Sherif Sultan

Ain Shams University · Department of Anesthesiology

Background Pulmonary hypertension is a usual complication of long-standing mitral valve disease. Perioperative pulmonary hypertension is a risk factor for right ventricular failure and is an important cause of morbidity and mortality in patients with pulmonary hypertension undergoing mitral valve surgery. Aim of the Work To compare inhaled milrino...

Background The thyroid gland surgery is a common and painful procedure demanding analgesia. Bilateral intermediate cervical plexus block (BSCPB) could be beneficial for analgesia in thyroid surgery. In this study we will evaluate the analgesic efficacy of ultrasound guided intermediate cervical plexus block vs local wound infiltration in patients u...

Introduction Pulmonary arterial hypertension (PH) is commonly found in patients with mitral valve diseases. Most of the drugs used for PH treatment are nonselective pulmonary vasodilators that may cause a modest decrease in pulmonary arterial pressure, but they may cause a marked decrease in systemic vascular resistance as well, which leads to hypo...

Background Thoracic epidural (TE) analgesia was considered as the gold standard for intraoperative and postoperative analgesia in breast surgeries. However, it is not routinely used because of its associated hemodynamic effects. Erector spinae plane (ESP) block is recognized as a promising perioperative analgesic intervention in breast surgeries. A...

Background Post-operative throat complaints frequently arise after general anesthesia in the first 2 postoperative days, but they are of limited intensity and duration and often regard it as a relatively minor complication. Objectives The aim of this study was to determine the effect of adding triamcinolone acetonide to Oropharyngeal packs on decr...

background: Postoperative sore throat (POST) is defined as pain or dis- comfort in the throat following general anesthesia. Throat packs are used by many surgical subspecialties for different benifits, however they may increase the incidence of POST. Many interventions can be used to decrease incidence of POST. Triamcinolone acetonide (TA) is a mod...

Generalized weakness is a common complaint by patients visiting the emergency department. Differential diagnosis of weakness consists of a long list of diseases. In this review we highlight the generalized weakness when linked to electrolyte disturbances. General causes of every electrolyte disturbance are listed. The overall clinical manifestation...

Intravascular absorption of distending media may complicate operative hysteroscopy. Consequences differ according to type, amount and speed of absorption of the distending media. We report a case of intravascular absorption of more than one liter of 1.5% glycine. A 36years old female developed metabolic acidosis, hyponatremia and hypocalcemia durin...

Context Ambulatory surgery has a target of rapid recovery and discharge. Esmolol has sparing effects on inhalational anesthetics and opioids. Aim The aim of the study was to demonstrate effects of esmolol infusion on recovery profile and discharge from postanesthesia care unit (PACU). Settings and design This study was a randomized, double-blind, a...

Context Inhaled milrinone has short-acting selective pulmonary vasodilator effect. Aims The aim of the study was to investigate the cardiovascular effects of prolonged inhalation of nebulized milrinone on patients with pulmonary hypertension undergoing mitral valve replacement. Settings and design This is a controlled, randomized, double-blinded st...

Context Femoral nerve block (FNB) provides effective analgesia after total knee arthroplasty (TKA) but has been associated with delayed ambulation due to quadriceps muscle weakness. Adductor canal block (ACB) may be a promising alternative, with less effect on the quadriceps muscle and comparable analgesic efficacy. Aim The aim of the study was to...

Background The transversus abdominis plane (TAP) exists between the internal oblique and transversus abdominis muscles, and encompasses an intersected plexus of nerves. The TAP block has been the subject of multiple clinical trials to determine its analgesic efficacy. Patients and methods A total of 60 patients were randomized into one of two group...

Context Heart rate variability (HRV) can monitor cardiac autonomic control. Sympathovagal imbalance is expected after fentanyl/propofol induction. Aim The aim of the study was to investigate the effects of intravenous midazolam on HRV and whether it prevents the sympathovagal imbalance caused by fentanyl/propofol induction. Settings and design This...

Many techniques are used for sedation of colonoscopies. Patient-controlled sedation (PCS) is utilizing many drugs or drug combinations. The aim of this study is to compare the safety and feasibility of propofol/remifentanil versus propofol/alfentanil given to sedate patients undergoing outpatient colonoscopies through a patient-controlled technique...

Cytokine release is a well-known response to surgery especially when it is linked to cancer. Paravertebral block (PVB) is the suitable regional anesthesia for breast surgery. We tested the effect of replacing general anesthesia (GA) with PVB on cytokine response during and after surgeries for cancer breast. Controlled randomized study. Forty cancer...

Little is known about the relationship between sedative drugs used preoperatively and postoperative delirium. Melatonin is a drug used to sedate patients preoperatively and is hypothesized by recent works to have a curative effect on postoperative delirium. The incidence of postoperative delirium will be tested if affected by three different sedati...

Background: Induced hypotension could be achieved by a variety of drugs. Some of these drugs may have a detrimental effect on the cerebral blood flow. While prostaglandin E1 has no effect on local cerebral blood flow, Trimethaphan decreases and nitroglycerine increases it. These changes may be important clinically and manifest as postoperative psyc...

Background: Outpatient endoscopy requires reliable sedation for short duration with some degree of useful amnesia. The aim of this study was to compare propofol with propofol / thiopentone admixture as sedative drugs for elective outpatient upper gastrointestinal endoscopy. Methods: This double blind randomized study included 80 patients ASA physic...