Maryam Vosoughian

Shahid Beheshti University of Medical Sciences

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Mastaneh Dahi

Shahid Beheshti University of Medical Sciences

Mohammadreza Moshari

Shahid Beheshti University of Medical Sciences

Ali Dabbagh

Shahid Beheshti University of Medical Sciences

Soudeh Tabashi

Shahid Beheshti University of Medical Sciences

Shideh Dabir

Shahid Beheshti University of Medical Sciences

Shideh Dabir

Shahid Beheshti University of Medical Sciences

Soodeh Tabashi

Shahid Beheshti University of Medical Sciences

Mahshid Ghasemi

Shahid Beheshti University of Medical Sciences

Nilofar Massoudi

Shahid Beheshti University of Medical Sciences

Shahram Sayyadi

Shahid Beheshti University of Medical Sciences

Cooperative Institutions

Shahid Beheshti University of Medical Sciences

Shahid Beheshti University

Tehran University of Medical Sciences

Imam Hossein Hospital

Masih Daneshvari Hospital

Shiraz University of Medical Sciences

Taleghani General Hospital

Iran University of Medical Sciences

University of Tehran

Imam Khomeini Hospital

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MISMATCHED BLOOD TRANSFUSION ; CASE-REPORT

Scientific Journal of Iran Blood Transfus Organ (2013)

M Ghasemi Bahman Malek A A Tavakolpour Maryam Vosoughian Mastaneh Dahi Taleghani

Center (category theory)

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Citations (2)

The Duration of Spinal Anesthesia with 5% Lidocaine in Chronic Opium Abusers Compared with Nonabusers

Anesthesia & Analgesia (2007)

Maryam Vosoughian Ali Dabbagh Samira Rajaei Hassan Maftuh

It has been demonstrated that chronic opium abusers have lower thresholds for pain. In this study we sought to determine whether chronic opium abuse has any effect on the duration of spinal block by local anesthetics.In a case-controlled study, 50 opium abusers and 50 nonabusers undergoing lower abdomen operations were selected from among the patients admitted to a university hospital for elective surgery. All patients received 100 mg hyperbaric preservative-free 5% lidocaine in dextrose, intrathecally.The duration of anesthesia was much shorter in the opium abusers (60 +/- 7 min) than in the nonabusers (83 +/- 10 min) (P < 0.0001).The study documents a shortened duration of spinal block in opium abusers.

Tetracaine

10.1213/01.ane.0000268496.46141.4f

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Citations (29)

765 DURATION OF SPINAL ANESTHESIA WITH LOCAL ANESTHETIC DRUGS IN CHRONIC OPIUM ABUSERS COMPARED WITH NON‐ABUSERS

European Journal of Pain (2006)

Maryam Vosoughian Hassan Maftuh Ali Dabbagh Samira Rajaei

Pain medicine

10.1016/s1090-3801(06)60768-4

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Low-dose Propofol for the Treatment of Severe Postpartum Post-dural Puncture Headache: A Case Report

Case Reports in Clinical Practice (2021)

Maryam Vosoughian Shideh Dabir Mastaneh Dahi Mohammadreza Moshari

In this report, we presented our experience in treating severe postpartum post-dural puncture headache with low-dose propofol. Short-term use of low-dose propofol provided rapid and complete relief of the headache without recurrence.

Post-dural-puncture headache

10.18502/crcp.v6i4.7860

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Experimental implementation of the peripheral nerve block clinical registry: an observational study

Frontiers in Medicine (2025)

Ali Dabbagh Firoozeh Madadi Moein Ebrahimi Shideh Dabir Maryam Vosoughian

Background and aims Peripheral nerve block (PNB) is commonly used, but there is a lack of data on its effectiveness and safety in the clinic. Therefore, anesthesiologists have limited insight into how they are faring in terms of both safety and efficacy. Additionally, No PNB registry is recorded in IRAN. Herein, we reveal how a hospital might use information gathered in a hospital registry of PNB outcomes to guide future quality enhancement efforts. Method This was an observational, prospective, and unicenter study of all peripheral nerve blocks done in the operating room since December 22, 2022. After studying the data collected by the existing registries worldwide, the anesthesiology research center at Taleghani Hospital developed a questionnaire that incorporated the varying parameters set forth by earlier research and registries. Parameters were documented for each patient. Results A total of 105 patients, were accrued from December 22, 2022, to July 23, 2023. The brachial plexus blocks namely axillary, infraclavicular, and popliteal blocks were the most frequently used PNBs, respectively. The indications that generated the greatest demand for PNBs were upper limb fractures, I&D, and amputation, respectively. 82.9% of blocks were conducted while patients were sedated employing systemic administration of sedatives. In this registry, there were no deaths or complications with sequelae. The median duration of hospitalization following admission to the hospital was 3 days. The mean patient satisfaction score was 9.46 out of 10. Conclusion Our analysis demonstrates the effectiveness, safety, and feasibility of peripheral nerve blocks in preoperative anesthesia. It is recommended to continue the registry and conduct additional studies to enhance our understanding of this procedure.

