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Article: Retrobulbar hemorrhage with orbital compartment syndrome: A rare sight-threatening emergency during air medical evacuation.

Hazrati, Ebrahim / Shahali, Hamze

2021 Volume 80, Issue 1, Page(s) 110–114

Abstract: Traumatic retrobulbar hemorrhage may be rapidly progressive, converts to a sight-threatening emergency with potentially devastating complications. Assisted-escape systems in fast jet aircraft can lead to the pilot's facial/orbital injuries at any stage ... ...

Abstract	Traumatic retrobulbar hemorrhage may be rapidly progressive, converts to a sight-threatening emergency with potentially devastating complications. Assisted-escape systems in fast jet aircraft can lead to the pilot's facial/orbital injuries at any stage of the ejection sequences, which may result in retrobulbar hemorrhage. Orbital traumas are common and rarely result in retrobulbar hemorrhage and orbital compartment syndrome. However, early diagnosis and urgent out-of-the-hospital lateral canthotomy with cantholysis were recommended to save the patient's vision.
Language	English
Publishing date	2021-10-19
Publishing country	India
Document type	Case Reports
ZDB-ID	196342-9
ISSN	0377-1237
ISSN	0377-1237
DOI	10.1016/j.mjafi.2021.07.005
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Article ; Online: Blunt Thoracic Aortic Injury: A Life-Threatening Emergency on Air Medical Transportation.

Hazrati, Ebrahim / Shahali, Hamze

Air medical journal

2021 Volume 40, Issue 6, Page(s) 450–454

Abstract: A 54-year-old male driver was injured in a car crash in which his front-side passenger died at the scene. The initial assessment indicated that he was conscious and able to recall the accident. His vital signs included blood pressure of 155/95 mm Hg, ... ...

Abstract	A 54-year-old male driver was injured in a car crash in which his front-side passenger died at the scene. The initial assessment indicated that he was conscious and able to recall the accident. His vital signs included blood pressure of 155/95 mm Hg, heart rate of 112 beats/min, and respiratory rate of 21 breaths/min, and he complained of stabbing retrosternal pain. A palpable sternal fracture with a tender contusion, a discrepancy between the blood pressures between the arms, and diminished femoral pulses were other findings. With a thoracic aortic pseudoaneurysm suspicion, the emergency physician maintained the patient's systolic blood pressure around 100 mm Hg and his heart rate less than 100 beats/min. Because of the need for urgent medical interventions, the emergency physician decided to transport him by air to the nearest advanced trauma center. After accordance with the trauma center and the air medical crew, the air transportation began. The patient subsequently decompensated with bradycardia and hypotension to cardiac arrest, for which 30 minutes of cardiopulmonary resuscitation unfortunately proved unsuccessful. The forensic report indicated an aortic pseudoaneurysm rupture of the proximal descending aorta with a massive hematoma that was a possible cause of death.
MeSH term(s)	Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/injuries ; Aortic Rupture/diagnostic imaging ; Cardiopulmonary Resuscitation ; Humans ; Male ; Middle Aged ; Thoracic Injuries/diagnostic imaging ; Thoracic Injuries/therapy ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/diagnostic imaging
Language	English
Publishing date	2021-09-04
Publishing country	United States
Document type	Case Reports
ZDB-ID	2072853-0
ISSN	1532-6497 ; 1067-991X
ISSN (online)	1532-6497
ISSN	1067-991X
DOI	10.1016/j.amj.2021.07.007
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Zs.A 5623: Show issues

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Article ; Online: Abdominal Compartment Syndrome: A Life-Threatening Condition in Air Medical Transportation of Multiple Trauma Patients.

Hazrati, Ebrahim / Shahali, Hamze

Air medical journal

2021 Volume 41, Issue 1, Page(s) 151–157

Abstract: A 41-year-old male farmer was injured in a land mine explosion. After initial resuscitation, the emergency physician coordinated with the hospital and air medical crew for the patient's evacuation. The evacuation was started by a Bell 214C helicopter, ... ...

