Iranian Journal of Neurosurgery

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Showing 2 results for Sanie Jahromi

Pain Management Methods and Techniques in Lumbar Disc Surgery: A Narrative Review Study

Somayeh Mehrpour, Shahram Shafa, Majid Vatankhah, Mehrdad Malekshoar, Mohammad Sadegh Sanie Jahromi, Tayyebeh Zarei, Mansour Deylami, Fateme Maleki, Roohie Farzaneh,
Volume 10, Issue 0 (Continuous Publishing 2024)

Abstract

Background and Aim: This study examines the complex field of pain treatment related to lumbar disc disorders in a narrative review.
Methods and Materials/Patients: Our search strategy involved utilizing specific terms, including ‘pain management,’ ‘lumbar disc surgery,’ ‘methods,’ and ‘techniques.’ We formulated a search query using Boolean operators: (‘Pain management’ OR ‘analgesia’) AND (‘lumbar disc surgery’ OR
‘spinal surgery’) AND (‘techniques’ OR ‘procedures’ OR ‘approaches’ OR ‘methods’) AND ‘narrative review.’ A systematic search was conducted across reputable medical databases including PubMed, MEDLINE, and Cochrane Library. Filters were applied to refine search results based on publication type and date, with a focus on material published within the past two decades to ensure the inclusion of current, high-quality literature.
Results: This study synthesized information from several sources, demonstrating the changing methods used to address pain in lumbar disc disorders. The article explored the historical background of medical treatments, emphasized both contemporary surgical and non-surgical methods, and investigated
the predicted factors that affect the results. The study investigated the range of surgical incidents and examined the clinical factors to be taken into account for treatments. The value of efficient pain treatment in alleviating chronic back pain and maximizing patient results was emphasized.
Conclusion: In conclusion, this review underscores the paramount importance of comprehensive management of lumbar disc pain. It stresses that effective pain control not only alleviates immediate suffering but also plays a pivotal role in ensuring positive surgical experiences, enhancing patient outcomes, and promoting long-term well-being.

Tracheal Tube Cuff Pressure Measurement Methods in Lumbar Disc Surgery

Mohammad Sadegh Sanie Jahromi, Meysam Zarei, Lohrasb Taheri, Mansour Deylami, Navid Kalani,
Volume 10, Issue 0 (Continuous Publishing 2024)

Abstract

Background and Aim: Accurate tracheal tube cuff pressure measurement is crucial to prevent complications in patients undergoing mechanical ventilation. However, manual inflation methods, which are still commonly used in clinical practice, may lead to inaccurate cuff pressure measurements, compromising patient safety. Therefore, this study aims to compare the accuracy of manual and manometric methods for tracheal tube cuff pressure measurement in patients undergoing lumbar disc surgery in the prone position and to assess the safety implications of manual inflation methods.
Methods and Materials/Patients: This prospective analytical descriptive study was conducted on 60 patients undergoing lumbar disc surgery in the prone position. Tracheal tube cuff pressure was initially recorded in the supine position using both the manual method and the manometric method. Following the prone positioning of the patient, the cuff pressure was immediately recorded and adjusted by manometry. Subsequent recordings were made every 15 minutes until the conclusion of the surgery, using only the manometric method. Data were analyzed using descriptive statistics, including mean and percentage, as well as relevant statistical tests, such as repeated measurement and analysis of variance (ANOVA) using SPSS software, version 16.
Results: Significant differences were observed in tracheal tube cuff pressure measurements between the two instrumental (manometer) and manual methods in patients in the prone position (P<0.001). Tracheal tube cuff pressure, measured by both instrumental (manometer) and manual methods, exhibited significant differences at various time points (zero, 15 minutes, 30 minutes, 60 minutes, and 90 minutes) concerning body mass index in prone position patients (P<0.05). Additionally, a significant difference was observed in tracheal tube cuff pressure based on the duration of surgery (P<0.05), with the highest cuff pressure reported in patients with a surgical duration of 2 hours or more in the prone position.
Conclusion: The study results showed that tracheal tube cuff pressure measured by the instrumental method (manometer) was consistently lower than that measured by the manual method in patients placed in the prone position. Therefore, the manual approach may cause safety issues for patients.

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