000 03051cam a2200349 a 4500
003 EG-GiCUC
005 20250223031629.0
008 161224s2016 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.2016.Is.C
100 0 _aIslam Reda Mohammed
245 1 0 _aComparative study between Dexmedetomidine, Magnesium sulphate and fentanyl as sedatives in awake fibroptic intubation for patients undergoing cervical spine surgeries /
_cIslam Reda Mohammed ; Supervised Tarek Ahmed Mostafa Radwan , Rania Samir Fahmy , Mohammed Farid Mohammed Elamady
246 1 5 _aدراسة مقارنه بين عقار الدكسميد يتوميدين وسلفات الماغنيسيوم والفنتانيل كمواد مهدئه اثناء وضع الانبوبه الحنجريه باستخدام منظار الالياف الضوئيه للمرضي الخاضعين لعمليات الفقرات العنقيه
260 _aCairo :
_bIslam Reda Mohammed ,
_c2016
300 _a86 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anesthesia
520 _aBackground: Various drugs are used for providing favorable intubation conditions during awake fiberoptic intubation (AFOI). However, most of them have various side effects. Aim: The aim of this study was to compare the effects of dexmedetomedine , magnesium sulphate and fentanyl as regards sedative effects , hemodynamic stability, intubation time and intubation attempts during awake fiberoptic intubation. Material and Methods: A randomized double-blind prospective study was conducted on a total of 60 patients scheduled for elective cervical spine surgeries who were randomly allocated into three equal groups (n 20): group A patients received a bolus dose of dexmedetomidine of 1 mcg/kg over 10 min followed by a continuous infusion of dexmedetomidine at 0.5 mcg/kg/h., Magnesium sulphate group (group B) received dose of 30mg/kg over 10 min followed by 10mg/kg/hr. and fentanyl group (group c) received dose of 1 og/kg over 10 min followed by 0.5 og/kg/hr. Sedation score (Ramsy sedation score), hemodynamic variables, oxygen saturation, intubation time and intubation attempts were noted and compared between three groups. Results: RSS was significantly favorable (P < 0.001) in group A in comparison to group B and C , moreover better hemodynamic stability during intubation (P < 0.05) and less intubation attempts was observed in group A in comparison to the other two groups
530 _aIssued also as CD
653 4 _aAwake intubation
653 4 _aDexmedetomidine
653 4 _aFentanyl
700 0 _aMohammed Farid Mohammed Elamady ,
_eSupervisor
700 0 _aRania Samir Fahmy ,
_eSupervisor
700 0 _aTarek Ahmed Mostafa Radwan ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShaima
_eCataloger
942 _2ddc
_cTH
999 _c59128
_d59128