Showing 6 results for Arbabi
Hosein Khan Z, Arbabi Sh, Ebrahim Soltani A,
Volume 65, Issue 1 (5 2008)
Abstract
Airway management is one of the most important subjects in medicine. This article reviews the history, assessment of airway prior to anesthesia, techniques and equip-ment of airway management and management of patients with anticipated and unan-ticipated difficult airways. This article covers recent literature on airway appliances and devices and their use in different circumstances. Airway assessment methods especially the recent Iranian method have been reviewed and discussed briefly in this article. On the whole the article covers the etiology of difficult airway and offers guidelines for safe practice of anesthesia in patients in whom airway is anticipated to be difficult.
Arbabi Sh, Ashjaei B, Mamishi S,
Volume 65, Issue 14 (Vol 65, Supplement 2 2008)
Abstract
Background: There are many methods for removal of tracheobronchial foreign bodies
but there are many situations where removal of a foreign body seems impossible and
may require a major surgical procedure. Familiarity with each method improves
physician decision making.
Case: A 17 months old baby with a history of foreign body aspiration suffered from long
term pneumonia. There was a round shape foreign body in bronchoscopic view that
could not be removed with standard methods, but was removed by application of Fogarty
catheter
Conclusion: Removal of round, spherical foreign bodies may be performed by Fogarty
Catheter preventing surgical intervention.
Ebrahim Soltani A, Arbabi Sh, Nahvi H, Moshirian N,
Volume 66, Issue 2 (1 2008)
Abstract
Background: Premedication is widely used in pediatric anesthesia to reduce emotional trauma and ensure smooth induction. The rectal route is one of the most commonly accepted means of drug administration. The aim of our study was to investigate and compare the efficacy of rectally administered midazolam versus that of ketamine as a premedication in pediatric patients.
Methods: We performed a prospective randomized double-blinded clinical trial in 64 children, 1 to 10 years of age, randomly allocated into two groups. The midazolam group received 0.5 mg/kg rectal midazolam and the ketamine group received 5 mg/kg rectal ketamine. The preoperative sedation scores were evaluated on a three-point scale. The anxiolysis and mask acceptance scores were evaluated separately on a four-point scale, with ease of parental separation, based on the presence or lack of crying, evaluated on a two-point scale.
Results: Neither medication showed acceptable sedation (>75%), with no significant difference in sedation score between the two groups (P=0.725). Anxiolysis and mask acceptance using either midazolam or ketamine were acceptable, with midazolam performing significantly better than ketamine (P=0.00 and P=0.042, respectively). Ease of parental separation was seen in both groups without significant difference (P=0.288) and no major adverse effects, such as apnea, occurred in either group.
Conclusions: Rectal midazolam is more effective than ketamine in anxiolysis and mask acceptance. Although they both can ease separation anxiety in children before surgery, we found neither drug to be acceptable for sedation.
Bagherzade A, Arianfar F, Arbabi M,
Volume 70, Issue 1 (3 2012)
Abstract
Background: Several studies that have evaluated psychological and counseling interventions suggest that a proactive approach may be effective in preparing patients for the experience of living with an implantable cardioverter-defibrillator (ICD). The purpose of this study was to develop and assess cognitive and behavioral interventions in reducing stress and anxiety and improving quality of life.
Methods: One hundred Patients with ICD in Shariati and Imam Khomeini Hospital in Tehran, Iran during 2009- 2010 were divided randomly into two groups to undergo cognitive and behavioral interventions (case group) or serve as the control group. The patients in the case group were received relaxation, cognitive and ICD alarm trainings three times during the study period. Routine care was the same in both groups after ICD implantation. We evaluated anxiety and depression by, respectively, Beck anxiety and Beck depression inventories in the two groups before and after ICD implantation. Quality of life was also evaluated by SF-36 instrument before and after the interventions. The results were later compared between the two groups.
Results: Beck scores for anxiety in the case and control groups before the interventions were 24.9±15.5 and 24.2±15.8 (P=0.590), respectively and after six months they were 13.5±8.3 and 17.9±10.1 (P=0.005), respectively. Beck scores for depression in the case and control groups before the interventions were 17.7±9.8 and 18.4±10.6 (P=0.590), respectively and after six months the scores, respectively, were 13.5±8.3 and 17.9±10.1 (P=0.005).
