Pre-emptive nebulization of lidocaine epinephrine before anesthesia for rigid bronchoscopy in pediatric: a randomized controlled study

Background: Foreign body aspiration in pediatrics is usually managed by rigid bronchoscopy, which is associated with plenty of adverse events. Objective: We tried to compare the effect of nebulized saline, lidocaine or combined lidocaine with epinephrine on postoperative respiratory complications.Patients and methods: This prospective study included 90 children, who were divided into three groups according to the nebulized solution; NS group (normal saline 0.9%), L group (lidocaine 1% 4 mg.kg- 1) and LA group [4 mg.kg- 1 lidocaine 1% and adrenaline (1:1000) 3 mg). Our primary outcome was the incidence of post-operative respiratory complications, while the secondary ones included hemodynamic changes and the incidence of intraoperative cough or desaturation. Results: All pre-procedural data were insignificant among the three groups. The LA group expressed higher heart rates, while the L group showed a significant reduction when compared to NS group. Propofol consumption showed a significant decline in two studied groups compared to the NS group. Intraoperative cough was higher in NS group in comparison to L and LA groups. Although, intraoperative desaturation per case along with post-operative sedation showed no significant difference among the three groups, post-operative cough frequency attacks and severity were higher in NS group when compared to L and LA group and when L group were compared to LA group. Post-operative stridor was insignificant among the three groups.Conclusion: Nebulized lidocaine/adrenaline combination is appropriate option to achieve proper intraoperative sedation and upper airway conditions with reduction of post-operative negative respiratory outcomes together with minor hemodynamic changes

Nanosized Supramolecular Coordination Polymers Derived from Divalent Metal Ions, 4-Pyridylacetate and Auxiliary Ligands Containing Nitrogen and Phosphorus Donors

A series of coordination polymers of Co(II), Ni(II), Cu(II) or Cd(II) comprising 4-pyridylacetate (pya) and certain auxiliary ligands including benzimidazole (Hbzim), 1,10-phenanthroline (phen), 2,2'-bipyridine (2,2'-bipy),  2-amino-4-methylthiazole (A-Mtz), quinazole (Quz), 2,5-dimethylpyrazine (dpmz), bis(diphenylphosphino)methane (dpm), 1,2-bis(diphenylphosphino)ethane (dpe) and 1,3-bis(diphenylphosphino) propane (dpp) were prepared  and characterized by spectroscopic, magnetic and  thermal techniques. In these coordination polymers 4-pyridylacetate coordinates to the metal ions in a monodentate fashion through the carboxylate oxygens and/or the pyridyl nitrogen. Octahedral structures around the metal ions were suggested for all the complexes. The kinetic analyses of the thermal decomposition of the complexes were studied using the Coats-Redfern equation. The kinetic and thermodynamic parameters of the thermal decomposition were also calculated and discussed. From the X-ray powder diffraction data, the crystal parameters as well as the particle sizes (15.7-18.7 nm) of the complexes could be evaluated. Some of the compounds exhibit catalytic activity. The biological activity of the compounds was screened as well. DOI: http://dx.doi.org/10.17807/orbital.v13i1.155

New Mixed Ligand Complexes of Ditertiary Phosphanes with Ni(II) Alkylxanthates

Mixed Iigand complexes of Ni(II) with alkylxanthates and ditertiary phosphanes of the composition Ni(ROCSSb(diphoshhave been prepared, where R = methyl, ethyl, propyl, butyl, and cyclohexyl and diphos = bis(diphenylphosphino)ethane (dpe) and bis- (diphenylphosphino)butane (dpb). The newly prepared compounds were characterized on the basis of chemical analyses, infrared and electronic spectra, lH-NMR, molar conductance, and thermal analysis. A square planar structure was proposed for the complexes

Analgesic Effect of Intra-Articular Dexamethasone versus Fentanyl added as an adjuvant to Bupivacaine for Postoperative Pain Relief in Knee Arthroscopic Surgery

Background: Knee arthroscopy is usually associated with a variable degree of pain ranging from moderate-to-severe pain in about 70% of patients. Objective: This trial was designed to assess the efficacy of intra-articular administration of dexamethasone versus fentanyl as adjuncts to bupivacaine in patients undergoing arthroscopic knee surgery. Patients and methods: Eighty-nine patients of either sex were enrolled in this study. The patients were randomly divided into three equal groups. Group F that received intra-articular (IA) injection of 1 μg/kg fentanyl (In 2 ml saline) added to 18 ml of 0.25% bupivacaine, group D, which received IA injection of 8 mg (2 ml) dexamethasone added to 18mL of 0.25% bupivacaine and group S that received IA injection of 2 ml normal saline added to 18 mL of 0.25% bupivacaine. Results: The time required for the first request of analgesia in group F, group D, and group S was 5.7 ± 0.7 vs 4.5 ± 0.5 vs 3.3 ± 0.5 hours respectively. There were significant differences between both treatment groups and the control group (p < 0.001) and in between both treatment groups (p < 0.001) in favor of group F. There was a significantly lower median visual analogue score in group F when compared to group D and S at 6 hours (p = 0.006 & 0.01, respectively), 12 hours (p < 0.001 & < 0.001, respectively), and 18 hours (p = 0.003 & 0.007, respectively) postoperatively. Conclusion: The addition of fentanyl or dexamethasone to IA bupivacaine in knee arthroscopic surgery provided a better quality of analgesia with less consumption of systemic analgesics without significant adverse effects

Does ultrasound-guided continuous suprascapular nerve block affect frozen shoulder rehabilitation programme outcome?

Background: Physical therapy (PT) is often recommended for patients with frozen shoulder. However, it could be painful for some patients, and this could hinder the rehabilitation programme. Some procedures like joint injection and suprascapular nerve block (SSNB) could alleviate pain during this setting. Objective: The purpose of this study was to compare the effectiveness of continuous SSNB plus PT compared to PT alone in managing frozen shoulder.Patients and methods: A total of 76 patients with frozen shoulder were included in this study. They were divided into two groups: 38 patients in the injection group (IG) received SSNB via catheter before PT, while the remaining 38 participants in the control group (CG) received no block prior to PT (CG). The functional state of the shoulder joint was assessed via the constant shoulder scale before and just after PT, then one month later.Results: General patient characteristics, including age, gender, BMI, comorbidities, and trauma history, were statistically comparable between the two groups. When we examined the constant scores of the two groups, we found that both had low scores before treatment, which increased immediately after treatment and then increased again one month later. Nonetheless, the injection group had a much greater increase than the control group.Conclusion: When used with PT for the treatment of adhesive capsulitis, continuous SSNB is an effective option that enhances the response to PT. It is associated with better improvement in shoulder function

Nonlinear optical studies of Oligomers dyades of polyphenylene using Open aperture z-scan technique

National audienc

Nonlinear optical studies of Oligomers Anisole dyades by Open-aperture z-scan technique

International audienc