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Ali M A Saad

Mansoura University, Anesthesia,` Icu And Pain Management, specialist of anesthesia, ICU- Anesthesiologist

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Dr. Ali Saad
MBBCH, MS anesthesia, critical care
Mansoura university, faculty of medicine-Egypt
Specialist of anesthesia, ICU
Ahmadi hospital, Kuwait
SPECIALIST OF ANESTHESIA AND INTENSIVE CARE UNIT,
WORKING IN FIELD FOR 12 YEARS’ EXPERIENCE WITH
CONTINUOUS MEDICAL EDUCATION PROGRAMS, COURSES
WITH WEEKLY PRESENTATIONS.
email: profanesthesia@yahoo.com
Tel: 00965-65520979
Phone: 0096565520979
Address: Kuwait-Salmiya- block 12

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Papers by Ali M A Saad

Debate of Using Propofol Safely If Given by Non- Anesthesia Providers?

Anesthesia and Medical Practice Journal, 2018

pimpact-of-femoral-nerve-obstruct-for-torment-alleviation-post-knee-substitutionp-2329-6925-1000348.pdf

Journal of Vascular Medicine & Surgery i n e & S u r g e r y, 2017

On the off chance that your knee is seriously harmed by joint pain or damage, it might be hard fo... more On the off chance that your knee is seriously harmed by joint pain or damage, it might be hard for you to perform basic exercises, for example, strolling or climbing stairs. You may even start to feel torment while you are sitting or resting. In the event that nonsurgical medicines like drugs and utilizing strolling underpins are not any more accommodating, you might need to consider add up to knee substitution surgery. Joint substitution surgery is a sheltered and successful methodology to mitigate torment, remedy leg deformation, and enable you to continue typical exercises. Knee substitution surgery was first performed in 1968. From that point forward, upgrades in surgical materials and systems have incredibly expanded its viability.
Add up to knee substitutions are a standout amongst the best methodology in all of prescription

Application of Dexemedetomidine as Monitored Anesthesia Care for Surgical procedural sedation Case study

Statement of the Problem: use of Dexemedetomidine (Precedex) medication for procedural sedation i... more Statement of the Problem: use of Dexemedetomidine (Precedex) medication for procedural sedation in non-intubated patients prior to or during surgical procedures. Methodology & Theoretical Orientation: start loading dosage of 0.5-1 mcg/kg IV over 10 minutes then Maintenance 0.2-0.4 mcg/kg/hr. IV titrate to effect. (Generally initiate at 0.5-1 mcg/kg over 10 minutes, followed by a maintenance infusion initiated at 0.6 mcg/kg/hour and titrated to achieve desired clinical effect with doses ranging from 0.2 to 1 mcg/kg/hour). Target population: adults. Findings: 41 cases observed for vital signs, depth of sedation, patient response, and arousal effect. Results showed 30 cases got good smooth deep sedation without complications. 11 cases got low blood pressures with low heart rates needed stopping infusion, pressor support medications. Conclusion & Significance: Precedex dosing should be individualized and titrated to desired clinical response. It should be administered using a controlled infusion device with full monitoring devices and oxygen supplement.

Debate of using propofol safely if given by non-anesthesia providers

Editorial_Assignment.doc-MY Editor.doc22.doc--.doc17.doc

Ketamine for Post-Operative Analgesia in Paediatrics

Statement of the problem: Study of ketamine postoperative for pediatrics as analgesics in kids gr... more Statement of the problem: Study of ketamine postoperative for pediatrics as analgesics in kids group to achieve good analgesia, decrease opioid consumption postoperative. Target patients in case study are Pediatrics above 1-year age (6 months to 6 years of age). Methodology and theoretical orientation: Give Ketamine 1-2 mg/kg IM postoperative in 42 pediatric cases then assess patient comfort and pain severity in recovery room for 30 min postoperative up to 12 hours in ward. Achieve good smooth painless recovery and decreasing opioid consumption, arousable responding to commands child with maintained spontaneous breathing causing analgesia up to 12 hours postoperative in 30 of 42 cases. The remaining 12 needed postoperative analgesics after 6 hours. Conclusion and significance: Give ketamine 1 mg/kg IM after finishing surgery before extubation; esp. if other analgesics failed to relieve pain with full close observation and vital signs monitoring of child in recovery room for 30 min postoperative then assess child pain, vitals and conscious level before shifting to ward.

