MARC details
| 000 -LEADER |
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| fixed length control field |
03452cam a2200325 a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
EG-GiCUC |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210605s2021 ua dh f m 000 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
EG-GiCUC |
| Language of cataloging |
eng |
| Transcribing agency |
EG-GiCUC |
| 041 0# - LANGUAGE CODE |
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| Language code of text/sound track or separate title |
eng |
| 049 ## - LOCAL HOLDINGS (OCLC) |
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| Holding library |
Deposite |
| 097 ## - Thesis Degree |
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| Thesis Level |
Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| Classification number |
Cai01.11.01.Ph.D.2021.Ha.R |
| 100 0# - MAIN ENTRY--PERSONAL NAME |
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| Personal name |
Hala Ahmed Elsabbagh |
| 245 10 - TITLE STATEMENT |
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| Title |
Randomized comparative trial of pre-surgical lumbar epidural analgesia with bilateral erector spinae block for perioperative pain management in lumbar spine surger / |
| Statement of responsibility, etc. |
Hala Ahmed Elsabbagh ; Supervised Shereen Mostafa Amin , Hebatallah Salah Abdelhamid , Amr Kamal Abdelmohsen |
| 246 15 - VARYING FORM OF TITLE |
|---|
| Title proper/short title |
دراسة عشوائية لمقارنة تسكين فوق الام الجافية بتسكين عضلة ناصبة الفقرات على الجانبين قبل الجراحة لعلاج الألم المصحوب بجراحة العمود الفقرى القطنى |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Place of publication, distribution, etc. |
Cairo : |
| Name of publisher, distributor, etc. |
Hala Ahmed Elsabbagh , |
| Date of publication, distribution, etc. |
2021 |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Extent |
63 P. : |
| Other physical details |
charts , fascimiles ; |
| Dimensions |
25cm |
| 502 ## - DISSERTATION NOTE |
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| Dissertation note |
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Background: Spine surgery is one of the most painful surgical procedures, with median pain scores (using the 0-10 NRS-numeric rating scale) on the first postoperative day ranging from 5 (spinal decompression) to 7 (spinal fusion).The epidural analgesia is a well-established and highly effective block where the local anaesthetics (LA) spread from the epidural space to the spinal cord, nerve roots, and cerebrospinal fluid. However, the Erector Spinae plane block (ESPB) proved to be efficient in controlling post-operative pain in a variety of surgeries including the spine surgery. Our aim was to compare the first demand to rescue analgesia postoperatively in epidural and ESPB groups. Secondary outcomes were to compare NRS pain score, postoperative morphine consumption, changes in arterial blood pressure (ABP), heart rate (HR) and adverse events. Patients and Methods: Sixty patients scheduled for elective lumbosacral spine decompression and fixation surgery were enrolled in the study. Patients were allocated into 2 groups, 30 patients each. In the epidural Group, patients underwent ultrasound-guided single-shot epidural injection, while in the ESPB group, patients were handled with ultrasound-guided single-shot ESPB.Results: time to first demand of rescue analgesia in the ESPB group (11.5 hours) was longer than that in the epidural group (7 hours). Moreover, the ESPB group decreased the 24hour consumption of morphine (3.5mg) when compared with the epidural group (7.5mg).The NRS pain score decreased post-operatively in both groups when compared to the baseline throughout all assessment points. Between both groups, the NRS was lower in the epidural group immediately postoperative and at 1, 2 and 8 hours. However, at 4, 12 and 24 hours, both groups were comparable.The study also showed that the number of patient who experienced hypotension and tachycardia intra-operatively was more in the epidural group than the ESPB group |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE |
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| Additional physical form available note |
Issued also as CD |
| 653 #4 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Erector Spinae plane Block |
| 653 #4 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Pain |
| 653 #4 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Spine Surgery |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Amr Kamal Abdelmohsen , |
| Relator term |
|
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Hebatallah Salah Abdelhamid , |
| Relator term |
|
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Shereen Mostafa Amin , |
| Relator term |
|
| 905 ## - LOCAL DATA ELEMENT E, LDE (RLIN) |
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| Cataloger |
Nazla |
| Reviser |
Revisor |
| 905 ## - LOCAL DATA ELEMENT E, LDE (RLIN) |
|---|
| Cataloger |
Shimaa |
| Reviser |
Cataloger |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Dewey Decimal Classification |
| Koha item type |
Thesis |
