000			03171cam a2200349 a 4500
003			EG-GiCUC
005			20250223031705.0
008			170321s2016 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.Do.E
100	0		_aDoaa Abdeltawab Mohammed Turky
245	1	0	_aEvaluation of ultrasound guided rectus sheath block as a part of peri-operative analgesia for midline and paramedian abdominal incisions in cancer patients / _c Doaa Abdeltawab Mohammed Turky ; Supervised Khaled Ali Awad Elsamahy , Jehan Mohammed Kamal , Ghada Mohammed Nabeh
246	1	5	_aتقييم السدة العبية لغلاف العضلة المستقيمة بواسطة السونار كجزء من تسكين متعدد الوسائط فى جراحات منتصف و جار منصف البطن فى مرضى السرطان
260			_aCairo : _bDoaa Abdeltawab Mohammed Turky , _c2016
300			_a130 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Anaesthesia and Pain Relief
520			_aBackground: Regional analgesia has shown considerable promise in paediatric surgery. Regional analgesia reduces opiate requirements, intraoperative general anaesthetic requirements, improves recovery, and has a proven safety record. Ultrasonography guidance improves the accuracy of the local anaesthetic placement and may further increase safety. The two major types of regional analgesia are neuroaxial {u2013} epidural, spinal or caudal {u2013} and peripheral. Peripheral nerve blocks avoid the potential for spinal haematoma epidural infection. Methods: The study involved two groups of patients who underwent abdominal surgeries using midline or paramedian incisions; the RSB Group (n=25) and the EPB Group (n=25).Both groups are comparable.Results: The two groups had the same effect on pulse rate with no significant difference between the two groups. The two groups had the same effect on pulse rate, however, the MAP was significantly higher in RSB Group. The two groups had the same effect on oxygen saturation with no significant difference between the two groups . The two groups had the same effect on PEFR, however, it was significantly higher in RSB Group Conclusion: We can conclude that rectus sheath block is as effective as epidural block in reduction of pain intensity at rest and with coughing following major abdominal operations in cancer patients. A single shot is effective up to 12 hours postoperatively. Rectus sheath block is associated with hemodynamic stability along the 12 postoperative hours with no drug- or procedure-related adverse events
530			_aIssued also as CD
653		4	_aEpidural
653		4	_aRectus sheath
653		4	_aRegional
700	0		_aGhada Mohammed Nabeh , _eSupervisor
700	0		_aJehan Mohammed Kamal , _eSupervisor
700	0		_aKhaled Ali Awad Elsamahy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShaima _eCataloger
942			_2ddc _cTH
999			_c60349 _d60349