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العنوان
A Comparative Study between Sub-sartorial canal block and intravenous patient controlled analgesia for postoperative analgesia after total knee replacement surgery/
المؤلف
Elsayed ,Yomna Emad Mohamed
هيئة الاعداد
باحث / يمنى عماد محمد السيد
مشرف / منال محمد كمال
مشرف / رانيا مجدي محمد
مشرف / ابراهيم الشحات ابراهيم
تاريخ النشر
2023
عدد الصفحات
90.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
29/9/2023
مكان الإجازة
جامعة عين شمس - كلية الطب - Anesthesiology
الفهرس
Only 14 pages are availabe for public view

from 90

from 90

Abstract

ABSTRACT
Background: Hypothermia is one of the reported side effects of general anesthesia. Deviations from normothermia are associated with numerous complications and adverse outcomes, with infants and small children at the highest risk.
Aim of the Work: to assess the role of perioperative amino acid infusion in the prevention of perioperative hypothermia and postoperative shivering in school-age children.
Patients and Methods: Study: Randomized Controlled Double Blind Study. Study Setting: Ain Shams University Hospitals, Cairo, Egypt. Study Period: 6 months. Study Population: School age children undergoing abdominal surgery.
Results: The present study involved fifty-two patients divided into two groups. group A consists of twenty-six patients who received IV amino acid infusion, and group B (control) consists of patients who received an equivalent volume of Ringer’s solution. In addition, the current study analyzed temperature fluctuations between the two distinct groups. Initially, no statistically significant difference was found in temperatures at baseline, during induction, and minute-15 intraoperatively between the Amino Acid and Control groups. This initial parity in the temperature profiles indicates a well-matched starting point for temperature measurements. In addition, the current study revealed a significant difference in the frequency of perioperative hypothermia between the two groups. Importantly, all cases of hypothermia observed in this study were classified as mild. In the Amino Acid group, perioperative hypothermia occurred less frequently when compared to the Control group. This statistically significant difference suggests that the infusion of amino acids may have a protective effect against the development of hypothermia in school-age children undergoing abdominal surgeries.
Conclusion: We conclude that intraoperative hypothermia is relatively frequent complication that can have adverse physiological effects. Maintenance of normothermia during anesthesia and surgery decreases the overall morbidty. Intraoperative hypothermia could be prevented or at least decreased by using one or more of different methods for this purpose.