Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
the effectiveness of oral peppermint extract on migraine
1
12
FA
Farideh
Mohammadtaheri
kamran
Tavakol
Rezvan
Gheysari
Meisam
Akhlaghdoost
Introduction: Different type of drugs are used in the pharmacologic prophylaxis of migraine. Each of them has their own efficacy and side effects. In addition to pharmacological drugs, some studies have also suggested the use of the alternate and herbal remedy in migrane.Peppermint have a long history of use in some disorders, including headache. In this study we evaluate the effectiveness of oral peppermint extract (menthol) in migraine.
Methods and materials: This study is a randomized clinical trial in centers: Sadaf pain clinic, Pars Hospital and Amir almomenin Hospital in Tehran. In this study 40 patients, aged between 18 to 65 years, (2 to 8 attacks per month and being on prophylactic treatment), observed for one month then oral menthol 2% added for 1 month to their treatment(5 drops after lunch and dinner). Patients were followed for frequency of attacks, headache severity, duration of attacks and associated symptoms of attacks, one month before and one month after consumption of the peppermint extracts.
Results: Peppermint caused a significant decrease in frequency, severity and duration of attacks (P-value <0.05). Of symptoms: Photophobia & Phonophobia improved significantly (P-value <0.05), whereas no significant changes was observed in nausea and vomiting (P-value >0.05).
Conclusion: Our study showed that peppermint extract (menthol) can reduce significantly intensity, duration and frequency of migraine attacks in combination to prophylactic pharmacologic therapy.
Keyword: Effectiveness, peppermint, migraine
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
Comparison adding intraarticular growth hormone to platelet rich plasma under ultrasound guidance in knee osteoarthritis
13
22
FA
damon
azad
iran university
farnad
imani
iran university
poupak
rahimzadeh
iran university
hamidreza
faiz
iran university
leila
bahari
iran university
arash
memarian
iran university
Introduction: Several methods have been proposed for the treatment of knee osteoarthritis pain like as platelet rich plasma. The aim of this study is to compare adding intraarticular growth hormone to platelet rich plasma under sonographic guidance on joint function in knee osteoarthritis . Materials and Methods: Fifty four patients with knee osteoarthritis divided into two equally groups including 27 individuals. Injectate in first group (P) was 5 ml of platelet rich plasma and in second group (PS) 4 units of growth hormone (Somatropin) added to platelet rich plasma. Intra-articular injection was done at two times; the onset of study, and one month later. Demographic data were recorded. Knee joint function based on WOMAC Score at the time 0, 1 and 2 month later and complications were evaluated. Results: WOMAC Score in both groups has been significantly reduced after injections (P=0/476) WOMAC score reduction in second group (PS) at month 1 was significantly higher than the first group (P) but in month 2, the difference between two groups was not significant. (P=0/476) .No complication was observed. Conclusion: Adding intraarticular growth hormone to platelet rich plasma can be effective in knee joint function of osteoarthritis patients at short time basis.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
Investing the effectiveness of adding 5% dextrose water to bupivacaine in the blockade of the brachial plexus in hand and forearm surgeries
23
31
FA
Background: One of disadvantages of axillary block is a long time gap between the performing the block and the appearance of the anesthesia required for surgery. This study aimed to to examine the effectiveness of adding 0.5% dextrose water (DW) to bupivacaine in brachial plexus block under the guide of a nerve stimulator and ultrasonography in hand and forearm surgeries. Methods: A total of 60 candidates for an axillary block were studied. In both groups bupivacaine 0.5% was used to achieve anesthesia with 0.9% normal saline (NS) in the first group and 0.5% DW in the second group as solvents. Sensory and motor blocks were documented after local anesthesia every 5 minutes within the first 30 minutes, every 10 minutes within the second 30 minutes, and every 15 minutes thereafter. Results: The time interval between the drug injection and anesthesia between the two groups was different statistically only for the median nerve (p=0.03), whereas the difference for the remaining nerves was not significant. Conclusion: In the present study adding 5% DW was only effective in the sensory block of the median nerve, with no significant difference with NS for the other nerves.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
The Use of Ultrasound to Diagnosis Vocal Cord Movement impairment: A Comparison of Trans Thyroid and Supra Thyroid View
32
39
FA
sara
Ahmadi
Iran university of medical sciences
mahzad
Alimian
Iran university of medical sciences
behrooz
zaman
Iran university of medical sciences
hamid reza
Faiz
Iran university of medical sciences
masood
mohseni
Iran university of medical sciences
marjan
rezghi
Iran university of medical sciences
Abstract
Background :
Iatrogenic recurrent laryngeal nerve (RLN) injury is an uncommon but serious complication of Head and neck surgery and also thoracic procedures. laryngoscopy can be an invasive and uncomfortable procedure, therefore the use of sonography as an noninvasive method of screening patients for impaired vocal-cord mobility is desirable. The aim of this study was to assess the efficiency of ultrasonography as a screening tool for the detection of impaired vocal-cord movement and compare two sonographic view , supra thyroid and trans thyroid, to find the preferred view to observe the movement of vocal cord in different ages and sexes.
