Comparison between caudal bupivacaine and rectal paracetamol for postoperative analgesia in paediatrics under-going infra-umbilical surgery

A prospective randomized study was performed on 100 Sudanese children presenting for elective infra umbilical surgical procedures under general anesthesia. All patients were of ASA grade I and II. Within the age group 1-12 years. The postoperative analgesic effect of two drugs bupivacaine and paracetamol was compared. Patients in the study were randomly allocated into two groups. 50 patients in...

Extratracheal Airway Management In Spontaneously Breathing Anaesthetized Patients

A prospective randomized study was performed on eighty patients presented for elective minor surgical operations under general anaesthesia using extra tracheal airways and spontaneous breathing in Khartoum Teaching Hospital and Soba University Hospital during the period from March to October, 2001. The patients were divided into two groups:- Group 1: 40 patients in whom laryngeal mask airway...

Analgesic Efficacy and Adverse Effects of Intrathecally Administered Neostigmine in Patients Submitted to Spinal Anaesthesia

Background: Spinal administration of neostigmine as a non-opioid analgesic appears to provide a potent, long lasting analgesia. The present study was designed to evaluate the effects of the addition of different doses of neostigmine on the characteristics of spinal anaesthesia using bupivacaine, and to assess their postoperative analgesic efficacy and safety in patients undergoing...

Glycaemic effect of dextrose 5 % in children less than five years under general anaesthesia

Paediatric surgery account for 34 % of all surgical operations done under general anaesthesia (in Soba university hospital). Although dextrose 5% is known to cause hyperglycaemia, it is still the main intravenous solution used to replace fluid deficit and to maintain fluid balance in paediatric general anaesthesia in Sudan. This is an experimental study done in Soba university hospital and...

Influence of Size & Site of Cannulae, Gender and Age on Propofol Injection Pain

Introduction: pain anticipated during injection of propofol was and still is a subject for study. Objectives: assessment of propofol injection pain in general and with regard to size and site of cannulation, gender and age. Methodology: this is a randomized prospective single blinded study in which 301 Sudanese patients were studied at KTH in the period between Oct. 2004 to Mar 2005. ASA class...

Comparison between Suxamethonium and Rocuronium In Rapid Sequence Intubation

Prospective randomized double blind study was performed on hundred Sudanese patients presenting for elective surgical procedures under general aneasthesia. All patients were of ASA grade II and I within the age group 18 - 60 years. The intubation onset and condition for Suxamethonium and Rocuronium bromide was compared. Patients in the study were randomly allocated into two groups 50...

Evaluation of Multimodal Approach in Reduction of Postoperative Complications And Improvement of Rehabilitation

This study was done in fifty five (55) patients randomly selected from those scheduled for major surgery to evaluate the efficacy of multimodal approach (combination of general anesthesia and central neural blockade with bupivacaine) in the reduction of postoperative pathophysiology and in the improvement of rehabilitation criteria . The patients were divided into two groups. Group I (study...