In patients with severe carotid artery stenosis who developed transient ischemic attack, carotid endarterectomy is one of the most effective treatments. In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic complications during the intra-operative period. Experienced staff can perform simultaneous bilateral carotid endarterectomy safely in c...

In patients with advanced stages of cancer, severe pain is commonly encountered and is very difficult to treat. It affects the quality of life of the patient and the families involved. Pain can be managed using analgesics and adjuvant therapy. However, studies have shown that at least 10%-15% of patients fail to control pain adequately and will experience severe pain. We discuss the case of a 6...

Background: Nalbuphine is a derivative of 14-hydroxymorphine which is a strong analgesic with mixed k agonist and μ antagonist. Nalbuphine was studied several times as adjuvant to local anesthetics in spinal, epidural and local intravenous block. The aim of this study was to evaluate the effect of nalbuphine as an adjuvant to local anesthetics in supraclavicular brachial plexus block. Patients ...

Objectives: Alpha-2-receptor agonist has been used as an additive to local anaesthetics for various regional anaesthetic techniques. We compared clonidine and dexmedetomidine as an adjuvant to local anaesthetic agent in ultrasound guided axillary brachial plexus block with respect to hemodynamic parameters, onset and duration of sensory, motor block and duration of analgesia. Methods: Ultrasoun...

Background and Objectives: Patients undergoing thyroid surgery need postoperative pain management. Bilateral superficial cervical plexus block (BSCBs) has been shown to improve postoperative analgesia. The objective of this study was to assess its analgesic efficacy in the first 24 hours after thyroid surgery alone and when combined with bilateral deep cervical plexus block (BDCBs). Methods: We...

Introduction: Lignocaine with adrenaline is used with local anaesthetics to improve the onset and increase the duration of nerve block. The present study aimed to evaluate it's effect when used together with ropivacaine. Objective: To evaluate the effect of adding 2% lignocaine with adrenaline to 0.5% ropivacaine, for supraclavicular brachial plexus blockade on the onset and duration of sensory...

BACKGROUND The knowledge of EUS use in children is limited. OBJECTIVE We investigated the indications, feasibility, safety, and clinical utility of EUS in the management of pediatric GI, pancreatobiliary, and mediastinal diseases. DESIGN Retrospective study. SETTING Two tertiary referral university hospitals. PATIENTS Consecutive children age younger than 18 years referred over a 7-year...