Post-operative Peripheral Nerve Blockade for Total Knee Replacement

by Ali M A Saad and Mncedisi Willie

Medical and clinical reviews journal- , 2017

Background: Total knee replacement (TKR) is a common and often painful operation. Femoral nerve b... more

Open Access Review Article Ketamine -A Potent Anaesthetic Drug

Ketamine -A Potent Anaesthetic Drug; bioavailability and formulation science journal, 2017

Explanation of the problem: Study of ketamine postoperative for paediatrics as analgesics in kids... more Explanation of the problem: Study of ketamine postoperative for paediatrics as analgesics in kids gathering to accomplish great absence of pain, diminish opioid utilization postoperative. Target patients in the event that review are paediatrics over 1-year age (a half year to 6 years old). Strategy and Theoretical Orientation: 1-2 mg/kg of ketamine was given IM postoperative in 42 paediatric cases and after that evaluate understanding solace and agony seriousness in recuperation space for 30 minutes postoperative up to 12 hours in ward. Discoveries: Achieve great smooth easy recuperation and diminishing opioid utilization, arousable reacting to charges kid with kept up unconstrained breathing causing absence of pain up to 12 hours postoperative in 30 of 42 cases. The rest of the 12 required postoperative analgesics following 6 hours. Conclusion and significance: Ketamine can be given 1 mg/kg IM in the wake of completing surgery before exudation; particularly if different analgesics neglected to calm torment with full close perception and fundamental signs checking of tyke in recuperation space for 30 minutes postoperative at that point survey tyke agony, vitals and cognizant level before moving to ward.

Conference Presentations by Ali M A Saad

Dubai, UAE 2 nd International Conference on Biochemistry Is Propofol safe if given by Non-anesthesia providers

Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofo... more Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofol (NAAP) sedation has a safety and efficacy profile comparable or superior to that provided by benzodiazepines with or without opioids. The guidelines currently available emphasize the importance of appropriate patient selection, staff training, monitoring, and low-dose sedation protocols for use safety. Methodology & Theoretical Orientation: give Propofol with Initial dose: 1.5-2.5 mg/kg, patient will be apneic within 30-90 seconds at the infusion rate of 80-120 µg/kg/min. Conclusion & Significance: It is unlikely that the use of Propofol by non-anesthesia professionals will cease. In many ways, Propofol may be as safe or safer than more traditional medications. Monitoring must be standardized and adequate. Given their training, experience, and everyday environment, anesthesiologists should be at the forefront to determine protocols, initiate training, perform or oversee competency reviews, and set up quality assurance programs. Biography Ali Saad is currently a Specialist of Anesthesia and Intensive Care Unit, working in field for 12 years' with continuous medical education programs, courses with weekly presentations.

Is Propofol Safe If Given by Non anesthesia Providers

Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofo... more Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofol (NAAP) sedation has a safety and efficacy profile comparable or superior to that provided by benzodiazepines with or without opioids. The guidelines currently available emphasize the importance of appropriate patient selection, staff training, monitoring, and low-dose sedation protocols for use safety. Methodology & Theoretical Orientation: give Propofol with Initial dose: 1.5-2.5 mg/kg, patient will be apneic within 30-90 seconds at the infusion rate of 80-120 Âµg/kg/min. Conclusion & Significance: It is unlikely that the use of Propofol by non-anesthesia professionals will cease. In many ways, Propofol may be as safe or safer than more traditional medications. Monitoring must be standardized and adequate. Given their training, experience, and everyday environment, anesthesiologists should be at the forefront to determine protocols, initiate training, perform or oversee competency reviews, and set up quality assurance programs.

PREEMPTIVE MULTIMODAL ANALGESIA POSTER 2017.pps

Statement of the Problem: A prospective, randomized clinical trial (case study) over patients un... more Statement of the Problem: A prospective, randomized clinical trial (case study) over patients undergoing surgical procedures (40 Pts). All patients chosen for preemptive multimodal analgesia treatment group (40 patients). Methodology & Theoretical Orientation: To give Pregabalin (Lyrica) 75mg 2hrs or more before surgery then 75 mg QHS for 3days postoperative, to be reassessed by APS team if extension needed. No valium with lyrica. To add Celecoxib (if not contraindicated) 200-400mg tablet 1hour before surgery then 200 mg BID for 3 days only. Ranitidine 150mg BID could be added. Surgical site-specific regional analgesia whenever possible. PCA morphine can be used if indicated and as a backup plan for breakthrough pain. Then post.op, Pregabalin, Celecoxib, Solpadeine 2 tablets Q6hrs or TID.
Findings: 30 patients came calm pre-op., smooth for GA, RA blocks, other 10 patients little anxious. All patients examined second day; 30 patients had smooth sleep, no pain after regional blocks, needed PCA morphine 1-5 mg (10 patients). Other 10 patients continued only on oral tablets. Conclusion & Significance: The new preemptive multimodal analgesic combination is safe and effective postoperative, may reduce severity of adverse effects of the opioid. Review; follow up of patients postoperative by APS team for 4 days.

ketamine present..pptx

Debate of Using Propofol Safely If Given by Non- Anesthesia Providers?

