Journal of Anesthesiology and Pain
Year:2017 | Volume:7 | Issue:3 |Papers Count:8

Aim and Background: Chronic pain is a degenerative and disabling situation which is accompanied by several psychological variables. Therefore, this study aimed at investigating results the effectiveness of mindfulness-based stress reduction (MBSR) in reduction of catastrophizing, and pain intensity in patients suffering musculoskeletal chronic pain.Materials and methods: The present study was an sub - experimental study with pre-test and post-test design and a control group. The study statistical population included all the patients with musculoskeletal chronic pain referred to the professional clinic of pain of Tabriz in 2014 who overall, 40 patients were selected through purposive non-random sampling method based on pain specialist diagnosis, and clinical interview.Then participants were randomly allocated into two experimental and control groups. The instrumentals of this study were catastrophizing scale (PCS) and visual analog scale (VAS) who participants completed in pre-test and post-test. Descriptive statistical methods and covariance analysis were used for analysis of the data.Findings: The results showed that training mindfulness based stress was effective in reducing catastrophizing, and pain intensity in patients.Conclusion: Performing psychological treatments beside medicine treatment is effective in treating patients suffering chronic musculoskeletal pain.

Aim and Background: Pulse radiofrequency (PRF) is a pain treatment modality, and is used for various painful states in clinical practice. To compare Transforaminal epidural injection of steroid with PRF in the pain in patients with low back radicular pain.Materials and methods: In this single blind randomized clinical trial study, on 42 patients devided to PRF group and TF group. Pain Score were measured by use of VAS, ODI, analgesic requirement, lazec test before the treatment, 24 hours, 1 week, 1 mounth, 3 mounths after the treatment.Findings: The successful rate was 100% in PRF group and 23.5% in TF group, that showed significant difference between the groups (p=0.0001). Pain score was significantly decreased in different times in the PRF group (p=0.0001). There was no significant difference in change of ODI and analgesic requirement between the two groups at different times during the follow up (P>0.05). There was no significant difference in propofol administered between the DEX and remifentanil groups in intraoperative time (P>0.05).Conclusion: It seems that Pulsed RF treatment is a safe and simple procedure to control radicular pain in the lumbar regions.

Aim and Background: Despite improved techniques of cardiopulmonary bypass and postoperative care, pulmonary dysfunction after CABG is still a major cause of postoperative morbidity. Different methods of pulmonary ventilation have been used for lung protection. But has not definite conclusions about the effects of these methods. The aim of this study was determining the effect of pulmonary ventilation during cardiopulmonary bypass on postoperative outcomes and pulmonary complications.Methods and Materials: This experimental study was done on 74 Patients undergoing elective coronary artery bypass graft surgery with convenience sampling. The patients were randomly divided to two groups: Mechanical ventilation during cardiopulmonary bypass (case) and non ventilation (control). Physiologic variables during and after surgery and post operative outcomes and pulmonary complications were assessed. The data was analyzed by SPSS 16.Findings: Atelectasis after tracheal extubation in case group was less than control group (p=0.019 Odds Ratio=5.8).There were no statistical differences in incidence of pneumothorax and pleural effusion after surgery, as well as, tracheal extubation time, length of stay at ICU and in hospital between two groups (p>0.05).Conclusions: Mechanical ventilation during cardiopulmonary bypass is effective on decrease atelectasis after surgery. Although most of the published studies have no evidence of lung protection, it is need more studies for best strategy for diminish pulmonary complications after cardiac surgery.

Aim and Background: Chronic pain is an important public health problem that seriously affects people’s everyday lives. Aggression has been widely observed in patients with chronic pains and several studies have suggested that aggression is highly associated with chronic pain intensity. The aim of the current study was to test the effectiveness of cognitive self-management program in reducing aggression and multidimensional pain symptoms in women with chronic pain.Methods and Materials: The design of this study was quasi-experimental with pretest-posttest design, including control group which 30 women eligible chronic musculoskeletal pain more than three months (with the mean age 36.60 ± 2.26 yr) were selected by available and Judgmental sampling. Participants had physiological and psychological trauma. Then they were randomly assigned to treatment (n=15) and control group (n=15).Participants completed the Aggression Questionnaire (AQ) and Multidimensional Pain Inventory (MPI) and in two phases of pre-test and post-test. Treatment consisted of eight sessions of cognitive self-management program over eight weeks. Analysis of Covariance was used for analyzing the data.Findings: The Results showed significant reductions of aggression (p<0.001) and multidimensional pain symptoms (p<0.05) compared to the control group.Conclusions: These results suggest that cognitive self-management program is efficient and useful in reduction multidimensional pain symptoms and aggression in women with chronic pain.

