@article{ author = {}, title = {}, abstract ={}, Keywords = {}, volume = {5}, Number = {1}, pages = {0-0}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5123-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5123-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Khajeh-nasiri, Ali-rez}, title = {post oprative pain managment}, abstract ={  References: 1. Miller RD. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone 2010 2758-9. 2. Macintyre PE, Schug SA, Scott DA, Visser EJ, Walker SM. APM:SE Working Group of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine. Acute Pain Management: Scientific Evidence. 3rd ed. Melbourne: ANZCA & FPM 2010 9-12. 3. Buvanendran A. Chronic Postsurgical Pain: Are We Closer to Understanding the Puzzle? Anesth Analg 2012115(2):231-2 4. Ramaswamy S, Wilson JA, Colvin L. Non-opioid-based adjuvant analgesia in perioperative care. BJA: CEACCP 201313(5):152-7 5. Clarke H, Bonin RP, Orser BA, Englesakis M, Wijeysundera DN, Katz J. The Prevention of Chronic Postsurgical Pain Using Gabapentin and Pregabalin: A Combined Systematic Review and Meta-Analysis. Anesth Analg 2012 115(2):428-442. 6. Tiippana EM, Hamunen K, Kontinen VK, Kalso E. Do Surgical Patients Benefit from Perioperative Gabapentin/Pregabalin? A Systematic Review of Efficacy and Safety. Anesth Analg 2007 104(6):1545–56 . 7. Schmidt PC, Ruchelli G, Mackey SC, Carroll IR. Perioperative Gabapentinoids: Choice of Agent, Dose, Timing, and Effects on Chronic Postsurgical Pain. Anesthesiology 2013 119(5):1215-21 . 8. Bauer CS, Rahman W, Tran-Van-Minh A, Lujan R, Dickenson AH, Dolphin AC. The anti-allodynic α2δ ligand pregabalin inhibits the trafficking of the calcium channel α2δ-1 subunit to presynaptic terminals in vivo. Biochem. Soc. Trans 2010 38(2):525–528 . 9. Sills GJ. The mechanisms of action of gabapentin and pregabalin. Curr. Opin. Pharmacol 20066(1):108–113 . 10. Weinbroum AA. Non-opioid IV adjuvants in the perioperative period: Pharmacological and clinical aspects of ketamine and gabapentinoids. Pharmacol. Res 2012 65(4):411-29.            }, Keywords = {}, volume = {5}, Number = {1}, pages = {1-2}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5097-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5097-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Alimian, Mahzad and Mohseni, Masoud and Safaeian, Reza and Majedi, Mohammad Az}, title = {Comparing the effect of Hydroxy ethyl starch with crystalloids on hemodynamic changes following spinal anesthesia in caesarean section}, abstract ={Aims and Background: Although controversial, many studies have shown effectiveness of colloid loading as a substitute for crystalloids on reducing the incidence of hypotension in spinal anesthesia. This study was conducted to compare the effects of three intravenous fluid regimens on hemodynamic changes following spinal anesthesia in cesarean section. The regimens included 6% Hydroxy ethyl starch 130/0.4 (HES) as a colloid and two crystalloids (lactated ringer’s solution and sodium chloride 0.9%).  Methods and Materials: In a double-blind clinical trial, 90 otherwise healthy parturients candidate for elective caesarean section, were randomly allocated to receive lactated ringer’s solution (1000 ml), sodium chloride 0.9% (1000 ml) or HES (7.5 mL/Kg) as preloading before spinal anesthesia. Hemodynamic parameters including blood pressure and heart rate, umbilical cord blood pH and the neonatal Apgar score were compared among the three groups.  Findings: There was no difference in the basic hemodynamic measurements among the three groups. The incidence of hypotension and the required dose of ephedrine were lower in HES group (p=0.008). There was no significant difference in umbilical cord blood PH or Apgar scores among the intervention groups.   Conclusion: Preloading with HES is more effective than crystalloids in preventing hypotension after spinal anesthesia without leading to a significant difference in Apgar score and umblical cord blood pH.