Spontaneous spinal epidural hematoma is an uncommon but devastating problem. Rapid diagnosis and immediate intervention are essential because any delay in diagnosis could increase mortality and morbidity.   Our case was a 56 years old man presented by pain in interscapular area and neck that rapidly progressed to lower extremity weakness and urinary retention. The patient had history of pro...

Background: Thoracotomy is a particularly painful surgery and good pain control is crucial to maximize the ability to cough and breath. The most common methods of post operative pain management are systemic narcotics and epidural adminstration of local anesthetic agents or narcotics. The purpose of the persent study was to compare postthoracotomy analgesia of extraplural and epidural catheters....

Background and aimsNarcotics are commonly used in controlling of the postoperative pain. But few studies are available about direct narcotic spillage into surgical field. The aim of this study was to check the efficacy of this method for analgesia in postoperative lumbar microdiscectomy.MethodsIn a randomized clinical trial, numbers of 100 patients were included into two equal groups due to low...

    Background & Aim: Epidural anesthesia is one of the anesthethic techniques for cesarean section. However, epidural anesthesia with lidocaine has some disadvantages such as delayed onset of action and short duration of analgesia. The goal of this study is to evaluate maternal sensory and motor blockade, neonatal Apgar score, and side effects of adding 50 and 100 mg tramadol to 2% lidocaine i...

آسیب حاد سر از علل شایع مراجع به بخش اورژانس مراکز درمانی می باشد. دو عارضه مهم این آسیب، هماتوم ساب دورال (sub dural hematoma sdh) و هماتوم اپیدورال (epi dural hematoma edh) می باشند که بطور عمده جهت تشخیص آنها از سی تی اسکن (ct scan) استفاده می شود. افتراق این دو نوع هماتوم از یکدیگر اهمیت زیادی دارد و قدرت افتراق سی تی اسکن در این دو مورد، از نظر مراجع مختلف، همواره مورد بحث و اختلاف نظر بود...

Background and Objective: The aim of this research was to compare the anesthetic effect of epidural lidocaine and tramadol and their combination in rabbit as a model for further research on methods of epidural anesthesia in humans. Materials and Methods: This experimental study was conducted on 12 New Zealand white rabbits that were divided into 3 groups of 4. In the first experimental group...

Epidural anesthesia for cesarean section in a patient with Hypertrophic Cardiomyopathy Aim and Background: The pathophysiologic changes of Hypertrophic Cardiomyopathy is complex and the physiologic changes of pregnancy and anesthesia for cesarean section have a great effect in the hemodynamic and it can even lead to maternal death. We report a 21-year pregnant woman with HCM who were candi...

                            Aim and Background:   Epidural anesthesia is an appropriate technique for managing labour Methods and Materials:   In volunteers with vertex position of single fetus which were in active Findings:   45 parturient entered the study. Mean VAS in 96% was less than 4 during all times. 23 Conclusions...

زمینه: یکی از شایع ترین علل مرگ در افراد بین 45-1 سال، آسیب تروماتیک مغز است. هدف از این مطالعه تعیین ارتباط یافته های سی تی اسکن مغزی با سطح هوشیاری، یافته های جراحی و سرنوشت بیماران مبتلا به خونریزی داخل مغزی ناشی از تروما است. روش ها: این مطالعه از نوع توصیفی- تحلیلی است و بر روی 41 بیمار ترومای سر مراجعه کننده به بیمارستان طالقانی کرمانشاه که دچار خونریزی مغزی واضح قابل رؤیت و اندازه گیری د...

مقدمه و هدف: امروزه عمل جراحی دیسک در ستون فقرات یکی از عمل های شایع جراحی بوده و دردهای پس از عمل یکی از مشکلات مهم این گونه بیماران می باشد. این دردها موجب تأخیر در ترخیص بیمار از بیمارستان شده و مانع از فعالیت های طبیعی آنان می گردد. استفاده از مخدرها پس از عمل به تنهایی قادر به تسکین موثر این دردها نبوده و روش های گوناگونی از جمله؛ استفاده از کورتیکواستروئیدها و مواد بی حس کننده را برای بهب...