Effects of Active Self Propelled Wheel Chairs versus Regular Standard Wheel Chairs on Quality of Life in Paraplegic Population

To observe the effects of Active Self Propelled Wheel Chairs versus Regular [Standard] Wheel Chairs on Quality of Life in Paraplegic Population. This observational study was conducted in three union councils of district Swat from the period of January to December 2012. The total of 50 paraplegic patients were selected and placed into two groups. After taking a written consent Active Wheel Chair Self Propelled was provided to the patients in group A, and Regular Wheel Chair Standard to the patients in group B. Initially all the patients were trained for the proper use of wheel chair. The baseline characteristics were same in all patients. The individual prioritize problem assessment instrument [IPPA] was used an assessment toll, and it measures the effects of assistive technology. IPPA score was calculated for all patients at baseline and after 3 months use of wheel chairs. The quality of life was significantly more enhanced in group A with Active Self Propelled Wheel Chairs [P=O.OOl], as compared to group B with Regular Standard Wheel Chairs [P=0.541], in paraplegic population, as assessed by the individual prioritize problem assessment instrument [IPPA]. The Active Self Propelled Wheel Chairs are more effective for the enhancement in quality of life, as Compare to Regular Standard Wheel Chairs in Paraplegic Population

Estimation of monocytes in patients with coronary artery disease

To evaluate the role of monocyte count in patients presenting for coronary artery heart disease and to assess its significance as a risk factor. Cross sectional study. This study was carried on the patients taken from Coronary Care Unit [CCU] Department of Isra University Hospital, Dewan-e-Mushtaque CCU and from Red Crescent Hospital CCU from May 2011 to October 2011. In this study 140 individuals were enrolled to observe the monocyte count in patients with coronary artery disease. In control group 42, Stable Coronary Artery Disease [CAD] 34 and Acute Myocardial Infarction [AMI] 64 individuals were taken. Three ml of blood was collected in EDTA bottles for differential leukocyte count [DLC] from each patient presenting with chest pain in coronary care unit. The total leukocyte count [TLC] and other parameters were determined by different automatic analyzers in the clinical laboratory. In all three groups male predominance with 70/o, 64% and 64% in Stable CAD, control, and AMI group was seen respectively. In stable CAD group highest percentage [53%] of patients were seen in 56 to 65 years age followed by 50% of patients of 35-45 years and 42% of patients of 46-55 years in control and AMI group respectively. Both in stable CAD and AMI groups; monocyte count was highly significant in diabetic patients however in individuals with higher BMI; monocyte count was significantly increased in AMI group than stable CAD and control groups. It is concluded from the present study that monocyte count has significant relationship between clinical stages of CAD and diabetic patients. However individuals with higher BMI showed significant high levels of monocyte count in AMI group only

Surgical outcome of posterior fossa brain tumors

To determine the surgical outcome of posterior fossa brain tumors. Descriptive case series. Department of Neurosurgery, Jinnah Postgraduate Medical Center Karachi, from April 2012 to October 2012. The data of 66 patients managed during the study period was analyzed. Patients were divided into extra and intra-axial groups. All patients underwent surgery. The outcome was measured as good and poor two months after discharge from the hospital. Out of 66 patients, 41[62%] were males and 25 [38%] females. The mean age of the patients was 31.21 +/- 18.49 year. With respect to age groups, good surgical outcome was observed in 11 to 30 year and 41 to 50 year of age. Good surgical outcome was similar in both the genders. Vestibular schwanoma was the commonest tumor [72.2%] in extraaxial variety of tumors. Good functional outcome [80%] was observed following surgery in extra-axial group of patients. No mortality occurred in extra-axial group while two patients died in intra-axial group. Medulloblastoma [29.26%] and pilocytic astrocytoma [29.26%] were the commonest tumors in intra-axial group. Mortality occurred only in 2 [4.87%], recurrence in 2 [4.87%] and unresolved hydrocephalus in 3 [7.31%] patients. Improvement in morbidity was noticed in 31[75.6%] patients after surgery. Factors associated with good outcome was age > 10 years and type of tumor

