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Article
THE CLINICAL EVALUATION OF THE EFFECT OF XYLAZINE IN PREGNANT BUFFALOEs AND CATTLE
التقييم السريري لتأثيرالزايلازين على الحوامل في الجاموس والابقار

Author: M. J. Eesa محمد جواد عيسي
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: 18138497 Year: 2007 Volume: 6 Issue: 2 Pages: 37-41
Publisher: Basrah University جامعة البصرة

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Abstract

The object of this study was to investigate the effect of xylazine administration at dose of (0.05 mg/kg BW) intravenously in late pregnancy of buffaloes and cattle. Under xylazine as sedation and analgesia, accompanied with local anesthesia, rumenatomy were implemented on three hundred seventy two buffaloes and sixty four cattle. Eighty two and thirty five of these buffaloes and cattle were in late pregnancy respectively. The results of this study revealed that xylazine did not effect the buffaloes in late stage of pregnancy, but it cause abortion in late pregnancy in cattle at a percentage of 3.65%. Also there was individual variation of response to xylazine in both buffaloes and cattle. The latter appeared to be more sensitive to xylazine than buffaloes

ان اهداف هذة الدراسة هو معرفة تأثير حقن الزايلازين بالوريد وبجرعة(0,05ملغم/كغم ) من وزن الجسم في المرحلة الاخيرة من الحمل للجاموس والابقار.حيث تم تحت تأثير الزايلازين كمسكن ومسدر وبمساعده المخدر الموضعي,اجراء عمليه فتح الكرش 372 من الجاموس و64 من الابقار,وكانت 82و35 من الجاموس والابقار على التوالي في المراحل الاخيرةمن الحمل. بينت نتائج الدراسة ان الزايلازين لم يحدث تاثير على الحمل في الجاموس ولكن سجلت حالتين للأجهاض وبنسبه3,65% في الابقار.وكذلك فأن هنالك اختلافات واضحه للاستجابة للزايلازين في كلا من الجاموس والابقار و تبين بأن الاخيرة اكثر حساسيه للزايلازين من الجاموس

Keywords

Intravenous --- Abortion --- Xylazine


Article
Evaluation of Nurses Practices Regarding Intravenous Medications Administration at Raparin Pediatric Teaching Hospital /Erbil city
تقويم الممارسات التمریضية لإعطاء الدواء عن طريق الوريد في مستشفى رابرين التعليمي للأطفال في مدينة أربيل

Authors: Gulala Kareem Azeez --- Dr.Norhan Zaki Shaker
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2017 Volume: 7 Issue: 2 Pages: 1-9
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: Intravenous medication administration practices errors are the most common errors among hospitalized children. Objectives: to assess intravenous antibiotic medication administration errors by nurses.Methodology: An exploratory study conducted at Raparien pediatric teaching hospital in Erbil City of Iraqi Kurdistan region from December 17th 2012 to December17th 2013. A purposive sample consists from 35 nurses working in three shifts of work, each nurse was observed during five procedures of intravenous antibiotic medication administration to hospitalized children. A questionnaire format consist from two parts the first part for socio-demographic data collection and the second part was an observational checklist concerning intravenous antibiotics medication administration procedure used for observing the nurses. The data was analyzed through using descriptive and inferential statistical analysis. Results: The study findings had revealed that the highest percentages of nurse's errors were in the intravenous medication administration phase and most of nurses have errors of; inappropriate medication calculation, not washing hand, not monitoring patient before and after medication administration. There was significant relationship between nurse’s characteristics, professional background and intravenous antibiotic medication administration errors. Conclusion: Majority of nurses practice intravenous antibiotic medication administration incorrectly in regarding to right dose and right documentation. Most of nurses weren’t washing their hands before and after each procedure.Recommendations:Researchers recommended establishment of training course for nursing staffs for improving their knowledge and practices that will help avoid medication errors. Having standard guidelines of intravenous medication administration in each unit .Provide medication preparation rooms with adequate guideline as posters in order to revitalize nurse’s knowledge regarding appropriate medication preparation.Keyword: Intravenous, administration, evaluation, practice

