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Biomedical subjects

M Naguib

Publications and source records attributed to M Naguib.

131 records · Page 8Linked to original sources
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Epinephrine and fentanyl as adjuvants to 0.5% bupivacaine for epidural analgesia.

The analgesic and respiratory effects of epidural 0.5% bupivacaine were studied in four groups of patients (n = 170) undergoing percutaneous nephrolithotripsy (PNL). Group 1 patients (n = 42) received 0.5% bupivacaine. Group 2 patients (n = 42) received 0.5% bupivacaine with 1:200,000 epinephrine. Group 3 patients (n = 42) received 0.5% bupivacaine plus 100 micrograms epidural fentanyl, and Group 4 patients (n = 44) received 0.5% bupivacaine plus fentanyl plus epinephrine. Intraoperative pain occurred in anatomically adequate segmental blockade in 15 patients from Groups 1 and 2, but in none from Groups 3 and 4. Analgesia was restored by 100 micrograms epidural fentanyl, and motor block appeared to be enhanced. The addition of epinephrine increased the intensity of motor block but not analgesia. Respiratory frequency was slower and respiratory rhythm more irregular in Group 3 than within the other groups. SaO2 decreased to 89% or lower in eight cases, and oxygen supplementation was required. It is concluded that PNL may be safely conducted under epidural analgesia when reinforced by epidural fentanyl while breathing air, provided SaO2 is monitored continuously; otherwise, oxygen supplementation should be provided.

Adjuvants, Anesthesia↗
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Improving the medical care and counseling of postabortion patients in Egypt.

This report analyzes the results of an operations research project carried out at two sites in Egypt to improve the medical care and counseling of postabortion patients. Preintervention and postintervention surveys and observations were conducted. After the introduction of vacuum aspiration under local anesthesia, the number of cases treated with dilatation and curettage under general anesthesia dropped from an average of 169 per month to 16. The majority of the remaining cases (an average of 119 per month) were treated with vacuum aspiration. Both providers' and women's knowledge about postabortion complications improved. Family planning information provided to postabortion patients increased as a result of the project's training program. The proportion of patients intending to use a contraceptive method increased by 30 percentage points due to the improved counseling. Future programs linking family planning and postabortion medical services should be prepared to improve the medical care of existing emergency health services and to add counseling services.

Abortion, Illegal↗