ABSTRACT
To analyze the effect of prone versus supine position on oxygen saturation in neonates with respiratory distress. This comparative study was conducted in the department of paediatric medicine at Liaquat University Hospital Hyderabad during the period of six months. Total numbers of the patients enrolled were one hundred with age ranging three hours to 28 days. All the newborns with respiratory distress [RD] were kept in supine position for three hours after all necessary resuscitation measures and oxygen saturation was recorded with pulse oximeter. Then they were kept in prone position for six hours and oxygen saturation and respiratory rate was measured with two hour interval respectively for six hours. One hundred patients were enrolled in the study with age range 3 hours - 28 days, out of them 87 [87%] term, 9 [9%] preterm and 4 [4%] were post term respectively, male to female ratio was 1.2:1. The oxygen saturation in supine position was 84.84 +/- 4.20. After 2 hour in prone position saturation was 91.05 +/- 3.29, after 4 hour 91.62 +/- 3.89 and after 6 hours it was 92.63 +/- 3.02 respectively with P value of < 0.001 which is statistically highly significant. It shows that Oxygen saturation is increased by about 7%, and maximum oxygen saturation increases in first 2 hours. Similar trend was seen in respiratory rate with reduction of respiratory rate by 6 breaths / min in first two hours. Prone position improves oxygenation saturation and decreases respiratory distress as compared to supine position in neonates with respiratory distress
ABSTRACT
To assess the results of the management of Acute Pancreatitis. Retrospective descriptive study from Jan. 2003 to Dec. 2005. Setting: Surgical Ward-2, Jinnah Postgraduate Medical Centre, Karachi. 62 patients with the diagnosis of Acute Pancreatitis. The demographic variables, cause and outcome of the cases were observed and recorded. Out of the total 62 patients, 37 had cholelithiasis; other causes were alcoholism, abdominal trauma, worms, instrumentation [ERCP] and drugs. All patients were classified according to APACHE-II scoring system into acute oedematous pancreatitis, severe acute pancreatitis and acute necrotizing pancreatitis. Forty eight patients developed complications including ARDS, anuria, hypotension, paralytic ileus and pseudocyst formation. Four cases died due to multiorgan failure. Current recommended principles in the management of Acute Pancreatitis are based on identification of patients having severe disease and the group at risk for the development of complications. APACHE-II is a helpful scoring system and CT scan is an effective diagnostic tool in difficult cases