bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Study for Postoperative Ultrasound Guided Pericapsular Nerve Group Block and Femoral Nerve Block for Postoperative Pain Management Analgesia for Bipolar Hemiarthtroplasty
Authors: Ibrahim Dalia Ahmed , Abdelhakam Galal Mahmoud Ahmed , Abdelmaksoud Mohamed Nabil , Lwiz Morcos Marihan Adel 
Published: November 2024

Abstract

Background
Proximal femur fractures are most common fractures especially in elderly population. Regional anaesthesia is preferred during surgery in these patients. However, the severe pain associated with these injuries makes appropriate positioning difficult for the regional anaesthesia, thus altering their overall success rate, also the majority of patients often experience moderate to severe postoperative pain.

Aim of the Work
The study aimed to compare between ultrasound guided PENG and FNB using VAS score to assess the overall efficacy for pain relief during patient positioning for spinal anesthesia.

Patients and Methods
After approval of anaesthesiology department scientific and ethical committees in Ain Shams University Hospitals, 50 patients were included in the study, and were divided into two groups (n = 25; each); group PENG and FNB group. The two groups were adequately monitored and assessed before spinal anesthesia and post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, besides, recording time for first call for rescue analgesia and total amount of analgesia required.

Results
This study documented that PENG block is comparable to femoral block for postoperative pain control. The PENG block has been described very first in 2018 for preoperative management of femur neck fracture. We observed no statistically significant difference in pain scores during positioning for spinal anesthesia and for first 24 hrs post-operative. Similarly, no significant difference was also found in first rescue analgesia time and Cumulative nalbuphine consumption at 24 hours after surgery between the two groups.

Conclusion
In the management of hip fractures, PENG block is not associated in our study with a significant change in pain score postoperatively compared to femoral nerve block.
Effect of Dexamethasone as an adjuvant to Bupivacaine in caudal block for Postoperative Analgesia in Pediatric Patients undergoing Orchidopexy
Authors: Saad Emam Mohamed Hilal Merna Hazem , Abdelmegeed Elsayed Waleed Mohamed , Alansary Adel Mohamad , Mohamed Fouad Farouk 
Published: November 2024

Abstract

Background
Regional anesthetic techniques are commonly used to facilitate pain control in pediatric surgical procedures. The most commonly used technique in pediatrics is caudal block. Urogenital surgeries are one of the most frequently performed surgical procedures in the pediatric population. Using optimal analgesic regimen provides safe and effective analgesia, reduce postoperative stress response and accelerate recovery from surgery.

Aim of the Work
to evaluate the analgesic effect of dexamethasone when given as an adjuvant to caudal block in children undergoing orchidopexy surgery.

Patients and Methods
The study was conducted on 40 randomly chosen patients in Ain Shams University Hospitals after approval of the medical ethical committee. Patients were divided randomly into two groups; each group consisted of 20 patients.

Results
revealed that dexamethasone 0.1 mg/kg, when used as an adjuvant to caudal anesthesia, can significantly prolong the duration of postoperative analgesia. It is better than bupivacaine alone in caudal block at similar doses in controlling postoperative pain.

Conclusion
we can conclude that adding 0.1 mg/kg of dexamethasone to 0.5 ml/kg of 0.25% bupivacaine effectively improves the analgesic duration in single-shot caudal anesthesia.
Comparative Study between Ultrasound Guided Quadratus Lumborum Block vs Intraperitoneal and Perioportal Bupivacaine Infiltration as Post Operative Analgesia after Laparoscopic Cholecystectomy
Authors: Sayed Ahmed Omran Hany Abd El-Fattah , EL-Din EL-Ozairy Hala Salah , Salem Ahmed Sarah Ahmed , Phillip Hanna Mina Salib 
Published: November 2024

Abstract

Background
Poorly controlled acute pain after abdominal surgery is associated with a variety of unwanted post-operative consequences, including patient suffering, distress, respiratory complications, delirium, myocardial ischemia, prolonged hospital stay and an increased likelihood of chronic pain.

Objective
To test the efficacy of QL block versus intraperitoneal and periportal infiltration with local anesthetic agent in providing postoperative analgesia after laparoscopic cholecystectomy.