Analysis of anti phospholipid antibodies in women with recurrent spontaneous abortion

Objectives: To analyze antiphospholipid antibodies in women with recurrent spontaneous abortion

Study design: A Case-control study

Place and duration: Isra University and Liaquat University of Medical and Health Sciences Jamshoro from 1st June to 31st December 2010

Methodology: Sixty three subjects with history of three spontaneous abortions in their first three months of pregnancy were included in this study and 63 women of corresponding age, with one or more alive babies having no record of any first trimester spontaneous abortion were taken as controls. Coagulation tests platelet count, prothrombin time and activated partial thromboplastic time were done by standard methods. Antiphospholipid Antibodieswere estimated by ELISA method using specific kits

Results: Mean serum Antiphospholipid antibodies level was 7.10 +/- 3.47 in patients and 6.30 +/- 2.02 in controls. The difference in serum level of two groups was significant. Mean platelet count; mean prothrombin time and activated partial thromboplastin time revealed no significant difference between patients and controls

Conclusion: There is strong association of antiphospholipid antibodies in the patients having recurrent spontaneous abortions so there is a strong need of including this test in the primary screening of such disease in the pregnant women who have history of previous abortion

Anterior saggital anorectoplasty; the treatment of anorectal malformations in female children

Anorectal malformation is the common congenital malformation. Ectopic anus and vestibular fistula are Intermediate types of anorectal malformations [ARM], which are the most common in female babies. Many surgical procedures have been described for the treatment of ARM. Anterior Saggital Anorectoplasty [ASARP] is not only convenient for the anesthetist for maintenance of anesthesia but also gives better exposure of surgical structures during surgery. To determine the technical suitability and outcome of ASARP in intermediate types of ARM in female children. This Descriptive study with prospective collection of data according to a set protocol. The study was carried out at the department of Pediatric Surgery, Military Hospital, Rawalpindi, Pakistan. November 2010 to March 2014, over the period of 3 years and 5 months. The data of all female patients presenting with intermediate types of ARM and undergoing ASARP, during the study period were analyzed, with respect to age, type, associated anomalies, complications and cosmetic outcome. A total of 36 patients of intermediate variety underwent ASARP. Age ranged from 6 months to 22 years. All patients had colostomy prior to this procedure. During surgery, posterior vaginal wall tear occurred in 2 patients [5.5%]. Postoperatively, 2 patients [5.5%] had retention of urine, 2 patients [5.5%] developed wound infection with superficial disruption, anal stenosis occurred in 2 patients [5.5%] and 1 patient [2.7%] had rectal mucosa prolapse. None of them required re_ do surgery. Cosmetic outcome was excellent in 31 patients [86.1%], while it was satisfactory in 5 [13.8%] patients. Anorectoplasty through anterior approach is not only technically easy but has good cosmetic results in intermediate type of imperforate anus in female children

Significance of cd markers in the classification, patterns and sub typing of non hodgkin's lymphoma

Aim of this study is Immunohistochemical analysis of H and E diagnosed cases of NHL for confirmation, classification and differentiation on the basis of phenotypic expression of CD3, CD30, CD45 and CD20 markers. Prospective study. This study was conducted in the Pathology department of Liaquat University of Medical and Health Sciences Jamshoro [LUMHS] during October 2010 to March 2012. The sample consisted of all the specimens received in the Pathology department of Liaquat University of Medical and Health Sciences Jamshoro [LUMHS] during the above period. Immunohistochemical stains including CD3, CD30, CD20 and CD45 were used for classification and differentiation of cases of NHL. Out of one hundred and eighty [180] H and E diagnosed cases of Non Hodgkins Lymphoma, only 142 [78.8%] were positive for CD20 and were confirmed as B cell NHL; however 6 [3.3%] cases showed positivity with CD30 and were confirmed as large T-cell NHL. 38[21.2%] cases showed positivity for CD3 and all 180 [100%] cases were positive for CD45 and were confirmed as NHL. It is concluded that Immunohistochemistry is helpful in differentiation of NHL. Cases of B cell NHL occur more frequently than T cell NHL. Furthermore NHL is more common in males and mostly presents with nodal involvement

