Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 234 235 EN Mohammad Reza Hajiesmaeili Anesthesiology Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hossein Hassanian Moghaddam Toxicological Research Center, Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Reza Goharani Assistant Professor of Anesthesiology and Critical Care Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016 10 10 2016 10 10 No Abstract     https://aacc.tums.ac.ir/index.php/aacc/article/view/96 https://aacc.tums.ac.ir/index.php/aacc/article/download/96/238

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 236 238 EN Asghar Hajipour Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences,Tehran, Iran. Maryam Mirzaie Moghaddam Department of Radiotherapy, Imam Hussein Hospital, Beheshti University of Medical Sciences, Tehran, Iran. Zahid Hussain Khan Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences,Tehran, Iran. shahram Samadi Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences,Tehran, Iran. Mojgan Rahimi Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences,Tehran, Iran. Zahra Khazaeipour Research Deputy of Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. 2016 11 12 2016 11 13 Background: We investigated the effects of cigarette smoking in non-per os (NPO) period on volume and pH of gastric contents in smoker male patients. Methods: In a prospective cohort study, 86 male smoker patients undergoing elective non-abdominal surgery under general anesthesia, were surveyed. They were NPO for at least 8-12 hrs. prior to surgery without direction to smoking. Then they were divided in two groups in the operation room based on smoking during NPO period. The study was continued until 43 patients entered in each group. After induction of anesthesia, gastric contents were aspirated by NG tube then volume and pH of gastric contents were measured. There were no significant differences in basic characteristics of patients such as age and weight between two groups. Results: The pH of gastric content was significantly lower in the smokers group (1.57±0.74 vs 3.12±1.90 p=0.001). The mean volume was significantly higher in the smokers’ group (34.60±20.90 vs 19.86±14.72 ml, p=0.001). Conclusion: Smoking during NPO period in habitual smokers before elective surgery increases the volume and acidity of gastric contents and probably increases risk of acid pulmonary aspiration. https://aacc.tums.ac.ir/index.php/aacc/article/view/98 https://aacc.tums.ac.ir/index.php/aacc/article/download/98/237

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 239 242 EN Hassan Mohammadi Poor Anvari Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Jafar Rahimi Panahi Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Maarouf Ansari Department of Anesthesiology, Faculty of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran. Masoumeh Iraji Medical Student, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Nasser Ghorbanian Department of Anesthesiology, Faculty of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran. Abbasali Dehghani Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. 2016 08 10 2016 11 22 Background: Sore throat is one of the major complications of tracheal intubation after general anesthesia. Harpagophytum is an herbal medicine, the anti-inflammatory and analgesic effects of which have been demonstrated in various studies. We studied the effects of single dose Harpagophytum one hour before tracheal intubation, to prevent the sore throat after extubation. Methods: In a randomized clinical trial, 60 patients who had undergone general and urologic surgeries at Imam Reza hospital in Tabriz, Iran, since March to July 2015 that required tracheal intubation, were included in the study. The patients were randomly divided into two groups (case group 30 patients and control group 30 patients). In the case group, one hour before anesthesia, one Teltonal capsule (480 mg) was given to the patients. For the control group of patients, the empty capsule of Teltonal was given. After patients regained consciousness, the severity of sore throat was scaled and recorded by VAS scale after 2, 6 and 24 hours of the surgery. Results: Severity and incidence of sore throat after tracheal intubation were not significantly different between case and control groups. Also, no side effects of Harpagophytum were observed in the case group. Conclusion: Administration of Harpagophytum with the single dose of 480 mg one hour before the anesthesia and intubation did not decrease the sore throat severity and incidence. https://aacc.tums.ac.ir/index.php/aacc/article/view/92 https://aacc.tums.ac.ir/index.php/aacc/article/download/92/239