Patients and Methods
Double-blinded randomized controlled clinical study [both the patient and the operator (the surgeon in intraperitoneal and periportal bupivacaine and the anesthetist in QL block) were blinded], After Approval was obtained from the research ethics committee of anesthesia and intensive care department, Ain Shams University.

Results
The results of the study revealed that the Patients receiving QLB had significantly longer time to first rescue analgesic and significantly lower total opioid consumption in first 24 h post operative compared with patients who received Intraperitoneal and periportal infiltration.

Conclusion
Bilateral QL block was effective in providing postoperative analgesia (significantly longer time to first rescue analgesia) and reduced postoperative opioid consumption in the first 24-h after laparoscopic cholecystectomy under general anesthesia, compared to intraperitoneal and periportal infiltration. This technique can be a promising mode of postoperative analgesia where epidural catheter insertion is contraindicated.
Comparison between Pectoral Plane Block (PECS 1 and 2) and Patient Controlled Intravenous Analgesia after Breast Surgeries
Authors: Mahmoud Hoda Omar , Alansary Amin Mohammed , Ibrahim Koraitim Ahmed Farouk , Ewais Mohamed Abdelhamid 
Published: November 2024

Abstract

Background
Breast cancer has continued to be the most common cancer among women, accounting for 31% of all new cancer cases in the female population. Every/ year, thousands of patients undergo surgery in the region of the breast and axilla. Surgery is one of the mainstays of treatment, and a procedure called modified radical mastectomy (MRM) is now a standard surgical treatment for early-stage breast cancers.

Aim of the Work
The primary aim of this study is to compare the efficacy of PECS 1,2 block versus PCA with iv morphine to provide prolonged post-operative analgesia. The secondary objective is to identify the side effects of both techniques as post-operative analgesic techniques, as well as intra-operative analgesia.

Patients and Methods
A randomized controlled Clinical trial in Ain Shams University Hospitals, Cairo, Egypt (EL Demrdash hospital and Combined operations) for 6 months carried out on women who undergo breast surgeries.

Results
The Results shows that the VAS score in the PECS group was highly significant lower at the 1st, 2nd and 4th hours postoperative, the time interval for the 1st dose of rescue analgesia was higher in PECS group, there was significant difference regarding heart rate and blood pressure between both groups at 1st, 2nd, 4th and 8th hours postoperative in favor for PECS group, regarding o2 saturation it was significant only after 1 hour postoperative, regarding nausea and vomiting there was significant difference in nausea in favor for PECS block while regarding vomiting it was non- significant, regarding sedation it didn’t occur in neither group so it was not applicable.

Conclusion
In modified radical mastectomy, PECS block is more effective than intravenous PCA in pain management postoperative, better effect on vital data like heart rate, blood pressure and o2 saturation, it also lowers the analgesic drugs consumption postoperative. Moreover, PECS block is more preferable method because it avoids the systemic side effect of morphine used for PCA like nausea and vomiting. PCA analgesic effect needs time to start its action.
Comparison between Ultrasound Guided IPACK Block (Interspace between the Popliteal Artery and Capsule of the Posterior Knee) and Adductor Canal Block in Patients Undergoing Total Knee Replacement in Postoperative Pain
Authors: Hamdy El-Kabarity Reem , Sayed Ahmed El Sersi Mayar Hassan , Mahmoud Amin Omar Sameh , Abdel-Azim Metwally Mohamed Fathy 
Published: November 2024

Abstract

Background
Total knee replacement (TKR) is associated with significant postoperative pain. The need for effective analgesia without compromising function is a priority.

Aim of the Work
The aim of the study is to compare postoperative pain management and post-operative analgesia between IPACK block and Adductor canal block in total knee replacement cases.

Patients and Methods
The study was conducted on 60 patients who were scheduled to undergo total knee replacement and were divided into 2 equal groups: group 1: Patients in group 1 (n = 30) will receive IPACK block at the beginning of operation with 20 ml bupivacaine (0.25%) under complete aseptic conditions, group 2: patients in group 2 (n = 30) will receive Adductor canal block at the beginning of the operation with 20 ml bupivacaine (0.25%) under complete aseptic conditions.

