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Showing 3 results for Fardiazar
Zahra Fardiazar, Farzane Zahery , Sedige Sadegy Khamene , Sakine Mohammad Alizade , Hosein Kooshavar,
Volume 6, Issue 1 (spring 2006)
Abstract
Background & Objectives: Post-episiotomy perineal pain is one of the most common causes of maternal morbidity and is often poorly treated. This study was performed to investigate effectiveness, side effects and patient satisfaction when lidocaine gel and placebo are used. Methods: In this double-blind clinical trial a total of 124 women who had normal viginal delivery with mediolateral episiotomy without other complications were randomly selected to receive lidocain gel or placebo. Pain intensity was assessed by numerical rating scale (0-10) after perineal pain in different intervals. Pain relief was assessed by number of pain pills, amount of gel used and the degree of painlessness. Repair of episiotomy was assessed by physical examination on 1 and 10 days after delivery. The data were used to fill out a questommaire. Finally, these data were analysed by SPSS ll (rel 11). Results: There was no significant difference in the amount of pain pills taken, the amount of gel used and patients satisfaction between two groups. Regarding the healing of episiotomy there was no significant difference between two groups in the first and tenth day examinations and all wounds healed on 10th day. Satisfaction of the patients regarding the use of gel was the same in two groups. Conclusion: Despite the findings of some similar studies, topical gel of 2% lidocaine was not significantly different from placebo for healing eposiotomy and relieving its pain. But in both groups result of healing on 10 th day postpartum was good. More studies are required to indicate the effect of high dose of lidocaine on pain relief and the positive effects of using gel on wound healing.
Simin Atashkhoii, Rasool Azarfarin , Zahra Fardiazar ,
Volume 7, Issue 3 (Autumn 2007)
Abstract
Background & Objectives: A common side effect associated with succinylcoline is postoperative myalgia. The pathogenesis of this myalgia is still unclear therefore there is no ideal method of decreasing the rate and severity of fasciculation and postoperative myalgia. The aim of this prospective and randomized study was to evaluate the influence of low-dose succinylcholine for tracheal intubation on the rate and severity of fasciculation and postoperative myalgia. Methods: In this study, 60 patients of ASA physical grading I or II were randomly entered into two groups of 30 patients each. One fasciculation was evaluated on the basis of Mingus and myalgia on the basis of Harvey Induction of anesthesia was performed with fentanyl/thiopentone, and then succinylcholine 1 mg/kg (control group) and 0.6 mg/kg (case group) were administered to patients for tracheal intubation. Results: There was not fasciculation in 50% (15 patients) of study group and on the rest no severe fasciculation occurred. Furthermore, the severity of fasciculation in the study group was significantly lower than that of control group (p<0.0001). In 16 (53.3%) patients of study group and 4 (13.3%) of control group myalgia were not occurred. Severity of myalgia was also significantly lower in study group than the control group (p<0.0001). Acceptable intubating conditions in all patients of two groups. Conclusion: Decreasing the dose of succinylcholine (from 1 mg/kg to 0.6 mg/kg) both provides acceptable intubation conditions, and reduces the rate and intensity of succinylcholine induced fasciculation and postoperative myalgia.
Shahram Habibzadeh , Mohsen Arzanlou , Elham Jannati , Mahdi Asmar, Mahnaz Azari , Zahra Fardiazar,
Volume 10, Issue 1 (spring 2010)
Abstract
Background & Objectives : The early-onset form of GBS (Group B Streptococci) disease typically occurs in the first 24 hours of life, with fulminant sepsis or pneumonia and has associated to high mortality (5-20 %) and morbidity. In prenatal infections GBS is transmitted vertically to the newborn during labor and delivery from the vagina of a typically asymptomatic colonized woman. Preventive strategies can be done with screening program and this study has been done for determination of carriage prevalence and antimicrobial resistance of GBS in pregnant women of Ardabil. Methods :For determination of carriageprevalence 420 pregnant women selected stratified proportionally from 11 clusters of obstetric clinics of Ardabil. Sampling was done in pregnant women at 35-37 weeks' gestation with a vaginal and rectal swab for culture. Swabs were inoculated into a selective broth medium (Todd-Hewitt broth with colistin, 10mg/L and nalidixic acid 15 mg/L = LIM broth), incubated overnight at 35-37°C, and subcultured onto sheep blood agar. Isolated bacteria identified by standard microbiological tests. Results: Out of 420 subjects 62 positive cultures were established (14.8%), 19 of them (4.5%) from anus, 19 of them (4.5%) from vagina and 24 of them (5.8%) from both. All of isolates were sensitive to Ampicillin and Vancomycin. There were 1 case of resistance 15 case of semi sensitivity and 46 cases of sensitive versus Erythromycin, these pattern also checked for Clindamycin, and results were respectively 11, 5, 46. All isolated GBS were sensitive to penicillin among them 3 (4.83%) isolates showed reduced susceptibility. Conclusion: Because of high prevalence rate we recommend screening of all pregnant women for Group B Streptococcus at 35-37 weeks' gestation with a vaginal and rectal swab. Based on antibiogram drug of choice for treatment is Ampicillin, and in cases of drug hypersensitivity Vancomycin may be choice.
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