Conclusion: It seems that psychological interventions can reduce anxiety and depression after ICD implantation. Further studies with more sample sizes are necessary for the final judgment.
Zahed Husaain Khan, Seydeh Shohreh Alavi , Shahriar Arbabi , Jalil Makarem ,
Volume 72, Issue 9 (December 2014)
Abstract
Background: Education is the main mission of teaching hospitals, but the residents’ learning in acquiring new techniques does interfere in the overall treatment process of patients. Studies pertaining to the effect of anesthesia residents’ training in operating room on treatment procedures have reported conflicting results. Therefore, this study was performed to investigate the effects of anesthesia residents’ training on start time operative delays.
Methods: This cohort study was done in neurosurgical operating room, Imam Khomei-ni Hospital, Tehran, Iran during 2010-2013 on a population study comprising of sec-ond year anesthesia residents. Patients were classified into three groups with 30 cases in each one according to the anesthetic team. Group I: one anesthesiologist in charge of two operating rooms and two anesthesia assistants Group II: one anesthesiologist in charge of one operating room and one assistant Group III: one anesthesiologist with-out an assistant. Patients in these groups were compared in terms of American society of anaesthesiologists (ASA) class, induction difficulties and type of surgery. Studied variables included :1) Interval between the patient lying on the bed to till anesthesia, 2) the time devoted to teaching residents, 3) time from the start of anesthesia until the start of surgery. An observer that was blinded to the type of intervention and the study design, recorded the times.
Results: ASA class (P= 0.94), induction difficulties (P= 0.66) and type of surgery (spinal cord or brain operation) (P= 0.41) were not statistically different between patients in groups. Preoperative preparation time for the first group (23.5±8.1 min) was longer than the other two groups (21.5±6.2 min and 15.8±9.1 min), respectively (P= 0.001). Differences between the times from start of anesthesia to surgeries in three groups, based on ASA class and type of surgery were not significant (P> 0.05). There was no re-lationship between the times devoted to teaching residents in the first and second groups (P> 0.05).
Conclusion: Anesthesia residents’ training in neurosurgery operating room may in-crease the time required for preparing for surgery, but this time expended is hardly of any significance.
Fateme Arbabi-Kalati , Mohammad-Mahdi Farahmand ,
Volume 75, Issue 9 (December 2017)
Abstract
Background: Lichen planus is an inflammatory mucocutaneous disease which involves 0.2‒4% of the population and has an unknown etiology. There is no definite treatment for the disease and current treatment modalities are palliative in nature. Although the exact cause of lichen planus is not clear, some scientists believe that free radicals and oxidative stress might have a role in causing this condition. The current study was conducted to assess the therapeutic effect of lycopene in treating erosive and atrophic oral lichen planus.
Methods: Thirty patients whose disease was confirmed by a pathologist were included in the clinical trial from January to July 2016 in the Department of Oral Medicine, Faculty of Dentistry, Zahedan University of Medical Sciences. The patients were randomly divided into two groups. The first group was treated with topical corticosteroid and 15 mg of systemic lycopene daily for a month and the second group received only topical corticosteroids. We recommended that the patients use the drugs (topical corticosteroids) four times a day, avoiding taking food for one hour after applying the drugs. Pain severity was recorded by numeric rating scale before and after the treatment and disease score was recorded by Thongprasom scale before and after treatment. Data were analyzed with SPSS 18. Mann-Whitney U test was used to compare the groups.
Results: In the case and control groups, pain scores before treatment were 5.4±1.2 and 5.7±0.9, with 3.01±1.8 and 3.2±1.5 after treatment, respectively. There was no significant difference between the two groups (P= 0.6, P= 0.4). Disease scores before treatment were 4.1±1 and 4±0.8, with 1.7±1.2 and 1.8±1.5 after treatment, respectively. There was no significant difference between the groups (P= 0.7, P= 0.8).
Conclusion: In this study the use of systemic lycopene did not increase the effect of topical corticosteroid; in addition, the results showed that the systemic use of 15 mg of lycopene in addition to topical corticosteroid treatment had no significant effect on patients’ pain and disease scores in comparison to topical corticosteroids.
