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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.01.M.Sc.2021.Ah.C
100 0 _aAhmed Abdelaty Hamed Ellhwany
245 1 2 _aA comparison between ultrasound guided erector spinae block using bupivacaine versus bupivacaine & dexmedetomidine for postoperative analgesia in patients undergoing percutaneous nephrolithotomy :
_bA randomized controlled double-blinded study /
_cAhmed Abdelaty Hamed Ellhwany ; Supervised Manar Mahmoud Elkholy , Haitham Ahmed Abouzeid Ali , Yahya Mohamed Ahmed Hammad
246 1 5 _aمقارنه بين تخدير العضلات الناصبة للعمود الفقرى عن طريق جهاز الموجات فوق الصوتية باستخدام عقار البيوبيفاكين وحده مقارنه استخدام عقار البيوبيفاكين مع عقار الديكسميدايتوميدين لتسكين الألم بعد الجراحة فى المرضى اللذين يخضعون لعمليه استئصال حصوات الكلى عن طريق الجلد :
_bدراسه عشوائية مقارنه مزدوجة التعمية
260 _aCairo :
_bAhmed Abdelaty Hamed Ellhwany ,
_c2021
300 _a71 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
520 _aBackground: Percutaneous nephrolithotomy (PCNL) is getting very popular for treatment of large renal stones and is considered now to be the first line of treatment. The Erector Spinae block (ESB) is a regional anesthetic technique that is effective in providing extensive somatic and visceral analgesia. Adding dexmedetomidine to the local anesthetic, increases duration of sensory and motor block, and reduces postoperative pain. Objective: Investigating the efficacy of adding dexmedetomidine as an adjuvant to local anesthetic in Erector Spinae Block (ESB) on postoperative pain in patients undergoing Percutaneous nephrolithotomy.Patient and methods: Ultrasound Guided Erector Spinae were done on 50 patients divided equally into two groups 25 each, Groups [A] were received Bupivacaine only and group [B] which received Bupivacaine with the addition of dexmedetomidine). Postoperative 24-hour morphine consumption, intraoperative fentanyl consumption, intraoperative hemodynamics, side effects (Nausea, vomiting, bleeding, and organ injury) were recorded.Results: post-operative morphine consumption(mg/kg) showed statistically significant decrease at Group B than Group A.the median values of morphine consumption were (0.033 versus 0.051) for Group B versus Group A respectively (p+0.001)
530 _aIssued also as CD
653 4 _aBupivacaine
653 4 _aErector Spinae
653 4 _aUltrasound Guided
700 0 _aHaitham Ahmed Abouzeid Ali ,
_eSupervised
700 0 _aManar Mahmoud Elkholy ,
_eSupervised
700 0 _aYahya Mohamed Ahmed Hammad ,
_eSupervised
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c81733
_d81733