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 determine the frequency of difficult intubation in obese patients with neck circumference to thyromental distance ratio [NC/TM] >/=5.0
Study Design: Cross sectional study
Place and Duration of Study: Department of Anaesthesia, Forward Treatment Centre, Kel [Azad Kashmir] and Combined Military Hospital [CMH] Malir. Six months, from Jun 2015 to Nov 2015
Material and Methods: A total of 94 patients between the ages of 18 and 50 years with body mass index [BMI] >/=27.5 kg/m2 and NC/TM >/=5.0 who received general anesthesia requiring tracheal intubation for elective surgery [Orthopaedic, General Sugery, Urology and Gynaecology] were included in the study. Patients were induced general anaesthesia and orotracheal intubation was done by anaesthetist with at least 1 year experience. Number of intubation attempts were recorded in each patient. More than 3 attempts were considered difficult intubation
Results: Eighty two [87.2 percent] out of 94 obese patients with BMI >/=27.5 kg/m2 and NC/TM >/=5 had difficult intubation
Conclusion: The NC/TM >/=5 was found good predictor for difficult intubation in obese patients
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 study the pattern of cognitive impairment after giving total intravenous anesthesia Vs general anesthesia for ECT for patients of Depressive Episode Severe. Study Design: Randomized controlled trial. Place and Duration of Study: Combined Military Hospital Skardu, from 15 Jul 2015 till 15 Jan 2016
Material and Methods: Hundred patients fulfilling the inclusion criteria were included by consecutive sampling technique for this study and divided in to two groups of 50 each. Patients of group A were given TIVA [propofol + succinylcholine]. Patients in group B received GA [propofol + succinylcholine + isoflurane]. Cognitive functions of patient were assessed by psychiatrist via mini mental state examination [MMSE] test before ECT and two weeks after ECT respectively
Results: Both the groups were assessed for cognitive impairment after TIVA Vs GA. In group A the MMSE showed less cognitive impairment as compared to group B [p<0.05]
Conclusion: Cognitive impairment is less in total intravenous anesthesia as compared to general anesthesia for ECT in patients of depressive episode severe