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  1. Article ; Online: Work-related musculoskeletal complaints and ergonomic risk factors among Egyptian anesthesiologists: a cross-sectional study.

    Fouad, Ahmed Mahmoud / Fahim, Ayman Ekram / Bedewy, Ahmed Abdelmohsen / Al-Touny, Aiman / Al-Touny, Shimaa A

    BMC public health

    2024  Volume 24, Issue 1, Page(s) 279

    Abstract: Background: Anesthesiologists are vulnerable to work-related musculoskeletal disorders (WMSDs) due to sustained repetitive movements and awkward postures. This study aimed to assess the prevalence of WMSDs among anesthesiologists and to evaluate its ... ...

    Abstract Background: Anesthesiologists are vulnerable to work-related musculoskeletal disorders (WMSDs) due to sustained repetitive movements and awkward postures. This study aimed to assess the prevalence of WMSDs among anesthesiologists and to evaluate its association with ergonomic risk factors.
    Methods: A convenience sample of 380 Egyptian anesthesiologists were invited to participate in this cross-sectional study through an electronic questionnaire. Data were collected from May to August 2022 and involved questions about participants' demographic, health, and work-related characteristics; the ergonomic risks and perceived hazards; and the musculoskeletal complaints during the past 12 months and 7 days - using Nordic Musculoskeletal Questionnaire (NMQ). Descriptive, bivariate, and multivariate statistical analyses were used to estimate the prevalence of MSD and identify its determinants in the studied sample.
    Results: A total of 215 anesthesiologists were included in this study, with a 56.8% response rate, 66% males with an average age of 38 (± 0.7) years. 21% were resident physicians, 47% were specialists, and 32% were consultants. The 12-month prevalence of MSD among anesthesiologists was 71.6% (95% CI: 65.6- 77.7%). Multivariate analysis showed that the main determinants of MSD among the studied sample were age of 45-years and older (OR: 3.22, 95% CI: 1.21-8.52, p = 0.018), regular physical exercise (OR: 0.25, 95% CI: 0.10-0.65, p = 0.005), insufficient rest time between procedures (OR: 2.25, 95% CI: 1.15-4.41, p = 0.018), and three or more awkward postures of the trunk (OR: 3.55, 95% CI: 1.43-8.82, p = 0.006).
    Conclusions: The study highlights a high prevalence of WMSDs among Egyptian anesthesiologists, linked to advancing age, lack of regular exercise, insufficient rest between procedures, and frequent awkward postures. Addressing these ergonomic risk factors through targeted workplace interventions is crucial for promoting the overall well-being of anesthesiologists and ensuring the provision of safe anesthesia services.
    MeSH term(s) Male ; Humans ; Adult ; Middle Aged ; Female ; Cross-Sectional Studies ; Anesthesiologists ; Egypt ; Ergonomics ; Risk Factors
    Language English
    Publishing date 2024-01-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-024-17757-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Preoperative duloxetine on postoperative pain after laparoscopic gynecological surgeries: A systematic review and meta-analysis of randomized controlled trials.

    Baradwan, Saeed / Alshahrani, Majed Saeed / Alkhamis, Waleed H / Allam, Hassan Saleh / AlSghan, Rayan / Ghazi, Ahmed / Ragab, Bassem / Elmazzaly, Saged Mohamed Metyli / Aboshama, Rehab Abdelhamid / Ismail, Reda A / Dahshan, Shaimaa A / Al-Touny, Aiman A / Daghash, Noha H / Abdelhakim, Ahmed Mohamed / Abbas, Ahmed M / Fouda, Albayoumi A / Ezzat Abdelfattah, Laila

    Journal of gynecology obstetrics and human reproduction

    2021  Volume 51, Issue 3, Page(s) 102305

    Abstract: Objective: To evaluate the efficacy and safety of preoperative duloxetine on postoperative pain management after gynecologic laparoscopic surgeries.: Methods: A systematic search was done in Cochrane Library, PubMed, ISI web of science, and Scopus ... ...

    Abstract Objective: To evaluate the efficacy and safety of preoperative duloxetine on postoperative pain management after gynecologic laparoscopic surgeries.
    Methods: A systematic search was done in Cochrane Library, PubMed, ISI web of science, and Scopus from inception to September 2021. We selected randomized clinical trials (RCTs) that compared preoperative duloxetine (intervention group) versus placebo (control group) among women undergoing gynecologic laparoscopic surgeries. Our primary outcomes were pain scores evaluated by the Visual Analog Scale (VAS) at 2, 6, 12, and 24 h postoperatively. Our secondary outcomes were the time required for the first analgesic request in minutes, postoperative analgesic consumption in milligrams, length of hospital stay in days, and side effects.
    Results: Four RCTs with a total number of 244 patients were included in our systematic review and meta-analysis. We found duloxetine was linked to a significant reduction in VAS pain scores at different time intervals. The first analgesic request was significantly earlier in the placebo group than in the duloxetine group (p = 0.03). In addition, duloxetine significantly reduced the postoperative analgesic consumption compared to placebo (MD= -41.97, 95% CI [-53.23, -30.72], p<0.001). However, both groups did not differ in the length of hospital stay and side effects.
    Conclusions: Duloxetine administration prior to gynecological laparoscopic surgeries is safe and effective in improving postoperative pain and analgesia.
    MeSH term(s) Duloxetine Hydrochloride/therapeutic use ; Female ; Gynecologic Surgical Procedures/adverse effects ; Humans ; Laparoscopy/adverse effects ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology ; Randomized Controlled Trials as Topic
    Chemical Substances Duloxetine Hydrochloride (9044SC542W)
    Language English
    Publishing date 2021-12-31
    Publishing country France
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ISSN 2468-7847
    ISSN (online) 2468-7847
    DOI 10.1016/j.jogoh.2021.102305
    Database MEDical Literature Analysis and Retrieval System OnLINE

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