}, Keywords = {Caesarian section, Hydroxy ethyl starch, Crystalloid, spinal anesthesia, blood pressure}, volume = {5}, Number = {1}, pages = {3-8}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5095-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5095-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Tork, Mohammad Bayat}, title = {The relationship between lumbar lordosis and range of motion with non-specific low back pain}, abstract ={Aims and Background: Non-specific low back pain has direct impact on quality of life, active days at work and healthcare cost. The purpose of this investigation was to study the relationship between lumbar lordosis and lumbar range of motion with non-specific low back pain. Methods and Materials: 50 students of kharazmi University (mean age :24 years, mean weight: 75.72 kg, mean height :180.5 cm ,and mean BMI :22.33) took part in this study as subjects. They were divided to 3 groups according to the severity of low back pain which was measured by Oswestry questionnaire. Some of the anthropometric characteristics of subjects such as length of lower extremity and width of pelvic girdle were measured by body composition analyzer system and some other anthropometric instruments. For measuring the angle of lumbar lordosis and lumbar range of motion , we used the Spinal Mouse System. Findings: The result showed that there was not any significant relationship between anthropometric and individual characteristics and lumbar lordosis with severity of low back pain (p<0.05). According to our results, it has been revealed that there is a negative relationship between lumbar range of motion and severity of low back pain (p<0.05). Conclusion: Therefore, it is possible that decreased lumbar range of motion may increase the risk of low back pain.}, Keywords = {Range of motion, lordotic curve, lumbar spine, non-specific low back pain}, volume = {5}, Number = {1}, pages = {9-18}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5098-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5098-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Alebouyeh, Mahmood Reza and Imani, Farnad and Golsokhan, Hasti and Entezari, Saeed Reza and Sayarifard, Azadeh}, title = {}, abstract ={}, Keywords = {}, volume = {5}, Number = {1}, pages = {21-29}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5112-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5112-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Alizadeh, Vahid and Kazemihaki, Behzad and Eftekhari, Javad and Tizro, Parasto}, title = {Comparison of pain on propofol injection with three methods: mixed lidocaine with Propofol, propofol after lidocaine injection and purified one percent propofol injection}, abstract ={Aims and Background: Propofol is one of the newest and the most common drugs in anesthesia and intensive care unit which is used to produce sedative effects. One of its complications is the pain produced at the time of injection. The aim of this study is to compare the pain of Propofol injection with two techniques: Propofol mixed with lidocaine and Propofol injection after lidocaine. Materials and methods: This study is a randomized double-blind clinical trial, in which 172 patients undergoing elective surgery with ASA class one and two were enrolled. Three groups of patients had injections as follows: In the first group 40 mg Propofol mixed with 2% lidocaine, in the second one purified one percent propofol, and in the third group Propofol following injection of 40 mg lidocaine 2%, were injected. Venous catheter 20 gauge was used in all cases for injection, and pain intensity was measured by VRS (Verbal Rating Scale) criteria. The data were analyzed by SPSS V.18 . Findings: Pain intensity in the second group (Propofol injection after lidocaine injection) was less than the first group (mixed injection) and there was a statistically significant difference between the two groups (P0. 05). Conclusions: Pre-treatment by injecting 40 mg of lidocaine2% to reduce pain due to Propofol injection is more effective than mixed method of injecting 40 mg of Propofol with lidocaine 2% .}, Keywords = {Propofol, Lidocaine, Pain intensity}, volume = {5}, Number = {1}, pages = {30-37}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5114-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5114-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Hemati, Karim and Baharluie, Fatere and Delpisheh, Ali and Safari, Mozafar}, title = {A randomized clinical trial concerning the effect of treatment with dexamethasone on postoperative shivering}, abstract ={Aims and Background: Postoperative shivering after general anesthesia and spinal anesthesia is a common side effect. Besides, there are several medical methods to relieve shivering. Still on the issue of which method is most appropriate for patients after surgery, there is some controversy. The aim of this study was to determine the efficacy of Dexamethasone in reduction of post-operative shivering after elective surgery in the city of Ilam . Materials