خلفية البحث:إن الممارسات التمريضية الخاطئة لإعطاء الدواء عن طريق الوريد من أكثر الأخطاء شيوعا لدى الأطفال الراقدين في المستشفى.الهدف:تهدف الدراسة الى تقويم أخطاء إعطاء المضادات الحياتية عن طريق الوريد من قبل الممرضات للأطفال.المنهجية: تم إجراء دراسةوصفية في مستشفى رابرين التعليمي للأطفال في مدينة أربيل لأقليم كردستان العراق في الفترة من١٧ كانون الثاني لعام ٢٠١٢ ولغاية ١٧ كانون الثاني من عام ٢٠١٣. تم إختيار عينة غرضية مكونة من 35 ممرضة وممرض ممن يعملون في وجبات العمل الثلاثة لمستشفى رابرين, تم ملاحظة كل ممرضة وممرض خلال خمس ممارسات لإعطاء المضادات الحياتية عن طريق الوريد للطفل الراقد في المستشفى .أستخدمت الباحثة إستمارة إستبيانية معدة لغرض جمع المعلومات تتألف من جزأين الجزء الأول: يشمل المعلومات الديموغرافية والجزء الثاني: يشمل إستمارة رصد للممرضات أثناء إعطاء المضاد الحياتي عن طريق الوريد للأطفال.تم تحليل نتائج الدراسة بإستخدام الوسائل الأحصائية الوصفية والإستنتاجية.النتائج:أعلى نسبة من الممرضات والممرضين لديهم أخطاء في قياس الجرعة الدوائية الغير الصحية, عدم غسل اليدين ,عدم تفحص المريض قبل وبعد إعطاء الدواء. وأشارت الدراسة الى وجود دلالة احصائية معنوية بين الخصائص الوظيفية للممرضة والممرض و أخطاء إعطاء المضاد الحياتي عن طريق الوريد.الاستنتاج:أكدت الدراسة بان غالبية الممرضات يمارسن عملية إعطاء المضاد الحياتي عن طريق الوريد بشكل خاطىء من حيث إحتساب الجرعة الصحيحة ،التوثيق الصحيح للعملية وعدم غسل اليدين قبل وبعد عمليةإعطاء المضاد الحياتي عن طريق الوريد.التوصيات: أوصت الباحثة بإقامة دورات تدريبية للممرضات والممرضين العاملين في مستشفى رابرين للأطفال حول إعطاء الدواء,وكذلك إعداد دليل عملي لإعطاء الدواء. وتهيئة وتوفير غرفة خاصة لتحضير الدواء مزودة بإعلانات وإرشادات كافية لأنعاش معارف وممارسات ممرضات حول الطريقة الصحيحة لتحضير الادوية.


Article
Indications of IV Fluids in Medical City

Authors: Bassam Hameed Al-Jarrah --- Zeena Muthafer Al-Nema
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 380-383
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Intravenous (IV) fluids are the most commonly used drugs in the inpatient wards and the emergency units. They are not usually dealt with as a medication, and are frequently prescribed even by junior doctors and even the nursing staff. Serious side effects and complication may arise from this practice.OBJECTIVES:To evaluate the indications of IV fluid prescription in the Medical City.METHODS:A cross-sectional study of the use of IV fluids in surgical wards and emergency units in the Medical city in Baghdad during a period of ten weeks. Two hundreds and ninety three patients were collected. Studying the indication for prescription, monitoring of the patients, combinations and role of pharmacists.RESULTS:Most common IV fluid used was glucose water (28.3%). The most common indication in the emergency unit was vomiting and diarrhea (19.1%). While in the inpatient wards, routine postoperative hydration was the commonest indication for IV fluid (13.6%). Unnecessary or wrong uses were recorded in number of cases (36.8). Deficient monitoring of patients on IV fluids was noticed in most cases (95%). No apparent role for the clinical pharmacist in this respect was reported.CONCLUSION:There was a quiet high ratio of unnecessary or wrong use of IV fluids and also a high ratio of low or deficient monitoring of patients that necessitate more attention by the specialists and more supervision to the practice of IV fluid prescription.