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 243 248 EN Azim Honarmand Anesthesiology and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran Mohammad Reza Safavi Anesthesiology and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran Farhad Mahmoudi Anesthesiology and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran Behnaz Sohrabi Anesthesiology and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran Mohammad Emami Department of Pulmonology, Isfahan University of Medical Sciences, Isfahan, Iran Dorna Masaeli Anesthesiology and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran Hussein Nourian Anesthesiology and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran 2016 07 28 2016 10 09 Background: Laryngoscopy is an invasive technique that is associated with severe cardiovascular complications. This study was designed to compare the preventing effect of two doses tramadol injection on the heart rate and blood pressure changes after laryngoscopy and tracheal intubation in elective surgical patients. Methods: In this clinical trial study, 189 elective surgical patients randomly divided to three groups: Group A and Group B, received tramadol 1mg/kg, 2mg/kg iv 5 minutes before induction of anesthesia respectively; Group C, received normal saline. The heart rate(HR), systolic blood pressure(SBP), diastolic blood pressure(DBP) and mean arterial pressure(MAP) were measured just before induction of anesthesia, just before laryngoscopy, at 1, 3, 5, 10 minutes after laryngoscopy and tracheal intubation. Results: Mean HR, SBP, DBP and MAP changes at 1, 3, 5, 10 minutes after laryngoscopy was significantly less in Group B, compared with Group A and Group C(P<0.05). The incidence of tachycardia (6.3% vs. 19% and 28.6% respectively) and hypertension (4.8% vs. 15.9% and 22.2% respectively) was significantly less in Group B compared with Group A and C (P < 0.05). Conclusion: Administration of tramadol with dosage of 2mg/kg iv 5 minutes before induction of anesthesia, significantly attenuated blood pressure and heart rate changes till 10 minutes after laryngoscopy and endotracheal intubation compared with using tramadol 1mg/kg iv. https://aacc.tums.ac.ir/index.php/aacc/article/view/82 https://aacc.tums.ac.ir/index.php/aacc/article/download/82/240

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 249 254 EN Alireza Saliminia Department of Anesthesiology and Critical Care, Dr Ali Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Omid Azimaraghi Department of Anesthesiology and Critical Care, Dr Ali Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Kamelia Ardavan Department of Cardiology, Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Esmat Danesh Islamic Azad University, Karaj Branch, Karaj, Iran Zahra Ebadi Research Development Center, Dr Ali Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Ali Movafegh Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran 2016 08 09 2016 11 02 Background: The aim of this research was to determine and compare emotional quotient and clinical performance in type D and Non-D personality anesthesiology residents. Methods: This was a causative–comparative research consenting anesthesiology residents (n=48). All the participants completed Bar-on emotional quotient and DS-14 (Type D personality) questionnaires. Clinical performance of participants was evaluated by faculty with GRF (Global Rating Format), DOPS (Direct Observation of Procedural Skills) and OSCE (Objectively Structured Clinical Examination) scores. For evaluating research hypothesis, data were analysed with single and multivarient analysis of variance. Results: Regarding the results of present study, the difference between emotional quotient and clinical performance scores between type D and non-D anesthesiology residents was statistically meaningful. Only in social responsibility subscale, there was no statistically difference between two groups. Conclusion: Research results demonstrated that emotional quotient and clinical performance was lower in type D personality anesthesiology residents comparing to non-D. https://aacc.tums.ac.ir/index.php/aacc/article/view/87 https://aacc.tums.ac.ir/index.php/aacc/article/download/87/241

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 255 257 EN Faranak Behnaz Department of Anesthesiology and Critical Care, Shahid Beheshti University of Medical Sciences, Tehran, Iran Navid Nooraei Department of Anesthesiology and Critical Care, Shahid Beheshti University of Medical Sciences, Tehran, Iran Dariush Moghaddas Department of Anesthesiology and Critical Care, Shahid Beheshti University of Medical Sciences, Tehran, Iran Seyed Amir Mohajerani Department of Anesthesiology and Critical Care, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016 10 06 2016 11 22 Background: Pneumoperitoneum results in respiratory and hemodynamic changes. It is unknown whether hemodynamic changes that last to the recovery room could change recovery criteria.To determine the effect of decrease in intra-abdominal pressure on discharge criteria after laparascopic cholecystectomy. Methods: Patients with age 25-65 who were candidated for elective laparascopy cholecystectomy were enrolled in the study. In high pressure group, intra-abdominal pressure was maintained at 12, and in low pressure group at 8 mmHg. Intra-abdominal insufflation was performed using CO2. After surgery, patients were transferred to recovery room. Heart rate, blood pressure, and pulse oxymetery monitoring were continued in recovery room and modified Aldrete scores were measured every 4 minutes. Patients were discharged from recovery if they had Aldrete score> 9. Results: Aldrete scores were lower in high pressure group compared to low pressure group at 4 and 8 minutes in recovery room, however this difference was not significant (p=0.17, 0.44; respectively). At 12, 16, 20 and 24 minutes Aldrete scores were not significantly different between two groups (p> 0.05). Conclusion: The effect of decreasing intraabdominal pressure from 12 to 8 mmHg during insufflations of CO2 in laparascopy induces only minor non-significant decrease in discharge time and criteria. https://aacc.tums.ac.ir/index.php/aacc/article/view/95 https://aacc.tums.ac.ir/index.php/aacc/article/download/95/244

