Showing 3 results for Forouzannia
Kh Forouzannia, H Hosseini, M Rafie, M Sadr- Bafghi , M Motafacker, N Noori- Majelan,
Volume 12, Issue 1 (spring 2004)
Abstract
Cardiac transplantation is life saving in patients suffering from end stage cardiac diseases. In recent years , advancement in cardiac surgery has contributed to increasing number of patients who require cardiac transplantation. This report is the first case of heart transplantation in Yazd. Recipient was a 53 years old man with dilated cardiomyopathy and candidate for cardiac transplant. The donor was a 35 years old man with documented brain death due to a car accident. Patient was discharged from hospital 7 days after the operation with no complications and on follow up 1 year after operation , patient is in good condition and under specific care.
Kh Forouzannia , Mh Abdollahi, M Emami Meybodi, R Moradpoor, S Zare, O Beiki ,
Volume 12, Issue 3 (autumn 2004)
Abstract
Introduction: Coronary artery bypass graft can Improve myocardial contractility and functional class in Ischemic heart disease.
Materials & Methods: This study was done on 200 patient’s with CABG operation during
6 months. 142 patients were men and 56 patients were women with mean age 57.7 9.2 years (36-83). EF was measured by echocardiography before & 1 week after CABG, CCSFC evaluated before and 3 months after surgery by questioner. Data was analyzed statistically SPSS software.
Results: Mean EF was 48.1 5.9 before surgery, and 48.3 8.5 after surgery. CCSFC was
2.9 0.9 before surgery and 1.10.3 after surgery (P Value = 0.0001).
Conclusion: CABG can improve EF and reduce CCSFC in ischemic heart disease especially in patient’s with EF<35% and history of myocardial infarction.
Kh Forouzannia, H Hosseini , J Mirhosseini, Mh Abdollahi, Mh Moshtaghion, A Shahrad, F Salehi, H Peighambary, Mh Rokh,
Volume 17, Issue 3 (summer 2009)
Abstract
Introduction: Control of post thoracotomy pain is particularly important in prevention of post operative respiratory complications. Several methods are proposed for control of postoperative pain. Cryoanalgesia by freezing of intercostal nerves is able to providing long term pain relief in post operative period which probably results in cutaneous sensory changes.
Methods: This clinical trial study was done on 124 patients who underwent CABG surgery. Patients were randomly divided in two groups control group (group I) and study group (group II). In study group cryoanalgesia was applied intraoperatively on the intercostal nerves. All of the patients received appropriate analgesia on demand in postoperative period. Pain in LIMA harvesting site and sternum was measured by visual analogue pain score before discharge, one and three months following cryoanalgesia. In all of the patient’s, presence of paresthesia was evaluated. The amount of administered analgesics (narcotic, opium, indomethacin) was noted daily. Data of this investigation was analyzed and evaluated using SPSS 11.5 software.
Results: Pain score of sternum was higher in study group before discharge and was lower at one and three months after operation than the control group that was statistically significant (P=0.01). Pain score of LIMA region before discharge was higher, at one month post operation was equal and at three months post operative was lower than the control group (P=0.045). Use of morphine and opium was lower (P=0.017) and use of indomethacin was higher in the cryoanalgesia group that was statistically significant (P=0.001). Incidence of paresthesia was lower in the study group (P=0.001).
Conclusion: It is proposed that cryoanalgesia is a safe and effective method for reduction of pain and paresthesia and need for analgesics following CABG operation.
