per
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
1
8
article
The comparison between postoperative analgesic effect of Morphine-Apotel and Ketorolac alone with intravenous patient control analgesia in patients candidate for plating surgery
Mohammad Reza Shakeri
M.shakeri7@yahoo.com
1
Pooya Derakhshan
pooyaderakh@yahoo.com
2
Faezeh Sheykholvaezin
faezeh.vaezin@yahoo.com
3
Zahra Koleini
mariam.koleini1@yahoo.com
4
Birjand University of Medical Siences
Iran University of Medical Siences
Birjand University of Medical Siences
Iran University of Medical Siences
Aim: This study was performed to compare the analgesic effects between Morphine-Apotel and Ketorolac alone with Intravenous patient control analgesia in patients with lower extremities fracture candidate for plating surgery. Method : This double-blind clinical trial, was carried out on 110 Patients ,aged 18 to 50, with lower extremities fracture who were candidate for plating surgery in emamreza hospital in 1394. Patients were randomly divided to Morphine-Apotel ( A) or “Ketorolac” (B) Group Percutaneous control intravenous anesthesia was administered for patients after 15 minutes entry in the recovery .A Questionnaire containing demographic informations , drug groups and degree of pain measured with “Visual Analogue Scale” 0 ,6 and 12 hours after surgery, were recorded for all patients. Results: 73.6% 0f patients were men whereas 26.4%were female. The most common site for fracture was the femoral bone. (16.4%) Mean age in candidates were 38.8±15.48. According to our findings the degree of pain significantly decreased from the first hour to 12 hours after surgery, in both groups.( Pvalue<0.05) Comparing pain levels at different times after surgery, 0 and 6 hours,6 and 12 hours and also 0 and 12 hours ,showed significant differences in both groups.
http://jap.iums.ac.ir/article-1-5249-en.pdf
analgesic drugs
Morphine
Apotel
Ketorolac
Fracture
The Plating Surgery
intra venous patients analgesia
per
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
9
19
article
Analysis of Lumbar and Hip Motion during Forward Bending in Non-Specific Chronic Low Back Pain Patients (Active Extension Pattern) and Healthy Subjects
Afshin Aghazadeh
aghazadehafshin@yahoo.com
1
Amir Ahmadi
amirahmadi.pt@gmail.com
2
Nader Maroufi
naderpt46@yahoo.com
3
Kieran O`Sullivan
kieran.osullivan@ul.ie
4
Iran University medical Science
Iran University medical Science
Iran University medical Science
University of Limerick
Aim and Background: Low Back Pain (LBP) is one of the most common and main musculoskeletal pain syndromes. Previous studies have been reported different movement patterns in low back patients. This is may be due to the inclusion of the subjects with widely varying movement patterns in a single LBP group. Nowadays, several studies have proposed that there are subgroups of people with LBP. So the aim of this study was comparison of range of motion and patterns of lumbar and hip movement between LBP patient (active extension pattern) and people with no history of LBP.
Methods and Materials: Two angles (Lumbar and Hip) and also lumbar to hip ratio were measured during standing forward bending test in 9 non-specific LBP patients and 10 asymptomatic subjects using a motion analysis system.
Findings: Mean total forward bending for LBP group was more than asymptomatic subjects. There were no group differences for lumbar to hip ratio for each 25 percent of movement.
Conclusion: Results of this study showed that people with LBP (active extension pattern) display different patterns of posture and movement.
http://jap.iums.ac.ir/article-1-5258-en.pdf
Low Back Pain
Classification
Forward Bending
Lumbo-Pelvic kinematics.
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
20
28
article
Comparison of bupivacaine alone and bupivacaine with two different doses of fentanyl on the Apgar scores of newborn during cesarean section under spinal anesthesia.