Anesthesia and Medical Practice Journal, 2018

pimpact-of-femoral-nerve-obstruct-for-torment-alleviation-post-knee-substitutionp-2329-6925-1000348.pdf

Journal of Vascular Medicine & Surgery i n e & S u r g e r y, 2017

On the off chance that your knee is seriously harmed by joint pain or damage, it might be hard fo... more On the off chance that your knee is seriously harmed by joint pain or damage, it might be hard for you to perform basic exercises, for example, strolling or climbing stairs. You may even start to feel torment while you are sitting or resting. In the event that nonsurgical medicines like drugs and utilizing strolling underpins are not any more accommodating, you might need to consider add up to knee substitution surgery. Joint substitution surgery is a sheltered and successful methodology to mitigate torment, remedy leg deformation, and enable you to continue typical exercises. Knee substitution surgery was first performed in 1968. From that point forward, upgrades in surgical materials and systems have incredibly expanded its viability.
Add up to knee substitutions are a standout amongst the best methodology in all of prescription

Application of Dexemedetomidine as Monitored Anesthesia Care for Surgical procedural sedation Case study

Statement of the Problem: use of Dexemedetomidine (Precedex) medication for procedural sedation i... more Statement of the Problem: use of Dexemedetomidine (Precedex) medication for procedural sedation in non-intubated patients prior to or during surgical procedures. Methodology & Theoretical Orientation: start loading dosage of 0.5-1 mcg/kg IV over 10 minutes then Maintenance 0.2-0.4 mcg/kg/hr. IV titrate to effect. (Generally initiate at 0.5-1 mcg/kg over 10 minutes, followed by a maintenance infusion initiated at 0.6 mcg/kg/hour and titrated to achieve desired clinical effect with doses ranging from 0.2 to 1 mcg/kg/hour). Target population: adults. Findings: 41 cases observed for vital signs, depth of sedation, patient response, and arousal effect. Results showed 30 cases got good smooth deep sedation without complications. 11 cases got low blood pressures with low heart rates needed stopping infusion, pressor support medications. Conclusion & Significance: Precedex dosing should be individualized and titrated to desired clinical response. It should be administered using a controlled infusion device with full monitoring devices and oxygen supplement.

Debate of using propofol safely if given by non-anesthesia providers

Editorial_Assignment.doc-MY Editor.doc22.doc--.doc17.doc

Ketamine for Post-Operative Analgesia in Paediatrics

Statement of the problem: Study of ketamine postoperative for pediatrics as analgesics in kids gr... more Statement of the problem: Study of ketamine postoperative for pediatrics as analgesics in kids group to achieve good analgesia, decrease opioid consumption postoperative. Target patients in case study are Pediatrics above 1-year age (6 months to 6 years of age). Methodology and theoretical orientation: Give Ketamine 1-2 mg/kg IM postoperative in 42 pediatric cases then assess patient comfort and pain severity in recovery room for 30 min postoperative up to 12 hours in ward. Achieve good smooth painless recovery and decreasing opioid consumption, arousable responding to commands child with maintained spontaneous breathing causing analgesia up to 12 hours postoperative in 30 of 42 cases. The remaining 12 needed postoperative analgesics after 6 hours. Conclusion and significance: Give ketamine 1 mg/kg IM after finishing surgery before extubation; esp. if other analgesics failed to relieve pain with full close observation and vital signs monitoring of child in recovery room for 30 min postoperative then assess child pain, vitals and conscious level before shifting to ward.