Article
Drugs combination in total intravenous anesthesia Propofol-ketamine Vs. propofol-fentanyl

Author: Ahmed Haki Ismael
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 4 Pages: 318-324
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Keeping in consideration the benefits of total intravenous anesthesia (TIVA), a genuine attempt was made to find the ideal drug combination which can be used in general anesthesia. Objectives: This study was conducted to evaluate and compare two drug combinations of TIVA using propofol-ketamine and propofol-fentanyl and to study the induction, maintenance and recovery characteristics following anesthesia with these techniques. Patients and Methods: A case comparison study (Clinical Trial) was conducted, which included 100 patients, which randomly allocated in two equal groups.A hundred patients between the ages of 20 and 50 years of either gender were divided into two groups of 50 each, and they underwent elective surgery of approximately 1 hour duration. Group K received propofol-ketamine while group F received propofol-fentanyl for induction and maintenance of anesthesia. All the results were tabulated and analyzed statistically with student's unpaired t-test and chi-square test. Results: Propofol-fentanyl combination produced a significantly greater fall in pulse rate (PR; 9.28% versus 0.23%) and in both systolic (7.94% versus 0.12%) and diastolic blood pressures (BP; 8.10% versus 0.35%) as compared to propofol-ketamine during induction of anesthesia. Propofol-ketamine combination produced stable hemodynamic during maintenance phase while on the other hand propofol-fentanyl was associated with a slight increase in both PR and BP. During recovery, ventilation score was better in group K while movement and wakefulness score was better in group F. Mean time to protrusion of tongue and lifting of head was shorter in group K. Conclusion: Both propofol-ketamine and propofol-fentanyl combinations produce rapid, pleasant and safe anesthesia with only a few untoward side effects and only minor hemodynamic effects.Keywords: Propofol-ketamine, propofol-fentanyl, total intravenous anesthesia


Article
Effect of Administration of Crystalloid I.V Fluids Preoperatively on Postoperative Nausea and Vomiting
تأثير إعطاء محاليل وريدية جزيئية قبل العملية على شدة الغثيان والتقيؤ بعد العملية

Authors: Zeena Muthafar Al-Nema زينة مظفر النعمة --- Samer Imad Mohammed سامر عماد محمد --- Fadia Thamir Ahmed فادية ثامر احمد
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 4 Pages: 339-342
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: postoperative nausea and vomiting are the most common complications of surgery and recent studies suggest that dehydration may be a precipitating factor in the occurrence of postoperative nausea and vomiting.Objective: to test the hypothesis that large volume preoperative IV fluid therapy attenuates postoperative nausea and vomiting.Methods: using nausea and vomiting scale. The nausea and vomiting were measured in 120 postoperative patients who were undergone different major surgeries and either received large volume preoperative IV fluid therapy or did not receive IV fluid therapy in the Medical City, Al-Yarmouk, and Al-Karama Teaching Hospitals, in Baghdad.Results: the overall incidence of postoperative nausea and vomiting in the 1st five hours was not significantly p(>0.05) reduced in patients who received preoperative IV fluids when compared with those who did not.Conclusion: postoperative nausea and vomiting are not affected by administration of large volume preoperative IV fluid therapy to surgical patients.Keywords: Intravenous fluids, postoperative nausea and vomiting.

خلفية الدراسة: يعد الغثيان والتقيؤ بعد العملية من أهم مضاعفات التداخل الجراحي وقد أظهرت دراسات حديثة ان الجفاف قد يكون عامل أساسي لحدوث الغثيان والتقيؤ بعد العملية.الهدف: اختبار النظرية التي تفيد بان كميات كبيرة من المحاليل الوريدية تقلل من الغثيان والتقيؤ بعد العملية.الطرق: باستخدام مقياس شدة التقيؤ والغثيان, أجريت الدراسة على 120 مريض تعرضوا لمختلف التداخلات الجراحية وقسمت العينة الى مجموعتين الاولى لم تعطى محاليل وريدية والثانية أعطيت المحاليل الوريدية في المستشفيات التعليمية: مدينة الطب, اليرموك, الكرامة في بغداد.النتائج: بينت الدراسة إن إعطاء المحاليل الوريدية قبل العملية لا يقلل من الغثيان والتقيؤ بعد العملية خلال الخمس ساعات الأولى بعد العملية في العينة التي أعطيت المحاليل الوريدية عند مقارنتها بالعينة التي لم تعطى المحاليل الوريدية.الاستنتاجات: الغثيان والتقيؤ بعد العملية لا تقل بإعطاء كميات كبيرة من المحاليل الوريدية للمرضى قبل العملية.