Hashem Jarineshin
hjarineshin@yahoo.com
1
Mehrdad Melekshoar
mdmalekshoar@yahoo.com
2
Majid Vatankhah
hormozgan91@yahoo.com
3
Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Aim and Background: The correct management of delivery and anesthesia is important for the maternal and fetal health outcome during cesarean section. The aim of this study was to compare the effect of spinal anesthesia with plain bupivacaine, bupivacaine+25 µg fentanyl and bupivacaine+12.5 µg fentanyl on the newborn Apgar score during elective cesarean section.
Methods and Materials: This study was randomized double blind clinical trial on 120 women aged 20-40 years, ASA 1&2 who were admitted for elective cesarean section. Patients were allocated in the three equal groups (n=40). Spinal anesthesia was applied by a plain bupivacaine (group 1), bupivacaine+12.5 µg fentanyl group (group 2), bupivacaine+25 µg fentanyl group (group 3). The 1st and 5th minute Apgar scores, demographic variables and other variables were recorded during the operation. The statistical analysis was applied by ANOVA using SPSS 16.00 software.
Findings: The three groups were the similar regarding age, weight and height. Apgar scores at 1 and 5 minutes were not significantly different between the three groups. The incidences of side effects were not significantly different among the three groups.
Conclusion: The doses of 12.5 and 25 microgram fentanyl added to intrathecal bupivacaine did not have any significant effect on the neonates Apgar scores. Additionally it did not significantly increase spinal anesthesia side effects in the parturients.
http://jap.iums.ac.ir/article-1-5261-en.pdf
fentanyl
bupivacaine
Apgar score
cesarean
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
29
40
article
Efficacy Evaluation of Dialectical Behavioral Therapy Techniques in Reducing Problems of Patients with Musculoskeletal Chronic Pain
mohamad hosein ghodrati
mgodrati@yahoo.com
1
maryam amini fasakhodi
2
majid mahmod alilou
3
iversity of tabriz
university of tabriz
Aim: This study aimed at investigating the effectiveness of dialectical behavior therapy techniques in reducing catastrophizing, fear of movement, pain disability, and pain intensity in musculoskeletal chronic pain sufferers.
Method: This study is a single subject investigation based on multiple baseline design which is one of quasi-experimental research design. The participants were two women patients suffering chronic back pain who were selected through purposive non-random sampling method from among clients of Pain Clinic of Tabriz, based on pain specialist diagnosis, clinical interview and screening tools. The protocol was conducted in 12, 60-minute session on. Also 2 baseline sessions and 1, 1-month follow up session was done. Catastrophizing, fear of movement, pain disability and pain intensity questionnaires were filled by subjects in 5th, 7th, 9th, 11th, 14th baseline sessions and the follow up session. Treatment results were investigated through visual inspection method.
Results: According to results Dialectical Behavior Therapy was effective in reducing catastrophizing, fear of movement, pain disability and pain intensity. Also these effects were maintained in patients to a large extent in the follow up session.
Conclusion: Psychological as well as medical treatment can be helpful in the patients with chronic musculoskeletal pain.
http://jap.iums.ac.ir/article-1-5226-en.pdf
Dialectical Behavior Therapy
Chronic musculoskeletal pain
Catastrophizing
Fear of movement
pain disability and pain intensity.
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
41
54
article
The effect of combined use of nonnutritive sucking and sucrose on cardio-respiratory indices and pain behaviors during blood drawing-phlebotomy procedures in preterm infants undergoing intensive care
Mehri Golchin
golchin@nm.mui.ac.ir
1
Elaheh Sheikhan soudani
elaheh.sheikhan@gmail.com
2
Pariya Bahrami
bahrami_pariya@yahoo.com
3
Zohre Shams soulari
zohre.shams1966@gmail.com
4
Isfahan University of Medical Science
Isfahan University of Medical Science-Alzahra hospital
Isfahan University
Isfahan University of Medical Science-Alzahra hospital
Aim and Background:The majority of neonates admitted to intensive care units are preterm and undergoing painful procedures including blood draw and phlebotomy. Ignoring the pain of these procedures on preterm infants can cause some problems in cardio-respiratory indices such as changes in respiratory rate, heart rate, blood pressure and oxygen saturation.So using of non-pharmacological pain management methods as nonnutritive sucking,can impede transferring the pain impulse to the brain and relief of pain based on gate control theory.The purpose of this study was to determine the effect of combined use of nonnutritive sucking and sucrose on cardio-respiratory indices and pain behaviors during blood drawing-phlebotomy in preterm infants in Neonatal Intensive Care Unit (NICU).
