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Archives of Anesthesia and Critical Care
Scopus
ISSN 2423-5849 · Tehran University of Medical Sciences · 712 artikel di indeks
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A Comparative Study of the Effect of Concept Mapping Versus Debriefing on Learning, Achievement Motivation, and Retention in Anesthesia Management of Neurosurgery among Anesthesia Students
Background: Concept mapping and debriefing are educational strategies used to create motivation and meaningful learning. This study compared the effect of teaching incorporating these two techniques on learning and achievement motivation in anesthesia management of neurosurgery among anesthesia…
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Prevalence and Factors Affecting Postsurgical Pain in Pediatric and Adolescent Patients
Background: Post-surgical pain (PSP) can persist from the immediate post-operative period up to 6 months following surgery. The purpose of this study was to evaluate the prevalence of PSP and identify factors influencing its intensity in pediatric and adolescent patients. Methods: This…
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Effectiveness of Stellate Ganglion Block on Chest Pain Severity and ST-Segment Changes in Patients with Refractory Angina: An Interventional Study
Abstract Background: Refractory angina remains a major therapeutic challenge when revascularization options are unavailable. Stellate ganglion block (SGB) may reduce sympathetic tone, improve coronary perfusion, and alleviate ischemic chest pain. This study evaluated the effects of SGB on the…
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Angioedema Following Spinal Anesthesia with Bupivacaine in a Pregnant Woman Undergoing Caesarian: A Case Report and Review of Potential Etiologies
Spinal anesthesia with bupivacaine is widely used for cesarean sections but can rarely cause angioedema, a rapid swelling of deep tissues that may lead to airway obstruction. This case report presents the occurrence of angioedema in a pregnant woman with postoperative hyper IgE levels following…
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Cannulation of the Popliteal Vein as an Intraoperative Emergency Access in Prone Position: A Case Report
Intravenous cannulation can be a challenging issue in hospitalized patients, especially during the perioperative period. Objectives: In this study we will present our experience about an emergency popliteal vein cannulation during surgery. We successfully cannulated the popliteal vein in a prone…
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Challenges in Differentiating Fat Embolism Syndrome and Local Anesthetic Toxicity: A Case Report
Fat embolism syndrome (FES) is a rare but life-threatening condition often associated with long bone fractures, particularly femoral fractures. It typically manifests within 24–72 hours post-injury, presenting with a combination of neurological, pulmonary, dermatological, and hematological…
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Anesthetic Challenges in a Rare Case of Lower Thoracic Prevertebral Functional Paraganglioma Excision Under Combined Epidural and General Anesthesia: A Case Report
The incidence of paraganglioma has been reported between 2-8 cases per million people yearly. Thoracic functional Paragangliomas accounts for 15-20% of pheochromocytomas derived from chromaffin cells and secretes catecholamines. It has high mortality rate challenging anaesthetic management…
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Risk Factors for Readmission after Appendectomy in Hospital
Background: The readmission of a patient to the intensive care unit means a patient's return to the hospital for a certain period of time after discharge for planned or unplanned reasons. Therefore, this study aimed to investigate the risk factors for readmission after appendectomy in hospital…
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Bilateral Ultrasound-Guided TAP Block Effects before and after Laparoscopic Cholecystectomy Surgery on Postoperative Pain Reduction: A Randomized Double-Blind Controlled Trial
Background: The goal of this study is to compare the effects of the TAP (transversus abdominis plane) block, guided by ultrasound, before the commencement of surgery and after its completion, on reducing postoperative pain in patients undergoing laparoscopic cholecystectomy. Methods: The present…
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Comparison of Transtracheal Dexmedetomidine with Transtracheal Lidocaine in Patients Undergoing Bronchoalveolar Lavage
Background: Airway management is a routine part of any type of anesthesia; therefore, the present study was designed to compare the effect of transtracheal dexmedetomidine and transtracheal lidocaine in patients undergoing bronchoalveolar lavage and other adverse events. Methods: Individuals aged…
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Effect of Dexmedetomidine on Pulmonary Artery Pressure: A Systematic Review
Background: Dexmedetomidine, a selective α2-adrenergic receptor agonist, is widely used for sedation and analgesia in critically ill pediatric patients. Its dose-dependent modulation of pre- and postsynaptic receptors induces sympatholysis and vascular effects. While systemic hemodynamic impacts…
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Methods for Qualitative and Quantitative Assessment of Extravascular Lung Water–Clinical Application, Advantages, and Disadvantages
Background: Lung edema is a life-threatening condition associated with prolonged intensive care unit stay and high mortality. The increased extravascular lung water (EVLW) causes impaired lung compliance and refractory hypoxemia. Although there are promising methods for the detection of EVLW, there…
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Optimizing Strategies for Sepsis Management: Lessons from Al-Najaf Teaching Hospital
Background: Every year, sepsis is the most common cause of death in hospitalized individuals. Various studies have investigated whether a procalcitonin-guided protocol could optimize the therapeutic approaches in sepsis patients. The evaluation of procalcitonin is a predictive marker for sepsis in…
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Evaluation of the Effect of Nebulized Dexmedetomidine on Attenuating the Hemodynamic Response to Intubation during Entropy-Targeted Anesthesia
Background: Laryngoscopy and intubation cause transient hemodynamic changes within thirty seconds after intubation. Dexmedetomidine, a selective alpha 2 adrenoceptor agonist, has been used to blunt this response via routes like intravenous, intranasal, and nebulization. The efficacy of nebulized…
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Propofol Versus Dexmedetomidine for Postoperative Nausea and Vomiting in Ureteroscopic Procedures Under Spinal Anesthesia: A Randomized, Placebo-Controlled Clinical Trial
Background: Propofol and dexmedetomidine have a mitigating effect on postoperative nausea and vomiting (PONV). However, their efficacy in preventing PONV in patients following ureteroscopic operations remains uncertain. This study evaluated the efficacy and safety of infusions of dexmedetomidine…
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Role of Vitamin C for the Treatment of COVID-19: An Umbrella Review
Background: Coronavirus disease 2019 (COVID-19) is an infectious illness resulting from the SARS-CoV-2 virus. The immune system overactivation triggered by this virus results in multiple organ damage. This infection has the potential to cause acute respiratory distress syndrome and may progress to…