Pregnancy induced hypertension; assessment of prognostic value of platelet count in women with varying degree

Objective: To assess the early detection of thrombocytopenia in women presenting with varying degree of pregnancy induced hypertension [PIH]. Study Design: A case control study. Place of Study: Hematology laboratory Isra University Hospital Hyderabad. Duration of Study: From July 2009 to December 2010

Materials and Methods: Total 130 pregnant women were included in this study. The subjects were divided into three groups as Group 1 with pre-eclampsia, Group 2 with eclampsia and Group 3 with normotensive pregnant women as control group. The Group 1 was further divided into two sub groups such as Subgroup 1a with mild preeclampsia and Sub-group 2b with severe pre-eclampsia

Results: Anticoagulated whole blood samples [5cc] from all subjects were analyzed for the detection of thrombocytopenia for the possible involvement of pregnancy induced hypertension. It was noted that out of total subjects, 33[25.39%] had mild pre-eclampsia, 17[13.07%] had severe preeclampsia, 15[11.54%] had eclampsia and 65 [50.0%] were normotensive pregnant women. Based on the comparative findings, the results showed significant differences between group 3 and group 1a [p-value 0.001], group 3 and group 1b [p-value 0.001], group 2 and group 3 also showed same results [p-value 0.001] but the subjects of group 1a and 1b when compared, showed non-significant findings [p value 0.955]

Conclusion: The results suggested that early detection of platelet count provide significant role for the assessment of severity of disease in women with pregnancy induced hypertension when compared with normotensive pregnant women

Efficacy of Paraffin Wax Bath with and without joint mobilization techniques in rehabilitation of post-traumatic stiff hand

Objective: Post-traumatic stiff hand is common a condition which causes pain and disability, the paraffin wax bath and joint mobilizations have the key role in its rehabilitation. We conducted the present study to determine the efficacy of paraffin wax bath with mobilization techniques compared with joint mobilization alone

Methodology: This single blind randomized control trial was conducted on 71 patients in department of physical therapy and rehabilitation, Riphah International University Islamabad, and patients with posttraumatic stiff hand after distal upper extremity fractures, were included. The patients were randomized into two groups: the joint mobilization techniques with paraffin wax bath were included in group A, and joint mobilization techniques without paraffin wax bath in group B. The study variables were pain score on visual analogue scale [VAS] 0/10, thumb function score [TFS] and passive range of motion [PROM] of wrist flexion, extension, radial and ulnar deviation, and were compared at baseline and at completion on planof-care after six weeks

Results: Seventy one patients with post-traumatic stiff hand were enrolled and placed randomly into two groups. The baseline characteristics were similar in both groups. Six week after intervention, patients in group A had more improvement in pain score [p=0.001], TFS [p=0.003], and PROM of wrist flexion [p=0.002], extension [p=0.003], radial deviation [p=0.013], and ulnar deviation [p=0.004], as compared to group B. However, in group B the improvement was less in pain score [p=0.104], TFS [p=0.520], and PROM of wrist flexion [p=0.193], extension [p=0.1081], radial deviation [p=0.051], and ulnar deviation [p=0.168], as compared to group A

Conclusion: Paraffin wax bath with joint mobilization techniques are more effective than mobilization techniques without paraffin wax bath in the rehabilitation of post traumatic stiff hand

