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antiemetic/obesity

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A Natural History of Perioperative Metabolism

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We will conduct a cross-sectional study in a cohort of patients undergoing spinal surgery for discectomy, laminectomy, or vertebral fixation. We will recruit a cohort of subjects in groups with metabolic phenotypes defined by body mass index (BMI) and glycemic control. We are choosing to use spinal

The Effect of Opioid Free Anesthesia in Bariatric Surgeries

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This prospective randomized controlled study will be carried out on patients who will be presented for laparoscopic bariatric surgery in the general surgery department in Tanta university hospitals over six-month duration that will start immediately after obtaining ethical committee approval and

Effects of Aprepitant/Dexamethasone Versus Mertazepine /Dexamethasone on Postoperative Nausea and Vomiting

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Currently, available interventions for PONV prophylaxis, especially as monotherapy, lack universal efficacy. Use of combination therapies with different pharmacological basis is likely to bring down rates of PONV. (6) Intravenous dexamethasone (8-10mg) reduces the incidence of PONV, minimizing

Cyclizine Vs. Dexamethasone for Nausea and Vomiting Following Intrathecal Morphine in Cases of Cesarean Section

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Postoperative nausea and vomiting (PONV) is defined as any nausea, retching, or vomiting occurring during the first 24-48 h after surgery in patients. PONV is one of the most common causes of patient dissatisfaction after anesthesia, with reported incidences of 30% in all post-surgical patients and

Skull Base Reconstruction After Endonasal Cranio-endoscopic Resection Using Autologus Grafts

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Type of the study: A prospective clinical study will be conducted in the period between January 2018 and January 2020. Study Setting: Otolaryngology Department, Alexandria University Hospital. Otolaryngology Department, Assiut University Hospital. Study tools : Preoperative evaluation: 1. Personal

Effect of Using Azithromycin Versus Placebo With Dexamethasone in Prevention of Post-spinal Nausea and Vomiting.

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There are many well-established risk factors for Postoperative nausea and vomiting which are classified in two classes: A) Patient related risk factors: 1. Female gender is consistently the strongest risk factor for postoperative nausea and vomiting, female patient are three times more likely than

Walking and Dietary Modification for Recurrent Early Miscarriages

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Women aged 18 to 40 years trying to conceive spontaneously were eligible if they had two or more consecutive pregnancy losses in the first trimester, documented by pathology or ultrasound-confirmed gestational sac. All participants underwent ultrasound examination before inclusion in the study.

Compare Between Two Doses of Palonosetron on the Prevention of Postoperative Nausea and Vomiting in Obese Patients

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Prevention of nausea and vomiting after surgery is a routine throughout anesthetic-surgical procedure, since the discomfort and morbidity associated with this anesthetic complication are widely known. The serotonin antagonists are largely used for this purpose because they exhibit superior

Prospective, Double Blind, Placebo Control, Bariatric IV Ace

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Morbid obesity is defined as a body mass index (BMI: weight [kg] / height [m]2) ≥ 40 or ≥ 35 if associated with comorbidities, and it is widely prevalent, nationally and globally. Overweight or obese individuals have increased morbidity and mortality. Among the many available treatment options,

Endoscopic Suturing of the Gastric Pylorus to Delay Gastric Emptying and Treat Obesity

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The purpose of this study is to evaluate the safety, technical feasibility, and effectiveness of a endoscopic guided treatment for obesity - endoscopic pyloric suturing. The hypothesis and rationale for the study is that gastric pyloric restriction will cause early and prolonged satiety which will

Effects of Desflurane Versus Propofol on Hemostasis During Splenectomy

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After obtaining approval from the Institutional Research Ethics Committee and informed written consent, thirty adult patients aged 25- 55 years of either sex, American Society of Anesthesiologists (ASA) class II- III (Child A) suffering from cytopenia scheduled for elective splenectomy will be

Preoperative Glucocorticoid Use in Major Hepatectomy

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Introduction: Major hepatectomy lead to significant postoperative anatomical and physiological changes. The liver dictates the systemic metabolic environment and helps maintain homeostasis. When segments of liver are removed, it is challenged to regenerate and restore cellular volume, as well as

Self-Retaining Retractor in Obese Patients Undergoing Cesarean Section

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This study will be a prospective randomized-controlled trial. It will take place at a single site at St. Mary's Health Center in Richmond Heights, Missouri. Pregnant women with a BMI ≥ 30 kg/m2 who will be undergoing non-emergent Cesarean sections for delivery will be eligible. Exclusion criteria

Preoperative Pain Control in Gastric Bypass Surgery Patients

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Pregabalin is a popular adjunct for relieving neuropathic pain in diabetics. There have been multiple studies evaluating its use in pre and post-operative pain control in various surgeries. Post-operative pain control is a challenging problem in bariatric patients due to the high doses of narcotic

Efficacy of Ketamine-Propofol for Short Surgical Procedures

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In recent years there has been particular interest in ketamine-propofol for sedation of patients who are candidates for short minimally invasive surgical procedures. In some centers in Canada and the U.S. is, in fact, the first choice of sedation in the ED. There are also publications of their
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