus dexamethasone on post‑operative emergence agitation in pediatric adenotonsillectomy. methods: a total of 128 patients were randomized and assigned among four groups as: intravenous (iv) dexamethasone, oral acetaminophen, iv dexamethasone plus oral acetaminophen, placebo. group 1 received 0.2 mg/kg dexamethaso...

introduction: tonsillectomy is one of the most common surgical operations and has such complications as pain, hemorrhage and laryngospasm. pain management is of vital importance in order to reduce the suffering and restlessness in children having undergone tonsillectomy. different studies differ in their findings as to the use of ketamine for postoperative analgesia. the aim of this study was t...

background: post? and intra?operative  shivering is one of the most complications of spinal anesthesia so recommend a suitable drug with at least complications for prevention and control of postoperative shivering. this current study aimed to compare the preventive effect of  hydrocortisone on intra? and post?operative shivering in patients undergoing surgery with spinal anesthesia. materials a...

introduction: post cardiac surgery hemorrhagic syndromes, potentialized by implementing   cardiopulmonary bypass, leads to increased hazards of blood products transfusion and          pertains serious impacts on immediate patients outcome. the objective of this clinical trial was to investigate the efficiency of exogenous fibrinogen to control hemorrhagic syndromes following cardiac surgery in ...

alcohol use poses a variety of health complications. because alcohol consumption in the days prior to surgery can induce lower blood pressure, the anesthesiologist will need to monitor blood pressure very closely during surgery to prevent hypotension. before surgery, it is important for anesthesiologist to be aware about the amount and timing of recent alcohol consumption. less anesthesia shoul...

background postoperative pain is considered as a reason of patient’s delay in discharge and disability aggravation. therefore, multimodal approaches have been suggested in order to mitigate pain and decrease postoperative side effects. objectives the aim of this study was to evaluate analgesic effect of a single dose injection of dexamethasone on reducing postoperative pain in laparoscopic chol...

introduction: rhinoplasty is a popular cosmetic surgical procedure. informal statistics show that iran has one of the highest rates of rhinoplasty in the world. however, rhinoplasty like any other surgery can have complications.  materials and methods: in this cross-sectional study, 320 female students were selected by multistage cluster-stratified sampling from high schools in kerman, iran and...

background burn pain is recognized as being maximal during therapeutic procedures, and wound debridement can be more painful than the burn injury itself. uncontrolled acute burn pain increases the stress response and the incidence of chronic pain and associated depression. although opiates are excellent analgesics, they do not effectively prevent central sensitization to pain. the anticonvulsan...

aim :  this study aimed to compare the recurrence rate, mortality, and morbidity of curative resection of distal adenocarcinoma of the stomach between total gastrectomy (tg) and subtotal gastrectomy (stg). background : the choice between tg and stg for adenocarcinoma of the lower third of the stomach is still a matter of debate and controversy among surgeons. patients and methods : hospital rec...