Physical therapy; level of awareness of medical professionals

The purpose of study: Physical therapy is a renowned developing profession and improves not only the functional status but also enhance the quality of life in movement disorder population. The main purpose of this study was to find out the level of awareness about physical therapy in medical professionals. A descriptive Cross sectional Survey was done with a sample of 100. A structured questionnaire was developed for data collection from hospitals of Rawalpindi and Islamabad. The data was collected from July 2010 to December 2010. The response was analyzed through SPSS-17. The results show that 90% of medical community knows about physical therapy as a specialty in medical sciences, refer their patients to the physical therapist, physical therapy is beneficial for their patients, and physical therapy has an essential role in health care system. The medical community refers their patients to the physical therapy for the management of musculoskeletal, neuromuscular, and cardiopulmonary conditions more commonly. Physical therapy is an emerging specialty of medical sciences in Pakistan. Physical Therapists are not only rehabilitating patients with movement dysfunction but are also working as active team members of medical community in Pakistan

Role of Early Range of Motion Exercises in Reduction of Scar Formation and Prevention of Contracture in Sub-acute Stage of Burn Patients

To determine the role of early passive range of motion exercises in the reduction in scar formation and prevention of Contracture in sub-acute Burn Patients. Study Design: Randomized Control Trail [RCT]. Burn Centre Pakistan Institute of Medical Sciences Islamabad, from January to December, 2010. Thirty patients were selected from the burn center at Pakistan Institute of Medical sciences [PIMS] Islamabad, age ranging from 12-60 years, and were randomly placed into two groups, 15 patients in each group. The anti-contracture positioning program was applied on group A with early passive range of motion [PROM] exercises of the involved areas and in group B only anticontracture positioning program was applied. The Vancouver Scar Scale [VSS] was used as an assessment tool and 4 variables were assessed including vascularity, height/thickness, pliability, and pigmentation. Data was analyzed on SPSS version-20 and independent t-test was applied at 90% level of significance to calculate the p-value for group A and B. The results show that the anti-contracture positioning with early passive range of motion [PROM] exercises reduced scar formation and prevent contractures more significantly in group A [P-value =0.002] with average VSS score 6, as compare to the anticontracture positioning alone in group B [P-value=0.435] with VSS score 10, as assessed at the completion of physical therapy management program in all the 30 patients of subacute stage of burn. It was concluded that the early passive range of motion exercises with anti-contractures positing can reduce the amount of scar formation, prevent contractures and increase the quality of physical therapy management in sub-acute stage of burn patients

Comparison of Self-Assessment with Peer and Student Assessment in Evaluating the Overall Performance of the Faculty

To evaluate the overall faculty performance by comparison of Self-assessment with peer and student assessment. A comparative cross sectional survey. Study was conducted from January to June 2012 in Riphah College of Rehabilitation Sciences, Riphah International University Islamabad. This research study was conducted among students of Doctor of physical therapy [DPT], post-professional Doctor of physical Therapy [PPDPT], and Master of Science in speech language pathology [MS-SLP], and faculty members at Riphah College of Rehabilitation Science [RCRS], Riphah International University Islamabad. The total sample size was 730, including 700 students and 30 faculty members. A questionnaire was developed according to likert scale, and after a pilot study on 20 student and 10 faculty member to determine the reliability. The questionnaire was circulated among all the 30 faculty members and 700 students, including 500 undergraduate and 200 post graduate students of all the 3 programs. The data was analyzed and Wilcoxon [Kruskal-Wallis] was applied at 95% level of significance for all the 3 groups. The group [A] included assessment of the performance of the faculty members done by the students, group [B] done by other faculty members, and group [C] included self assessment done by faculty members. The averages were calculated to determine the overall performance of the faculty members as assessed by themselves, other faculty members, and the by students as well, afterwards the averages of 3 groups were compared. the overall performance of the faculty members was graded as 71% [P=0.015] as evaluated by the students, 77% [P=0.009] as evaluated by other faculty members, and 73% [P=0.011] as evaluated by the faculty members through self assessment. It is concluded that there was no significant difference in the performance of the faculty members, as assessed themselves, by the students and the other faculty members