Article
Laparoscopic Treatment of Simple Renal Cyst

Authors: Almarzooq. W. A. --- Alkafajy. M. M.
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 3 Pages: 641-647
Publisher: Babylon University جامعة بابل

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Abstract

Introduction. Renal cysts are a very common condition that can occur at any age from newborn to the elderly. Simple renal cysts are generally diagnosed incidentally on sonography, computed tomography (CT) scans, or intravenous urography performed for urinary tract or other abdominal problems.Patients and Method.During the period of Nov 2011 to Oct 2012, 30 patients (mean age 60 years; range 42–77 years; 17 men and 13 women) with symptomatic, voluminous renal cysts were encountered in this study. The size of the cyst was ranging between 10 - 17 mm (mean 14mm). All patients were studied with ultrasound, excretory urography, and contrast enhanced CT scans. In this series, all cysts were of type I according to the Bosniak classification.Transperitoneal laparoscopic deroofing technique was used.Results.The operation was successfully completed laparoscopically in all cases with no conversion to open surgery. There were no major perioperative complications. Two cases only developed ileus postoperatively and stayed for 3 days, this was due to some colonic adhesions that required more dissection. Hospital stay was 2days (range, 1-3 days). After 12 months period of follow up, clinical improvement (disappearance of symptoms) was observed in 25 patients (84.4%). There were 4 patients who continued had lumber pain post operatively and this could be due to that the patient's symptom already due to backache and not related to the cyst. Only 1 patient had increased hydronephrosis that required percutaneous nephrostomy.Conclusions.Laparoscopic deroofing of large simple renal cysts is an efficacious, safe and less invasive method of treatment and is recommended as a primary treatment for symptomatic simple renal cysts.

المقدمة. الاكياس الكلوية هي حالة مرضية شائعة جدا حيث من الممكن أن تصيب مختلف الأعمار من الأطفال حديثي الولادة إلى كبار السن. عادة يتم تشخيص الاكياس الكلوية البسيطة عن طريق الصدفة بواسطة الفحص بالموجات فوق الصوتية ، المفراس، أو التصوير الملون للجهاز البولي حيث تجرى هذه الفحوص للتحري عن مشاكل اخرى الجهاز البولي او البطن.المرضى و طريقة العمل. خلال الفترة من تشرين الثاني 2011 إلى تشرين الأول 2012 ، تم دراسة ثلاثون مريضا يعانون من كيس الكلية البسيط, تراوحت اعمارهم بين 42 و77 سنة (متوسط العمر 60 سنة)حيث توزعوا بين 17 ذكر و 13 انثى. بلغ متوسط قطر الكيس 14سم. أخضع جميع المرضى المشمولين بالدراسة لفحص الموجات فوق الصوتية للبطن، التصوير الملون للجهاز البولي ،و أشعة المفراس الملونة ، كانت جميع الاكياس من النوع الأول (كيس بسيط) وفقا لتصنيف بوسنياك. وبعد اجراء الفحوص الروتينية للمرضى تم اجراء العملية تحت التخدير العام باستخدام جهاز المنظار حيث تم اجراء استئصال سقف للكيس وسحب السائل من داخله.النتائج. تم إكمال العملية بنجاح عن طريق المنظار في جميع الحالات مع عدم وجود تحويل لعملية فتح البطن. لم تكن هناك مضاعفات كبيرةقبل, اثناء او بعد العملية. هنالك حالتين فقط كسل الامعاء بعد العملية مما تطلب بقائهما في المستشفى لفترة 3 أيام ، وتم علاجهما علاجا تحفظيا.تراوحت مدة رقود المريض في المستشفى بين 1-3 أيام اي بمتوسط حوالي يومين فقط. بعد فترة 12 شهرا من المتابعة، لوحظ تحسن سريري ( اختفاء الأعراض ) في 25 مريضا ( 84.4 ٪ ) . اربعة مرضى فقط هم الذين استمروا يعانون من الم في الخاصرة. وكان هناك مريض واحد فقط عانى من زيادة موه الكلية و الذي تطلب اجراء عملية تفويه الكلية عن طريق الجلد .الاستنتاجات. عملية استئصال سقف كيس الكلية البسيط بالمنظارهي وسيلة فعالة وآمنة و أقل عدوانية و ينصح بها كطريقة أساسية لعلاج الاكياس الكلوية البسيطة.