Methods :
In this clinical trial 144 patients were evaluated. All patients underwent vocal cord sonography in two sonographic views; Trans thyroid and supra thyroid, before and after surgery. After high risk surgery for vocal cord damage like thyroidectomy, parathyroidectomy, Carotid endartrectomy, anterior approach of cervical spine fixation and thoracic procedures Patients underwent direct laryngoscopy. To assess accuracy of ultrasound, Trans cutaneous sonography findings were correlated with direct laryngoscopy findings after extubating. Vocal cord Paresis or palsy was defined as abnormal vocal cord movement during respiration.
Results :
The quality of sonographic images in trans thyroid view was better than the supra thyroid view. Comparing sexes the quality of sonographic images in women was better. Moreover aging diminished the quality of the image.
Conclusion :
Ultrasonography evaluation of vocal cord movement after high risk surgery seems to be an ideal and painless method for RLN injury screening. Application of this method particular in non elderly women, conveys to more favorable results.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
comparision of intravenous morphin and ketorolac in renal colic patients in emergency department of hazrat rasool and firuzgar hospital
40
48
FA
hossein
shaker
reza
mosadegh
fatemeh
jalili
Mina
zavareh
Introduction: Renal colic is a complex of symptoms wich is indicated of obstruction in urinary tract. Pain result from stone passage is one of the most sever and intractable pains. For pain control different agents has been used such as opium's, NSAIDs, calcium channel blockers, parental acetaminophen , … . Method: After considering inclusion and exclusion criteria, 300 patients with renal colic entered the study. Questioner filled for each patient by demographic and study variables. patients divided into two groups randomly and treated with intravenous ketorolac or intravenous morphine. Pain score was documented by VAS chart before, 20, 40 and 60 minutes after injection. Then decrease in pain score and rescue therapy requirement in both group compared. Results: There was no difference between age and sex between two groups. More over there was no significant difference in mean size of the stone in two groups. Mean pain free time in morphine group was 27.7± 10.1 minute and in ketorolac group was 17.4 ± 10.2 minute ( p< 0.001). Rescue therapy was significantly more in morphine group (p=0.001). Also pain score decrease in 20, 40 and 60 minutes was significantly higher in ketorolac group. (p < 0.01) Conclusion: Totally parental ketorolac had more effectiveness and speed of action than parental morphine. Although ketorolac was no significant complications.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
Testing of comprehensive chronic pain management model in older people
49
62
FA
Manouchehr
Shirazi
Nursing and Midwifery school, Islamic Azad University, Ahvaz Branches Iran
Houman
Manoochehri
Department of Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mansoreh
Zagheri Tafreshi
Department of Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Farid
Zayeri
Department of Biostatistics, faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Violet
Alipour
Department of Psychology, Islamic Azad University, Ahvaz Branches Iran.
Abstract
Background & Aim:
Achievement to a practical model for effective chronic pain management in the elderly is high importance. Hence, the current study aimed to testing some parts of comprehensive chronic pain management model (CCPMM) in older people.
Material & Method:
This study is a correlation testing model in which 205 elderly patients with chronic pain were selected by multistage random sampling. Vulnerability, living with pain and Mc- gill pain questionnaires were used for vulnerability related chronic pain, living with pain and ailment measurement respectively as some part the main components of CCPMM. The structural equation modeling (SEM), path analysis by smart PLS (version 2) software was conducted respectively for data analysis.
Result:
The results showed between ailment and vulnerability related chronic pain (P < 0.01, β =0/39) and negative significant relations between ailment with living with pain (P < 0.01, β = - 0/26). Also the negative significant relations between vulnerability related chronic pain and living with pain (P < 0.01, β = - 0/18) were obtained.