The Relationship between Physical Activity Levels, Sleep Habits and Academic Performance in Physical Therapy Students of Riphah International University, Islamabad

The objective of this study was to determine the relationship of physical activity level, sleep habits and academic performance of Physical Therapy students. Descriptive Cross Sectional Survey. The study was conducted from 1st January 2013 to 1st March 2013 in physical therapy institute of Rawalpindi/ Islamabad. A sample of 190 from first year and final year were taken by using systemic probability sampling. A self-administrated questionnaire, Epworth Sleepiness Scale [ESS] and Rapid Assessment of Physical Activity [RAPA] was used to collect data. The Epworth Sleepiness Scale score 25% and 42% students were categorized in the level 6-8 and 9-11 respectively. The average score of students 33% and 21% were 71-75% and 66-70% marks respectively. 41% students having marks 71-75% lie in 9-11 Sleep score. The total 33 out of 83 [39%] students do light physical activities and get 71-75% marks in exam. Only 2 out of 9 [22%] students who do not do any activity were in 71-75% marks category. It is concluded that students having good grades have less chances of dozing in day. The complete sleep has good effects on concentration of students towards study. It is also concluded that the students who indulge themselves in light activities get good grade in examination

Measuring students' perceptions about educational environment of an under graduate rehabilitation sciences curriculum in Riphah College of Rehabilitation Sciences- Pakistan by means of DREEM's inventory

The objective of the study was to establish the perceived strength of educational environment of Riphah College of Rehabilitation Sciences Islamabad Campus. A Descriptive Study. Riphah College of Rehabilitation Sciences, during May and June 2013. The descriptive study was conducted in the Riphah College of Rehabilitation Sciences, during the month of May, June 2013.The 50 items inventory was selected for analyzing and assessing the educational climate and a sample of 142 students from first and final year of Doctor of Physical Therapy were recruited. A total of 142 questionnaires were completed, 85 from first year, 57 from final semester. The mean score of inventory was 130/200 and overall mean was 2.60. The mean score for [perception of learning] was 2.70; [Perception of course organizers] was 2.58, [Self perception about Academic] was 2.76, [Perception of atmosphere] was 2.58 and [Social self perception] was 2.36. It is concluded that overall environment of Riphah College of Rehabilitation Sciences is more positive. There is span for improvement and augmentation of existing educational environment to provide a sound platform for proper learning

efficacy of Rib Cage Mobilization on lung function in COPD patients

To determine the efficacy of rib cage mobilization on lung function in COPD patients. This randomized control trial was carried out at Department of Physical Therapy and Rehabilitation, Fauji Foundation Hospital, Rawalpindi and Railway General Hospital Rawalpindi, Pakistan from sep. 2010 to sep. 2011. Sixty two patients were randomly placed into two groups, 35 in group A and 27 in group B. The inclusion criteria was at least one year history of COPD, altered Dyspnea index, and decrease FEV1/FVC ratio and the exclusion criteria was less than one year history of COPD, normal Dyspnea index and no change in FEV1/FVC ratio. All the patients were treated for three weeks and rib cage mobilization was applied in group A and deep breathing exercise in group B. The rib cage mobilization was applied in sitting and side lying position for 10[th] to 2[nd] ribs and in supine position for 1[st] rib. The Dyspnea index and FEV1/FVC ratio were used as assessment tools, and were calculated before and after the therapy intervention. The data was analyzed by SPSS v 20 and paired t- test was applied to calculate the probability at 95% level of significance. The rib cage mobilization increased FEV1/FVC ratio and Dyspnea index significantly [P=0.004, P=0.006] in group A, as compared to the deep breathing exercise in group B [P= 0.073, and P=0.083]. We conclude that rib cage mobilization had very effective role in increasing rib cage mobility and improve lung function in COPD patients

Comparison of risk factors profile in patients below and above forty years of age presenting with acute myocardial infarction

