background: postoperative nausea and vomiting is a high unpleasant symptom in surgical procedures. this study compares the effectiveness of midazolam with promethazine as multipurpose drug in postoperative nausea and vomiting as a preoperative and anesthetic medication after appendectomy. methods: this randomized, double – blind clinical trial study was performed in patients who underwent appen...

conclusions these findings indicate the usefulness of pca compared to the routine methods on pain relief after operation.therefore this method can be recommended to alleviate postoperative pain. background unrelieved pain after surgery can lead to increased postoperative complications, prolonged hospital stay and delayed recovery. patient-controlled analgesia (pca) has emerged as a standard tec...

background: postoperative pain control after cesarean section (c/s) is important because inadequate postoperative pain control can result in a prolonged hospital stay. in this study, we compared postoperative somatic wound pain control between patients receiving tramadol and bupivacaine, infiltrated at the wound site. methods: in this randomized clinical trial, 98 patients, eligible for electiv...

introduction: postoperative shivering is one of the common problems following general anesthesia and may lead to multiple complications. this study aimed to compare the impact of ketamine and pethidine on postoperative shivering.  methods: in a randomized clinical trial, one hundred and thirty-five patients undergoing elective abdominal surgery were recruited for the study. the patients were ra...

objective: t o evaluate the effects of intravenous ketorolac on early postoperative pain in patients with mandibular fractures, who underwent surgical repair. methods: this prospective, randomized, placebo-controlled clinical trial was conducted in shahid rajaei hospital, affiliated with shiraz university of medical sciences during a 1-year period from 2015 to 2016. we included a total number o...

aortobronchial fistula (abf) is a rare and late complication of cardiac surgery. if untreated, mortality rate is approximately 100% secondary to exsanguinations haemoptysis. early diagnosis and treatment are essential for successful management. open surgical repair is associated with high morbidity and mortality rate, ranging from 25% to 41%. endovascular treatments of abf is a less invasive tr...

background: adjuvants such as ketamine, promethazine and paracetamol could bring up patients satisfaction and control harmful effects of opioids besides lessening their needed doses, as seen by fentanyl/paracetamol and fentanyl/ketamine combination before. the current study headed to compare paracetamol and ketamine in addition to fentanyl applied by infusion pumps in order to pain relief follo...

introduction : there is always concerns regarding postoperative bleeding in coronary artery bypass graft (cabg) patients; a number of different strategies have been used to compensate for it and to reduce the amount of blood transfusion. we designed this study to see if local fibrinogen could decrease postoperative bleeding in adult cabg, which is not studied yet. materials and methods : in a d...

objective(s): abdominal adhesions are one of the most important problems, occurring after intra-abdominal surgery in more than 90% of cases. this condition is the leading cause of bowel obstruction, infertility, and abdominal/pelvic pain. gold nanoparticles (gnps) have been shown to be non-toxic and exhibit anti-inflammatory, anti-angiogenic and antioxidant activities. the purpose of this study...

background: this double-blinded, randomized clinical trial was designed to evaluate the comparison of intravenous versus intraarticular (ia) administration of midazolam on postoperative pain after knee arthroscopy. materials and methods: in this study, 75 patients randomized in three groups to receive 75 mc/kg ia injection of midazolam and 10 ml intravenous injection of isotonic saline (group i...