Diab Fuad Hetta

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BACKGROUND Thoracic epidural analgesia (TEA) has a well-known effect on neurohormonal response. Attenuation of stress response by post-operative epidural analgesia has shown beneficial effects such as lower pain scores and less immunological alterations. OBJECTIVES Investigation of the combined effects of TEA and protective lung ventilation on(More)
STUDY OBJECTIVE The aim of this study was to evaluate the analgesic efficacy and safety of pectoralis-serratus interfascial plane block in comparison with thoracic paravertebral block for postmastectomy pain. DESIGN A prospective randomized controlled study. SETTING Tertiary center, university hospital. PATIENTS Sixty-four adult women, American(More)
Objectives: To assess the analgesic efficacy and tolerability of co-administration of pre-emptive single oral dose of sustained release morphine and subanesthetic ketamine infusion for modified radical mastectomy (MRM) with axillary evacuation. Methods: Sixty four adult female patients scheduled for MRM were divided to two groups, morphine group (n=32)(More)
BACKGROUND AND OBJECTIVES Major abdominal cancer surgeries are associated with significant perioperative mortality and morbidity due to myocardial ischemia and infarction. This study examined the effect of perioperative patient controlled epidural analgesia (PCEA) on occurrence of ischemic cardiac injury in ischemic patients undergoing major abdominal(More)
STUDY OBJECTIVE We hypothesized that oral administration of a single dose of pregabalin 2 hours before modified radical mastectomy (MRM) would produce dose-related reduction in postoperative opioid consumption. DESIGN Prospective randomized controlled clinical trial. SETTING Postanesthesia care unit. PATIENTS One hundred twenty adult women scheduled(More)
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