Abstract	A 41-year-old male farmer was injured in a land mine explosion. After initial resuscitation, the emergency physician coordinated with the hospital and air medical crew for the patient's evacuation. The evacuation was started by a Bell 214C helicopter, and the patient's clinical condition deteriorated during flight with increased abdominal pain and distension, tachycardia, tachypnea, hypotension, and loss of consciousness. Intra-abdominal (vesical) pressure of 23 mm Hg, findings of in-flight bedside ultrasound, and echocardiography indicated intra-abdominal hypertension with abdominal compartment syndrome. The emergency physician started medical management quickly based on the World Society of Abdominal Compartment Syndrome, but after 15 minutes the intra-abdominal pressure was still > 20 mm Hg. Despite the in-flight difficult condition, the risk of vascular or neural damages, and infection, the emergency physician performed a midline decompression laparotomy and, when the intra-abdominal pressure reached about 11 mm Hg, temporarily covered the wound with a Bogota bag. After the patient's intra-abdominal pressure stabilized, permanent abdominal wound repair was performed by the surgeon, and he was discharged from the hospital.
MeSH term(s)	Abdomen/surgery ; Abdominal Injuries/complications ; Abdominal Injuries/diagnostic imaging ; Abdominal Injuries/therapy ; Adult ; Decompression, Surgical ; Humans ; Intra-Abdominal Hypertension/surgery ; Intra-Abdominal Hypertension/therapy ; Male ; Multiple Trauma
Language	English
Publishing date	2021-10-04
Publishing country	United States
Document type	Case Reports
ZDB-ID	2072853-0
ISSN	1532-6497 ; 1067-991X
ISSN (online)	1532-6497
ISSN	1067-991X
DOI	10.1016/j.amj.2021.08.007
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Article ; Online: Acute vestibular neuritis: A rare complication after the adenoviral vector-based COVID-19 vaccine.

Shahali, Hamze / Hamidi Farahani, Ramin / Hazrati, Parham / Hazrati, Ebrahim

Journal of neurovirology

2022

Abstract: Vestibular neuritis was first reported in 1952 by Dix and Hallpike, and 30% of patients reporting a flu-like symptom before acquiring the disorder. The most common causes are viral infections, often resulting from systemic viral infections or bacterial ... ...

Abstract	Vestibular neuritis was first reported in 1952 by Dix and Hallpike, and 30% of patients reporting a flu-like symptom before acquiring the disorder. The most common causes are viral infections, often resulting from systemic viral infections or bacterial labyrinthitis. Here we presented a rare case of acute vestibular neuritis after the adenoviral vector-based COVID-19 vaccination. A 51-year-old male pilot awoke early in the morning with severe vertigo, nausea, and vomiting after receiving the first dose of the ChAdOx1 nCoV-19 vaccine 11 days ago. Nasopharyngeal SARS-CoV-2 RT-PCR test and chest CT scan were inconclusive for COVID-19 pneumonia. Significant findings were a severe spontaneous and constant true-whirling vertigo which worsened with head movement, horizontal-torsional spontaneous nystagmus, abnormal caloric test, positive bedside head impulse tests, and inability to tolerate head-thrust test. PTA, MRI of the brain and internal auditory canal, and cerebral CT arteriography were normal. According to the clinical, imaging, and laboratory findings, he was admitted to the neurology ward and received treatment for vestibular neuritis. His vertigo increased gradually over 6-8 h, peaking on the first day, and gradually subsided over 7 days. Ten days later, the symptoms became tolerable; the patient was discharged with advice for home-based vestibular rehabilitation exercises. Despite the proper treatment and rehabilitation, signs of dynamic vestibular imbalances persisted after 1 year. Based on the Federal Aviation Administration (FAA) regulations, the Air Medical Council (AMC) suspended him from flight duties until receiving full recovery. Several cases of vestibular neuritis have been reported in the COVID-19 patients and after the COVID-19 vaccination. This is the first case report of acute vestibular neuritis after the ChAdOx1 nCoV-19 vaccination in a healthy pilot without past medical history. However, the authors believe that this is a primary clinical suspicion that must be considered and confirmed after complete investigations.
Language	English
Publishing date	2022-07-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	1283265-0
ISSN	1538-2443 ; 1355-0284
ISSN (online)	1538-2443
ISSN	1355-0284
DOI	10.1007/s13365-022-01087-y
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Zs.A 4426: Show issues

