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040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082			_a616.99462 _221
092			_a616.99462 _221
097			_aPh.D
099			_aCai01.19.01.Ph.D.2022.Mo.P
100			_aMohamed Sayed Mohamed Rawi, _epreparation.
245			_aPerioperative analgesic efficiency of ultrasound-guided quadratus lumborum block versus epidural analgesia in bladder cancer patients undergoing radical cystectomy / _cby Mohamed Sayed Mohamed Rawi ; under supervision of Dr. Khaled Abdelhamid Mostafa, Dr. Dina Nabil Abbas, Dr. Ahmed Hussein Bakeer.
246			_aكفاءة تسكين الألم ما حول الجراحة باستخدام تخدير العضلة الرباعية القطنية الموجه بالموجات فوق الصوتية بالمقارنة مع تخدير فوق األم الجافية في عمليات استئصال المثانة الجذري لمرضى سرطان المثانة
264		0	_c2022.
300			_a119 pages : _bcolor illustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University,2022.
504			_aBibliography: p. 95-119.
520			_aMultimodal analgesia is currently used for perioperative pain management after Radical cystectomy (RC). This study aimed to compare quadratus lumborum block (QLB) and thoracic epidural block (TEA) in patients subjected to RC. Methods: This prospective randomized controlled study included 34 patients with bladder cancer subjected to RC under general anesthesia, divided into two groups. The Quadratus Group (n=17) underwent bilateral ultrasound-guided continuous QLB, and the Epidural Group (n=17) underwent continuous TEA. The primary outcome was pain intensity measured by VAS score, and the secondary outcomes were total morphine consumption during the first 48 hours after surgery, postoperative nausea score, and patient satisfaction. Results: There were no differences between the two groups in postoperative VAS scores starting immediately after surgery up to 48 hours. Reduction of VAS score after QLB was delayed compared to that after TEA. The two groups have a comparable number of patients requesting rescue analgesia (p = 0.271) and the total postoperative morphine consumption (p = 0.976) in the remaining patients. The nausea score was significantly lower in the Quadratus Group than in the Epidural Group (p = 0.020). There was no significant difference between the two groups in the satisfaction score (p=0.612). Few mild complications were detected in the two studied groups. Conclusion: QLB and TEA are safe and effective in managing postoperative pain after radical cystectomy with similar analgesic profiles. QLB was more effective in reducing postoperative nausea and vomiting.
520			_aسرطان المثانة هو نوع شائع من انواع السرطان على مستوى العلام و فى مصر كذلك مع زيادة فى نسبة الاصابة بين الذكور و النوع الشائع م نسرطان المثانة على مستوى العالم هو سرطان الخلايا الانتقالية خطط التعامل الطبى مع سرطان المثانة تتفاوت بدرجة كبيرة حسب نوع المرض و المرحلة المرضية عند التشخيص بينما يستجيب مرضى سرطانة المثانة من النوع غير المتداخل مع العضلات للعلاج الكيمياوى الموضعى و العلاج الاشعاعى مع تدخلات جراحية صغرى فان مرضى سرطان المثانة من النوع المتداخل مع العضلات يخضعون تقليديا للعلاج الكيماوى المعتمد على البلاتين متبوعا بعملية اسئصال جذرى للمثانة
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		0	_aBladder Cancer.
650		0	_aAnesthesia.
653			_aAnesthesia _aQuadratus Lumborum Block _aPostoperative Analgesia
700			_aKhaled Abdelhamid Mostafa, _ethesis advisor.
700			_aDina Nabil Abbas, _ethesis advisor.
700			_aAhmed Hussein Bakeer, _ethesis advisor.
856			_uhttp://172.23.153.220/th.pdf
900			_b01-11-2022 _cKhaled Abdelhamid Mostafa _cDina Nabil Abbas _cAhmed Hussein Bakeer _UCairo University _FNational Cancer Institute _DDepartment of Anesthesia and Pain Relief
905			_aMohamady _eHanan
942			_cTH _2ddc
999			_c165165 _d165165