ABSTRACT
Objective: To compare the effectiveness of Morphine alone and Morphine with MgSo4 in pain management after CABG surgery
Methods: This randomized control trial was conducted in the department of anesthesia and critical care Choudhary Pervaiz Ellahi Institute of Cardiology, Multan from November 2016 to June 2017. All collected data was entered and analyzed by using computer software SPSS version 23.1. Quantitative data like age, VAS score was analyzed and presented as mean and standard deviation. Similarly qualitative data like gender and ASA status was calculated and presented as frequency and percentages. Independent sample T-test was applied for significance of VAS score. P value ?0.05 was considered as significant
Results: A total number of 150 patients of both genders were included in this study. The main outcome variables of our study were VAS score. It was observed that, in group [M], the mean VAS score after 4, 12 and 24 hours of operation was 5.24+/-1.61, 5.8+/-2.27 and 5.44+/-2.27 respectively. And in group [MM], the mean VAS score after 4, 12 and 24 hours of operation was 4.36+/-2.58, 3.48+/-2.10 and 4.12+/-1.05 respectively. It was noted that both groups had statically significant difference of VAS score, as group [M] had higher VAS score than group [MM]
Conclusion: Morphine with Mgso4 has better efficacy as compared to morphine alone when used as analgesic agent after CABG surgery
ABSTRACT
Diabetes mellitus [D.M] is one of the main problems in health systems and a global public health threat that has increased dramatically over the past 2 decades. Patients with D.M are prone to multiple complications such as diabetic foot ulcer [DFU]. Despite of the advantages of debridement, adequate debridement must always precede the application of topical wound healing agents, dressings or wound closure techniques
Objective: The objective of the study was to compare the efficacy of adjuvant topical oxygen therapy with conventional methods and conventional methods alone in management of infected diabetic wounds
Study Design: Randomized Control Trial
Setting: Surgical Unit III, Allied Hospital, Faisalabad
Period: 4 months from March to June 2017
Methodology: A total of 120 cases included in this study were admitted either through OPD or emergency ward. Group A [Topical oxygen therapy was given along with conventional methods]. Group B [Only conventional methods of wound care were applied]. All patients were given single dose IV antibiotic half an hour before induction of anesthesia. All diabetic patients were administered regular insulin to control blood glucose levels. Good debridement was done, removing all dead tissue. Simple available cellophane bag applied, sterilized with antiseptic solution, tailored according to size of affected part used tapped on open side of body of patient like tourniquet. 100% oxygen was given in bag with routinely available oxygen cylinder exposing whole affected part of body or limb. Oxygen in chamber was given for maximum one and a half hour twice daily in one sitting for 7-10 days. Gram positive, gram negative and anaerobic cover was given with antibiotics. Wound was washed daily with normal saline. After clinical improvement patient was discharged and called for follow up at outdoor on weekly basis initially and then fortnightly for 6 months
Results: Mean age was calculated as 49.56+/-7.02 and 49.11+/-6.59years in group A and B respectively. 53.33% [n=32] in group A and 58.33% [n=35] in group B were males, while 46.67% [n=28] in group A and 41.67% [n=25] in group B were females. Comparison shows that 46.67% [n=28] in group A and 26.67% [n=16] in group B had efficacy; p value was calculated as 0.02 showing a significant difference
Conclusion: Efficacy of adjuvant topical oxygen therapy with conventional methods is significantly higher when compared with conventional methods alone in management of infected diabetic wounds
ABSTRACT
Background: Significant research papers have been published to assess the relation between rapid weight loss and the development of cholelithiasis, and the risk factors behind it. Assessment of cholelithiasis development after rapid weight loss as a result in most of bariatric surgery will help in reducing the admission rate to hospitals because of colic pain, and the complication related to stones formation
Objective: This study aimed at measuring the association of rapid weight loss with the development of gallbladder stones and identifying the role of prophylactic cholecystectomy
Methods: PubMed database was used for articles selection. All relevant articles to our review with the following topics: Bariatric Surgery, Gallbladder stones, bariatric surgery complication were included. We excluded other articles which are not related to this field. The data were extracted according to specific form in which it is going to be reviewed by group members to assess the relation between bariatric surgery and the development of stones, and weight loss as well as the benefits of prophylactic cholecystectomy against gallbladder stones
Conclusion: Bariatric surgery can lead to gallstone formation because of the rapid excess weight loss. Small percentage may become symptomatic and rarely cholecystectomy becomes needed during the first year of the bariatric surgery. So, it is not evidently recommended to be done as prophylaxis. However, Prophylactic medicinal therapy [Ursodeoxycholic acid] in the first 6 months can be used instead
ABSTRACT
By far the most common benign neoplasm of salivary origin is the pleomorphic adenoma. It is often poorly capsulated and has bosselated surface hence more chances of recurrence after excision
Objectives: to find out the recurrence rate after superficial or total conservative parotidectomy and in case of minor salivary tumours, wide surgical excision
Design of study: prospective study
Setting: Department of ENT Allied/DHQ Hospital Faisalabad
Period: apr 1994 to Dec 1998
Material and methods: 25 cases of benign salivary swellings [22 male and 3 females] were selected after confirming FNAC report to be pleomorphic adenoma. These patients were subjected to surgical excision of the tumour by superficial/total conservative parotidectomy or excision with healthy cuff of tissue
Results: only one patient having tumour spillage during excision has recurrence in scar incision during five years follow up
Conclusions: it seems reasonable to advocate superficial parotidectomy for benign pleomorphic adenoma of parotid and excision with a wide cuff of healthy tissue in case of minor salivary gland adenoma and to avoid capsular rupture at all costs