Results
The two groups were adequately monitored and assessed post-operatively for 24 hours and they were compared regarding analgesic outcome by recording time for first for analgesic need, total consumption of opioid and pain score during walking and climbing stairs. Side effects were also monitored and compared.

Conclusion
The comparison between effect of IPACK block and adductor canal block as regard post- operative pain in total knee replacement showed significant difference regarding the numeric version of the visual analogue scale (VAS) that was used to assess postoperative pain and its intensity with range 1-3 for adductor canal block and 2-4 for IPACK block.
Inferior Vena Cava Collapsibility Index vs Central Venous Pressure for Assessment of Intravascular Volume Status in Patients with Ischemic Heart Diseases
Authors: Elbanna Mohamed Mohamed , Boulos Ghobrial Bassem , Nofal Waleed Hamed , Nassif George Maher 
Published: November 2024

Abstract

Background
Intravascular volume status assessment is one of the most challenging tasks for clinicians in intensive care unit so fluid therapy is considered as cornerstone in improving the outcome of the ischemic heart patients. Monitoring of intravascular volume status usually required to optimize blood flow and tissue oxygen delivery to organs to avoid any disturbance of fluid status of patient either excess fluid administration which lead to hypervolemia or insufficient fluid administration which lead to hypovolemia and Both conditions have negative effects on patient prognosis with increased risk of morbidity and mortality.

Aim of the Work
To assess inferior vena cava collapsibility index and central venous pressure to predict the intravascular volume status in ischemic heart patients.

Patients and Methods
This study was carried in intensive care unit of anesthesia department, Faculty of medicine, Ain Shams university hospitals with a duration of 6 months.

Results
At the first day (r = - 0.775, p value &lt;0,001), in the 2nd day (r =-0.864, p value&lt; 0,001) and in the 3rd day (r = -0,923, p value &lt;0,001). The best cutoff of IVC in diagnosis of low CVP is ≥ 28.5% with area under curve 0.998, sensitivity 100%, specificity 94.7%, positive predictive value (PPV) 94.4%, negative predictive value (NPV) 100% and accuracy 97.2%.

Conclusion
This study is that IVC collapsibility index has a strong statically significant inverse correlation with central venous pressure which is more accurate at low central venous pressure values. Point-of-care in this study is to evaluate intravascular volume status non- invasively by using ultrasound through assessing inferior vena cava collapsibility index in ischemic heart patients. Although there is high sensitivity and specificity of ultrasonography to assess IVC collapsibility index as an indirect method of assessment of CVP.
Efficacy of Virtual Reality Distraction Technique for Anxiety and Pain Control in Knee Arthroscopy under Spinal Anesthesia. A Randomized Controlled Trial
Authors: Mohamed Omnia Ahmed , Mohamed Waleed Abdelmgeid , Ibrahim Dalia Ahmed 
Published: November 2024

Abstract

Background
Regional anesthesia (RA) allows surgery without impacting the patient’s level of consciousness. This avoids disadvantages related to general anesthesia, especially the maintenance of upper airway.

Aim of the Work
The proposed study aimed to compare the effect of using non- pharmacological methods, i.e., virtual reality, on anxiety level and satisfaction with that of the sedating effect of midazolam.

Patients and Methods
In this study we compare Efficacy of virtual reality distraction technique for anxiety and sedation in knee arthroscopy under spinal anaesthesia. The study is conducted in Anesthesiology Department, Faculty of medicine, Ain Shams University. The study period is 6 months. The sample size is 100 patients divided in two groups randomly (Group I and Group II). Each group has 50 patients.

Results
The results showed that the application of virtual reality as a complementary modality might help manage perioperative anxiety in a way that is safe, effective, time-efficient, and enjoyable similar to that of sedating effect of midazolam with an advantage of excluding the undesirable adverse effect of sedative drug.

