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003 EG-GiCUC
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008 160409s2015 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.01.Ph.D.2015.Ta.C
100 0 _aTamer Ibrahim Abdelrazik Hassan Rouk
245 1 0 _aCombined femoral and sciatic blocks versus epidural anesthesia for infrainguinal surgeries /
_cTamer Ibrahim Abdelrazik Hassan Rouk ; Supervised Nadia Gamil Elsharkawy , Amany Said Arafa
246 1 5 _aالغلق الموضعى لكلا من العصب الفخذى و الوركى مقابل التخدير فوق الأم الجافية فى الجراحات التحت إربية
260 _aCairo :
_bTamer Ibrahim Abdelrazik Hassan Rouk ,
_c2015
300 _a111 Leaves :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anesthesia
520 _aRationale and background: Peripheral neural blockade appears to provide effective analgesia with potentially less hypotension and cardiac morbidity than central neuraxial techniques. We compared the relative benefits of combined femoral and sciatic nerve block with epidural blockade as an anesthesia plan for unilateral infrainguinal surgeries. Results: The hemodynamic parameters; namely MABP was more stable with combined femoral-sciatic nerve block than in epidural group, with no significant difference in cardiac morbidity within the observation period (24 h). The onset of epidural block was significantly shorter. However, statistically and clinically significant more prolonged post-operative analgesia was noted with femoral-sciatic block group. There was no major difference in peri-operative complication within first 24 h, apart from significant shivering with epidural group and non-significant higher failure rate with femoral-sciatic group. Conclusion: The use of combined femoral-sciatic nerve block is superior in hemodynamic stability and prolonged post-operative analgesia to conventional epidural analgesia in patients undergoing unilateral infrainguinal surgeries. However, block onset is faster and success rate is better in epidural block
530 _aIssued also as CD
653 4 _aFemoral
653 4 _aNerve stimulator
653 4 _aSciatic block
700 0 _aAmany Said Arafa ,
_eSupervisor
700 0 _aNadia Gamil Elsharkawy ,
_eSupervisor
700 0 _aTamer Mohamed Kheir ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSoheir
_eCataloger
942 _2ddc
_cTH
999 _c55926
_d55926