Methods and Materials:This study was performed in a quasi-experimental method with two groups of nonnutritive sucking with sucrose 24% and control in three stages.The study performed on 52 preterm infants(26 per group) who randomly divided in two groups.The neonatal specific pain assessment tool and intensive care monitor system used to determine the pain and cardio-respiratory indices of preterm infants.
Findings:The mean pain score in preterm infants were the same in two groups within 5minutes before intervention(p>0.05). However,the mean pain score showed a significant difference during and 5minutes after blood drawing-phlebotomy procedures among two groups(p<0.05), but the mean of cardio-respiratory indices didn't show any significant difference in 5minutes before, during and 5minutes after procedure between two groups(p>0.05) by using the independent t-test.
Conclusion:The results of this study indicate that combination of nonnutritive sucking with sucrose result in pain relief in preterm infants during and after blood drawing-phlebotomy procedures.
http://jap.iums.ac.ir/article-1-5245-en.pdf
Preterm infants
Nonnutritive sucking
Sucrose
Pain
Heart rate
Respiratory rate
Blood pressure.
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
55
61
article
Evaluation of Anesthesia and Operating room senior student’s awareness concerning accuracy of Cardio pulmonary resuscitation approach
Mohammad Hossein Avazbakhsh
1
Hamid Mirhosseini
2
Ahmad Entezari
3
Mohammad Hossein Jarahzadeh
4
Sara Mirhosseini
5
Backgrounds: Several studies have shown that operating room and anesthesia nurse should have adequate knowledge in the field of cardiopulmonary resuscitation (CPR). The purpose of this study was to evaluate the knowledge of operating room and anesthesia students regarding accurate performing of CPR.
Methods: This research was a cross sectional study which compromise all 97 senior students of the operating room and anesthesia at the second semester in Yazd medical science University for the 2012 – 2013 school year. A two-part questionnaire was used to measure the knowledge of students. The first section included questions about age, gender and field and the second part was about correctly performed of cardiopulmonary resuscitation. The data analysis was done throw descriptive (frequency table, the percentage index of mean, median and standard deviation) and Mann–Whitney test using SPSS-19 software.
Results: The students’ knowledge during to confront with a patient with cardiopulmonary arrest and basic life support was well, while it was intermediate regarding advanced one and post managing of cardio pulmonary resuscitation .
Conclusion: Generally speaking, the knowledge of the participants in encounter with CPR case is intermediate and diverse necessary courses have been suggested.
http://jap.iums.ac.ir/article-1-5268-en.pdf
CPR
Cardio pulmonary arrest
Training of Cardio pulmonary resuscitation
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
62
74
article
Effect of core stabilization exercise on the reduction of low back pain and ultrasonic changes of multifidus in aged-women with chronic low back pain
Mahsa Rastegar MM
rastegar.moghadam.mansouri@gmail.com
1
AmirHossein Haghighi
ah.haghighi@hsu.ac.ir
2
Roya Askari
royasabzevar@yahoo.com
3
Hakim Sabzevari University
Hakim Sabzevari University
Hakim Sabzevari University
Background: Aging come with muscle weakness and musculoskeletal-related pain. This study aimed to examine the effects of core stabilization exercise on ultrasonic changes of multifidus muscle and chronic low back pain of aged-women.
