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  • م.د علياء حميد صالح
  • Prof.dr.Alyaa Hameed Salih
  • تدريسي : تقنيات التخدير
  • Teaching : Department of Anesthesia Techniques
  • دكتوراة طب تخدير وعناية مركزة
  • F.I.C.M.S / PHD Honours degree Anesthesia and intensive care
  • dr.alyaahameed@bauc14.edu.iq
  • dr.alyaahameed@gmail.com
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    Research

    2023 Scopus
    Surgical procedures involve head and neck had propensity to bleed because rich blood supply. Aim of study was to compare using labetalol and remifentanil to create controlled hypotension during Functional Endoscopic Sinus Surgery (FESS) among Iraq patients. Methods: In this prospective randomized clinical trial 40 patients underwent FESS under general anesthesia at Ghazi Al Harerri hospital, Baghdad Iraq. Patients were divided into two groups; the Labetalol Group (LG) received 20 mg bolus dose during 2 min followed by 0.5 mg/min-2 mg/min by infusion pump, and the Remifentanil Group (RG) received 0.5 mcg/kg/min -1 mcg/kg/min during 30 sec. Then infusion was given at rate of 0.25 mcg/kg/min-0.5 mcg/kg/ min. Hemodynamic parameters during anesthesia were measured, complication and surgeon satisfaction rate was recorded. Results: hemodynamic parameters are compared in both groups at different time of study [55 min duration of surgery]. The mean of systolic blood pressure are significant at min 55 when P value [0.002] and the mean of diastolic blood pressure are significant at min 10,15,55 when P value[0.03, 0.05,0.02] respectively while the mean of pulse rate was significant at min 45 when P value[0.05], the mean differences in mean arterial blood pressure was significant at min 55 when P value (0.001), but mean of ETCO2 and SPO2 are insignificant between groups. Surgeon satisfaction score is better in remifentanil group when P value [0.006] with less complication in the same group Conclusion: With infusion of labetalol and remifentanil, we can induce effective controlled hypotension with both drugs, but remifentanil as sole agent is better with short action and rapid recovery time and less complication with better surgeon satisfaction score over labetalol but economically labetalol is better.

    2023 Scopus
    Propofol and fentanyl have broadly used alone or in combination to induce sedation or anesthesia. The current study aims to assess the additive impact and economic benefit of using combination of propofol and fentanyl in elective curettage cases in Iraq. A total of 75 women were recruited to perform clinical trial between 1st January and 10th March 2023 at the department of gynecology and obstetrics in the Baghdad teaching hospital, Iraq. The sample was subdivided equally into three groups and received different doses of propofol alone (GI), Fentanyl alone (GII), and combination of propofol and fentanyl (GIII) respectively. The dose required for propofol to induce general anesthesia declined to 1.4 mg/kg -1.5 mg/kg instead of 2.5mg/kg, and 2 µg/kg instead of 8 µg/kg for fentanyl in the combination. Out of 25 cases, 19 (76%) patients being unconscious in a time of two minutes as a result of additive effect. Moreover, the cost evaluation showed a cost saving of USD 0.09/minute for every operated curettage weighing 65kg and average surgical time of 21.57+11.06 minutes. The combination of propofol and fentanyl is effective for sedation and anesthesia and cost saving.




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