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Article ; Online: The Gram-Negative Bacterial Infections in an Intensive Care Unit (ICU) of a Middle-Eastern University Hospital Remained Susceptible to Carbapenems in 2015

Ebrahim Hazrati

International Journal of Medical Research and Health Sciences, Vol 5, Iss 11, Pp 493-

2016 Volume 495

Abstract: The incidence of the carbapenem-resistant gram-negative bacteria is on the rise. They are common in intensive care units (ICUs) and have the potential to cause outbreaks. Currently, there are limited data regarding this phenomenon in Iran, a tropical, ... ...

Abstract	The incidence of the carbapenem-resistant gram-negative bacteria is on the rise. They are common in intensive care units (ICUs) and have the potential to cause outbreaks. Currently, there are limited data regarding this phenomenon in Iran, a tropical, developing country, located in the Middle East. A cross sectional retro respective study was performed between April 2015 and October 2015, in Moheb hospital 12 bed intensive care unit, a university hospital, to investigate the prevalence of the carbapenem-resistant infections. 69 clinical specimens were collected. 37 of them were resistant to both imipenem and meropenem , which indicates a resistance rate of 53.6 per cent. we founded a carbapenem resistance rate of 53.6% in our intensive care unit.This finding is consistent with previous local published reports of resistance to the other members of carbapenem antibiotic family. According to previous studies screening for carbapenem resistant bacteria carriers in high risk units, undertake strict contact precautions for carriers and antibiotic stewardship programs to spare carbapenems is highly recommended.
Keywords	Carbapenem ; Prevalence ; Resistance ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	900
Language	English
Publishing date	2016-11-01T00:00:00Z
Publisher	Sumathi Publications
Document type	Article ; Online
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Article: Thalamic hemi-chorea: a rare complication after receiving the adenoviral vector-based COVID-19 vaccine: a case report.

Shahali, Hamze / Farahani, Ramin Hamidi / Asgari, Ali / Hazrati, Ebrahim

Clinical and experimental vaccine research

2022 Volume 11, Issue 2, Page(s) 217–221

Abstract: Lacunar strokes occur when a branch of a large cerebral artery is blocked. The thalamus is often affected, causing uncontrollable motions. A 72-year-old previously healthy man presented with involuntary motions in the right limbs, which were present at ... ...

Abstract	Lacunar strokes occur when a branch of a large cerebral artery is blocked. The thalamus is often affected, causing uncontrollable motions. A 72-year-old previously healthy man presented with involuntary motions in the right limbs, which were present at rest, and exacerbated during voluntary actions. He had received the first dose of the adenoviral vector-based coronavirus disease 2019 vaccine (ChAdOx1 nCoV-19) 9 days ago. Severe thrombocytopenia and elevated levels of lactate dehydrogenase, ferritin, C-reactive protein, and D-dimer were found, without any evidence of connective tissue disease. Electromyography demonstrated typical choreiform movements, and the brain magnetic resonance imaging indicated a small high signal lesion on the left side of the thalamus. Detection of the immunoglobulin G antibodies against platelet factor 4 in the blood, negative heparin-induced platelet activation (HIPA) test, and positive modified HIPA test confirmed the thalamic stroke due to the vaccine-induced prothrombotic immune thrombocytopenia (VIPIT). He was admitted to the intensive care unit and received nadroparin, sodium ozagrel, edaravone, methylprednisolone, and haloperidol. His hemi-chorea improved gradually over 2 weeks, and he was discharged after 21 days with rehabilitation advice. VIPIT due to the ChAdOx1 nCoV-19 is a novel immune-mediated response that needs clinicians' awareness and further investigations.
Language	English
Publishing date	2022-05-31
Publishing country	Korea (South)
Document type	Case Reports
ZDB-ID	2684652-4
ISSN	2287-366X ; 2287-3651
ISSN (online)	2287-366X
ISSN	2287-3651
DOI	10.7774/cevr.2022.11.2.217
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Article ; Online: Lidocaine Plus Morphine Versus Lidocaine Plus Paracetamol for Bier Block: A Double-Blind Randomized Controlled Trial.