Post-operative Peripheral Nerve Blockade for Total Knee Replacement

by Ali M A Saad and Mncedisi Willie

Medical and clinical reviews journal- , 2017

Background: Total knee replacement (TKR) is a common and often painful operation. Femoral nerve b... more

Open Access Review Article Ketamine -A Potent Anaesthetic Drug

Ketamine -A Potent Anaesthetic Drug; bioavailability and formulation science journal, 2017

Explanation of the problem: Study of ketamine postoperative for paediatrics as analgesics in kids... more Explanation of the problem: Study of ketamine postoperative for paediatrics as analgesics in kids gathering to accomplish great absence of pain, diminish opioid utilization postoperative. Target patients in the event that review are paediatrics over 1-year age (a half year to 6 years old). Strategy and Theoretical Orientation: 1-2 mg/kg of ketamine was given IM postoperative in 42 paediatric cases and after that evaluate understanding solace and agony seriousness in recuperation space for 30 minutes postoperative up to 12 hours in ward. Discoveries: Achieve great smooth easy recuperation and diminishing opioid utilization, arousable reacting to charges kid with kept up unconstrained breathing causing absence of pain up to 12 hours postoperative in 30 of 42 cases. The rest of the 12 required postoperative analgesics following 6 hours. Conclusion and significance: Ketamine can be given 1 mg/kg IM in the wake of completing surgery before exudation; particularly if different analgesics neglected to calm torment with full close perception and fundamental signs checking of tyke in recuperation space for 30 minutes postoperative at that point survey tyke agony, vitals and cognizant level before moving to ward.

Dubai, UAE 2 nd International Conference on Biochemistry Is Propofol safe if given by Non-anesthesia providers

Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofo... more Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofol (NAAP) sedation has a safety and efficacy profile comparable or superior to that provided by benzodiazepines with or without opioids. The guidelines currently available emphasize the importance of appropriate patient selection, staff training, monitoring, and low-dose sedation protocols for use safety. Methodology & Theoretical Orientation: give Propofol with Initial dose: 1.5-2.5 mg/kg, patient will be apneic within 30-90 seconds at the infusion rate of 80-120 µg/kg/min. Conclusion & Significance: It is unlikely that the use of Propofol by non-anesthesia professionals will cease. In many ways, Propofol may be as safe or safer than more traditional medications. Monitoring must be standardized and adequate. Given their training, experience, and everyday environment, anesthesiologists should be at the forefront to determine protocols, initiate training, perform or oversee competency reviews, and set up quality assurance programs. Biography Ali Saad is currently a Specialist of Anesthesia and Intensive Care Unit, working in field for 12 years' with continuous medical education programs, courses with weekly presentations.

Is Propofol Safe If Given by Non anesthesia Providers

Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofo... more Statement of the Problem: Evidence is representing that non-anesthesiologist-administered Propofol (NAAP) sedation has a safety and efficacy profile comparable or superior to that provided by benzodiazepines with or without opioids. The guidelines currently available emphasize the importance of appropriate patient selection, staff training, monitoring, and low-dose sedation protocols for use safety. Methodology & Theoretical Orientation: give Propofol with Initial dose: 1.5-2.5 mg/kg, patient will be apneic within 30-90 seconds at the infusion rate of 80-120 Âµg/kg/min. Conclusion & Significance: It is unlikely that the use of Propofol by non-anesthesia professionals will cease. In many ways, Propofol may be as safe or safer than more traditional medications. Monitoring must be standardized and adequate. Given their training, experience, and everyday environment, anesthesiologists should be at the forefront to determine protocols, initiate training, perform or oversee competency reviews, and set up quality assurance programs.

PREEMPTIVE MULTIMODAL ANALGESIA POSTER 2017.pps

Statement of the Problem: A prospective, randomized clinical trial (case study) over patients un... more Statement of the Problem: A prospective, randomized clinical trial (case study) over patients undergoing surgical procedures (40 Pts). All patients chosen for preemptive multimodal analgesia treatment group (40 patients). Methodology & Theoretical Orientation: To give Pregabalin (Lyrica) 75mg 2hrs or more before surgery then 75 mg QHS for 3days postoperative, to be reassessed by APS team if extension needed. No valium with lyrica. To add Celecoxib (if not contraindicated) 200-400mg tablet 1hour before surgery then 200 mg BID for 3 days only. Ranitidine 150mg BID could be added. Surgical site-specific regional analgesia whenever possible. PCA morphine can be used if indicated and as a backup plan for breakthrough pain. Then post.op, Pregabalin, Celecoxib, Solpadeine 2 tablets Q6hrs or TID.
Findings: 30 patients came calm pre-op., smooth for GA, RA blocks, other 10 patients little anxious. All patients examined second day; 30 patients had smooth sleep, no pain after regional blocks, needed PCA morphine 1-5 mg (10 patients). Other 10 patients continued only on oral tablets. Conclusion & Significance: The new preemptive multimodal analgesic combination is safe and effective postoperative, may reduce severity of adverse effects of the opioid. Review; follow up of patients postoperative by APS team for 4 days.

ketamine present..pptx