Inadequate pain management is highly prevalent and associated with significant costs socioeconomic problems, which can lead to disparities in patient care. Specific groups are at higher risk of this problem. A few studies have evaluated the predictive factors inadequate management.This study prevalence primary secondary care centers large sample size.Patients who had been managed clinics were asked report their personal characteristics, intensity, duration, analgesics they receiving first...

Acetaminophen and diclofenac are prescribed as postoperative analgesic agents in children. However, the efficacy of their combination is not studied sufficiently. We compare effects acetaminophen, diclofenac, after cleft palate surgery. In this randomized clinical trial, 120 children (1.5-5 y) who were scheduled for repair studied. Children to receive placebo, acetaminophen (40 mg/kg), (1 or mg/kg) plus rectally just (30 administered every 8 hours until 48 hours. Postoperative pain was...

This study aims to define the incidence and risk factors of both emergence agitation hypoactive in adult patients substance-dependent following general anesthesia elaborate on precise management them.The recruited 1,136 who received elective surgeries under for this prospective observational study. Inadequate was determined according Richmond Agitation-Sedation Scale (RASS). Emergence defined as a RASS ≥ +1 point, ≤ -2 points. Subgroup analyses were then conducted with substance...

Background: Burnout syndrome (BOS) is a common occupational disease amongst medical physicians; especially anesthesiologists. BOS known to result in increased expenditure of the healthcare system and decreased patient satisfaction. In order substitute for good conduct by its staff, Tehran University Medical established own guidelines on professionalism as professional personnel. Learning practicing not only requirement be competent specialist, but also it results increasing quality There...

The use of educational technology is considered a necessity due to the increasing changes in medical education. This study aimed design novel blended virtual reality and clinical learning environment (CLE) investigate its effectiveness transfer anesthesiology residents during spinal anesthesia procedures. In this experimental study, 25 (academic year 2020/2021) were randomly divided into (n=11) (n=14) groups. Spinal training for group was performed laboratory (week 1) operating room (from...

Some studies in countries affected by the coronavirus disease of 2019 (COVID-19) pandemic have shown that missions Emergency Medical Service (EMS) changed during COVID-19 pandemic, and rate death out-of-hospital cardiac arrest (OHCA) has been increased due to direct indirect effects COVID-19.The aim this study was determine effect on process EMS missions, death, OHCA.This cross-sectional performed Tehran, Iran. All conducted first six months three consecutive solar years March 21 until...

COVID-19 has literally ravaged the entire world. People from all walks of life are badly affected because compulsory lockdown around Timely diagnosis is a problem as there no single test that can achieve highest acceptable sensitivity. Some tests indeed costly and footing bill by governments cause tremendous load on Treasury. As it stands, current beyond patient means and, thus, would never have performed. Lastly, consensus to whether everyone should be tested for not based presence clinical...

Pruritus is a troublesome side effect of intrathecal opioids. Midazolam can reinforce GABA-mediated inhibition the medullary dorsal horn neurons, and thus theoretically has potential to suppress opioid-induced pruritus.This prospective double-blinded randomized trial aimed at comparing effects propofol, midazolam, combination two on prevention pruritus induced by sufentanil.Eighty-four patients undergoing spinal anesthesia with 3 mL hyperbaric bupivacaine 0.5% 5 μg sufentanil (1 mL) were...

Objective: During the COVID-19 pandemic, burnout of healthcare workers, including anesthetists, has become a critical issue. This study aimed to provide practical framework for decreasing and preventing among anesthesiology residents through preserving their good mental health. Materials methods: Since onset outbreak, have been members medical teams with attending staff, senior residents, partner residents. Besides, following measures were taken reduce burnout: providing financial support...

Respiratory tumours are very rare during pregnancy. Here, we report a case of primigravida woman diagnosed at 27 weeks' gestation with stridor and dyspnoea, primary tracheal tumour. To the best our knowledge, this is 4th adenoid cystic carcinoma Our staged management airway obstruction pregnancy definite treatment discussed.

Background: Inguinal herniorrhaphy is among the most common type of surgeries in adults. One important side effects post-operative urinary retention (UR). The incidence after may vary depending on method anesthesia. Methods: This a double blind randomized clinical trial conducted 80 patients undergoing inguinal hernia repair. Half cases were generally anesthetized (GA) and other half underwent continues lumbar epidural anesthesia (EA). catheter was inserted before procedure remained for 24...

Background: Nursing is a physically and emotionally demanding job, making nurses highly susceptible to burnout. Burnout associated with many deleterious consequences affecting health care outcomes. Objectives: We aimed evaluate compare burnout its risk factors in working 2 different wards: Operating rooms surgical wards. Methods: This cross-sectional analytical study was conducted on 100 operating room ward at Vali-Asr Hospital, Tehran University of Medical Sciences. Data collection...

Background: Whether in a hospital setting or the community, medical students are exposed to cardiac arrests. Fast response and effective resuscitation main determinants for decreasing mortality morbidity due We assessed effectiveness of anesthesiology rotation acquiring cardiopulmonary cerebral students. Methods: A pre-test/post-test quasi experimental design was undertaken, comprising fortuitious sample who were undergoing at Tehran University Medical Sciences complexes during academic year...