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Showing 4 results for ghazanfar tehran
Evaluating the effect of adding Magnesium sulfate to intrathecal lidocaine on duration of postoperative analgesia in lower limb orthopedic surgeries
Bahram Naderi Nabi, Abbas Sedighinejad2, Mohammad Haghighi , Hamed Hasanzadh Moghadam, Samaneh Ghazanfar Tehran, Nasim Ashoori Saheli ,
Volume 5, Issue 3 (Autumn 2014)
Abstract
Aims and background: Due to the nature of the orthopaedic surgery, affecting bone and joint, it is associated with a high rate of postoperative pain. Using intravenous, intramuscular, intrathecal and epidural opioids are methods for postoperative pain control for which the side effects are numerous. However, Intrathecal administration of magnesium with blocking NMDA receptors reduces postoperative pain without increasing side effects .The aim of this study was to investigate the effect of adding magnesium sulfate to Intrathecal lidocaine- epinephrine mixture on duration of postoperative analgesia in lower limb orthopaedic surgeries.

Materials and Methods: This double blind study was performed on patients who were candidate for lower extremity orthopaedic surgeries. For this purpose, 156 patients were randomly divided into two groups. One group received magnesium sulfate with lidocaine – epinephrine mixture and other group received the same drugs with distilled water as placebo. The duration of postoperative pain was determined according to patients' request for analgesics. Patients' pain degree was evaluated according to visual analogue score (VAS), and Pethedine consumption was also calculated. Data were analyzed by SPSS software.

Findings: Mean age of our patients in magnesium and control groups were 34.5 ±7.5 and 31.9±8.1 years old, respectively. The Mean (±SD) of postoperative analgesia duration in the magnesium group was 143.7±29.7min and it was 100.9±18.1 min in the control group, which shows a significant difference between two groups (p <0. 000). Patients’ pain score according to VAS in magnesium group was 3.9±o.36 and it was 5.65±0.35 in the control one. This was also significantly different between the two groups (p=0.000). Also mean Pethedine consumption was 15±6.24 mg and 33±6.27mg in the magnesium and control groups, which was again statistically significant (p=0.000).

Conclusions: Magnesium sulfate combined with lidocaine produces a reduction in postoperative pain in comparison with lidocaine alone.


Effective factors in peripheral seizure production in patients undergoing Electroconvulsive Therapy from anesthesia perspective
Mohammad Haghighi, Tahereh Chavoshi, Samaneh Ghazanfar Tehran, Gita Khanjanian, Robabeh Soleimani, Mona Nematllahy, Samira Mirzababae, Batool Montazeri,
Volume 6, Issue 2 (Journal of Anesthesiology and Pain 2015)
Abstract
Aim and Background: Electroconvulsive therapy(ECT) is one of the most effective and prompt therapies for
severe psychotic issues. This study aims to distinguish the impact of age, disease and medications on the seizure
caused by ECT.
Methods and Materials: 123 patients were studied and categorized according to their age, psychotic disorder
and medications (anti-psychotics, anti-depressive or both of them). The correlation of these variants with seizure
duration were discussed in every session of ECT.The seizure duration was recorded based on clinical convulsion
and EEG parameters. The failure or success of ECT was evaluated by seizure time measurement to be less or
greater than 20 sec, respectively.
Findings: There was no significant difference observed between men and women in regards to the average
seizure duration in different sessions (6 sessions) (P=0.25).There was either no significant difference observed
in seizure duration in various sessions between patients under and above 40 years of age(P=0.45). Again
no significant difference was seen in seizure duration among patients with psychotic and mood disorders or
between patients using anti-psychotic or anti- psychotic and anti- depressant drugs for therapy, respectively
(P=0.38 and P=0.14).
Conclusions: Accurate knowledge about patients who are candidate to receive Electroconvulsive Therapy is
very important. Type of psychologic disorder, type of drug protocol and the number of sessions of ECT, all are
the factors which should be considered in every ECT procedure.
Keywords: Electroconvulsive therapy, seizure duration, success rate

Management of anesthesia in a patient with Tuberous sclerosis candidate for femoral fixation: A case report
Abbas Sedighinejad, Mohammad Haghighi, Bahram Naderi Nabi, Samaneh Ghazanfar Tehran, Hossein Ettehad, Parham Valiani,
Volume 8, Issue 1 (5-2017)
Abstract

Aims and background: Tuberous sclerosis is an autosomal dominant disease characterized by hamartomas lesions in multiple organs. This article reports the case with tuberous sclerosis candidate femur surgery that was performed under general anesthesia without any  problem. case report: The patient was a 44 years old man with a weight of 48 kg and  height of 162 cm, known case tuberous sclerosis with mental retardation and recurrent seizure under treatment and urology complication lived in disabled sanitarium. After pre operative visite and  necessary implementation , patient was underwent  general anesthesia with endotracheal intubation  and  surgery was performed successfully without complications. After surgery the patient was fully conscious and transferred to recovery room with good general appearance  and  was discharged after three days 


Management of anesthesia in a patient with Huntington’s chorea candidate for cholecystectomy: A case report
Ali Mirmansouri, Abbas Sedighinejad, Ali Mohammadzadeh Jouryabi, Samaneh Ghazanfar Tehran, Mona Nematollahi Sani, Aamer Chohdary,
Volume 8, Issue 3 (10-2017)
Abstract
 Aims and background: Huntington’s chorea )HC( is a rare, autosomal, dominant hereditary disorder of the nervous system. This disease is characterized by progressive chorea movement, dementia and psychiatric disorders. In these patients, an abnormal response to many anesthetic drugs has been  observed. The primary goal of general anesthesia in these patients is airway protection and a fast and safe recovery. In this study, a 30 year old male with huntington chorea undergoing elective cholecystectomy with general anesthesia is introduced. case report: The patient was a 30 year old man, known case of Huntington’s chorea from 5 years ago with increased salivary secretions and advanced limb chorea movements underdrug treatment, candidate for elective cholecystectomy. After pre operative visit and necessary implementation, the patient underwent general anesthesia with endotracheal intubation and surgery was performed successfully without complications. After surgery the patient was transferred to recovery room with good general appearance and was discharged after three days.
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