and Methods: This study is a randomized double blind clinical trial on patients admitted for elective surgery to Imam Khomeini hospital during summer 1392, in Ilam. The inclusion criteria were: age between 18 to 55 years, and ASA class 1 and 2 with no underlying disease. Otherwise, and in the case of patients' dissatisfaction they were excluded from this study 60 patients of both sexes were randomly divided into two groups with a ratio of 1:1. An anesthesiologist injected placebo for the first group and 15 mc/kg Dexamethasone for the second one, after induction of anesthesia and before the incision..At the end of surgery, the frequency and the intensity of shivering among the two groups in the recovery room was examined by technicians who were unaware of the type of administered drug .  Findings: In this study, 61.7% of patients were female. The most frequent degree of shivering intensity was grade 1 while grade 2 and 6 had the minimum frequency. There was no significant difference regarding gender and the type of drug administered (P value = 0.79). Also no significant relationship between the type of surgery and the anti-shivering drug was found (P value = 0.59). Conclusions: Our findings showed no significant difference regarding shivering control, between the Dexamethasone and the placebo groups}, Keywords = {Dexamethasone, placebo, shivering}, volume = {5}, Number = {1}, pages = {38-44}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5116-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5116-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Kholdebarin, Alireza and Jalili, Sara and Godrati, Mohammad-Reza and Rahimzadeh, Poupak and Rokhtabnak, Faranak and Sayarifard, Azadeh and Elyasi, Hedayatollah}, title = {The effect of oral clonidine on hemodynamics and postoperative pain in laparoscopic cholecystectomy}, abstract ={ Aims and Background: Hemodynamic changes during laparoscopy and postoperative pain after laparoscopic surgery are important issues. Therefore, in this study we examined the effect of oral clonidine on hemodynamics and postoperative pain control after laparoscopic cholecystectomy. Materials and Methods: The study was a randomized clinical trial. 61 patients, candidate for laparoscopic cholecystectomy, were randomly assigned into two groups. The intervention group received 0.2 mg oral clonidine one hour before anesthesia, and the control group was given placebo instead. The hemodynamic changes and postoperative pain were compared between the two groups. Findings: Variations of Mean Arterial blood Pressure (P= 0.18) and heart rate (P= 0.15) in the two groups were not statistically significant during surgery. Postoperative analgesic intake in the first 60 minutes of recovery (P=0.006), and 24 hours after surgery (P=0.005) were both significantly lower in the clonidine group. Conclusion: Although oral clonidine had no significant effect on hemodynamic changes during laparoscopic cholecystectomy but it caused a significant reduction in postoperative pain and analgesic requirement.}, Keywords = {clonidine, Hemodynamic changes, pain, laparoscopic cholecystectomy}, volume = {5}, Number = {1}, pages = {45-53}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5118-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5118-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Hassan, Valiollah and Farhadi, Mohamad and Zaman, Behrouz and Aali, Nasime and Safaeian, Reza and Sayarifard, Azade}, title = {Comparison between intravenous acetaminophen and remifentanil on the airway response to tracheal tube in endoscopic sinus surgery, during and at the end of anesthesia}, abstract ={Aims and Background: Airway hyperactivity is one of the most important complications of tracheal extubation. This study was designed to compare the efficacy of intravenous acetaminophen as an alternative to remifentanil on airway response to tracheal tubes during and at the end of anesthesia in functional endoscopic sinus surgery. Methods and materials: This study was conducted as a double blind clinical trial on 70 patients 20 to 60 years old, candidate for endoscopic sinus surgery, in Rasoul-Akram hospital. They were randomly allocated into two groups: the Paracetamol (n=35) and the remifentanil (n=35) groups. Remifentanil infusion with a dose of 0 /1μg/kg/min was administered for both groups during anesthesia . Since the beginning of inserting the nose tampon until extubation, remifentanil infusion (0/1 μg/kg/min ) was continued in group I, and in group II