Faculty of Paramedicine - Nasser Ghorbanian

Nasser Ghorbanian

Anesthesiology

Academic Position : Instructor

Start service :

Section : Anesthesiology

Educational Background :

Phone : 33344274

Email Address : ghorbanian.n@tbzmed.ac.ir

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Papers

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Article Title : Low dose of Remifentanil in facilitation insertion of

Master Auther :

Journal Title and Number : RMJ 2007, Volume: 32, Issue: 1

Authers : H.Hoseinzade, M.Eidy, M. Ansari, D. Aghamohammadi, N.Ghorbabian A.Mahmoudpour

Publish : 2007

summary : Objective: To evaluate the effect of injection of remifentanil with propofol in decreasing the undesirable anesthetic airway responses such as coughing and gagging. Methods: We performed a randomized double-blind study from October 2003 to May 2004, in Emam Hospital in Tabriz, Iran, to compare the condition during insertion of LMA in 90 patients with ASA classes I and II, in 3 groups. Group R1 received 0.25 μg/kg remifentaniel and 2.5 mg/kg propofol, Group R2 0.5 μg/kg remifentanil and 2.5 mg/kg propofol, and Group P normal saline and 2.5 mg/kg propofol. Hemodynamic changes, apneic time, condition of insertion and airway patency were compared in these groups. Results: Remifentanil significantly improved the condition of insertion in-group R1: 80.33% and group R2: 90.6% in comparison with group P 40%. Hemodynamic changes in-group R1 was less than R2. Patients in-group R1 were apneic for a mean time of 1.75 ± 0.9 min as compared with 2.35± 1.3 min in-group R2. Conclusion: Administration of 0.25-μg/kg remifentanil with 2.5 mg/kg propofol caused less hemodynamic changes and provided excellent condition for insertion of the LMA

Article Title : Complications Of Supraclavicular Block Of Brachial plexus

Master Auther :

Journal Title and Number : Rawal Medical Journal 2007, Volume: 32, Issue: 1

Authers : Niazi Gazani Masoud, Mortasavi Mir Mohammad Taghi, Movassaghi gargari Reza, Ansari Maarouf, shahgoli Seyedabolhasan, Ghorbanian Naser

Publish : 2007

summary : Abstract Objectives: To determine the incidence of complications occurring during Supraclavicular block of brachial plexus in our hospital. Materials and Methods: In this prospective, clinical trial, three-hundred twenty patients (228 males and 92 females) 17-70 years of age (average 38 years) underwent supraclavicular block for upper extremity surgery, from October 2003 to October 2005 in Shohada hospital, Tabriz Iran. The supraclavicular block was performed by combination of classic and perivascular techniques. All patients received 40 mL of 1% lidocaine (400 mg). Probable complications were surveyed by a questionnaire. The data were analyzed using SPSS software. Results: Complications occurred in 45.3% of patients. The most common complications was Horner’s syndrome (34%), hematoma (8.8%) and vascular injuries (2.5%). The rate of hematoma formation was directly related to the number of needle punctures (P = 0/000) and it was fourteen times more common in multiple puncture than in single puncture. Conclusion: Combining classic and perivascular techniques was more efficient and the rate of failure and complications were fewer. With attention to the entrance point and avoidance of excessive needle advancement after the beginning of paresthesia and slow injection of drug, the rate of failure and complication can be reduced. (Rawal Med J 2007;32:60-62)

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