To compare the frequency of conventional risk factors in patients below and above forty years of age presenting with acute myocardial infarction. It was a three years retrospective comparative descriptive study conducted in Cardiology Department, PGMI, Lady Reading Hospital, Peshawar. Computerized data of patients admitted with acute myocardial infarction [AMI] from 1st September 2006 to 31st August 2009 was reviewed. Patients with age <40 years were assigned Group-I while those with >/= 40 years as Group-II. Conventional risk factors were age, sex, pertinent family history, smoking, hypercholesterolemia, hypertriglyceridemia, hypertension and diabetes mellitus. Using SPSS version 16, data was analyzed. A total of 4935 patients were admitted with AMI over the study period. Mean age was 58.4 +/- 12.37 [20 to 99] years. Group-I had 252 patients [79.4% males], while Group-II had 4683[65.9% males].Positive family history in Group-I vs. Group-II was 43[17.1%] vs. 426[9.1%], [p<0.001], respectively. Hypertension in Group-I vs. Group-II was 57[22.6%] vs. 1666[35.6%], [p<0.001], respectively. Diabetes mellitus in Group-I vs. Group-II was 29/252[1.5%] vs. 1059[22.6%], [p<0.001], respectively. Hypercholesterolemia in Group-I vs. Group-II was 63[25%] and 583[12.4%], [p<0.001], respectively. Hypertriglyceridemia in Group-I vs. Group-II was 68[27%] vs.1188 [25.4%], [p<0.001], respectively. Smokers in Group-I vs. Group-II were reported in 24[9.5%] vs. 76[1.6%], [p<0.001], respectively. Positive family history, hypercholesterolemia, hypertriglyceridemia and smoking were more frequent in younger age group while hypertension and diabetes mellitus were the predominant risk factors in older age group

Intra-operative hypotension; induction of anesthesia in patients continuing their routine dose of angiotensin system inhibitor therapy before surgery

To determine the frequency of intra-operative hypotension following induction of Anesthesia in patients continuing their routine dose of angiotensin system inhibitor therapy before surgery. Cross-sectional study. Department of Anaesthesiology, Combined Military Hospital, Quetta. One year from 20-08-2010 to 19-08-2011. Total 92 hypertensive patients were included in this study. Diagnostic criteria for patients was those cases receiving ACEI/ARA therapy for at least 3 months with admission preoperative arterial blood pressure of >150/90mmHg. Mean age of the patients was 47.70 +/- 8.47 years. Out of 92 patients, 38 patients [41.3%] were male while remaining 54 patients [58.7%] were female. Distribution of cases by hypotension after induction of anesthesia shows, hypotension at 30 minute in 55 patients [59.8%] and hypotension at 60 minute in 37 patients [40.2%]. Out of 55 hypotensive patients [at 30 minute] 17 patients [30.9%] had mild hypotension, 32 patients [58.2%] had moderate hypotension and 6 patients [10.9%] had severe hypotension. Out of 37 hypotensive patients [at 60 minute] 8 patients [21.6%] had mild hypotension, 25 patients [67.6%] had moderate hypotension and 4 patients [10.8%] had severe hypotension. Hypertensive patients continuing their routine angiotensin system inhibitors therapy [<10 hr preoperative] have a variable risk of developing moderate hypotension within 30 minutes after induction. This moderate hypotension proved to be of little clinical significance as it responded to conventional therapy

