000			02877cam a2200349 a 4500
003			EG-GiCUC
005			20250223031551.0
008			160929s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.19.01.Ph.D.2016.Us.C
100	0		_aUsama Abdelkhalek Abdelwahab
245	1	0	_aComparative study between general anesthesia and awake thoracic epidural anesthesia for video-assisted thoracoscopic surgery / _cUsama Abdelkhalek Abdelwahab ; Supervised Somaya M. Elshaikh , Abdelrahman M. Abdelrahman , Wael Ahmed Ebrahim
246	1	5	_aدراسة مقارنة بين التخدير الكلى والتخدير الصدرى فوق الام الجافية فى جراحات مناظير الصدر
260			_aCairo : _bUsama Abdelkhalek Abdelwahab , _c2016
300			_a84 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Anesthesia and Pain relief
520			_aThoracic procedures are routinely performed under general anesthesia (GA), with one lung ventilation (OLV)and are usually combined with thoracic epidural analgesia. However, GA with OLV may have adverse effects including peri- intubational hypoxia, trauma to the upper airway, mechanical ventilation- induced injuries, impaired cardiac performance, neuromuscular problems, increased risk of pneumonia, and release of proinflammatory mediators. Recently, awake thoracic epidural anesthesia (ATEA) has been used alone in thoracic procedures.The results achieved in early studies have been encouraging. ATEA may eventually provide an alternative method to GA for thoracic proceduresthat would not only eliminate the need for OLV but also facilitate both surgical reconstruction and eventually patient recovery.Recent studies suggested better clinical outcomes with ATEA, including less intraoperative bleeding, a better control of postoperative pain, early mobilization, oral intake tolerance, reduction of surgical stress response, reduction of intraoperative cardiac events, improvement of myocardial flow determinants and left ventricular function, and a reduction of complications including pulmonary, thrombotic and infectious events. Multiple studies evaluated the safety of intravenous ketamine/propofol combination for sedation and analgesia and there is evidence that this
530			_aIssued also as CD
653		4	_aAwake thoracic epidural
653		4	_aGA.comined technique
653		4	_aOLV
700	0		_aAbdelrahman Mohamed Abdelrahman , _eSupervisor
700	0		_aSomaya Mohamed Elshaikh , _eSupervisor
700	0		_aWael Ahmed Ebrahim , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSoheir _eCataloger
942			_2ddc _cTH
999			_c57885 _d57885