10.3389/fmed.2025.1486300

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Duration of spinal anesthesia with bupivacaine in chronic opium abusers undergoing lower extremity orthopedic surgery.

PubMed (2007)

Ali Dabbagh Mastane Dahi-Taleghani Hedayatollah Elyasi Maryam Vosoughian Bahman Malek

It has been demonstrated that chronic opium abusers have lower thresholds for pain. Spinal anesthesia is a common procedure in anesthesia, which is performed through administration of drugs (usually local anesthetics) in the intrathecal space, to produce temporary pain relief. The aim of this study was to determine whether chronic opium abuse could have any possible effect on the duration of spinal block by bupivacaine.In a case-control study, 50 opium abusers and 50 nonabusers undergoing lower extremity orthopedic operations were selected from the patients admitted in Taleghani Hospital in Tehran for elective surgery. The study parameters were assimilated as much as possible, including the method of anesthesia.No statistically significant difference was noted between the two groups regarding the age, sex, and duration of surgery; while, the duration of sensory block was much shorter in the opium abusers (86.6+/-15.7 minutes) compared with the nonabusers (162+/-22.1 minutes) (P<0.0001).The study suggests a shortened duration of spinal block with bupivacaine in opium abusers. The results can propose a number of possible mechanisms including cross-tolerance mechanisms between local anesthetics and opioid compounds at the level of spinal neurons. Further molecular studies at the level of spine are suggested.

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Anesthesia experience, clinical characteristics and outcomes of COVID positive childbirths during COVID-19 pandemic: an observational study at two teaching hospitals in Iran

Anaesthesia Pain & Intensive Care (2024)

Mastaneh Dahi Shideh Dabir Firoozeh Madadi Mohammadreza Moshari Alireza Shakeri

Background & objectives: COVID-19 pandemic affected people all around the world since its first notification in 2020. The virus also affected pregnant ladies as well as their neonates. We aimed to accumulate data and report the clinical characteristics and outcomes of COVID-19 childbirths in two teaching hospitals during the pandemic. Methodology: We retrospectively extracted data of COVID-19 infected parturients and their newborns at the time of delivery from electronic record system of the two target hospitals. Results: Electronic records of 44 parturients, known to have COVID infection, and delivered in two hospitals. Out of them, 21 were on medication for the viral infection and 26 needed supplement oxygen. Six patients gave birth naturally and 38 had cesarean section to deliver. Rate of cesarean section and preterm labor was 81.81% and 31.81% respectively. Out of 36 patients who underwent cesarean section, 28 initially had spinal anesthesia. Conclusion: COVID-19 infection increased risk of preterm labor; however, Covid itself did not affect the mode of delivery and type of anesthesia. The most important lesson of covid was real time sharing of vital data. Keyword: Covid19; Pregnancy; Cesarean Section; Complications Citation: Dahi M, Dabir S, Madadi F, Moshari M, Shakeri A, Yaghmaei M, Vosoughian M, Tabashi S. Anesthesia experience, clinical characteristics and outcomes of COVID positive childbirths during COVID-19 pandemic: an observational study at two teaching hospitals in Iran. Anaesth. pain intensive care 2024;28(3):503−508; DOI: 10.35975/apic.v28i3.2468 Received: October 22, 2023; Revised: January 03, 2024; Accepted: February 19, 2024

Pandemic

Obstetric anesthesia

Cesarean delivery

10.35975/apic.v28i3.2468

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Intravenous Acetaminophen Effect on Postoperative Narcotic Analgesic Demand after Elective Cesarean Section

DOAJ (DOAJ: Directory of Open Access Journals) (2016)

Mahshid Ghasemi Maryam Vosoughian Mastaneh Dahi-Taleghani Mehrnaz Sohrabi Seyed Amir Mohajerani