Conclusion
Virtual Reality is effective for reducing the anxiety of patient perioperative and increasing satisfaction in a safe, effective, time- efficient, enjoyable, and maintained patient's level of consciousness, in addition to the fact that preoperative sedatives and antianxiety drugs often have adverse side effects and may prolong patient recovery and discharge.
Evaluation of Meatal Mobilization in the Management of Distal Hypospadias
Authors: Gad Hany Hamed , Mohameden Haitham Mohamed Ali , Yosef Soliman Seif Abd Elmo’men 
Published: November 2024

Abstract

Background
Hypospadias refers to a urethral opening proximal to the normal glanular location along the ventral side of the penis. The defect is commonly considered arrested development, due to incomplete fusionof urethral folds. Hypospadias occurs in 1 in 300 males (0.3%).

Objective
To evaluate the Meatal Mobilization technique in management of distal hypospadias to achieve better cosmoses and function with less complication.

Patients and Methods
This is Prospective Cohort with historical control study [operations which were done for distal hypospadias e.g: MAGPI, Thiersh Duplay, snodgrass] that was done on 35 patients with distal hypospadias age ranging from 1.5 year to 12 years complaining of abnormal site of micturition at Urology department, Ain Shams University starting From October 2022 till April 2023.

Results
Our results confirmed the viability of the meatal mobilization (MEMO) technique in the management of distal hypospadias with no fistula, no recurrence, no meatal stenosis, no glanular disruption, and better cosmetic appearance.

Conclusion
Meatal Mobilization (MEMO) technique is a viable option for management of distal hypospadias with better cosmoses and minimal complications after evaluation by HOPE score.
Prospective Randomized Controlled Trial for the Effect of Perineural Injection of Bupivacaine for Sciatic Nerve in above Knee Amputation on Postoperative Stump Pain
Authors: Farouk Abadeer Ashraf , Wahba Ramez Mounir , Eldieb Khaled Abdelsattar Elsayed , Hassan Mostafa Mohamed Abdelsamie 
Published: November 2024

Abstract

Background
Despite advances in limb-salvage surgery, lower extremity amputation is still commonly required as an end result of the progression of arterial occlusive disease, failed arterial reconstruction or sever infection. Furthermore, the increasing prevalence of diabetes has led to the appearance of more patients with foot complications leading to eventual lower extremity amputation.

Objective
To assess the efficacy of perineural injection of Bupivacaine for sciatic nerve in above knee amputation on postoperative stump pain and consumption of analgesia.

Patients and Methods
This is a prospective study, in which we follow up patients who went for above knee amputation and record the severity of post operative stump pain. The study included 30 patients undergoing lower limb amputation in Ain Shams University hospitals divided randomly into two groups each group of 15 patients, one group will receive the injection for sciatic nerve and the other group will not, postoperative pain follow up for one weeks, and the outcome measured is the severity of post operative stump pain.

Results
Regarding pain score assessment between the two groups at the first one week, there is highly significant decrease in pain score in our study group that received the perineural injection more than the other group at the first 18 hours postoperative (P-value &lt;0.001), and there is significant decrease in pain score for the perineural injected group with P-value 0.013. Up to 36 hours there is decrease in pain score in group I than group II but with no significant statically results. Regarding the total analgesia (opioids) intake in group I Mean ±SD (1.8 ± 1.935) while in group II Mean ±SD (6 ± 1.69), group I in less than group II in total opioids in take in the first one week with p-value &lt;0.001 with highly significant difference between the two groups.

Conclusion
Intraoperative perineural bupivacaine injection of sciatic nerve found to decrease the postoperative pain especially at the first 24 hours, and also decrease the opioids consumption and its side effects.
Intrathecal Nalbuphine versus Fentanyl as Adjuvants to Hyperbaric Bupivacaine in Hip Arthroplasty
Authors: Abdul-Aziz Mohammed Saeed , Mohamed Hanna , Elgendy AbdAllah , Fahim Hany Magdy , Hashim Ziad , Mahmoud Abdel Karim 
Published: November 2024

Abstract

Background
Hip surgeries are one of the most cost-effective and consistently successful surgeries performed in orthopedics. Hip surgeries provide reliable outcomes for patients suffering from end-stage degenerative hip osteoarthritis (OA), specifically pain relief, functional restoration, and overall improved quality of life. Subarachnoid block is the preferred anesthesia for hip surgeries, being simple to perform and economical with rapid onset.

