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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.19.01.Ph.D.2021.Ay.E
100 0 _aAyman Sharawy Abdelrahman Aboulnasr
245 1 0 _aEvaluation the effect of ultra sound guided superficial, deep serratus plane blocks and thoracic epidural in cancer patients undergoing thoracotomy :
_bA prospective randomized controlled study /
_cAyman Sharawy Abdelrahman Aboulnasr ; Supervised Mohamed Mohamed Mosaad Alwasseef , Ekramy Mansour Abdelghafar , Mohamed Elsayed Hassan
246 1 5 _aمقارنة بين استخدام السونار فى تخدير اعلى واسفل العضلة المنشارية والسدة فوق الجافية فى المنطقة الصدرية فى عمليات شق الصدر :
_bدراسة مستقبلية عشوائية محكمة
260 _aCairo :
_bAyman Sharawy Abdelrahman Aboulnasr ,
_c2021
300 _a113 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Anesthesia and Pain Relief
520 _aThoracotomy is associated with severe pain due to involving incision to multiple muscle layers, rib resection and damage to the intercostal nerves. A post thoracotomy pain free state enables patients to ambulate and to breathe normally and deeply and prevent the conversion into a chronic post thoracotomy pain which is difficult to treat thus, prevention and treatment of acute post-thoracotomy pain is particularly important not only to keep the patient comfortable but also to minimize pulmonary complications. Thoracic epidural analgesia has been established as a cornerstone in the perioperative care after thoracic surgery providing most effective analgesia. However, the use of thoracic epidural analgesia is associated with potential serious and fatal complications.Ultrasound-guided Serratus anterior plane (SAP) block has been described as a regional anesthetic technique to provide analgesia for breast and thoracic wall surgeries.During SAP block Local anesthesia are deposited in the fascial plane either superficial or deep to the serratus anterior muscle. Serratus anterior block provides analgesia to a hemithorax by blocking the lateral branches of the intercostal nerves and is technically simple and can be safely performed as a bedside procedure with low incidence of low risk of side-effects.One hundred and eighty patients who underwent thoracic surgery at the national cancer institute, Cairo University were included in this prospective, randomized, and controlled study
530 _aIssued also as CD
653 4 _aDeep serratus plane block
653 4 _aPost-thoracotomy pain
653 4 _aSuperficial serratus plane block
700 0 _aEkramy Mansour Abdelghafar ,
_eSupervisor
700 0 _aMohamed Elsayed Hassan ,
_eSupervisor
700 0 _aMohamed Mohamed Mosaad Alwasseef ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c82718
_d82718