CALL FOR PAPERS

CERTIFICATE

IMPACT FACTOR 2018

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

The analgesic effect of paracetamol when added to lidocaine for intravenous regional anesthesia

Author: 
Dr. Lamyaa Malik Mohammed, Dr. Sura Mustafa Abbas and Dr. Ali Abdulhammeed
Subject Area: 
Health Sciences
Abstract: 

Background: Intravenous regional anesthesia(IVRA) technique is easy, reliable and cost effective with a high success rate of 94–98%when used in short operative procedures of hand or forearm ( Mahmoud et al., 2015; Scott, 2014). Many adjuvant drugs have been added to local anesthetics, such as, NSAIDs, paracetamol, opioids and adrenergic receptor agonists. Objective: To evaluate the effect of paracetamol on sensory and motor block onset time, sensory and motor recovery and postoperative analgesia, when added to lidocaine in IV regional anesthesia (IVRA). Patient and methods: 60 patients were enrolled in simple randomized double blinded prospective clinical study in Baghdad in AlAlYarmouk teachinghospital from 1st of February 2016 to 1st of December 2016. They were ASA I and II patients with upper limb(forearm and hand)elective surgery the expected time of surgery was 20 – 60 min planned for intravenous regional anesthesia. The patients were divided into 3 groups; Group 1: patients received IVRA 40 ml of 0.5% lidocaine with normal saline, Group 2 :received IVRA 40ml 0.5% lidocainewith 300mg paracetamol, Group 3: received IVRA 40 ml of 0.5% lidocaine solution with normal saline with systemic 300 mg paracetamol. Results: There was no significant differences noted among the three groups regarding the age, sex, height, weight, BMI and VAS score. There were a significant differences in sensory block onset time between group 2 and group 1(more rapid sensory block onset time in group 2 as p value < 0.001) and between group 2 and 3(more rapid sensory block onset time in group 2 as p value was 0.023) and between group 1 and 3(more rapid sensory block onset time in group 3 as p value was 0.001). There was a significant differences regarding sensory recovery between group 2 and 1(prolonged sensory recovery in group 2 as p value < 0.001) and between group 2 and 3(prolonged sensory recovery in group 2 as p value < 0.001) but no difference between group 1 an 3 (as p value 0.994). There was a significant differences regarding motor block onset time, between group 2 and 1(more rapid motor block onset time in group 2 as p value < 0.001) and between group 2 and 3 (more rapid motor block onset time in group 2 as p value < 0.001) but no differences between group 1 and 3 as(p value 0.507). Also there was a significant differences regarding motor recovery between group 2 and 1(prolonged in group 2 as p value < 0.001) and between group 2 and 3 (prolonged in group 2 as p value < 0.001), but no differences between group 1 and 3 as (p value 0.088). There was no differences in VAS score among all groups as p value more than 0.05. There was a significant differences in the time for the first analgesic request between group 2 and 1(prolonged in group 2 as p value < 0.001) and between group 2 and 3(prolonged in group 2 as p value < 0.001) and between group 1 and 3(prolonged in group 3 as p value < 0.001). Conclusion: IVRA paracetmol cause a decrease in sensory block onset time, motor block onset time, and increase in motor and sensory recovery time with no change in VAS score postoperatively as compared with systemic paracetmol or lidocaine alone.

PDF file: 

IJMCE RECOMMENDATION

ONLINE PAYPAL PAYMENT

CURRENT ISSUE

NEWS

CHIEF EDITOR
Rosane Cavalcante Fragoso, Brasil
ASSOCIATE CHIEF EDITOR

   

Jean-Marc SABATIER
Chief Scientific Officer and Head of a Research Group
France

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

EDITORIAL BOARD

Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran