ABSTRACT
AIM: The aim of performing this study was comparison of Entonox and transcutaneous electrical nerve stimulation (TENS) in labor pain in Zanjan city, Iran. MATERIALS AND METHODS: This clinical trial study was conducted on 120 pregnant women in Zanjan-Iran, 2016. The patients were randomly divided (by method of 1:1:1) into three groups (each group 40 patients): First group was TENS group; the second group was Entonox group and control group were choose from the patients that had a physiological delivery. They did not want to use analgesia. All the analyses were done using SPSS (version 23). RESULTS: Before intervention the pain severity between three group was relatively same (p = .78). After intervention, pain score was significantly higher in control group compared to other two groups (p = .005), but the differences between mean Apgar score between three groups was not significant (p = .59). Also, both Entonox and TENS had significantly lower pain compared control group (p = .005), but there was no significant difference between Entonox and TENS in regard of pain score (p = .997). CONCLUSIONS: Our findings reported that two groups of Entonox and TENS had similar effect on pain relief and decreased significantly pain scores. Therefore, TENS methods as a non-drug pain relief method can propose to women for relief of labor pain.
Subject(s)
Labor Pain , Transcutaneous Electric Nerve Stimulation , Female , Humans , Labor Pain/therapy , Nitrous Oxide , Oxygen , Pregnancy , Transcutaneous Electric Nerve Stimulation/methodsABSTRACT
BACKGROUND: The aim of this study was to compare the effect of propofol and ketofol (ketamine-propofol mixture) on EA in children undergoing tonsillectomy. METHOD: In this randomized clinical trial, 87 ASA class I and II patients, aged 3-12 years, who underwent tonsillectomy, were divided into two groups to receive either propofol 100 µg/kg/min (group p, n=44) or ketofol : ketamine 25 µg/kg/min + propofol 75 µg/kg/min (group k, n= 43). Incidence and severity of EA was evaluated using the Pediatric Anesthesia Emergence Delirium (PAED) scales on arrival at the recovery room, and 10 and 30 min after that time. RESULTS: There was no statistically significant difference in demographic data between the two groups. In the ketofol group, the need for agitation treatment and also mean recovery duration were lower than in the propofol group (30 and 41%, and 29.9 and 32.7 min), without statistically significant difference (P value=0.143 and P value=0.187). Laryngospasm or bronchospasm occurred in 2 patients in each group and bleeding was observed in only one individual in the ketofol group. CONCLUSION: Infusion of ketofol in children undergoing tonsillectomy provides shorter recovery time and lower incidence of EA despite the non significant difference with propofol.
