Nima Saeedi

Shahid Beheshti University of Medical Sciences

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

Houman Teymourian

Shahid Beheshti University of Medical Sciences

Nastaran Hajizadeh

University of Alberta

Gholamreza Mohseni

Shahid Beheshti University of Medical Sciences

Davood Ommi

Shahid Beheshti University of Medical Sciences

Mohammadreza Moshari

Shahid Beheshti University of Medical Sciences

Shayesteh Khorasani zadeh

Shahid Beheshti University of Medical Sciences

Hojat Salimi

Shahid Beheshti University of Medical Sciences

Maryam Vosoughian

Shahid Beheshti University of Medical Sciences

Faranak Behnaz

Shahid Beheshti University of Medical Sciences

Soudeh Tabashi

Shahid Beheshti University of Medical Sciences

Cooperative Institutions

Shahid Beheshti University of Medical Sciences

Shahid Beheshti University

Tehran University of Medical Sciences

Roozbeh Hospital

Isfahan University of Medical Sciences

Masih Daneshvari Hospital

Imam Hossein Hospital

University of British Columbia

Shahid Sadoughi University of Medical Sciences and Health Services

Guilan University of Medical Sciences

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Comparison of Epidural Dexmedetomidine Versus Ropivacaine Infusion Effectiveness in Preventing Erection Following Reconstructive Urethral Surgery: A Randomized Clinical Trial

Anesthesiology and Pain Medicine (2021)

Houman Teymourian Nima Saeedi Hojat Salimi

One of the most common devastating problems that occur after urethroplasty is erection, which causes surgical complications (fistula, wound dehiscence, and surgical graft failure) and the need for repairing the complications. We attempted to compare the effect of continuous epidural infusion of dexmedetomidine and ropivacaine as a post-surgical erection prevention strategy.In this study, we aimed to compare the effect of dexmedetomidine and ropivacaine epidural infusion on the incidence of erection after reconstructive urethral surgery.An RCT was conducted on 45 patients who were scheduled for reconstructive urethral surgery. They were randomly divided into three groups: (1) control (n = 15), (2) epidural dexmedetomidine (n = 15), (3) and epidural ropivacaine (n = 15). The control group received oral medication after surgery according to the conventional method (cyproterone compound tablets 50 mg BD and diazepam tablets 2 mg TDS for a week) to prevent erection. The DEX group received dexmedetomidine as continuous epidural infusion, and the ROP group received ropivacaine in addition to the conventional method. The occurrence of erection during day and night was recorded separately until the seventh day after surgery. Due to the long-time interval between case selection, participants from different groups were not matched with each other.The incidence of erection in the dexmedetomidine group was lower than that in the ropivacaine group per person (0.87) and significantly lower than in the control group (2.8 per person). Also, there was significantly less erection in the ropivacaine group (1.2 per person) than in the control group. Our study showed that erection after surgery significantly decreased with the continuous epidural infusion of dexmedetomidine and ropivacaine.Dexmedetomidine seems to have a significant preventive effect on erection after reconstructive urethral surgery.

Dexmedetomidine

Ropivacaine

10.5812/aapm.114259

Cite

Citations (0)

Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management

Journal of Cellular & Molecular Anesthesia (2020)

Shayesteh Khorasani zadeh Nima Saeedi Hamed Javadian Reza Jalil Khoshnood Alireza Zali

Tourette’s syndrome (TS) is a neuro-behavioral disease associated by phonic and motor tics with a high frequency of psychiatric co-morbidities. For these cases, deep brain stimulation (DBS) is a developing neuro-modulated treatment option since the first report on a successful surgery in 1999. A male thirty-one years old (77 kg, 178 cm) with diagnosis of Gilles De La Tourette syndrome admitted to neurosurgery ward. His medication included Aripiprazole, pimozide, buspirone, clomipramine, citalopram, phenytoin, Desmopressin and Lithium. The patient underwent implanting DBS (Deep Brain Stimulator) surgery and battery implantation in two steps with two weeks interval. General anesthesia with considerations and according to behavior of disease and drug interactions was performed. The cause and symptoms may be due to central dopaminergic hyperactivity or anomalous dopamine neurotransmission and interventions and anesthesia should be done considering these abnormalities.