Conclusion:
In order to use of CCPMM in the elderly for effective chronic pain management, how Living with chronic pain should be considered firstly. Then, causes and patterns of pain which represents itself under the concept of ailment should be investigated. Next, vulnerability construct as a barrier should be identified and controlled.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
The Relationship between the Level of Consciousness and Time of Tracheotomy in Patients with Head Trauma
63
71
FA
Anoush
Dehnadi-Moghadam
Guilan University of Medical Science
Shahrokh
Yousefzadeh-chabok
Guilan University of Medical Science
Siamak
Rimaz
Guilan University of Medical Science
Alireza
Razzaghi
Safety Promotion and Injury Prevention Research Center, ShahidBeheshti University of Medical Sciences, Tehran, Iran
Parham
Valiani
Guilan University of Medical Science
ABSTRACT
Background: The purpose of this study was to compare the consciousness level based on time of tracheotomy in patients with traumatic brain injury (TBI).
Methods: 71 TBI patients that had Glasgow Coma Scale (GCS) lower or equal to 8 on admission were studied. All patients had received percutaneous dilational tracheostomy (PDT). They were placed in two groups of early (the first week) or late (after the first week) tracheostomy. Consciousness level of patients was measured according to GCS on admission and six times until 15th day. The data for analysis were entered into SPSS software version 16.
Results: Comparing the level of consciousness in both groups showed that the average level of consciousness of patients on days 6th , 9th , 12th and 15th after tracheotomy was higher in early than in late tracheostomy group. The observed differences in measuring times were not statistically significant (p>0.05). The level of consciousness of patients in each group significantly increased over time (p<0.05).
Conclusions: Although no statistically significant difference was observed in the level of consciousness between early and late tracheostomy groups, the level of consciousness in early tracheostomy was higher than that of late tracheotomy patients. This can be considered clinically significant in caring the patients.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
The experimental study on effect the extract of Commiphora mukul on visceral pain in mice
72
78
FA
Keyvan
Keramati
semnan uni
ashkan
jebelli javan
semnan uni
mostafa
abdollahi
semnan uni
amir
asghari bagh kheirati
semnan uni
Aims and Background: Visceral pain is unpleasant felling that there are same serious side effects associated with using synthetic drugs for its treatment, such as psychological dependence, gastric ulcers and blood dyscrasia and for decreasing these side effects, administration of herbal medicine can be appropriate approach. The aim of this study was to evaluate the palliative effect of Commiphora mukul hydroalcholic extract on visceral pain.
Methods: This experimental study was done on 40 NMRI male mice. (36±4g). Mice were divided randomly into negative control group, positive control group (Ketoprofen), treatment 1 , treatment 2 ,treatment 3. Respectively Control group and positive group received normal salin and Ketoprofen (25mg/kg) and also treatment groups respectively received 100, 200 ,300 mg/kg of Commiphora mukul intraperitoneally. 15minute after each injection , for visceral pain induction, mices were injected by acetic acid 0.6% (10mg/kg) and during 30 minutes, the analgesic effect was recorded by counting the number of Writing. Datas were analyzed by SPSS statistical software , One-Way ANOVA and Tukey test with the significant level of P< 0.05.
Results: Hydroalcoholic extracts of Commiphora mukul at 100, 200 and 300 mg/kg induced a significant reduction in pain response when compared to negative control group (p<0.05) ,also there was not any significant difference between treatments groups and positive control group(p>0.05).
Conclusion: This study confirmed the palliative properties of Commiphora mukul on visceral pain but further clinical studies are necessary to find out a suitable place for it among the other visceral analgesics.
Iranian Society Of Regional Anesthesia And Pain Medicine
Anesthesiology and Pain
2228-6659
7
1
2016
4
1
Management of Maigne's or Thoracolumbar syndrome: A case report
79
86
FA
Ali
Noghrekar
Shafa pain clinic
Mahmoudreza
Alebouyeh
Iran University of Medical Sciences
Saeidreza
Entezari
Iran University of Medical Sciences
Maryam
zafarghandi
Shafa pain clinic
Abstract
Aims and Background: Maigne's or thoracolumbar syndrome is an almost common disease with simple diagnosis based on symptoms and corrects physical examination; besides there are very effective therapeutic methods available for this syndrome. However as there is no special radiologic sign and para-clinic data is normal in these patients, the diagnosis is usually challenging. Sometimes the patient's symptoms are very severe despite normal radiography and EMG-NCV findings; therefore early treatment prevents later complications.
Case report: A 47 year-old woman complaining of low Back pain, buttock pain, and anterolateral leg pain from a year ago was referred to pain clinic. After Maigne syndrome was diagnosed, Dorsal and Lateral rami block of 11th and 12th thoracic nerves was performed for her and she had pain relief.
Conclusion: Maigne's syndrome is among illnesses which does not have any specific radiologic or labarotory sign despite specific pain symptoms in the areas mentioned, so pain physicians may become confused encountering such patients.