3 research outputs found
Epidural anaesthesia and myomectomy-associated blood loss: — a prospective randomised controlled study
Objectives: The management of anaesthesia for patients with large myomas is particularly important due to disruption of hemodynamic as a result of massive haemorrhage, the prolonged duration of surgery and requirement for additional interventions. This study evaluated the effect of anaesthetic technique on blood loss in patients undergoing myomectomy due to large fibroid uterus.
Material and methods: A total of 156 patients that underwent myomectomy were randomized into two equal groups according to the type of anaesthesia: Epidural anaesthesia group and General anaesthesia group. The volume of blood loss and blood products transfusion was reviewed for each patient.
Results: The intraoperative blood loss and need for blood transfusion were significantly higher in general anaesthesia group (p < 0.001). The mean hematocrit change was 2.5 ± 1.5 vs 3.7 ± 2.9 % (p = 0.001) for both groups.
Conclusions: In the myomectomy planning of women with a large fibroid uterus, the team of gynecologists and anaesthesiologists should take care to choose the most optimal technique for anaesthesia
The effect of norepinephrine versus dopamine in renal transplant recipients on postoperative graft function
Finding the ideal vasopressor for use during the crucial phase of graft anastomosis is still an ongoing search to improve graft function in recipients of renal transplants. This study aimed to compare the effect of norepinephrine versus dopamine on renal graft function and postoperative serum creatinine. A randomized single-blind clinical trial of 44 patients was divided into two equal groups. Group N: norepinephrine infusion was used at a starting dose of 0.05μg/kg/min with dose range: 0.05–0.15 μ/kg/min and group D; dopamine infusion was used at a starting dose of 5μg/kg/min with dose range: 5–15 μ/kg/min. Postoperative serum creatinine and renal doppler resistive index, were compared between the two groups. There were significant differences within and between both groups over time regarding postoperative serum creatinine levels (group D, P-value Norepinephrine and dopamine have comparable effects on graft function in the renal recipient patients.</p