Emergence agitation EA is a state of confusion and harmful aggressiveness during recovery. It common complication after rhinoplasty, with risk trauma, bleeding, hemodynamic instability. Dexmedetomidine gabapentin premedication could improve the quality recovery rhinoplasty. One hundred fifty-three participants (ASA I-II, both sexes age 18-40 years) scheduled for rhinoplasty were randomized into three groups. Group C didn't receive premedication, D received intramuscular (IM) dexmedetomidine,...

Background and Aims: In our study, we investigated the effectiveness of intravenous milrinone in life-threatening bronchial asthma as compared to conventional treatment. Methods: Fifty patients aged 18-50 years, presenting with were enrolled a Randomised Controlled Trial (RCT). They randomly allocated into Group C (25 patients): who received standard pharmacotherapy placebo, M addition therapy, 25 μg an initial slow IV bolus diluted 10 ml normal saline. The following data recorded: PEFR...

Abstract Background COVID-19 may cause pneumonia, acute respiratory distress syndrome, cardiovascular alterations, and multiple organ failure, which have been ascribed to a cytokinestorm, systemic inflammatory response, an attack by the immune system. Moreover, oxidative stress imbalance has demonstrated occur in COVID- 19 patients. N- Acetyl-L-cysteine (NAC) is precursor of reduced glutathione (GSH). Aim Work we retrospectively will investigate safety efficacy NAC dose given paracetamol...

Abstract Background Lower abdominal surgeries are one of the most frequently performed surgical procedures in pediatric population. Using optimal analgesic regimen provide safe and effective analgesia, reduce postoperative stress response accelerate recovery from surgery. Regional anesthetic techniques commonly used to facilitate pain control procedures. The pediatrics is caudal block. Objective To evaluate effect dexmedetomidine when given caudally as an adjuvant block vs bupivacaine alone...

Background At present, ovarian hyperstimulation syndrome (OHSS) is an uncommon and potentially life-threatening complication of stimulation. The ideal colloid solution for the treatment patients with severe OHSS still unknown. Human albumin, however, considered most ‘physiologic’ this purpose commonly used. However, anaphylaxis has been reported albumin infusion. study was to compare efficacy safety hypertonic saline 3% rather than albumin. Patients methods Over a period 2 years, randomized...

Background: Scalp block with bupivacaine has shown to provide perioperative analgesia subsequent decrease in intraoperative opioids consumption. We performed a prospective randomized controlled study evaluate the efficacy of preemptive scalp preventing Postoperative nausea and vomiting (PONV) after elective supratentorial craniotomy Methods: 40 patients were randomly allocated either control group or group. & incidence severity during 1st 24 hours operation recorded. Results: We found...

Abstract Background Central venous catheterization is a standard clinical practice for infusion of fluids, blood products, or vasoactive drugs to the central circulation and monitor pressure during perioperative periods. However, this procedure can lead significant complications, including cardiac arrhythmia, vascular injury, hydrothorax, hemothorax, hydromediastinum, tamponade. Such complications occur when catheter tip inserted within heart chamber it abuts wall at steep angle. Objectives...

Abstract Background Noninvasive positive pressure ventilation (NIPPV) has been increasingly used in the management of respiratory failure intensive care unit (ICU). Aim Work is to compare efficacy and resource consumption NIPPMV delivered through face mask against invasive mechanical (IMV) by endotracheal tube patients with acute (ARF). Patients Methods This prospective randomized controlled study included 78 adults who were admitted unit. The enrolled randomly allocated receive either...