Rafiei, Mohamadreza / Afsahi, Mohamad / Karbalaeikhani, Ali / Kheradmand, Behroz / Hazrati, Ebrahim

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

2022 Volume 37, Issue 3, Page(s) 380–385

Abstract: Purpose: Intravenous regional anesthesia (Bier block) is widely used as an anesthetic technique for operations of short duration of the distal upper or lower extremities. We compared the efficacy of intravenous regional anesthesia with lidocaine plus ... ...

Abstract	Purpose: Intravenous regional anesthesia (Bier block) is widely used as an anesthetic technique for operations of short duration of the distal upper or lower extremities. We compared the efficacy of intravenous regional anesthesia with lidocaine plus paracetamol versus lidocaine plus systemic morphine for short-duration hand and forearm surgeries. Design: A double-blind randomized controlled trial with two parallel arms: lidocaine plus morphine (control) and lidocaine plus paracetamol were carried out at a University hospital. Methods: We included men and women aged 20 to 70 years scheduled for short surgical procedures (30-60 minutes) distal to the elbow. Intravenous regional anesthesia was carried out by injecting 45 cc lidocaine 0.5% plus 300 mg paracetamol for the paracetamol group; or 45 cc lidocaine 0.5% plus 4 mg intravenous morphine for the control group. The primary outcome was postoperative pain-free period in minutes since deflation of proximal tourniquet. The secondary outcome was the highest intensity of postoperative pain on the visual analog scale within 2 hours after deflating the proximal tourniquet. Findings: There was no significant difference between morphine and paracetamol in the duration of postoperative pain-free period (P = .078) and the mean intensity for maximum pain (P = .106). However, severe pain was significantly more frequent in the morphine group (P = .001). Paracetamol seemed to be safer than morphine as an adjuvant to lidocaine. Conclusions: We recommend using 2 cc paracetamol (300 mg Apotel) as the adjuvant to lidocaine for intravenous regional anesthesia.
MeSH term(s)	Acetaminophen ; Anesthesia, Conduction/methods ; Anesthetics, Local ; Double-Blind Method ; Female ; Humans ; Lidocaine ; Male ; Morphine ; Pain, Postoperative/drug therapy
Chemical Substances	Anesthetics, Local ; Acetaminophen (362O9ITL9D) ; Morphine (76I7G6D29C) ; Lidocaine (98PI200987)
Language	English
Publishing date	2022-03-08
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1329844-6
ISSN	1532-8473 ; 0883-9433 ; 1089-9472
ISSN (online)	1532-8473
ISSN	0883-9433 ; 1089-9472
DOI	10.1016/j.jopan.2021.07.005
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Article ; Online: Effect of Dexmedetomidine infusion during hip fracture surgery on hemodynamic parameters and blood loss: A triple-blinded Randomized Clinical Trial.

Hazrati, Ebrahim / Vosoughi, Fardis / Chamanara, Mohsen / Teymourian, Houman

Injury

2021 Volume 53, Issue 2, Page(s) 551–554

Abstract: Introduction In this study, we aim to assess the intra-operative effect of dexmedetomidine administration on the hemodynamic parameters and bleeding volume during hip fracture surgery. Patients and methods we designed and implemented a triple-blinded ... ...