Aim and Background: Tracheal intubation remains the choice method for keeping airways open during mechanical ventilation. Among the various methods, standard method of direct laryngoscopy generally used by non-skilled staff increases the risk of failure. This study was performed to evaluate and compare the results of tracheal intubation using laryngeal masks vs. glidescope led by novice personnel.Methods and Materials: This descriptive-prospective study were conducted on 31 trainees and interns of Birjand University of Medical Sciences. Each of the participants randomly intubated two patient with laryngeal mask airway or glidescope, and the results were recorded a professional as observer. The maximum authorized turn to try tracheal intubation was once per person with a time limit of 90 seconds. If the participant had two unsuccessful tries or due to a problem regarding the intubation process an anesthesiologist took the control and performed the intubation and the intubation try by the study participant was considered unsuccessful.Findings: Tracheal intubation success rate in laryngoscopic and laryngeal mask airway (LMA) was 90.3% and 96.8%, respectively (P=0.325). Average time of tracheal intubation in laryngeal mask airway and laryngoscopy group was 29.25 ± 3.90 and 48.25 ± 4.90 (P<0.001).Conclusions: Results of this study suggest a higher rate of success as well as faster intubation for laryngeal mask airway. Due to the cost and feasibility of using this method, the researchers recommend that hospitals should focus on training with and providing laryngeal mask airways.

Aim and Background: Chronic pain self-management is one of the improvement, rehabilitation and prevent worsening of the pain programs influenced by several factors such as severity of pain and type of recurrent and continuous chronic pain, that the present study examines these two factors through catastrophic thoughts and pain self-efficacy.Methods and Materials: This study was descriptive and correlational which using available sampling was done in 1394 on 301 patients with backbone chronic pain. In this study, descriptive and inferential statistical methods such as fitting parameters, path coefficients and its significance in path analysis were used.Findings: The results obtained from path coefficient test indicate direct effects of self-efficacy (positively) and catastrophic thoughts (negatively) on the self-management, also pain intensity indirectly affect pain self management, but this effect was not significant in recurrent and continuous chronic pain.Conclusions: In chronic backbone pain self-management, in addition to disease characteristics we must pay special attention to cognitive factors such as self-efficacy and catastrophic thoughts and through this increase the areas of pain management.

Aims and background: Classification of diseases using a standard tool can be used as an indicator to determine the mortality rate and evaluate the quality of care offered mortality used. This study aimed to investigate the SAPSII tool in predicting Percent of mortality of patients in ICU.Materials and Methods: This retrospective cross-sectional study was done on 347 files of Patients with different diagnoses in the intensive care Alzahra hospital in Isfahan in 1392. Samples were done randomly among the 1, 905 patients enrolled in the study and data was collected from the researcher list of self-made and standard tools SAPS II. Using the chi-square test, odds ratio, independent T and ROC curve by SPSS 13, data were analyzed.Findings: Results showed that the mean score for patients died, SAPS II was 45.2 ± 19.7 and No patients died 26.4 ± 15.7. The area under the ROC curve was 0.78.Conclusion: The results showed that SAPSII can be used as a valid tool to predict mortality of patients admitted to intensive care units.

Aims and Background: Tuberous sclerosis is an autosomal dominant disease characterized by hamartomas lesions in multiple organs. This article reports the case with tuberous sclerosis candidate femur surgery that was performed under general anesthesia without any problem.Case report: The patient was a 44 years old man with a weight of 48 kg and height of 162 cm, known case tuberous sclerosis with mental retardation and recurrent seizure under treatment and urology complication lived in disabled sanitarium. After pre operative visite and necessary implementation, patient was underwent general anesthesia with endotracheal intubation and surgery was performed successfully without complications. After surgery the patient was fully conscious and transferred to recovery room with good general appearance and was discharged after three days.