Background: Opioid analgesics are the mainstay of the treatment of postoperative pain. Appropriate monitoring of patients receiving opioid analgesics is essential to detect those with side effects such as respiratory depression. The discovery of Acetaminophen as a COX-3 variant may represent a primary central mechanism by which acetaminophen decrease pain. The aim of this study was to assess the effect of intravenous acetaminophen on morphine requirement in post-operation pain after elective cesarean section. M aterials and Methods: In a randomized clinical trial, patients’ candidate for elective cesarean section. In experiment group, intravenous acetaminophen (1000 mg/6 hour) was administered and normal saline to control group. Visual analogue scale (VAS) was measured at 1, 3, 6, 12, and 24 hours post-operation. Besides, Morphine dose requirement were measured during next 24 hours. R es ults: 83 patients were enrolled in the study; which 44 patients assigned in placebo group and 39 in Acetaminophen. Mean Age of placebo group was 29.64±5.55 and Acetaminophen was 30.33±5.50 which was not significantly different (p=0.568). Only at 1 and 3 hours, there was a significant difference between two groups of study. Total dose of morphine requirement was 5.73±2.78 mg/24 h in placebo group and 3.64±2.42 in Acetaminophen group which was significantly different (p=0.001). Conclusion: Intravenous Acetaminophen could decrease post cesarean pain and decrease post operation total morphine requirement particularly at first 3 hours post operation.

Acetaminophen

Elective cesarean section

Narcotic

Section (typography)

Narcotic analgesics

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Epidural Anesthesia with Lidocaine and Dexmedetomidine, Versus Lidocaine Alone on Plasma Levels of IL-6 in Patients with Proximal Femoral Fracture.

DOAJ (DOAJ: Directory of Open Access Journals) (2018)

Mohammadreza Moshari Bahman Malek Adel Ebrahimpour Maryam Vosoughian Mastaneh Dahi-Taleghani

Interleukin-6 plays an important role in inflammatory responses and synthesis of acute hepatic phase proteins and its plasma level changes are used as a reliable prognostic factor for mortality in hospitalized patients. On the other hand, various methods for reducing inflammatory responses, including proper control of pain during and after surgery, and correction of hemodynamic disorders, can be monitored by monitoring of plasma levels of IL-6. Epidural anesthesia is an appropriate method for controlling pain in lower limb surgeries. The aim of this study was to evaluate the effect of adding Dexmedetomidine to lidocaine in the epidural injection for better control of post-surgical inflammatory responses by measuring interleukin-6 plasma levels. Patients referred to Taleghani Hospital in 1396 who suffered from lower limb fractures and requiring surgery were evaluated. 52 patients in two groups receiving Dexmedetomidine doses of media and controls for the quality of epidural anesthesia and IL-6 index. After obtaining written consent, the Dexmedetomidine treatment group and the normal saline control group were prescribed epidural with lidocaine. Finally, the level of IL-6 before surgery and 6 hours after surgery were evaluated. According to the results of statistical analysis, the two groups did not show a significant difference in age and level of interleukin prior to the operation. The mean age of patients in this study was 15.84639 ± 53.4038. The sex distribution of the study included 19 women (36.5%) and 33 men (63.5%). According to the U Mann Whitney test, the second injection time and total drug volume had a significant difference between the control and intervention groups and Dexmedetomidine reduced the volume of total drug needed and increase the time interval until the second injection (p <0.001). There was also a significant difference between the two groups in the level of interleukin 6 after 6 hours of operation and this was lower in the Dexmedetomidine group. keywords: Interleukin-6, Dexmedetomidine, lidocaine, Anesthesia

Dexmedetomidine

10.22037/jcma.v3i3.21115

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The Effect of Propofol Anesthesia on the Pain Severity and Frequency of Migraine Attacks in Patients with Chronic Migraine Headache over a Six Month Follow Up: An Observational Study.

PubMed (2021)

Maryam Vosoughian Nima Saeedi Mohammadreza Moshari Shideh Dabir Mastaneh Dahi

Propofol is a short-acting intravenous anesthetic that is commonly used for induction and maintenance of anesthesia. Subanesthetic low doses of propofol has also been used to treat intractable migraine attacks in emergency wards with dramatic results. However, there is little information on the long-term efficacy of this drug in migraine headaches. The aim of this nonrandomized prospective observational study was to assess the effect of propofol anesthesia on the pain severity and frequency of migraine attacks in a 6-month follow-up period after anesthesia in patients with migraine headaches. The study was conducted on 51 known cases of migraine ranging in age from 21 to 66 years. Before anesthesia, patients completed a questionnaire including their characteristics, pain intensity of the headache using a visual analog scale, and a number of headache repetitions per month. All patients received propofol as the main anesthetic agent. At the end of anesthesia, the total amount of propofol usage was recorded. Patients were then followed up by telephone in the first, third, and sixth months after anesthesia, and the severity and frequency of the headache were recorded. Pain intensity or pain frequency significantly improved in 22 patients (43.1%), remained unchanged in 24 (47%), and worsened in 5 cases (9.8%) 6 months after anesthesia compared to before the anesthesia. In conclusion, since about half of the patients had significant improvement in the headache, propofol anesthesia may be considered as an acceptable anesthetic method in patients with migraine.

10.22037/ijpr.2021.115243.15266

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Citations (3)