Abstract	Introduction In this study, we aim to assess the intra-operative effect of dexmedetomidine administration on the hemodynamic parameters and bleeding volume during hip fracture surgery. Patients and methods we designed and implemented a triple-blinded randomized clinical trial to objectively compare the effects of 0.5 µg/kg/h infusion of dexmedetomidine with placebo (equal amount of normal saline) during hip fracture surgery. All included cases were between 30 and 70 years old and underwent surgery for fixation of a proximal femur fracture from September 26, 2020 until February 15, 2021. They were all ASA class I or II with preoperative hemoglobin levels of 10 mg/dL or higher. Surgical blood loss and hemodynamic parameters were documented. Results 76 patients were enrolled. There were no significant differences in baseline patient characteristics. The bleeding rate was 620 ± 190.0 mL for the normal saline group and 476 ± 177.98 mL in the dexmedetomidine group (P = 0.04). No significant effect on hemodynamic parameters was observed. Conclusion Based on the current study, intravenous infusion of dexmedetomidine during hip fracture surgery under general anesthesia reduced the amount of intraoperative bleeding without causing any significant hemodynamic disturbances. Registration number IRCT20191222045857N1 (Iranian Registry of Clinical Trials).
MeSH term(s)	Adult ; Aged ; Anesthesia, General ; Dexmedetomidine ; Double-Blind Method ; Hemodynamics ; Humans ; Iran ; Middle Aged
Chemical Substances	Dexmedetomidine (67VB76HONO)
Language	English
Publishing date	2021-11-10
Publishing country	Netherlands
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	218778-4
ISSN	1879-0267 ; 0020-1383
ISSN (online)	1879-0267
ISSN	0020-1383
DOI	10.1016/j.injury.2021.11.013
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Zs.A 778: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Comments on "The effects of chromium supplementation on blood pressure: a systematic review and meta-analysis of randomized clinical trials".

Mirghazanfari, Sayid Mahdi / Hazrati, Ebrahim / Hadi, Vahid / Bani Yaghoobi, Faeze / Zali, Morad Esmaeil / Hadi, Saeid

European journal of clinical nutrition

2022 Volume 77, Issue 4, Page(s) 506

MeSH term(s)	Humans ; Chromium ; Blood Pressure ; Randomized Controlled Trials as Topic ; Dietary Supplements
Chemical Substances	Chromium (0R0008Q3JB)
Language	English
Publishing date	2022-11-15
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Letter ; Comment
ZDB-ID	639358-5
ISSN	1476-5640 ; 0954-3007
ISSN (online)	1476-5640
ISSN	0954-3007
DOI	10.1038/s41430-022-01235-x
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Article ; Online: The effect of ginger supplementation on metabolic profiles in patients with type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials.

Ebrahimzadeh, Armin / Ebrahimzadeh, Anahita / Mirghazanfari, Sayid Mahdi / Hazrati, Ebrahim / Hadi, Saeid / Milajerdi, Alireza

Complementary therapies in medicine

2022 Volume 65, Page(s) 102802

Abstract: Background: There is some evidence regarding the positive effects of ginger supplementation on metabolic profile in patients with type 2 diabetes (T2DM). However, they are conflicting. The present systematic review and meta-analysis aimed to summarize ... ...

Abstract	Background: There is some evidence regarding the positive effects of ginger supplementation on metabolic profile in patients with type 2 diabetes (T2DM). However, they are conflicting. The present systematic review and meta-analysis aimed to summarize earlier findings for the effect of ginger supplementation on metabolic profile in patients with T2DM. Methods: Scopus, PubMed and Google Scholar databases were systematically searched up until September 2021 to collect all randomized clinical trials that evaluated the effect of ginger supplementation on FBS, HbA Results: In overall, 10 articles were included in this systematic review and meta-analysis. Our pooled meta-analysis indicated a significant reduction in FBS following ginger supplementation by polling 8 effect sizes [weighted mean difference (WMD): - 18.81; 95% CI: - 28.70, - 8.92), I Conclusions: We found significant reductions in FBS, HbA
MeSH term(s)	Diabetes Mellitus, Type 2/drug therapy ; Dietary Supplements ; Zingiber officinale ; Humans ; Metabolome ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2022-01-11
Publishing country	Scotland
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	1155895-7
ISSN	1873-6963 ; 0965-2299
ISSN (online)	1873-6963
ISSN	0965-2299
DOI	10.1016/j.ctim.2022.102802
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