Hosam Atef

• Associate professor of anesthesia &ICU
• Professor (Assistant) at Suez Canal University

Purpose Acupuncture ameliorates several pain disorders including postoperative pain. This can help to decrease the need for postoperative analgesics. We aimed to evaluate the effectiveness of acupuncture as an adjuvant scheme reduce both intraoperative and postoperative analgesia needs in children undergoing adenotonsillectomy. Methods This was a...

Background The field of pediatric pain management has changed greatly in the past decades. However, the number of children who experience moderate-to-severe postoperative pain, even with analgesic treatment, remains significant. If an intravenous or inhalational anesthetic would include in itself all components of general anesthesia, such as hypnos...

Background: The field of pediatric pain management has changed greatly in the past decades. However, the number of children who experience moderate-to-severe postoperative pain, even with analgesic treatment, remains significant. If an intravenous or inhalational anesthetic would include in itself all components of general anesthesia, such as hypno...

Background: Sepsis syndrome is a significant health care challenge with documented mortalities ranging from 23-46% depending on the phase of disease process assessed. There is a mounting proof that evidence-based interventions decrease sepsis-related mortality.

Introduction: There are a limited number of studies that compared Rocuronium as additive to local anesthetic mixture in cataract surgery using peribulbar technique; but none of these studies evaluated the duration of block.

Background: Ventilation-associated pneumonia (VAP) is the most frequent infection occurring in patients after admission to the intensive care unit. It is defined as pneumonia occurring more than 48 hours after patients have been intubated and received mechanical ventilation. Aim: To improve care of intubated and ventilated patients in ICU. Methods:...

Abstract Background: No perfect method exists for identifying intravascular catheters all methods described in the literature have incidence of false positive and false negative results. Aim: To evaluate the efficacy of dexmedetomedine as an Indicator for Intravascular Epidural Catheter in adult during General Anesthesia. Methods: Forty patients sc...

Introduction Doubts still remain concerning the use of supraglottic airway devices with positive pressure ventilation. Malpositioned Laryngeal Mask Airway may not always be apparent. A fiber-optic endoscope can be used to determine an accurate position. Methods 74 patients Aged 20–60 years were selected to undergo general anesthesia. With positive...

Background and Objectives: Melatonin and Ketorolac delay and minimize intraoperative tourniquet pain when used as premedication to lidocaine-based intravenous regional anesthesia (IVRA). It is unclear if Melatonin is more effica-cious compared with Ketorolac. This study compared intra-operative tourniquet pain, postoperative analgesia, and side eff...

Objective: To assess serum resistin levels as a predictor of outcome in ICU patients with traumatic head injuries at Suez Canal University Hospital, to improve outcomes in such patients. Patients and Methods: In total, 48 patients with severe traumatic brain injury (TBI) were included. Plasma samples were obtained on admission and at days 3 and 5 a...

Context Rational: Several techniques have been proposed to prevent or attenuate the hemodynamic responses following laryngoscopy and intubation, preoperative melatonin has a significant analgesic and anxiolytic effect for patients undergoing surgery. Melatonin may play an important role in controlling hypertension also in humans. The current study...

Purpose: To determine which of the two transversus abdominis plane (TAP) block formulations (Bupivacaine, Bupivacaine-Morphine) has the most beneficial effect on the postoperative analgesia for 24hrs after Inguinal Herniorrhaphy. Methods: Thirty-six patients undergoing inguinal hernior-raphy with preset criteria after obtaining a written informed c...

Background: The responsibility of the anesthesiologist is to maintain airway patency for better oxygenation. Perhaps the most dangerous incident for the anesthesiologist, are encountering the scenario in which intubation and ventilation in a patient are impossible. The study of mask ventilation is far more limited. The first significant manuscript...

Aim of the work To compare KMG versus EMG neuromuscular monitoring in pediatric patients receiving cisatracurium during general anesthesia. Methods After approval of the protocol by Ethics Committee 24 pediatric patients of both sexes aged 2-6 years, with a maximum weight 20 kg, were included in the study. Monitoring equipments (Datex-Ohmeda A/S 5™...

3AP1-4 Kinemyography (KMG) versus electromyography (EMG) neuromuscular monitoring in pediatric patients receiving Rocuronium during general anesthesia Abdel-Ghaf far M., Ismail S., Omera M., Atef H., Abdel-Aziz M. Suez Canal Universit y, Dept of Anaesthesiology & Intensive Care, Ismailia, Egypt Rationale: There is a limited number of studies that c...

Perfusion index (PI) is a non-invasive numerical value of peripheral perfusion obtained from a pulse oximeter. In this study, we evaluated the efficacy of PI for detecting haemodynamic stress responses to insertion of i-gel, laryngeal mask airway (LMA) and endotracheal tube and compare, its reliability with the conventional haemodynamic criteria in...

Background: The reliability and success of caudal epidural anesthesia depends on anatomic variations of sacral hiatus (SH) as observed by various authors. SH is an important landmark during caudal epidural block (CEB).The purpose of the present study was to clarify the morphometric characteristics of the SH in human Egyptian dry sacra and pelvic ra...

Objective: to compare two different supraglottic airway devices, the laryngeal mask airway (LMA) and the I-gel, regarding easiness of insertion of the device, leak pressure, gastric insufflation, end tidal Co 2 , oxygen saturation, hemodynamic and postoperative complications in anesthetized, spontaneously ventilated adult patients performing differ...

To determine the dose of hyperbaric bupivacaine 0.5% required for unilateral spinal anesthesia during diagnostic knee arthroscopy. This prospective, randomized, clinical study was performed in 80 patients who were assigned to four groups to receive different doses of intrathecal hyperbaric bupivacaine (5 mg, 7.5 mg, 10 mg and 12.5 mg in Groups 1, 2...

Purpose: To determine which of the two transversus abdominis plane (TAP) block formulations (Bupivacaine, Bupivacaine-Morphine) has the most beneficial effect on the postoperative analgesia for 24hrs after Inguinal Herniorrhaphy. Methods: Thirty-six patients undergoing inguinal hernior-raphy with preset criteria after obtaining a written informed c...

Background: Postoperative pain control has been studied extensively, including many perioperative pain control procedures. Unfortunately, the impact of the surgical technique was not objectively studied. Aim: The aim of this study is to evaluate if the type of surgical dissection needed for extensive abdominal wall dissection actually has an effect...

Postoperative pain control has been studied extensively, including many perioperative pain control procedures. Unfortunately, the impact of the surgical technique was not objectively studied. The aim of this study is to evaluate if the type of surgical dissection needed for extensive abdominal wall dissection actually has an effect in the reduction...

To compare two different supraglottic airway devices, the laryngeal mask airway (LMA) and the I-gel, regarding easiness of insertion of the device, leak pressure, gastric insufflation, end tidal CO(2), oxygen saturation, hemodynamic and postoperative complications in anesthetized, spontaneously ventilated adult patients performing different non-eme...

Cisatracurium in clinical practice is devoid of histamine-induced cardiovascular effects. On the other hand, 2 ED(95) doses of cisatracurium (100 µ g/kg) do not create satisfactory intubating conditions such as those seen with equipotent doses of atracurium. The recommended intubating dose of cisatracurium is 3 ED(95). To understand this discrepanc...