Pimozide

Aripiprazole

10.22037/jcma.v5i2.29473

Cite

Citations (0)

Magnesium Gargle versus Ketamine Gargle in Postoperative Sore Throat Pain; A Randomized Placebo-Controlled Clinical Trial

Houman Teymourian Nima Saeedi Gholamreza Mohseni Shayesteh Khorasani zadeh Nastaran Hajizadeh

Background: A wide range of approaches have been tested for the prevention and treatment of postoperative sore throat pain (POST pain). This study attempted to compare the effects of gargling with Ketamine or Magnesium Sulfate on POST pain. Materials and Methods: In a randomized clinical trial, 60 patients scheduled for prone position laminectomy were randomly assigned into three groups: Ketamine (n=20), Magnesium (n=20), and Control (n=20). The Magnesium group received magnesium sulfate gargle (30 mg/kg in a total of 30 ml 5% Dextrose water), the Ketamine group received Ketamine gargle (0.5 mg/kg in a total of 30 ml 5% Dextrose water) and the control group received 30 ml 5% Dextrose water gargle; all these solutions were administered 10 min before anesthesia induction. Visual Analog Scale (VAS) for throat pain was recorded in the recovery room; immediately after arrival and then, at 2, 4, and 24 hours postoperatively in the ward. Would there be any VAS equal to or more than 3 of 10, rescue analgesics were administered immediately and their cumulative doses were recorded. Results: The incidence of complaint-free patients in the Ketamine group was significantly higher than in the other two groups. The incidence of sore throat with VAS≥3, mandating rescue analgesia, was significantly lower than the other two groups. patient satisfaction after surgery was significantly higher in the Ketamine group. Conclusion: Patients experiencing POST pain treated with “Ketamine gargle” had better results compared with “Magnesium Sulfate” or “Placebo” gargle.

Sore throat

Ketamine hydrochloride

10.22037/jcma.v5i3.29471

Cite

Citations (1)

The Effect of Stretching Exercises and Caffeine Tablets on Reducing Headache after Spinal Anesthesia; A Randomized Clinical Trial

Mohammadreza Moshari Nilofar Massoudi Mohammad Fathi Nima Saeedi

Abstract Introduction: We performed this study to compare the effect of Caffeine and stretching exercise on Post Dural Puncture Headache (PDHP). Methods: In this Randomized Clinical Trial, 160 candidates for elective inguinal hernia surgery or varicocele surgery in Shahid Modares Hospital in Tehran, were assigned into the following groups using a computer-generated randomization table: caffeine group received Caffeine tablet (200 mg TDS); exercise group received stretching exercise; caffeine combine exercise group received Caffeine tablet (200 mg TDS ), and stretching exercise and control group received placebo tablets. After the end of the surgery, up to 48 h, the Visual analog scale (VAS) was recorded every 6hours by the same clinician. Results: The occurrence of PDPH was less in the caffeine and exercise combined group than in the control group. Also, the headache was more severe in the control group than in the caffeine group. Furthermore, the need for rescue analgesics was more in the control group than in the caffeine group. Conclusion: caffeine and exercise combined had better outcomes than placebo regarding PDHP.

10.22037/jcma.v6i2.30714

Cite

Citations (0)

Impact of Ultrasound-Guided Femoral Nerve Block on Ease of Positioning for Spinal Anesthesia in Patients with Femoral Fracture

Journal of Iranian Medical Council (2022)

Houman Teymourian Nima Saeedi

Background: Spinal anesthesia is commonly used for orthopedic surgeries. The most important issue to improve outcome is patient cooperation to have a proper position for reducing pain during spinal anesthesia procedure. However, any change in position is painful which leads to sympathetic activation, tachycardia and hypertension, which may put patients with ischemic heart disease at risk. Peripheral nerve block is a safe and reliable alternative to systemic analgesia. Using the ultrasound-guided method reduces local anesthetics’ amount and side effects. Methods: In this study, 53 patients who came to the operating room with femoral fracture as candidates for spinal anesthesia were enrolled and received ultrasound-guided Femoral Nerve Block (FNB) (10 ml Lidocaine 1.5%). Before and after receiving the nerve block, the patients were asked about the severity of their pain using the Numerical Rating Scale (NRS). Both groups of patients and physicians were asked about their satisfaction according to a 5-point Likert scale. Results: Mean pain intensity in the NRS score at the time of admission to the operating room was 7.6±0.8, which was reduced to 1.8±1.5 after blockade. In this study, 39 (73.5%) patients were very satisfied (Likert scale 5), 10 (18.8%) were satisfied (Likert scale 4), 2 (3.7%) had no opinion (Likert scale 3), 2 (3.7%) were not satisfied (Likert scale 2), and no one was very dissatisfied (Likert scale 1). There was significant difference in physician’s satisfaction. Conclusion: Ultrasound-guided nerve block is a safe and effective method to be used for positioning during spinal anesthesia procedure.