Article
Intravenous Immunoglobulin Therapy in Postpoliomyelitis Syndrome

Author: Saad Kazim Karim
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2019 Volume: 16 Issue: 1 Pages: 79-80
Publisher: Babylon University جامعة بابل

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Abstract

Postpoliomyelitis syndrome is a new neurological disorder seen in individuals who survive remote poliomyelitis. An adequate diagnosis is importantfor treatment and prognosis. The diagnosis of postpoliomyelitis syndrome might be difficult as the diagnosis mostly depends on the patient’s subjectivedescription of the symptoms. The diagnostic criteria primarily depend on new and progressive muscle weakness, muscle fatigue, general fatigue, andpain in the absence of other disorders which may be similar to this syndrome. Furthermore, the postpoliomyelitis syndrome patients have reachedan age when concomitant diseases are common. The possible etiology is that this entity of paralysis can be exploited by slowly progressive distalneuronal degeneration. Interestingly, this patient had primary upper limb polio paralysis and then new slowly progressive asymmetrical, muscleweakness in the contralateral lower limb. Few clinical trials using human intravenous immunoglobulin (IVIG) and pyridostigmine gave controversyabout a specific treatment. In this case, we tried an IVIG therapy, but the weakness was progressively worsening and there was more atrophy in themuscle bulk of the affected muscle group. However, supportive treatment is also important to be planned. The aim of this case report is to describethe complexity of the diagnosis and treatment of such cases of the postpoliomyelitis syndrome in comparison to relevant literature.


Article
The role of ultrasound and intravenous urography in evaluating patients with hematuria
دور اشعة المسالك البولية عن طريق الوريد والموجات فوق الصوتية في تقييم المرضى الذين يعانون من بيلة دموية

Authors: Ayad Faraj Rasheed --- Ahmad Noah Hamudi
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 2 Pages: 249-256
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Intravenous urography is a radiographic examination in which anatomic and physiologic abnormalities of the urinary tract are detected by obtaining a timed series of imaging of the abdomen and pelvis after the injection of intravenous "IV" iodinated contrast media. This study aimed to measure the diagnostic validity of ultrasound and intravenous urography in the hope of omitting unnecessary intravenous urography and to determine whether ultrasound could help to replace the intravenous urography in the diagnosis of hematuria. Patients and methods: A prospective hospital based study was performed from 15th April 2015 to 15th April 2016 on 100 patients presenting to Rizgary Teaching Hospital with hematuria, all patients underwent a real time ultrasound examination of the urinary tract followed by an intravenous urography. The diagnostic validities were recorded and compared for each modality.Results: Ultrasound had higher sensitivity than intravenous urography for diagnosis of kidney calculi, lower ureteric calculi, and urologic neoplasms, but in calculi of the middle and upper ureter, there was no difference between ultrasound and intravenous urography.Conclusion: Our results are in favor of using ultrasound in the initial evaluation of hematuria. However, we must choose our diagnostic tool according to the patient's condition and suspected disorders causing hematuria, as ultrasound can be safely done and hence minimizing the exposure of the patient and medical staff to excessive radiation.


