Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 270 273 Sarvesh Basavarajaiah Department of Anaesthesiology, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, Mandya, India. Prajwal Patel Department of Anaesthesiology, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, Mandya, India. Kanchan Sharma Aadya Pain Management Center, Jaipur, Rajasthan, India. 2021 12 28 2022 01 30 Background: Transverse abdominus plane (TAP) block is a regional anesthetic technique which provides an excellent analgesia without major adverse effects. The primary aim of this study was to evaluate the efficacy of dexmedetomidine in comparison to tramadol when added as adjuvant to levobupivacaine in TAP block on duration of post operative analgesia following laproscopic orchidopexy. Methods: Sixty American Society of Anaesthesiologists (ASA) grade 1 pediatric patients undergoing laproscopic orchidopexy under general anaesthesia were randomized into two groups (GroupLD and Group LT). Group LD recieved ultrasound guided bilateral TAP block with 0.3 ml/kg 0.25% levobupivacaine with 1µg/ kg of dexmedetomidine on both sides and Group LT recieved TAP block with 0.3 ml/kg 0.25% levobupivacaine with 1mg/ kg of tramadol. During the first 24 h postoperatively, we assessed hemodynamic stability, respiratory depression, and postoperative pain using face, legs, activity, cry, consolability (FLACC) pain scale. Results: Total duration of analgesia (986.67 ± 47.29 min vs. 690 ± 53.49 min, P value- 0.000), and the total consumption of paracetamol in the first 24 hours postoperatively (324.28 ± 35.5 mg vs. 580.14 ± 38.23, P value – 0.000) were statistically highly significant in group LD in comparison to group LT. The FLACC score were lower in Group LD as compared to group LT and side effects profile were similar in both the groups. Conclusion: Dexmedetomidine in a dose of 1 μg.kg-1 when added to levobupivacaine in ultrasound guided transverse abdominus plane block significantly prolongs the duration of postoperative analgesia as compared to tramadol with levobupivacaine without major  side effects. https://aacc.tums.ac.ir/index.php/aacc/article/view/457

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 330 332 Shalvi Mahajan Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. Kavita Dugg Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. Sanjay Kumar Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. Shankey Garg Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. 2021 11 24 2022 01 03 Aplastic anemia is rare hematological disorder with approximate incidence 1.5-7 cases per million individuals per year. Osteonecrosis, a frequently seen in patients with aplastic anemia. With improved treatment modalities, the life expectancy of patients with aplastic anemia has increased considerably, so are the patients undergoing surgery for various pathologies. Due to rarity of the diseases, there are no specific formulated guidelines on the anesthetic management of these patients. Here, we describe successful anesthetic management of a young male patient with aplastic anemia who was posted for bilateral hip surgery. https://aacc.tums.ac.ir/index.php/aacc/article/view/445

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 343 344 Surabhi Sandill Department of Anaesthesiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India Divya Gautam Department of Anaesthesiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India Udismita Baruah Department of Anaesthesiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India 2022 02 28 2022 04 04   No Abstract   No Abstract  No Abstract  No Abstract  No Abstract https://aacc.tums.ac.ir/index.php/aacc/article/view/496

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 274 279 Hamid Hajigholam Saryazdi Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Babak Alikiaii Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Leyla Rafiei Nurse Anesthesiologist, Isfahan University of Medical Sciences, Isfahan, Iran. Mohammad Shamsi Kahrizsangi School of Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Behzad Nazemroaya Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. 2022 02 06 2022 02 28 Background: Arterial Blood Gas (ABG) analysis is a commonly ordered test to investigate respiratory, circulatory, and metabolic status in traumatic patients with inappropriate perfusion and ventilation situations. Difficult sampling, hemorrhage risk of arterial puncture, and other vascular complications lead us to use saliva sampling as a safer non-invasive approach to evaluate PaO2, PaCO2, pH, and HCO3 values. This study was aimed to evaluate the correlation of PaO2, PaCO2, pH, and HCO3 values between ABG and saliva gas in traumatic patients under mechanical ventilation. Methods: This was a retrospective cross-sectional study of 18-85-year-old traumatic patients under mechanical ventilation conducted in an academic medical hospital. They were investigated based on age, sex, and ABG values as well their saliva gases values. The Paired t-test, Pearson χ2, and Pearson correlation were used to evaluate the correlation between the gases values in ABG and saliva. Data were analyzed using Mann–Whitney U test and Kolmogorov–Smirnov test. Results: There were 120 patients including 53 men and 67 women enrolled. None of the factors of arterial and salivary gases were significantly different between men and women. And the amount of these factors is homogeneous in both groups (P <0.05). The mean factors of arterial PaCO2 and HCO3 and saliva PaCO2 and HCO3 were significantly different between smokers and non-smokers. Conclusion: The values of salivary gases correlated with these of ABG. This can expand the use of salivary gases analysis as an alternative to ABG analysis in clinical settings to reduce the logistic burden of arterial sampling as well as to better perform ventilator device settings. These results were aligned with previous studies. https://aacc.tums.ac.ir/index.php/aacc/article/view/483