Methods: Twenty-nine aged-women (69±3.4 year old) with chronic low back pain were allocated into core stabilization exercise (9 women) and control (20 women) groups according to subject's needed calculation (statistic power test). Exercise training were performed 10 weeks (3days/week) and consisted of eight core stabilization exercises. Ultrasonic characteristics of lumbar multifidus muscle (lumbar forth vertebrate) of both groups were measured before and after 10 weeks. Multifidus cross sectional area, anterio-posterior border, and Lateral border also were measured. Moreover, pain status was examined with visual analogue scale in three times (pre-, middle, and post-intervention).
Results: Ten weeks core stabilization exercise leaded to significant increase in lumbar multifidus's two anterio-posterior and lateral borders (p<0/05). Ten weeks core stabilization exercise significantly increased multifidus cross sectional area as well (-1.98±1.31, confidence interval= -3.36 to -0.59). Also, pain significantly decreased in two middle and post-intervention phases compare to pre-intervention in core stabilization exercise group (p<0.05).
Conclusion: Core stabilization exercise not only increased cross sectional area of multifidus but also, decreased chronic low back pain of aged women. Also, at least five weeks core stabilization exercise lead to low back pain reduction.
http://jap.iums.ac.ir/article-1-5244-en.pdf
Chronic low back pain
Ultrasound
Aged women
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
75
82
article
The effect of colloid use on postoperative nausea and vomiting following gynecologic laparoscopic surgery
shahryar Sane
1
Alireza Mahoori
2
Mohammadamin Valizad Hassanloei
3
Nazli Karami
4
Tania Moradi
5
Aim and Background: Nausea and vomiting after surgery takes place in20-30% of patients and these two together are the second most common complains of patients after surgery. We perform this study hoping that use of proper intravascular fluids has a role in decreasing nausea and vomiting after surgery.
Methods and Materials: This clinical trial study was performed on 60 female patients who aged between 20 to 60 years old and with score 1 and 2 of ASA who underwent diagnostic laparoscopy under general anesthesia. Fluids were injected 15 minutes before general anesthesia in all patients. We used 10ml/kg of ringer lactate in crystalloid group, and 10ml/kg voluven in colloid group. Incidence Frequency of nausea and vomiting during recovery was recorded and collected in special formes of this study.
Findings: According to p-value= 0.121 in Chi-square test which is more than 0.05, nausea variant was not significantly different in two groups. The two study groups were assessed and compared about vomiting incidence which according to p-value=0.136 they did not have any statically significant difference.
Conclusions: In this study we used from voluven to increase intravascular volume which had no statically significant difference in incidence of nausea and vomiting comparing to other group which we used ringer lactate in it.
http://jap.iums.ac.ir/article-1-5270-en.pdf
Nausea
vomiting
colloid
crystalloid
laparoscopy
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Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
2322-3324
2016-07
7
2
83
77
article
Airway management in a patient suffering from spastic torticollis( case report)
soudabeh haddadi
So_haddadi@yahoo.com
1
arman parvizi
arman_parvizi@yahoo.com
2
afsaneh dehghan
3
Guilan University of Medical Sciences-Anesthesia research center
Guilan University of Medical Sciences-Anesthesia research center
Guilan University of Medical Sciences-Anesthesia research center
Most cause of difficult intubation are anatomically disorders such as micrognathia, head and neck deformities, cervical spine disorders .Most of post-anesthetic harmful complications are due to airway management problems and hypoxemia. Therefore one of the most important points in the airway management is the appropriate selection of safe policy.
In this study we introduce a 79 – years old man, who was candidate for elective endoscopic dacriocystorhinostomy. He had congenital spastic torticollis. Finally we did successful awake fiberoptic-guided tracheal intubation with sedation.
In neck deformities and torticollis which airway anatomy is distorted, it seems reasonable to intubate trachea with sedation and preservation of spontaneous breathing by fiberoptic broncoscope.
http://jap.iums.ac.ir/article-1-5274-en.pdf
airway management
torticollis
tracheal intubation