Papers by Marina Varbanova
International Journal of Anesthesiology & Research, 2017
Research from the Mayo Clinic showed that caffeine (a cerebral vasoconstrictor) given to patients... more Research from the Mayo Clinic showed that caffeine (a cerebral vasoconstrictor) given to patients intravenously during recovery after surgery can diminish or eliminate headaches caused by rebound vasodilatation from caffeine withdrawal.
Diseases of the Colon & Rectum, 2018
I only know that I know nothing.-Socrates REVISED STARLING PRINCIPLE AND ITS RELEVANCE TO PERIOPE... more I only know that I know nothing.-Socrates REVISED STARLING PRINCIPLE AND ITS RELEVANCE TO PERIOPERATIVE FLUID MANAGEMENT An overnight nil per os period does not cause an intravascular fluid deficit as previously thought. Fluids given Diuretics and the Perioperative Fluid Balance
International Journal of Anesthesiology & Research, 2016
Background: Perioperative pain after abdominal surgery is difficult to manage. Despite the advent... more Background: Perioperative pain after abdominal surgery is difficult to manage. Despite the advent of multimodal analgesia techniques, the opioids remain the cornerstone of treatment. Since the opioids' adverse effects are of concern immediate postoperatively, music as a modality that would influence human behavior, is of interest as an adjunct for acute pain management. Our hypothesis was that listening to instrumental music during the perioperative period reduces the pain level and decreases the use of opioids within the first 23 hours after the surgery. Methods: The study was designed as randomized clinical trial, including 54 males who underwent abdominal surgery under general anesthesia. One group was allocated to music therapy intra and postoperatively (G1), and the other was the control group (G2), without music therapy. The statistical analysis for each of the response variable, blood pressure, heart rate, oxygen saturation, visual analogue scale (VAS) score and morphine equivalents (ME), was based on a linear regression analysis accounting for group and time differences and adjusting for covariates (age, height, weight) if necessary (statistically significant). Results: Our study results show a statistically significant difference regarding the mean VAS measurements between the two groups before and after music therapy on arrival in the Postanesthesia Care Unit (PACU) [ 2.4; CI 95% 1.39-3.35 versus 4.1 CI 95% 2.77-5.53], 30 minutes [ 3; CI95% 2.21-3.87 vs 5.48; CI95% 4.34-6.62] and 23 hours later [2.15; CI95% 1.38-2.91 vs 4.37;CI 95% 3.51-5.24] , respectively (Table 2). There was no statistically significant difference in blood pressure (systolic and diastolic), heart rate, oxygen saturation (SpO2), and opioid consumption between the two groups at the three points in time when measurements were done. Conclusions: In this study, a short perioperative exposure to music was effective in reducing the pain perception (as measured by VAS method) but not the opioid consumption in the first 23 hours in male patients after abdominal surgery.
Advances in Anesthesia, 2009
Advances in Anesthesia, Volume 27, Issue 1, Pages 191-222, 2009, Authors:Laura Clark, MD; Marina ... more Advances in Anesthesia, Volume 27, Issue 1, Pages 191-222, 2009, Authors:Laura Clark, MD; Marina Varbanova, MD.
Anesthesiology Clinics, 2014
Regional anesthesia plays a key role in the treatment of patients with orthopedic trauma. Trauma-... more Regional anesthesia plays a key role in the treatment of patients with orthopedic trauma. Trauma-induced pain can be in multiple locations, severe, and can predispose the patient to other morbidities. Additional complications as a result of the overdependence on opioids as a primary pain therapy that can be minimized or avoided with the use of regional anesthesia. Both neuraxial and peripheral regional techniques in patients with orthopedic trauma should be incorporated into the patient care plan and recognized as an essential therapeutic intervention in the overall treatment of this unique patient population.
Treatments, Mechanisms, and Adverse Reactions of Anesthetics and Analgesics, 2022
Uploads
Papers by Marina Varbanova