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 333 335 Jyoti Deshpande Department of Anaesthesiology and Critical Care, Smt Kashibai Navale Medical College and General Hospital Narhe-Pune, MUHS University, Nashik, India. Pooja Jadhao Department of Anaesthesiology and Critical Care, Smt Kashibai Navale Medical College and General Hospital Narhe-Pune, MUHS University, Nashik, India. 2021 11 17 2022 01 03 Diabetes mellitus is a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances in carbohydrate, fat and protein metabolism, due to defect in insulin secretion, insulin action or both. Complications of Diabetes mellitus are macrovascular (coronary artery disease, peripheral vascular disease), microvascular (diabetic nephropathy, neuropathy and retinopathy), electrolyte and metabolic derangements. Foot ulcer is a common complication of diabetes mellitus with deranged Blood Sugar Level, which needs debridement or amputation. As central neuraxial block is contraindicated and general anaesthesia is risky in our patient due to coagulation abnormalities, anaemia, sepsis and left lung pneumonia. Hence, we planned for femorosciatic block. https://aacc.tums.ac.ir/index.php/aacc/article/view/440

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 345 347 Ali Jabbari Ischemic Disorder Research Center, Golestan University of Medical Sciences, Gorgan, Iran. AND Department of Anesthesiology and Intensive Care, Golestan University of Medical Sciences, Gorgan, Iran. Shabnam Tabasi Department of Anesthesiology and Intensive Care, Golestan University of Medical Sciences, Gorgan, Iran. Vahid Khori Ischemic Disorder Research Center, Golestan University of Medical Sciences, Gorgan, Iran AND Department of Pharmacology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran 2022 03 15 2022 04 24 No Abstract No AbstractNo AbstractNo AbstractNo Abstract https://aacc.tums.ac.ir/index.php/aacc/article/view/503

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 280 287 Aswini Lakshminarasimhan Department of Anesthesiology, Esic Medical College and Postgraduate Institute of Medical Sciences and Research (ESIC MC&PGIMSR), Chennai, Tamil Nadu. India. Sathiyanarayanan Pilendran Department of Anesthesia, Government Thanjavur Medical College, Tamil Nadu, India. 2022 01 08 2022 01 30 Background: Patient satisfaction is one of the main quality indicators of anesthesia services. Various factors can determine patient satisfaction, such as anesthetist-patient interaction, perioperative anesthetic management, and postoperative follow-up. The aim of this study was to assess patient satisfaction with anesthesia services and its associated factors. Methods: An Institutional based cross-sectional study was conducted from July 2019 to October 2019 at a teaching hospital in South India. Patients who have undergone surgery by either general or regional anaesthesia were included. For postoperative interview, a structured questionnaire was administered. The satisfaction score was considered to be an outcome variable. Age, gender, ASA status, and type of anesthesia were considered to be explanatory variables. Results: A total of 462 patients were included in the study. The mean age of the study population was 41.84 (±13.48 SD) years. Males were found to have statistically higher mean satisfaction scores as compared to females. The mean satisfaction score among the patients with combined anesthesia (general anesthesia in addition to regional anesthesia) was significantly higher as compared to patients with GA, CNB, and PNB (p<0.05). There was a significant difference in the degree of satisfaction with induction, intraoperative pain relief, and pain relief in the postoperative period among patients with different types of anesthesia (p<0.05). 39.2% of patients were dissatisfied with the self-introduction of anesthetists, and 17.7% were dissatisfied with anesthetist revisit in postoperative period. Conclusion: Poor self-introduction of anesthetists, absence of postoperative revisit by the anesthetist, and lack of proper planning for postoperative pain relief contributed a major part to the dissatisfaction. https://aacc.tums.ac.ir/index.php/aacc/article/view/461