Femoral nerve block

10.18502/jimc.v4i4.8474

Cite

Citations (0)

Anesthetic Management in a Patient With Surgical Excision of Spinal Cords Hydatid Cyst: A Case Report

International Clinical Neuroscience Journal (2019)

Faranak Behnaz Nima Saeedi Amir Saied Seddighi

Echinococcosis granulosus is the leading cause of spinal hydatid disease. Hydatidosis of the bone happens in 0.5%-3% of all the cases: the involvement in the vertebral column is 50%. In the endemic areas, one of the common causes of spinal cord compression is hydatid disease, and the diagnosis may remain obscure until specifying symptoms ensuing from complications due to root and cord compression. We present a case of recurrent spinal cords hydatid cyst in a 44 years old patient because it occurs rarely, and anesthetic management in such cases has never evaluated before.

Spinal cord compression

Hydatid cyst

Vertebral column

Spinal column

10.15171/icnj.2019.30

Cite

Citations (0)

Complementary Effects of Mentha piperita (Peppermint) and Rosa damascene Extract (Rose oil) on SpO2 in Patients with COVID-19: A Randomized Clinical Trial

DOAJ (DOAJ: Directory of Open Access Journals) (2021)

Davood Ommi Nima Saeedi Nastaran Hajizadeh Gholamreza Mohseni Houman Teymourian

Background and Aim: In light of the high prevalence of COVID-19 and the need for ventilation support, various methods have been recommended to decrease the need for mechanical ventilation support. In the present study, we made an attempt to compare the effects of rose oil and peppermint extract nebulizer on SpO2 (peripheral oxygen saturation) in COVID-19’s patients. Materials and Methods: This study was conducted on 60 patients with COVID-19 under a standard treatment protocol at the Northeast Corona Center of Tehran. The patients were divided into three groups, i.e. peppermint (n:20), rose oil (n:20) and the control (n:20). The peppermint group received peppermint oil nebulizer twice a day (12 drops in 30cc sterile water for each time), the rose oil group received rose oil nebulizer twice a day (12 drops in 30cc sterile water for each time) and the control group received sterile water with nebulizer (30cc sterile water). SpO2 without extra O2 support was recorded before the start of the nebulizing every day up to 3 days. Results: The results revealed that the mean SpO2 significantly increases over time in all the three groups (P-value<0.001). The mean SpO2 was 84.97 before the treatment, but it was increased to 86.83 , 88.32 , and 89.93 at the first, second and third days of the treatment respectively. The daily increase was statistically significant (P-value<0.001). The results showed that mean SpO2 of the peppermint group was significantly more than the control group at the third day of the treatment. The difference in saturation was 3.25% and the p-value was 0.004. Hence, the need for mechanical ventilation reduced and the patients’ satisfaction increased. Conclusion: The patients experiencing decreases in SpO2 who were treated with peppermint extract showed better results than those treated with placebo at the third day.

Rose (mathematics)

Source

Cite

Citations (0)

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

Cite

Citations (3)

Complementary effect of Peppermint extract and Rose oil on SpO2 in patients with COVID19; A Randomized Clinical Trial

Davood Ommi Nima Saeedi Nastaran Hajizadeh Gholamreza Mohseni Houman Teymourian

Background: In light of the high prevalence of COVID19 and their need to ventilation support, various methods have been recommended to decrease the need to mechanical ventilation support. In this study, we have attempted to compare the effect of Rose oil and Peppermint extract nebulizer on SpO 2 in COVID19’s patients. Method and Material: Study conducted on 60 patients with COVID19 under standard treatment protocol at the Shohada-e-Tajrish Hospital in Tehran. The patients were divided into three groups by random number table; Peppermint extract (n:20), Rose oil (n:20) and control group (n:20).The Peppermint extract group received Peppermint extract nebulizer 2 times a day (12 drops in 30cc sterile water for each time), the Rose oil group received Rose oil nebulizer 2 times a day (12 drops in 30cc sterile water for each time) and the control group received sterile water with nebulizer (30cc sterile water). SpO 2 without extra O 2 support was recorded before the start of the nebulizing and every day up to 3 days. Result: The results determined that the mean percentage of saturation is increases significantly over time in each three groups (P-value<0.001). The mean percentage of saturation was 84.97 before treatment, it was increased to 86.83 at first day of treatment, 88.32 at the second day, and 89.93 at the third day of treatment. Day to day increase were statistically significant (P-value<0.001). The results showed mean percentage of saturation of the Peppermint group was significantly more than Control group at the third day of treatment. The difference in saturation was 3.25% and the p-value was 0.004. So the need for mechanical ventilation is reduced and patient’s satisfaction increased. Conclusion: patients experiencing decreases in SpO 2 who were treated with Peppermint extract showed better results than those treated with placebo at the 3rd day.

Nebulizer

Sterile water

Source

Cite

Citations (0)