Objective
To compare intrathecal fentanyl in patients undergoing hip arthroplasty with nalbuphine as intrathecal adjuvant to 0.5% hyperbaric bupivacaine. The primary endpoint was the postoperative analgesia as assessed by VAS. The secondary outcomes were the onset and duration of sensory and motor blockade, hemodynamic changes, and incidence of side effects (bradycardia/ hypotension/ pruritus/ shivering/ respiratory depression/sedation).

Patients and Methods
This prospective double-blinded randomized clinical trial was conducted at Ain Shams University Hospitals from February 2022 until February 2023.

Results
As regard analgesic efficacy, there was increase pain in the two groups over the periods, but the most increase was in the fentanyl compared with nalbuphine group. There was a statistically significant difference between groups according to VAS score after 2:3 to 3:3 hours, while the rest times have insignificant difference. Sixteen patients received rescue analgesia with Fentanyl within 6h postoperatively, whereas six patients received with Naluphine which was found to be highly significant.

Conclusion
From our study we can conclude that there was increase pain in the two groups over the periods, but the most increase was in the fentanyl compared with nalbuphine group. There was a statistically significant difference between groups according to VAS score after 2:3 to 3:3 hours, while the rest times have insignificant difference. Sixteen patients received rescue analgesia with Fentanyl within 6h postoperatively, whereas six patients received with Naluphine which was found to be highly significant.
The Impact of Cardiac Rehabilitation on Quality of Life and 6 Minute Walk Test in Post Glenn Patients
Authors: Abubakar Abdelhady Abdifatah Omar , Bakr El Missiri Ahmed Mohamed Abo , Abdelhady Araquib Ahmed Kadry , Mohammed Fahmy Youssef Mohammed 
Published: November 2024

Abstract

Background
The impact of cardiac rehabilitation on quality of life and 6 minute walk test in post Glenn patients. The present study conducted on 35 patients of both sex and age of 6 years old and above and at least 6 month after Glenn surgery at Ain Shams university Hospitals recruited during the period of 6 month.

Objective
To investigate the impact of a 12-week completed cardiac rehabilitation program on 6-minute walk test and quality of life in-patients of post Glenn shunt.

Methods
This was a 2-arm parallel prospective, randomized, controlled Study conducted on 35 patients of both sex and age of 6 years old and above and at least 6 month after Glenn surgery at Ain Shams university Hospitals recruited during the period of 6 month.

Results
We found that a significant improvement of Quality of life with reduced functional capacity in exercised group only after 3 months from enrollment in CR program, while control group didn’t show any improvement. Improvement was not only in quality of life but also there was a significant improvement in 6MWD in CR group when compared with control group (32.33 vs 2.25, p = 0.032 respectively).

Conclusion
Completed CR program improves quality of life and 6MWD in patients with post Glenn shunt with restricted physical activity.
Quality of life and psychological effects of congenital heart diseases in a sample of Egyptian adults
Authors: Elsayegh Ayah Tarek , Emara Ahmed Youssef , Elfiky Azza AbdAllah , Mohamed AbouTaleb Mariam Yehia , Amin Youssef Mohamed 
Published: November 2024

Abstract

Background
Complex congenital heart disease (CHD) had very poor prognosis just a few decades ago. Nowadays, more than 90% of them, survive into adulthood, yet the complete “correction” or “repair” of CHD is not the rule and many of those patients undergo palliative interventions or surgeries. Many psychiatric and mental disorders could be seen in this group of patients. Furthermore, this could affect quality of life (QOL).

Objectives
Find out how prevalent anxiety and depression are among adult congenital heart disease (ACHD) patients and understand how it affects their lifestyle quality.

Patients and Methods
Observational case-control, cross-sectional study on 300 Adults with CHD vs 300 controls. Controls and patients were asked to fill three questionnaires to determine the prevalence of anxiety, depression, and QOL.

Results
Cases had higher anxiety and depression scores than controls and had poorer QOL than controls.

Conclusion
Congenital heart conditions adversely affect the QOL compared to a matched control group. Additionally, this cohort of patients suffers psychological distress, with more anxiety and depression in comparison to the control group. These results emphasize the drastic impact of CHD on the overall well- being of affected individuals, stressing upon the importance of holistic care that addresses both the physical and psychological aspects of their health.