in the last 20 minutes of surgery , remifentanil infusion was discontinued and intravenous injection of acetaminophen was begun . Incidece of Cough, Arterial blood pressure, and heart rate were recorded. Findings : There was no significant difference in the incidence rate of cough during extubation between the two groups (P=0.7). M ean arterial pressure (MAP) v ariation, was significantly lower in the remifentanil group (P<0.001). Variations in heart rate were similar in both groups ( P=0.74). Conclusions: Using intravenous acetaminophen has the same effect as remifentanil in controling airway reflexes after endoscopic sinus surgery as well as reducing symptoms such as restlessness and changes in heart rate.}, Keywords = {Intravenous Acetaminophen, Remifentanil, Endoscopic sinus surgery }, volume = {5}, Number = {1}, pages = {54-61}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5119-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5119-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {NaderiNabi, Bahram and Sedighinejad, Abbas and Haghighi, Mohammad and SedighKarami, Mohammad and Fathi, Amirhossein and Pourreza, Maryam}, title = {Evaluating the effect of single dose oral pregabalin on acute pain control after orthopaedic surgery}, abstract ={Aim and Background : Postoperative acute pain management is necessary to prevent chronic pain. Pregabalin as a GABA analogue has been shown to have analgesic effects on postoperative pain. It has minimal side effects and is absorbed rapidly from the alimentary tract. The aim of this study was to evaluate the analgesic efficacy of single dose oral pregabalin on postoperative pain control after orthopedic surgeries performed under spinal anesthesia. Materials and Methods : Sixty patients, candidate for orthopedic surgery under spinal anesthesia, were randomly allocated into two groups. For the intervention group 150 mg oral Pregabalin and for the control group placebo were prescribed one hour before surgery. Visual Analogue Scale (VAS) for pain assessment and opioid consumption were evaluated in a 12 hour period after surgery. If pain score (VAS) was more than four, intravenous pethidine (0/5 mg/kg) was administered. Findings : No significant difference was found between the two groups, regarding demographic data. VAS in the post anesthesia care unit, 6, and 12 hours postoperatively in the pregabalin group was significantly less than the placebo group(p <0.05). Also pethidine consumption in the pregabalin group was significantly less than the placebo group (p=0.001 . ) Conclusions: Administration of a single dose pregabalin orally (150 mg), one hour before orthopedic surgery reduced post operative pain and opioid consumption.}, Keywords = {Postoperative pain, pregabalin, spinal anesthesia, orthopedic surgery }, volume = {5}, Number = {1}, pages = {62-68}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5120-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5120-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {Iman-talab, Vali and Haghighi, Mohamad and Sedighinejad, Abbas and Naderinabi, Bahram and karami, Mohamad-Sedigh and Jamali, Kamal}, title = {Anesthesia management in a patient with bladder perforation during TURP with 980 nm diode laser : A case report}, abstract ={The patient was a 69 year-old man suffering from benign prostatic hypertrophy (BPH), who was candidate for transurethral resection of prostate (TURP) surgery with 980nm diode laser. At the end of the operation, the surgical team noticed abdominal distention. So with suspicion to an acute abdominal problem he underwent an exploratory laparotomy. During the surgery it was found that patient had extra -peritoneal bladder perforation, and after repairing the bladder perforation our patient was transferred to the intensive care unit (ICU) .In the meanwhile and after 48 hours, he was at last successfully discharged from ICU.}, Keywords = {}, volume = {5}, Number = {1}, pages = {69-74}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5121-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5121-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} } @article{ author = {}, title = {news}, abstract ={}, Keywords = {}, volume = {5}, Number = {1}, pages = {75-92}, publisher = { Iranian Society Of Regional Anesthesia And Pain Medicine}, url = {http://jap.iums.ac.ir/article-1-5122-en.html}, eprint = {http://jap.iums.ac.ir/article-1-5122-en.pdf}, journal = {Anesthesiology and Pain}, issn = {2228-6659}, eissn = {2322-3324}, year = {2014} }