[Prediction of trauma outcome with platelet count]

The relationship between the number of platelet and the outcome of trauma is not clearly known. The purpose of this study was to determine the relationship between the number of platelet and the outcome of trauma in traumatic patients [Abdomen and chest] referred to hospital and mortality and morbidity rates after trauma. This deh1ive-analytical study was performed on 300 patients with torso trauma admitted in Al-Zahra hospital in Isfahan Iran in 2005. Injury Severity Score [ISS] complete Blood Count [CBC] and platelet count were measured from all the patients at their arriving to the hospital. We also evaluated the patients for the duration of hospitalization need to stay in ICU duration of ICU care thrombo-embolic events such as deep vein thrombosis [DVT] and respiratory emboli and finally for the outcome of the trauma [death or recovery]. Data were analyzed using student t-test Chi-square and regression. The mean age of patients was 32 +/- 17.51 years from those 78% were men. We found a direct significant relationship between the duration of hospitalization and platelet count and ISS [P0.05]. Our findings suggest that platelet counting in traumatic patients at the beginning of their hospitalization is a good predicting factor to estimate the duration of the hospitalization

effect of ischioanal fossa block with bupivacain on decreasing post hemorrhoidectomy pain

Hemorrhoidectomy is usually associated with severe pain in the immediate postoperative period. Today, a number of local blockages and sedatives are used to reduce this pain. However, so far, no specific method is recommended for this purpose. Therefore, the aim of this study was to investigate the efficacy of the ischioanal fossa block, in reduction of postoperative pain and analgesic requirements. This clinical-trial study was performed on eighty c and idates of elective hemorrhoidectomy. Patients were randomly assigned to either case [receiving ischioananl fossa block] or control [no ischioananl fossa block]. All aspects of surgery and anesthesia were st and ardized. In the postoperative period, analgesia was maintained with pithedine. Pain was assessed using VAS [Visual analogue scale] at 0 [arousal], 4, 12 and, 24 hours after operations. The time interval for the first request of analgesia and the total amount of analgesic consumption were recorded. There was no statistical difference between the two groups with respect to age, sex, weight, and duration of operation. The pain score of the case and the control group was 2.65 +/- 0.92 and 4.93 +/- 1.09, respectively [p<0.05]. Also, the pain score at 0, 4, 12, and 24 hrs post operation was significantly lower in the case than that in the control group [p<0.05]. The time interval for request of the first analgesic was significantly longer in the case group [8 hr versus 1.5 hrs] [p<0.05]. Total dose of pethedine consumption was statistically different between the two groups [p<0.05]. Based on the results, the administration of ischiorectal fossa block and bupivacain before the operation resulted in a significant decrease in postoperative pain and analgesia requirements. Therefore, this method is recommended