Emergency standard open tracheostomy is performed in impending or actual cardiac and respiratory-cardiac arrest. Indications are rare, but the procedure must be safe and rapidly effective. Neither facilitating (but risky) neck manipulations nor electrocautery are required nor, because of the urgency to obtain airway ingress, are bilateral traction stitches applied. No intravenous line should be...

conclusions propofol and alfentanil combination can be considered as a treatment approach in the attack phase of cluster headache. introduction cluster headache is a severe hemifacial pain with concomitant symptoms such as lacrimation, conjunctival congestion, and nasal discharge. peripheral (to be a spectrum of trigeminal autonomic cephalgia) and central (hypothalamus) disorders have been sugg...

OBJECTIVES: The objectives of this study are to describe (1) the clinical pharmacology of analgesics in infants and (2) the pharmacologic management of pain in neonates. METHODS: The bibliographic search was performed using PubMed and EMBASE databases as search engines. RESULTS: Opioid analgesics are the most commonly used analgesics for acute pain and they include intravenous morphine (50 to 2...

In the Rama mobile war hospital, intravenous (i.v.) anaesthesia was used in 78 patients undergoing surgical procedures lasting 4-25 min. Boluses of thiopentone (Group 1), propofol (Group 2), propofol + alfentanyl (Group 3), and ketamine + midazolam (Group 4) were used. Induction of anaesthesia, resulted in a mean blood pressure decreased about 15%. Apnoea of more than 20 sec was observed in Gro...

Background: Succinylcholine is the most anesthetic drug used to muscle relaxation in emergency endotracheal intubation. Unfortunately it can have serious side effects. The perpose of our study was to comparison of Atracurium + Alfentanyl with succycholine. Materials and Methods: In this clinical trial study, one hundred patient randomly designated two group succinylcholine (control group) & At...