Fluid optimization with hydroxyethyl starch 130/0.4 compared with modified fluid gelatin guided by esophageal Doppler during major abdominal surgeries.

Perioperative fluid therapy has a direct bearing on patient outcome and accordingly should be tailored individually. Thus the efficacy of HES 130/0.4 was compared to modified fluid gelatin for volume expansion during major abdominal surgery guided by transesophageal Doppler (TED).

Sub-antibiotic doses of erythromycin as a prokinetic in abdominal surgeries: reviving the old.

All patients undergoing major abdominal procedures have some degree of gastricatony in the immediate postoperative period, presenting mainly with vomiting. Many prokinetic agents have been used in the past, but none is a universal remedy. Studies showed that subantibiotic doses of erythromycin, a macrolide antibiotic and motilin agonist, accelerates gastric emptying.

Effect of general and epidural anesthesia on hemostasis and fibrinolysis in hepatic patients.

This study was designed to compare the effect of general anesthesia using isoflurane and epidural anesthesia using ropivacaine on hemostasis in hepatic patients. Sixty patients were randomly allocated into two groups to receive either general or epidural anesthesia which further subdivided into control and hepatic subgroups. Blood samples were collected preoperatively, immediate post-operatively and on third post-operative day to measure hemoglobin (Hb), platelet count (PLT),), prothrombin time (PT), partial thromboplastin time (PTT), and thrombin time (TT).

A non opioid fast track anesthetic regimen for colonic resection.

Fast-tracking implies a preoperative patient care paradigm that reduces time to recovery and discharge. The current study adopted fast-track anesthetic techniques, comparing outcome of a multimodal non-opioid and another opioid regimen, on recovery profiles after colonic surgery, with standard anesthetic practice. Seventy five ASA II colectomy patients were randomly assigned to one of three groups.

Hepatocellular integrity during sevoflurane anesthesia with induced hypotension.

The effect of sevoflurane anesthesia with or without induced hypotension on hepatocellular integrity was studied. Forty adult consented patients scheduled for various urological procedures were allocated randomly to either NTG group (nitroglycerin-induced hypotension) or a control group of twenty patients each. Anesthesia was induced and maintained by fentanyl, sevoflurane & vecuronium in both groups.