ABSTRACT
In the prevention and control of malaria, Prompt and accurate diagnosis is the key to effective disease management. Giemsa microscopy and rapid diagnostic tests (RDTs) are the diagnostic tests each with characteristic strengths and limitations is the best way for accurate diagnosis has a key role for malaria control successfully. Reduction in morbidity and drug resistance intensity of malaria require a parasite based diagnostic methods. A parallel commitment is needed in production of antimalarial drug or malaria vaccine along with improvement in diagnostic tests and their availability to people in endemic areas.endemic areas.
ABSTRACT
Introduction: Tracheostomy is one of the oldest surgical procedures to access the airway. The majority of cases who require tracheostomy are in ICUs. The ICUs are monitored by intensivists who are mostly Anesthesiologists or Physicians (non-surgical personnel). While doing surgical tracheostomy, there is dependency on other departments like surgeons of ENT department. In most cases, critically ill patients are made to shift to operating room, where we may have to wait for the availability of operating table. Method: This clinical study was carried out to access the airway when required by nonsurgical doctors like anesthesiologists or physicians at bed side and to save cost and operation theatre time. Result: Sixteen male & twelve female patients with an average age of 28 Years (range, 19 to 40Years) underwent PCT from Oct. 2008 to Oct.2011. Fourteen patients were of snake bite, 10 were of organo-phosphorus poisoning & 4 were of G.B. Syndrome. Conclusion: Percutaneous tracheostomy has replaced the surgical route in several intensive care units and it is indeed the procedure of choice in the majority of cases. [Rajan N NJIRM 2014; 5(1):6-9] Key Words: Percutaneous Tracheostomy (PCT), Surgical Tracheostomy (ST), Medical intensive care unit (MICU), critically ill, complications, tracheal injury, bleeding.