ABSTRACT
Objective: To compare the efficacy of finger glove and ribbon gauze as nasal packing material after septal surgery by assessing the two parameters of bleeding and pain
Materials and Methods: This cross sectional comparative study was conducted at ENT Department of PNS SHIFA Hospital,Karachi, over a period of one and a half years fromAugust 2014 to January 2016.A total of 100 patients were included in this study. Inclusion criterion was all patients undergoing septal surgery requiring post-operative nasal packing. The right side of nose was packed with finger glove packing and left side of nose was packed with ribbon gauze in every patient. Pain and bleeding were assessed during 24 hour period of packing and on pack removal
Results: Mean blood loss during the packing period and at the time of pack removal was 6.60 ml and 2.31 ml respectively on the finger glove side and 11.40ml and 7.47 ml respectively on the ribbon gauze side [p = 0.001]. Similarly mean pain score on VAS during the packing period and at the time of removal was 2.62 and 3.65 respectively on the finger glove side while 3.37 and 4.41 on the ribbon gauze side[p = 0.001]. No complication from nasal packing was seen on either side
Conclusion: Finger glove is a better choice for packing after septal surgery than ribbon gauze because of less bleeding and pain
ABSTRACT
OBJECTIVES: To determine the practice and varieties of Complementary and Alternative Medicine [CAM] for sore throat and common cold treatment in healthcare providers[HP] and the general population
METHOD: This is a questionnaire-based cross sectional study conducted at Ojha Campus, Dow International Medical Collge Karachi
RESULTS: This study shows that 62% of our total study population use CAM [62.8% healthcare providers, 61% general population]. Combination therapy was the most popular method of CAM usage [55.8% healthcare providers, 47% general population]. Family and friends were the most common source of CAM information in both groups. Steam, Saltwater gargles, Medicated vapors, honey and ginger were most frequently used, in both populations. Very few persons had a regular practice of informing their healthcare provider about their CAM use [23.8% healthcare providers, 2.7% general population]. Around 63% healthcare providers recommend CAM to their patients for treating sore throat. The most frequent reason for doing so being their personal effective experience
CONCLUSION: Our study demonstrates the high usage of CAM to treat sore throat. Some basic training in CAM should be considered for our healthcare providers, in order to integrate this cost effective form of therapy in our healthcare system. Healthcare providers should inquire about their patients' CAM usage to avoid interactions between the two forms of therapy