conclusions intravenous magnesium sulfate with dose of 15 mg/kg could not prevent laryngospasm and coughing after removal of the endotracheal tube in patients undergoing adenotonsillectomy; however, it reduced coughing and laryngospasm in the magnesium sulfate group compared with the control group. results laryngospasm was not found in the magnesium sulfate group; however, its incidencewas5.7% ...

background: the routine use of preoperative appropriate paraclinic testing is useful in patients scheduled to undergo elective surgery. the purpose of this study was to assess the prevalence of unnecessary preoperative evaluation performed for patients undergoing elective surgeries.methods: this descriptive analytic study was performed to assess the patterns of preoperative evaluation tests on ...

background: nowadays, there has been a growing trend of caesarean sections in iran. one reason would be the mother’s desire. increased maternal self‑efficacy can be an important step to reduce percentage of cesarean. this study aimed to determine the effectiveness of training‑based strategies to increase the self‑efficacy for choosing delivery method among pregnant women in shahrekord city. met...

BACKGROUND Consent has been placed at the centre of doctor-patient relationships. Attempts to improve the consent process in medicine have drawn on bioethical and legal traditions. Current approaches to consent emphasise the provision of information and have, in the UK, resulted in a single standardised format and process for both elective and emergency situations. Investigation of patients' pe...

BACKGROUND The cancellation of planned surgery harms patients, increases waiting times and wastes scarce health resources. Previous studies have evaluated interventions to reduce cancellations from medical and management perspectives; these have focused on cost, length of stay, improved efficiency, and reduced post-operative complications. In our case a hospital had experienced high cancellatio...

abstract background: the fear of aspiration of gastric contents and its life‑threatening disadvantages in patients have encouraged many medical practitioners to follow conservative policies for clear fluid/liquid and solid intake from midnight to the time of surgery. these policies have been pursued more severely in case of pregnant women, leading the physicians to follow “nil per os” policy. t...

Methods A prospective, descriptive study for 4 months (period: Oct 2014 Jan 2015) in patients (pts.) admitted to our ICU. We included adults undergoing emergent, elective or semi-urgent heart valve replacement, coronary artery bypass grafting, and aortic aneurysm surgery. The pts. with chronic diseases that can increase the baseline NT-PRO-BNP level like chronic kidney disease, peripheral vascu...

Improvements in the diagnosis and treatment of congenital disorders have resulted in a change in surgical practice. Many conditions that formerly required corrective surgery immediately after birth are no longer surgical emergencies. Most babies with congenital anomalies that can be corrected by surgery are now stabilized and optimized before the procedure. This article focused on the more comm...