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 336 338 Amit Kumar Department of Anaesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India. Uma Hariharan Department of Anaesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India. Vijay Nagpal Department of Anaesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India. Devang Bharti Department of Anaesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India. 2021 12 01 2022 01 03 Inherited defects of Uridine 5'-diphospho-glucuronosyltransferase (UDPGT) can cause congenital unconjugated hyperbilirubinemia. The perioperative anesthetic management of such patients poses several challenges. Here we report a case of bilateral carcinoma breast with congenital unconjugated hyperbilirubinemia posted for bilateral modified radical mastectomy. The patient was administered general anesthesia with no perioperative deterioration of liver function. https://aacc.tums.ac.ir/index.php/aacc/article/view/446

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 288 294 Nithisha Roy Department of Anaesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. Neha Gupta Department of Anaesthesiology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India. (P<0.001). Conclusion: Acupressure can reduce preoperative anxiety in children; however, this effect is less than the effect of oral midazolam. https://aacc.tums.ac.ir/index.php/aacc/article/view/831

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2024 01 29 415 417 EN Ehsan Yousefi-Mazhin Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. Hossein Karballaei-Mirzahosseini Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. Hamidreza Sharifnia Department of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Atabak Najafi Department of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Farhad Najmeddin Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. Mahsa Tofighi-Mohammadi Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. Rezvan Hassanpour Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. Mojtaba Mojtahedzadeh Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. 2023 09 14 2023 11 03 Familial hypokalemic periodic paralysis is a rare disorder that manifests manifests with the sudden onset of flaccid paralysis that is triggered by low levels of blood potassium, which can be caused by various factors such as, rest after intense exercise, or high-carbohydrate foods. This report presents cases of hypokalemic periodic paralysis attack triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. A 29-year-old male patient was admitted with quadriparesis, fever, shortness of breath, and sever hypokalemia. The patient had a history of three episodes of Familial hypokalemic periodic paralysis (HPP). Diagnostic tests, such as chest computed tomography scan and polymerase chain reaction test, confirmed SARS-CoV-2 infection. The patient was treated with potassium chloride infusion, spironolactone, and remdesivir, and was eventually discharged from the hospital.in conclusion, SARS-CoV-2 infection can potentially exacerbate HPP and should be considered a risk factor for its occurrence. https://aacc.tums.ac.ir/index.php/aacc/article/view/866

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2023 09 28 323 326 Nima Nazari Department of Anesthesiology and Critical Care,Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Mehrdad Goudarzi Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Ashkan Taghizadeh Department of Anesthesiology and Critical Care,Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Hojatollah Raji Department of Pediatric Surgery, Tehran Unversity of Medical Sciences, Tehran, Iran. Bita Malekianzadeh Department of Anesthesiology and Critical Care, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran. 2023 08 13 2023 08 29 Background: Herniorrhaphy is the most common inguinal surgery in children. Several methods such as caudal block, ilioinguinal iliohypogastric block, and wound infiltration have been studied for postoperative pain management in these patients. Caudal block is common in pediatrics. However, ilioinguinal iliohypogastric block is effective and less invasive. Previous studies have shown different comparative results regarding these blocks. This study compares the analgesic effect of caudal and bilateral ilioinguinal iliohypogastric block with ropivacaine in children. Methods: This study is a randomized double-blind clinical trial. A total number of 66 patients aged between 1-7 years that volunteered for bilateral inguinal hernia repair were randomly assigned to two groups. After general anesthesia, caudal block with 1cc/kg ropivacaine 0.2% was performed for 33 patients and sonography-guided ilioinguinal iliohypogastric block with 0.1 cc/kg ropivacaine for each side was considered for another group. Hemodynamic parameters (systolic blood pressure, diastolic blood pressure, and heart rate) during anesthesia, pain score (CHEOPS), delirium score (PAED), nurses’ satisfaction score (RN), need for additional narcotic, recovery time, and complications were compared in these two groups. Results: There was no statistically significant difference between the two groups in terms of hemodynamic parameters during the anesthesia process. Furthermore, the two groups had no statistically significant difference in CHEOPS score (6.27 in ilioinguinal block and 5.70 in caudal block, P=0.061), PAED score (5.64 vs 5.30, P=0.144), and RN satisfaction score. However, the need for narcotics, mean recovery time, and block complications were comparable in two groups. Conclusion: Caudal block and ilioinguinal block are equally effective for post herniorrhaphy pain and emergence agitation management in pediatrics. Additionally, no differences were observed in complications. It is recommended that the study be performed with a larger sample size. https://aacc.tums.ac.ir/index.php/aacc/article/view/839

