ABSTRACT
Objective: To compare the effect of transverses abdominis plane block verses local infiltration of wound with Bupivacaine to assess frequency of analgesic requirement for pain relieve during 15 hours after appendisectomy. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital Peshawar, from Apr 2016 to Oct 2016
Results: Both the groups were comparable with to assess frequency of analgesic for pain relieve after TAP Block Vs local infiltration with bupivacaine. In group A the frequency of analgesic requirement was less as compared to group B [p<0.05]
Material and Methods: Ninety two patients fulfilling the inclusion criteria were included by consecutive sampling technique for this study and divided into two groups of 46 each. Patients of group A were administered transverse abdominis plane [TAP] block via ultrasound guide. Patients in group B received local infiltration with Bupivacaine. Frequency of analgesic requirement for pain relieve were assessed by anaesthetist during 15 hours after appendisectomy
Conclusion: Frequency of analgesic requirement was less in TAP block as compared to local infiltration of wound with bupivacaine during 15 hours after appendisectomy
ABSTRACT
Objective: To compare the frequency of laryngospasm in awake versus deep extubation after intranasal surgery
Study Design: Randomized controlled trial
Place and Duration of Study: The study was carried out at Combined Military Hospital Rawalpindi which is a tertiary care hospital, after seeking permission from Hospital Ethics Committee. Study was carried out for six months, from Feb 2013 till Aug 2013
Material and Methods: Two hundred and fifty patients fulfilling the inclusion criteria were selected for this study and divided into two groups of 125 each. Patients of group A were extubated fully awake while the patients assigned to group B were extubated during deep anaesthesia. Patients were then monitored closely for 30 minutes to assess whether they developed laryngospasm or not
Results: The mean age in group-A was 23.92 +/- 5.01 years and in group-B was 24.16 +/- 5.56 years. The mean height in group-A was 169.53 +/- 4.74cm and in group-B was 170.42 +/- 4.34 cm. The mean weight in group-A was 66.18 +/- 6.31 kg and in group-B was 65.67 +/- 6.00 kg. In group-A 72 percent patients were male and 28 percent were female while in group-B 76 percent patients were male and 24 percent patients were female. In group-A 9 [7.2 percent] patients developed laryngospasm and in group B 6 [4.8 percent] patients developed laryngospasm
Conclusion: There is no difference in frequency of laryngospasm in awake versus deep extubation after intranasal surgery
ABSTRACT
Objective: To compare the mean time duration of patient's first request for analgesic for pain relief after open cholecystectomy with preoperative use of pregabalin or gabapentin. Study Design: Randomized controlled trial. Place and Duration of Study: Department of anesthesia, Combined Military Hospital [CMH] Peshawar during a period of six months, from May 2014 to Nov 2014
Material and Methods: This study included a total of 126 patients with clinical and ultrasound diagnosis of acute cholecystitis. Patients were distributed randomly into two groups equally [63 patients in each group]. Group A was given 300mg pregabalin and group B was given 900mg gabapentin one hour before surgery by mouth
Results: Mean age was 46.68 +/- 8.074 years for group A and 46.33 +/- 8.046 years for group B. In group A, there were 49.2% males and 50.8% females while in group B, there were 42.9% males and 57.1% females. Weight of patients was 68.54 +/- 6.283 kg in group A and 69.75 +/- 5.778 kg in group B respectively. Mean time duration score was 37.48 +/- 7.175 minutes and 18.27 +/- 3.366 minutes in group A and B, respectively [p<0.001]
Conclusion: Preoperative use of pregabalin provides significantly prolonged postoperative analgesia compared to gabapentin after open cholecystectomy