ANESTHESIOLOGY

 

 

Publication Record

 

Aouad, M., and A. Baraka. 1999. Hemostasis-altering drugs and central neuraxial block. Middle East Journal of Anesthesiology 15 (3):217–245.

Aouad, M., C. Berzina, and A. Baraka. 2000. Aspiration pneumonia after anesthesia in a patient with a Zenker Diverticulum. Anesthesiology 92 (6):1837–1839.

Aouad, M., S. Siddik, M. Jalbout, and A. Baraka. 2001. Does pregnancy protect against intrathecal lidocaine-induced transient neurologic symptoms? Anesthesia & Analgesia 92 (2):401–404.

Aouad, M., S. Siddik, L. Rizk, G. Zaytoun, and A. Baraka. 2001. The effect of dexamethasone on postoperative vomiting after tonsillectomy. Anesthesia & Analgesia 92 (3):636–640.

Ayoub, C., A. Baraka, M. El-Khatib, M. Muallem, N. Kawkabani, and A. Soueidi. 2000. A new cut-off point of thyromental distance for prediction of difficult airway. Middle East Journal of Anesthesiology 15 (6):619–633.

Baraka, A. 1999. Tension pneumothorax complicating jet ventilaiton via a Cook (R) airway exchange catheter. Anesthesiology 91 (2):557–558.

———. 1999. The controversy of single-lumen versus double-lumen tube during thoracoscopy. Middle East Journal of Anesthesiology 15 (3):215–216.

———. 2000. Anesthetic management of faciomaxillary injuries. Middle East Journal of Anesthesiology, Appendix A: 12th World Congress Anaesthesiologists.

 

———. 2000. Fast track preoxygenation: The eight-deep breath technique. Critical Care International.

———. 2000. Gleb Von Anrep (1890-1955) A major pillar among twentieth century physiologists. Middle East Journal of Anesthesiology 15 (5):459–461.

———. 2000. Highlights of the 12th World Congress of Anaesthesiologists. Middle East Journal of Anesthesiology.

———. 2000. In reply: Preoxygenation: Comparison of maximal breathing and tidal volume techniques. Anesthesiology 92 (6):1845–1847.

———. 2001. Reversal of mivacurium-induced neuromuscular block by neostigmine. Middle East Journal of Anesthesiology 16 (1):3–5.

———. 2000. Revisting the ASA guidelines for management of a difficult airway.  Reply-tension pneumothorax complication jet ventilation via a Cook airway exchange catheter. Anesthesiology.

———. 2000. Simple low cost equipments in developing countries (Appendix B - 12th World Congress of Anaesthesiologists). Middle East Journal of Anesthesiology.

———. 2000. The contributions of the Arabs to medicine. Middle East Journal of Anesthesiology 15 (4):353–359.

———. 2001. Anesthesia and critical care of thymectomy for myasthenia gravis. THE THYMUS 11 (2):337–361.

 

Baraka, A., M. Aouad, S. Taha, M. El-Khatib, N. Kawkabani, and A. Soueidi. 2000. Apnoea-induced oxyhemoglobin desaturation following one-lung versus two-lung preoxygenation. Canadian Journal of Anesthesia 47 (1):58–61.

Baraka, A., C. Ayoub, and N. Kawkabani. 2000. Magnesium therapy for refractory ventricular fibrillation. Journal of Cardiothoracic and Vascular Anesthesia 14 (2):196-199.

Baraka, A., S. Haroun-Bizri, S. Khoury, and I. Rachid-Chehab. 2000. Single vital capacity breath for preoxygenation. Canadian Journal of Anesthesia 47 (11):1144–1146.

Baraka, A., N. Kawkabani, A. Dabbous, and M. Nawfall. 2000. Lidocaine for prevention of reperfusion ventricular fibrillation following release of ACC. Journal Cardiothoracic and Vascular Anesthesia 14 (5):531–533.