Article
Inhalational Anaesthesia Versus Total Intravenous Anaesthesia During a Rigid Bronchoscopy in Paediatrics

Author: Osama Haider Al-Hassani
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2014 Volume: 13 Issue: 4 Pages: 504-508
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND :General anaesthesia is routinely used for rigid bronchoscopy in paediatrics for different causes. Both methods of anaesthesia were used inhalational and total intravenous anaesthesia (TIVA).OBJECTIVE:Is to compare inhalational anaesthesia with total intravenous anaesthesia (TIVA) for rigid bronchoscopy in paediatric age group in regard to the heart rate, oxygen saturation, coughing, bucking, laryngeal spasm and bronchospasm.PATIENT AND METHOD:Thirty patients aged 2-6 years were chosen, divided randomly in two groups. In group I ( inhalational anaesthesia) consisted of 15 patients and the anaesthesia was maintained with halothane while in group II use (total intravenous anaesthesia) TIVA was consist of 15 patients and anaesthesia was inducd and maintained with remifentanyl and propofol. The heart rate, oxygen saturation, coughing, laryngeal spasm and bronchospasm were evaluated during and after the procedure.RESULT:Blood oxygenation and Heart rate were more stable in group II (P=0.045 and P=0.024 respectively). There were slightly less cough and bucking in group II as compare with group I.CONCLUSION:TIVA is a good choice of anaesthesia during rigid bronchoscopy because of a good and stable level of blood oxygenation and heart rate. Coughing, bucking, laryngeal spasm and bronchospasm were less in TIVA group compare with inhalational group.


Article
Recovery and Vomiting after Pediatric Tonsillectomy with or without Adenoidectomy: Comparison between TIVA using Propofol and Thiopentone Induced Halothane Maintained Anesthesia

Author: Hasan Sarhan*, Ahmed Saeed Abdullah**
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 2 Pages: 122-128
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Vomiting in the first few hours after recovery is considered as the main factor that delayed hospital discharge in pediatric outpatient surgery . Children having tonsillectomy with or without adenoidectomy operations have a high incidence of vomiting. Propofol has a short duration of action with rapid recovery and a proved antiemetic effect. Using propofol in total intravenous anesthesia, the incidence of vomiting is lower than the traditional thiopentone induced halothane maintained technique.OBJECTIVE: The aim of the study is to compare recovery characteristics and vomiting between total intravenous anesthesia using propofol as the sole anesthetic agent with the anesthetic technique using thiopentone for induction and halothane for maintenance to assess which is more suitable for outpatient pediatric surgery.PATIENTS AND METHOD:Forty healthy unpremedicated children, ASA Ӏ, aged 7-12 years undergoing tonsillectomy with or without adenoidectomy were randomly allocated into 2 groups. Group (1) children were induced with 2-3 mg.kg-1 propofol while group (2) children were induce with thiopentone 5-6 mg.kg-1 . Maintenance was 0.2 mg.kg-1 propofol in group (1) and 0.8% halothane in group (2). Both groups received 0.5mg.kg -1 atracurium to facilitate intubation and maintain muscle relaxation. Oxygen 100% was administered to both groups. Other treatment and procedures were standardized intra and postoperatively . Extubation time, time for spontaneous eye opening and the state of recovery after thirty minutes were compared. Results of postoperative vomiting were analyzed in the first 6 hours and beyond that. RESULTS: Extubation time in group (1) was 4.75 ± 0.89 minutes and in group (2) it was 8.87 ± 1.86 minutes. The time for spontaneous eye opening in group (1) was 5.5 ± 1.22 minutes and in group (2) it was 13.125 ± 1.69 minutes. Both were significantly different . Nevertheless, both groups had a comparable modified Aldrete score which consists of 10 points and a score of 8-10 is considered ready to discharge to the general care unit. All patients in group (1) had a score of 10, while 1 patient had a score of 10, 14 patients with 9 and 5 patients with 8 in group (2). The incidence of vomiting in the first 6 hours after recovery was significantly lower in group (1) as well as the incidence after 6 hours. The same is applied to the incidence of recurrent vomiting (˃ 1 attack) in the first 6 hours, while recurrent vomiting after 6 hours were comparable in both groups. The overall incidence of recurrent vomiting was 35% in group (2) and 0% in group (1).CONCLUSION: Despite a comparable recovery, propofol has a lower incidence of vomiting after tonsillectomy with or without adenoidectomy in healthy children than thiopentone induced halothane maintained anesthesia and is more suitable for outpatient pediatric surgery..

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