Medical Specialties Commons^™

Comparison Between Ultrasound Guided The Genicular Nerve Block And Infiltration Between The Popliteal Artery And The Capsule Of The Posterior Knee (Ipack) Block For Post-Operative Pain Relief In Total Knee Replacement Surgery, Mohamed Hussein, Mohamed Hamada, Othman Saad-Eldien Yahia Mousa, Salah Mohamed Salah Bazina

Al-Azhar International Medical Journal

Background; Total knee replacement (TKR) is the optimal option for individuals with advanced knee joint disease, it has the advantages of both pain relief and improved joint function, but still faces some difficulties. The most challenging factor after TKR is pain control, so the invention of an ultrasound-guided nerve block is optimal option.

Aim and objectives: In the study, the effectiveness of genicular nerve block and IPACK block was compared with regard to postoperative pain levels, the necessity of rescue analgesics, ROM, and walking distance in cases of TKR.

Subjects and Methods: This prospective, randomised, double-blinded study was carried out …

Correlation Of Inferior Vena Cava Distensibility Index And Pulse Pressure Variation In Prediction Of Fluid Responsiveness In Mechanically Ventilated Hypotensive Patients, Mohamad Ahmed El Feky, Badr Ismail Fadlallah, Ahmed Mossad Ahmed El Naggar, Murad Zakareya Ibraheem Barakat, Mohammed Farouk Foad Doula

Al-Azhar International Medical Journal

Background; Shocked patients require careful monitoring of intravascular volume and treatment with intravenous fluids. In the intensive care unit (ICU), patients with acute circulatory insufficiency typically benefit from fluid resuscitation. Objectives; to compare the sensitivity of the pulse pressure variation (PPV) and the distensibility index of the Inferior Vena Cava (dIVC) for predicting fluid responsiveness in very ill patients who suffered shock. Patients and Methods: This was an interventional, cross-sectional study, that evaluated mechanically ventilated ICU patients, presented with clinical signs of shock. The study was carried out at al Azhar university hospitals and conducted on 100 individuals. Results; The …

Erector Spinae Plane Block Versus Transversalis Fascia Plane Block Guided By Ultrasound For Pain Control Following Unilateral Abdominal Surgeries Under Subarachnoid Anesthesia, Abdelrahman Tarek Abdelnaby Mohammed Osman, Ahmed Mohamed Shawky, Mofeed Abdallah Abdelmaboud

Al-Azhar International Medical Journal

Background: Postoperative complications are increased if postoperative pain is uncontrolled. This can be improved with regional blocks especially in postoperative period. Moreover, complications are reduced by using one analgesia technique. Aim of the Work: Our purpose was to compare Transversalis Fascia plane Block (TFP) and erector Spinae Plane Block (ESP). Patients and Methods: Sixty patients who had unilateral abdominal surgery and fulfilling the inclusion criteria were divided into two equal groups Group I who received ultrasound (US) guided unilateral Transversalis Fascia Plane (TFP) Block and Group II who received US guided unilateral Erector Spinae plane (ESP) block. Primary outcome were …