Baraka, A., N. Kawkabani, and S. Haroun. 2000. Hemodynamic deterioration following cardiopulmonary bypass during pregnancy: Resuscitation by post-operative emergency cesarean section. Journal Cardiothoracic and Vascular Anesthesia 14 (3):314–315.

Baraka, A., A. Lteif, M. Nawfal, S. Taha, M. Maroun, S. Khoury, and M. Jalbout.2000. Ambient pressure oxygenation via the non-ventilated lung during video-assisted thoracoscopy. Anesthesia 55 (6):602-603.

Baraka, A., Salem, M. R., and Joseph, N. J. 2000. The origin of the algorithm. Middle East Journal of Anesthesiology 15 (4):449–450.

Baraka, A., S. Siddik, T. El Rassi, S. Taha, and S. Haroun-Bizri. 2000. Sevoflurane anesthesia in a myasthenic patient undergoing transsternal thymectomy. Middle East Journal of Anesthesiology 15 (6):603–609.

Baraka, A., S. Siddik, and N. Kawkabani. 1999. Cisatracurium in a myasthenic patient undergoing thymectomy. Canadian Journal of Anesthesia 46 (8):779–782.

Baraka, A., S. Taha, M. Aouad, M. El-Khatib, and N. Kawkabani. 1999. Preoxygenation— comparison of maximal breathing and tidal volume breathing techniques. Anesthesiology 91 (3):612–616.

Baraka, A., S. Taha, and N. Kawkabani. 2000. Neuromuscular interaction of sevoflurane-cisatracurium in a myasthenic patient. Canadian Journal of Anesthesia 47 (6):562–565.

 

Diab, K. A., M. F. El-Khatib, M. Obeid, J. Jabbour, and G. W. Jamaleddine. 2001. Coronary artery bypass grafting after pneumonectomy: Case report and review of the literature. European Journal of Cardio-Thoracic Surgery 19 (3):362–364.

El-Khatib, M. F., and G. W. Jamaleddine. 2001. Mean alveolar pressure during volume and pressure controlled ventilation of diseased lungs. Respiratory Care 46 (7):678–685.

El-Khatib, M. F., G. Jamalledine, A. Abdallah, and Y. Ibrahim. 1999. Handwashing and use of glvoes while managing patients receiving mechanical ventilaiton in the Intensive Care Unit. Chest 116 (1):172–175.

El-Khatib, M. F., G. W. Jamaleddine, R. Soubra, and M. K. Muallem. 2001. Pattern of spontaneous breathing: Potential marker for weaning outcome. Intensive Care Medicine 27 (1):52–58.

 

El-Khatib, M. F., K. Kabalan, N. Ashou', M. Kotob, R. Nassrallah, I. Rasheed, G.  Jamaleddine. 1999. A software simulation of human lungs during mechanical ventilaiton as a help tool in clinical settings. Journal of Clinical Engineering.

El-Khatib, M.F., K. A. Yunis, and N. El-Hassan. 2000. High frequency ventilation. Middle East Journal of Anesthesiology 15 (5):529–547.

Jabbour-Khoury, S., G. Khoury, A. Soueide, and A. Baraka. 2000. Laparoscopic splenectomy in a patient with acquired angioneurotic edema. Journal of the Society of Laparoendoscopic Surgeons 4 (4):305–307.

Rishani, R., M. F. El-Khatib, and S. Mroueh. 1999. Nitric oxide therapy for severe satus asthmaticus. Pediatric Pulmonology 28 (6):451-453.

 

Schlack, W., Z. Heck, and A. Baraka. 2001. Is a single vital capacity breath a suitable method for preoxygenation? Canadian Journal of Anesthesia.

Siddik, S., M. Aouad, G. Kai, M. Sfeir, and A. Baraka. 2000. Hydroxyethylstarch 10% superior to Ringer's solution for preloading before spinal anesthesia for cesarean section. Canadian Journal of Anesthesia 47 (7):616-621.

Siddik-Sayyid, S., M. Maroun-Aouad, D. Sleiman, M. Sfeir, and A. Baraka. 1999. Epidural tramadol for postoperative pain after cesarean section. Canadian Journal of Anesthesia 46 (8):731–735.

