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Showing 5 results for Anesthesia

Mr Hamid Hojjati, Mr Seyyed Hamid Sharifnia, Mr Mohsen Mobasheri, Mis Golbahar Akhoondzadeh,
Volume 9, Issue 1 (8-2012)

  Background and Objective : Electroconvulsive Therapy is a psychiatric treatment in which a group of professions including anesthesia, psychiatry and nursing are needed. One of the most important nursing cares is patient education, especially about having temporary cognitive impairment occurred after ECT. This study investigated the effect of training on cognitive status of patients undertaken ECT.

  Material and Methods : This pre-experimental study was conducted on 74 patients, first treated with electroconvulsive therapy, who were placed randomly in two equal groups of case and control . In case group, we used pamphlet, images and lecture to give information. Patients’ cognitive status was assessed before ECT and twenty-four hours after the first, third and sixth sessions. The data was collected by a questionnaire called MMSE cognitive status and analyzed by Repeated measurement and t-test.

  Results: There is significant difference between cognitive status of case and controls­ (p > 0/01) 24 hours after the first and third treatment session s , but no changes for sixth session.

  Conclusion: lack of knowledge results in fear and disturbances, which in turn leads to exacerbating of cognitive problems. Thus, nurses are required to give the patients adequate information before ECT .

  Keywords: Education , Electroconvulsive therapy, Cognitive status

Fatemeh Mahmodi, Asea Mobaraki, Akbar Rostaminejad,
Volume 11, Issue 1 (5-2014)

Background and Objective: Apgar score is a useful assessment for newborn, and a safe, appropriate and affordable anesthetic approach is paramount importance to both neonates and moms. This study aimed at determining the effect of general and spinal anesthesia on Apgar score of the neonates borne with cesarean section. 
Material and Methods: This randomized blinded clinical trial was conducted on 200 candidates for elective caesarean section in Imam Sajjad Hospital of Yasoug. Via simple random sampling, the participants were assigned to two groups of spinal or general anesthesia, and Apgar scores recorded at first, fifth and twentieth minute. Spinal anesthesia with 2ml of lidocaine 5% and general anesthesia with 5mg/kg thiopental and 1.5 mg/kg succinylcholine for induction, and N20 and halothane were used for maintenance of anesthesia. The data was analyzed by SPSS software, using T test and chi-square (P< 0.05). 
Results: The mean Apgar score at first and fifth minute in general anesthesia group was 8.1±0.6 and 92.9±25.0, and in spinal group was 9.01±0.2 and 9.92±0.33. There was significant difference between the two groups for the first minute (p>0.05) but it was not the case for the other times. 
Conclusion: Apgar score of the first minute in spinal anesthesia is higher that of general anesthesia. Hence, spinal anesthesia is recommended for elective cesarean section.

Dr Khadijeh Yazdi, Dr Arazbordi Ghorchaei, Dr Shakiba Mozari, Fariba Baghani, Ali Akbar Abdollahy, Dr Naser Behnampour,
Volume 12, Issue 2 (12-2015)

Background and Objective: The usual method of assessing depth of anesthesia, which is not sensitive and specific enough, is measuring hemodynamic parameters, autonomic changes and subjective symptoms including movement, sweating and lacrimation. This study aimed to determine the relationship between the depth of anesthesia and hemodynamic indices.

Material and Methods: This correlational study was conducted on 57 patients undergoing elective hernia surgery in Shahid Beheshti Hospital ,Sabzevar in summer 2014.  An identical anesthesia technique was used for all patients.  Depth of anesthesia was monitored quantitatively by bispectral index (BIS) at 5-minute intervals, with simultaneous recording of heart rate and blood pressure. We analyzed the data using Anova and correlation coefficient.

Results: The mean age was 45.54±13.46. The patients were males (n=36) and females (n= 21).   Only 59.6 % of the patients experienced a normal depth of anesthesia. Hemodynamic parameters were not significantly correlated with anesthetic depth except for heart rate in the first 5 minutes (P= 0.013).

Conclusion: Given that hemodynamic parameters have some limitations in determining the acceptable depth of anesthesia, we recommend using the monitors based on brain signal processing.

Ainaz Kor, Khadijeh Yazdi , Hosien Nasiri, Mohsen Mir Sadeghi ,
Volume 14, Issue 1 (11-2017)

Background: Receiving Oxygen during Cesarean section under spinal anesthesia can be a good way to prevent from nausea and vomiting of mothers and hypoxemia of fetus. This study aimed to compare the effect of two treatment methods of Oxygen therapy with facemask and nasal catheter on vomiting and nausea and patient's comfort during Cesarean section under spinal anesthesia.

Methods: This clinical trial study was conducted  on 50 candidate patients for elective cesarean section, recruited via convenience sampling , were divided into two groups. For the first group, 8 liters of Oxygen per minute with face mask and for the second one, 4 liters of Oxygen per minute with nasal catheter was administered during cesarean section and after that in recovery unit. Nausea, vomiting and comfort were recorded during the first 30 min of surgery and in recovery unit. Data were analyzed by Mann-Whitney test, independent t test, Fisher's exact test and Chi-square tests.

 Results: No significant difference was observed between two groups in terms of nausea and vomiting during surgery and after that.  Moreover, there was no significant difference between two groups in terms of comfort during (p=0.14) and after surgery (p=0.12).  In terms of clinical treatment, patients who received Oxygen through nasal catheter felt more comfort.

Conclusion: Nasal catheter by administering lower dose of oxygen had a similar effect to face mask on nausea and vomiting. Therefore, since patients feel more comfort when using nasal catheter, it is preferable in preventing the nausea and vomiting in Cesarean section during spinal anesthesia.

Fouzieh Bakhsha, Solmaz Halakou , Seyed Yaghoub Jafari, Zahra Yousefi, Mohammad Aryaee,
Volume 15, Issue 2 (7-2018)

Introduction: Surgery and anesthesia are the common practice for anesthetist on the one hand and very worrying for the patient and his family on the other. This fear can have potentially dangerous consequences. The aim of this study was to determine the relationship between the awareness and fear of patients and their companions towards anesthesia.
Methods: The present study employed a descriptive-analytic design. The instrument was a questionnaire with 38 items consisting of 20 items for fear of anesthesia, 13 items for awareness of anesthesia, and 3 items for the role of anesthesia personnel. The research population included patients undergoing surgery and their companions. The sample population was selected using non-random sampling. Data was analyzed using SPSS software version 16.
Results: In this study, 328 patients and 325 patients' companions (n = 653) were enrolled. The mean score of fear of anesthesia for patients and their companions was 77.56 ± 20.15 and 82.56 ± 20.51, respectively. The mean score of anesthesia awareness for patients and their companions was 6.27 ± 2.33, 33.6 ± 2.86, respectively. No significant correlation was found between fear and anesthesia awareness among patients.
Conclusion: The results of the study showed that patients and their companions had a relatively high degree of fear towards anesthesia and did not have enough awareness about anesthesia and its related factors. Therefore, it seems that provision of educational and anesthetic counseling before surgery can be very helpful in order to improve the conditions.
Keywords: Anesthesia, Patient, Fear, awareness

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