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2024 03 05 418 421 Yasaman Esfahanian Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran. Mostafa Mohammadi Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran. Parsa Mohammadi Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Tehran, Iran. 2023 06 10 2023 08 15 Anemia, a common symptom in pregnancy, can lead to life-threatening cardiomyopathy. A 30-years old gravida 2 para 1 woman was admitted at 34 weeks of gestational age with asymptomatic pancytopenia and vitamin B12 deficiency in the laboratory tests. She also had a diet-controlled gestational diabetes, megaloblastic changes in Bone marrow aspiration and cardiomyopathy shown by echocardiography. The patient recovered from pancytopenia and cardiomyopathy after one week treatment with vitamin B12 and folate. In this case, cardiomyopathy worsened with anemia. By treating vitamin B12 deficiency, cardiomyopathy can be prevented or controlled during pregnancy. Careful consideration is needed when assessing anemia in pregnant women on vegetarian diet and at higher risk. https://aacc.tums.ac.ir/index.php/aacc/article/view/783

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2024 02 08 327 333 Asghar Hajipour Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Razieh Erfani Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Maziar Maghsoudloo Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Amir Keshvari Departments of Surgery, Tehran University of Medical Sciences, Tehran, Iran. Mojgan Rahimi Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. 2023 09 04 2023 09 09 Background: Due to the associated hypertension and cardiovascular disease in patients with ESRD hemodynamic changes during operations are detrimental and may be life-threatening. Therefore, hemodynamic stability is an important criterion in selecting the anesthetic approach. Methods: 72 ASA class III/IV, ESRD Patients were studied in randomized double blind clinical trial. They were divided into two groups by four-block randomization. A group of patients were induced and maintained by etomidate and second of patients were induced by Na thiopental and maintained by isoflurane. Systolic, diastolic and mean arterial blood pressure and heart rate were measured at interval of pre and post induction, postintubation, pre and post abdominal insufflation during and at the end of surgery and in recovery. The total BP modulators were recorded and postoperative nausea and vomiting was registered in the recovery. Data were analyzed by STATA version 12. Results: There was no significant difference in physical characteristics between two groups. There was no statistical difference between the groups in SBP and HR (P>0.05), although DBP fluctuation>20% at interval postinduction and prior to abdominal insufflation during surgery and at the end of surgery, was significantly higher in the isoflurane group of patients. (P=0.004, 0.001, 0.003 and 0.009, respectively). Also, the MAP fluctuation at interval of post induction, preinsufflation and at the end of surgery was significantly higher in isoflurane of patients. (P=0.04, 0.001, and 0.02, respectively). Conclusion: The group anesthetized with isoflurane had a higher hemodynamic fluctuation, compared to the group anesthetized with etomidate. As hemodynamic changes are critical in patients with ESRD, etomidate is a more appropriate anesthetic choice for implantation of peritoneal dialysis catheter by laparoscopic approach. https://aacc.tums.ac.ir/index.php/aacc/article/view/857

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2024 03 05 334 342 Ali Reza Montaseri Department of Anesthesiology, School of Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Abdul Jammoul School of Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Seyed Mohammad Mireskandari Department of Anesthesiology, School of Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Nima Nazari Department of Anesthesiology, School of Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Babak Eslami Department of Anesthesiology, School of Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Ali Jammoul School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. 2023 09 07 2023 09 11 Background: Whether in a hospital setting or in the community, medical students are exposed to cardiac arrests. Fast response and effective resuscitation are main determinants for decreasing mortality and morbidity due to cardiac arrests. We assessed the effectiveness of anesthesiology rotation in acquiring cardiopulmonary and cerebral resuscitation for medical students. Methods: A pre-test/post-test quasi experimental design was undertaken, comprising A fortuitious sample of medical students who were undergoing anesthesiology rotation at Tehran University of Medical Sciences hospital complexes during the academic year 2021-2022 using a self-administered questionnaire to evaluate their theoretical comprehension, knowledge, skills and before and after the rotation. Results: The study revealed an increase in theoretical scores (mean dif +2.6/20), increased in self-assessment knowledge scores (mean dif + 0.84/5), as well as an increased in self-assessment skill scores (mean dif +0.96/5). The highest scored were witness in students with previous cardiopulmonary resuscitation (CPR) experience. Conclusion: It is of extreme importance for medical students to participate in anesthesiology rotations. It is essential for possessing the appropriate knowledge and skills to provide effective resuscitation care and gain confidence to perform CPR. https://aacc.tums.ac.ir/index.php/aacc/article/view/860

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2024 01 16 343 352 Maryam Sadat Mirenayat Pulmonary Rehabilitation Research Center (PRRC), National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Narjes Jalali Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Somayeh Sadeghi Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Acquired Immunodeficiency Research Center, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. Reyhaneh Zahiri Pulmonary Rehabilitation Research Center (PRRC), National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mitra Lotfalipour Pulmonary Rehabilitation Research Center (PRRC), National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Zahra Amraei Pulmonary Rehabilitation Research Center (PRRC), National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Faculty of Sport Sciences and Health, University of Shahid Beheshti, Tehran, Iran. Atefeh Fakharian Pulmonary Rehabilitation Research Center (PRRC), National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2023 08 23 2023 09 13 Background: The effect of using high flow oxygen delivery through the nasal cannula (HFNC) in COVID-19 patients has been associated with different results. This study aimed to evaluate the effect of different HFNC temperatures in COVID-19 patients. Methods: Patients were randomly divided into three groups under high current oxygenation with temperatures of 31, 34, and 37. Except for the temperature, other device settings were set equally. After 24 hours, clinical conditions were on the agenda and compared with the conditions before the intervention. Results: Fever, sore throat, malaise, diarrhea in patients of 31 degree group and indicators of nausea, cough, body pain, headache have changed the most in 37 degree group. Abdominal pain has shown the greatest change in the 34 degree group. PR, DBP, and SpO2 indices changed the most at 31 degrees and RR and SBP at 37 degrees. PR, RR, SBP and SPO2 indices showed significant values in intra-group comparison, and in inter-group comparison, only PR, RR indices had significant differences. In intra-group analysis, PaCO2, WBC, CRP, ESR and ferritin had significant changes, and in inter-group comparison, none of the indicators had significant differences. Conclusion: Based on the results of the present study, reducing the temperature in the use of HFNC can improve the clinical conditions of patients with COVID-19. https://aacc.tums.ac.ir/index.php/aacc/article/view/845

Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 4 2024 02 17 353 356 Alireza Montasseri Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Omid Nabavian Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Babak Eslami Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Enab Zehra Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. 2023 08 29 2023 09 12 Background: Anesthesia techniques significantly impact the long-term and short-term outcomes after cancer surgery such as cancer recurrence, post-discharge hospitalizations, and duration of hospitalization, probably by decreasing the neuroendocrine stress response during surgery, reducing opioid requirement, reducing post-operation nausea vomiting, and pain, and interacting with the immune system. Research in recent years has provided ample evidence that epidural anesthesia produces better post-operation outcomes compared to general anesthesia. The purpose of this study was to evaluate the effects of epidural anesthesia on cancer recurrence after surgery in gastrointestinal cancer patients. Methods: To perform this study medical records from the archive of gastrointestinal cancer patients who have undergone surgery at Imam Khomeini Hospital Complex (IKHC) from the years 1390 to 1400 were used. The variables required for the study were obtained from the records. The data obtained were analyzed by the SPSS software and the significance value of < 0.05 was considered. Results: Our study included 8987 patients out of which 1673 patients received epidural anesthesia. Cancer recurrence