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 258 262 EN Hosseinali Jelvehmoghadam Anesthesiology Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Maziar Mobasher Department of Critical Care, Shahid Madani Medical Center, Alborz University of Medical Sciences, Karaj, Iran. Sevak Hatamian Department of Critical Care, Shahid Madani Medical Center, Alborz University of Medical Sciences, Karaj, Iran Hooman Bahrami Motlagh Department of Radiology, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Masoum Khoshfetrat Department of Anesthesiology and Critical Care Medicine, Khatamolanbia Hospital, Zahedan University of Medical Sciences, Zahedan, Iran Mohammad Reza Hajiesmaeili Anesthesiology Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Abdorahim Ghasemi Department of Pediatric Cardiology, Shahid Modares Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Elham Samami Department of Pediatric Cardiology, Shahid Modares Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Farshid Rahimibashar Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Shahram Saifi Department of Anesthesiology and Critical Care Medicine, Rohani Hospital, Babol University of Medical Sciences, Babol, Iran Ali Amirsavadkouhi Department of Anesthesiology and Critical Care Medicine, Mehrad Hospital, Tehran, Iran Mehdi Ghahremani Anesthesiology Research Center, Shahid Modares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Seyedmohamadmasoud Moosavinasab Anesthesiology Research Center, Shahid Modares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hosna Forooghirad Department of Biology, Payame Noor University, Tehran, Iran Mohammadali Khabirikhatiri Anesthesiology Research Center, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Alireza Sedaghat Department of Anesthesiology and Critical Care Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran 2016 08 30 2016 10 09 One of the more infrequent congenital diseases with a wide spectrum of symptoms and more complications of the right side of pulmonary artery (63% according to Ten Harkel) is unilateral pulmonary artery agenesis (UPAA). The clinical presentation is variable, and many patients can be asymptomatic for many years and even throughout their lives. Although the disease more frequently appears in childhood with moderate to severe respiratory symptoms, some patients continue living with the disease up to adulthood. The abnormality is sometimes concurrent with cardiac anomalies. Patients with UAPA may be asymptomatic or may present with recurrent pulmonary infections. In a report, a 25-year old woman who had inductional termination of pregnancy at 35 week last menstrual period (LMP) in a rural hospital due to preeclampsia reported as the UAPA patient. https://aacc.tums.ac.ir/index.php/aacc/article/view/93 https://aacc.tums.ac.ir/index.php/aacc/article/download/93/245

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 2 4 2016 11 22 263 266 EN Elham Memary Department of Anesthesiology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Alireza Mirkheshti Department of Anesthesiology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Ali Arhami Dolatabadi Department of Emergency, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Shahram Sayadi Department of Anesthesiology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016 08 08 2016 10 09 A 25-year-old Afghan male was presented to the emergency department with femoral shaft fracture following fall from the height. The patient was subjected to femoral nerve block and general anesthesia. First try for performing nerve block led to vascular puncture. Therefore, the needle was removed and re-inserted 1 cm lateral to first puncture site and DEX injected slowly with aspiration check after every 5 mL to avoid intravascular injection. Immediately after injection, heart rate dropped to 40, blood pressure decreased to 85/50 mmHg and the BIS dropped to 30. Because of not spontaneous resolving the situation atropine and ephedrine were ordered that resulted to regain hemodynamic stability. It is likely that vascular puncture during peripheral nerve block can lead to some adverse events that need to be monitored precisely. https://aacc.tums.ac.ir/index.php/aacc/article/view/86 https://aacc.tums.ac.ir/index.php/aacc/article/download/86/246