PDPH by using gauge of needles

There is increase incidence of Lower Segment Caesarean section [LSCS] being performed under sub-arachnoid block [SAB] because it is relatively safe. One of the complications of SAB is Post Dural Puncture Headache [PDPH] which is very distressing to the patient. To observe the incidence of PDPH by using two different types of spinal needle of 25 gauge in females undergoing LSCS under SAB. Currently, in our setup 25G cutting [quincke] spinal needle is routinely used. Randomized controlled trial. Department of Anesthesia, Officers Family Hospital, Rawalpindi Cantt. 6 months from 15 February 2011 to 15 July 2011. 100 pregnant patients undergoing elective CD under spinal anaesthesia were randomized into two group A and B. Group A received SAB with 25G Quincke needle; Group B-received SAB with 25G pencil-point needle. Follow up was done up to 72 hours after the surgery. Data obtained through study was analysed through computer software SPSS version 12. quantitative variables like age, weight and height are presented as mean and standard deviation. The frequency of PDPH was qualitatively analysed in percentage. The frequency of PDPH was compared between two groups with the application of Chi-square as test of significance at P-value <0.05. It was found that the incidence of PDPH with Quincke [cutting tip] needle was significantly higher [7.%] as compared to pencil point needle [0%]. Pencil-point needle is associated with lesser incidence of PDPH and should be preferred to Quincke needle to achieve SAB in patients undergoing LSCS

Effectiveness of intra-articular corticosteroid injection in the treatment of idiopathic frozen shoulder

To determine the efficacy of intra-articular corticosteroids in the treatment of idiopathic frozen shoulder. Quasi experimental. Department of Orthopedics Surgery Hayatabad Medical Complex Peshawar, from February 2010 to October 2010. In this study, 113 cases of idiopathic frozen shoulder were selected by non-probability consecutive sampling technique at the outpatient department. Patients received a single intra-articular injection of corticosteroid [methylprednisolone] followed by physiotherapy for four weeks. Shoulder pain and disability index [SPADI] was used as main outcome measure of pain relief and disability. Mean age of the patients was 49 +/- 9.3 year. Using SPADI, the mean baseline pain and disability scores were 81 +/- 7.2 and 79.5 +/- 7.6 respectively which significantly improved to 14.5 +/- 7.4 and 25.6 +/- 18.2 at 4th week of intra-articular injection in the affected glenohumeral joint with p value of 0.000 and 0.040 respectively. Intra-articular steroid injection is an effective and reliable modality of treatment for relieving pain and decreasing disability in idiopathic frozen shoulder.

Comparison of hemodynamic responses to use of laryngeal mask airway versus endotracheal tube in hypertensive patients

To compare hemodynamic responses to use of laryngeal mask airway [LMA] versus endotracheal tube [ETT] in hypertensive patients. A quasi-experimental study. Department of Anaesthesiology and Intensive Care, Combined Military Hospital Rawalpindi and Kharian from January 2008 to December 2008. Seventy hypertensive patients selected by non-probability convenience sampling technique were equally distributed in two groups ETT and LMA using alternate patient technique [n=35 each]. Patients in both groups were anaesthetised using common anaesthetic technique. Patients in ETT group underwent laryngoscopy and ETT intubation, whereas patients in LMA group received LMA without laryngoscopy for their airway maintenance. Hemodynamic variables, [pulse, systolic, diastolic and mean arterial pressures] were measured using non-invasive monitoring technique at various intervals before and after intubation or LMA placement, before and after extubation or LMA removal. In ETT group after intubation there was an increase both in, pulse from 69 +/- 9 to 75 +/- 8, and mean arterial pressure [MAP] from 89 +/- 10 to 104 +/- 4mm Hg, when compared to LMA group, in which pulse increased from 67 +/- 7 to 68 +/- 5 and MAP from 89 +/- 11 to 94 +/- 8 mm Hg. Before extubation pulse in LMA group patients was 73 +/- 10 and MAP was 93 +/- 9 whereas in ETT group mean pulse was 76 +/- 9 and MAP was 107 +/- 9 mm Hg. On ETT extubation pulse increased from 76 +/- 9 to 77 +/- 8 and MAP from 107 +/- 9 to 108 +/- 8 mm Hg, whereas in LMA group pulse changed from 73 +/- 10 to 69 +/- 7 and MAP from 93 +/- 9 to 95 +/- 9. All the hempdynamic responses were significantly lower in LMA group than in ETT group [p<0.05]. Use of LMA in hypertensive patients for control of ventilation showed significantly lower hemodynamic responses when compared to ETT at both intubation and extubation.