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Comparative evaluation of oral premedication with clonidine and metoprolol on surgical field conditions and intraoperative hemodynamics during functional endoscopic sinus surgery.
J Anaesthesiol Clin Pharmacol
August 2024
Department of Anesthesiology, RNT Medical College, Udaipur, Rajasthan, India.
Background And Aims: Bloodless surgical field during functional endoscopic sinus surgery (FESS) is an essential part, and research continues to find simple and effective regime for it. This study was aimed to compare the efficacy of oral clonidine versus oral metoprolol as premedicants regarding surgical field condition and controlled hypotension in patients undergoing FESS.
Material And Methods: Sixty-eight patients of American Society of Anesthesiologists (ASA) physical status (PS) I and II aged 18-60 years, of both genders, scheduled for FESS under general anesthesia were randomly allocated in two groups.
Pre-procedure preparation, monitoring, premedication and sedation practices of bronchoscopists in Türkiye.
Tuberk Toraks
December 2024
Clinic of Anesthesiology and Reanimation, Samsun Education and Research Hospital, Samsun, Türkiye.
Introduction: Sedation is often required during flexible fiberoptic bronchoscopy (FFB) to ensure patient comfort and the success of the procedure. The choice of sedative agents may differ between anesthesiologists and pulmonologists. This pilot study aimed to investigate the current pre-procedure preparation, monitoring, premedication and sedation practices for FFB in Türkiye, focusing on the preferences and practices of pulmonologists.
View Article and Find Full Text PDFTHE EFFECT OF PRE-MEDICATION WITH ORAL STEROIDS ON INTRA-OPERATIVE BLEEDING IN PATIENTS WITH CHRONIC RHINOSINUSITIS UNDERGOING FUNCTIONAL ENDOSCOPIC SINUS SURGERY.
J Ayub Med Coll Abbottabad
December 2024
Shifa College of Medicine, Islamabad-Pakistan.
Background: An inflammation of the nasal and paranasal sinus mucosa that lasts longer than three months is known as chronic rhinosinusitis. When corticosteroids and other medicinal treatments fail to relieve a patient's symptoms, then functional endoscopic sinus surgery (FESS) is a commonly performed procedure to alleviate the symptoms. The aim of the study was to evaluate the impact of oral steroids given prior to surgery on intraoperative bleeding in patients having functional endoscopic sinus surgery for chronic rhinosinusitis.
View Article and Find Full Text PDFPrimary vesicoureteral reflux.
Nat Rev Dis Primers
October 2024
Departments of Paediatrics (Nephrology) and Urology, Wayne State University School of Medicine, Detroit, MI, USA.
Article Synopsis
- Primary vesicoureteral reflux (VUR) is a common condition in children where urine flows backward from the bladder, leading to urinary tract infections and potential kidney damage.
- The primary goals for treating VUR in kids are to prevent UTIs and reduce the risk of kidney problems, with available management options including antibiotics, surveillance, and various surgical techniques.
- Ongoing debates focus on the timing of imaging tests and identifying which patients will benefit most from either antibiotics or surgical treatments, with new technologies like artificial intelligence offering future support in decision-making.
Glycopyrrolate Premedication and Procedure-Related Events in Pediatric Upper Endoscopy.
Clin Pediatr (Phila)
October 2024
Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, NC, USA.
Article Synopsis
- Glycopyrrolate is often used as premedication for pediatric upper endoscopy, though there's limited evidence about its effectiveness.
- A study analyzing over 1,000 procedures found that while glycopyrrolate didn’t significantly affect the overall event rate during endoscopy, it was linked to a reduced likelihood of serious adverse events (SAEs).
- The findings suggest glycopyrrolate may help lower the risk of SAEs, but more research through prospective trials is necessary to confirm its benefits in routine clinical use.
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