Yunis, K. A., M. F. El-Khatib, N. El-Hassan. 2000. High frequency ventilaiton in five different neonatal pathologies. Middle East Journal of Anesthesiology 15 (5):549–558.

 

 

 

Research Projects

 

Intubation without muscle relaxant using sevoflurane with or without propofol in children

The aim of this study is to compare the intubating condition following sevoflurane induction of anesthesia without using muscle relaxants.  Children are randomly allocated to receive sevoflurane + intravenous placebo or sevoflurane + intravenous propofol.  Intubating conditions are then assessed using the following score: laryngoscopy, position of the vocal cords, and coughing graded from 1 to 4. Aouad, M. T.

Completed or in progress at AUB

 

End-tidal CO2 and mixed venous oximetry for prediction of cardiac output following  weaning from cardiopulmonary bypass

The report monitors inpatients undergoing cardiopulmonary bypass grafting the end-tidal CO2 and the mixed venous oximetry saturation during cardiopulmonary bypass as well as during weaning off bypass.  The changes in these two parameters are correlated with the cardiac output following weaning off bypass. Baraka, A. S.

Completed or in progress at AUB

 

Haemodynamic and EKG changes in patients undergoing minimally invasive direct coronary artery bypass

The objective of the report is to monitor inpatients undergoing minimally invasive direct coronary artery bypass surgery (MIDCAB), the haemodynamic parameters, ST segment changes, and the incidence of arrhythmias during clamping of the coronary artery and following reperfusion.  Twelve patients scheduled for elective MIDCAB surgery during isoflurane anesthesia are enrolled in the study.  Patients are monitored by a pulmonary artery thermodilution catheter, an arterial line, and five-lead ECG.  The different haemodynamic parameters, the ST segment changes, as well as the occurrence of arrhythmias during coronary clamping and ten minutes following reperfusion, are compared to the control values. Baraka, A. S., S. Haroun-Bizri, B. R. Shabb, S. S. Khoury, I. Rachid Chehab, and M. I. Jalbout.  

Completed or in progress at AUB

 

 

Propofol-Fentanyl versus Propofol-Alfentanyl for rapid sequence induction of anesthesia without the use of muscle relaxants

The aim of this study is to investigate the use of Propofol-Fentanyl versus Propofol-Alfentanyl for rapid sequence induction of anesthesia and tracheal intubation.  The report scores the intubating conditions as well as the hemodynamic parameters following the two techniques.  A total of 80 patients are enrolled in the study.  Preliminary resutls show that Propofol-Alfentanyl provides statistically significantly better intubating conditions than Propofol-Fentanyl.  However, hemodynamic changes (lowering of the blood pressure and increase in the heart rate) are more significant with Propofol-Alfentanyl. Jabbour-Khoury, S., A. Dabbous, N. Abou Jalad, T. Bartelmaos, L. Rizk, A. Nasrallah, and A. Baraka.

Completed or in progress at AUB

 

Effect of intrathecal versus intravenous fentanyl on the characteristics of subarachnoid block for Cesarean section

The aim of this prospective, double blind, randomized study is to compare the effects of intrathecal with intravenous fentanyl for supplementation of spinal anesthesia.  Forty-eight parturients scheduled for elective Cesarean section under spinal anesthesia were randomly allocated to receive, intrathecally, either 12 mg hyperbaric bupivacaine added to 12.5 ug fentanyl (n=23) or bupivacaine alone (n=25).  Whenever intrathecal bupivacaine without fentanyl was used, 12.5 ug fentanyl was immediately administered intravenously after placement of spinal anesthesia.  The onset, duration and quality of spinal anesthesia, incidence of adverse effects, as well as the time to first postoperative analgesic requirements were compared. Siddik-Sayyid, S. M., M. T. Aouad, M. I. Jalbout, M. I. Zalaket, C. E. Berzina, and A. S. Baraka.  

Completed or in progress at AUB