ABSTRACT
Background: laser in situ keratomileusis [LASIK] has being used as the most effective and common refractive surgical procedure of choice for correction and elimination of myopic errors. The use of refractive surgeries has aided subjects to get rid of contact lenses either soft or rigid as well as eye glasses. Objective: Evaluate the level of satisfaction and the impact on the quality of life in myopic patients after a LASIK operation
Methods: this is a cross-sectional and community based survey study in which 111 participants were enrolled. All patients underwent a data collection and Satisfaction assessment including a 29 Likert model statements
Results: high levels of satisfaction [81.9%] and quality of life [76.5%] were found among myopic patients. Most of patients did LASIK to get rid of their glasses and to have good visual results regarding to reading, driving, swimming at day light or at night. The majority of subjects revealed that the surgery achieved their goal, and 83.8% would praise LASIK for friends. Females showed a significant higher motive for performing LASIK to improve their general look. The medical professions showed lower levels of satisfaction toward quality of vision than educational professions
Conclusion: a high level of satisfaction, quality of life and vision satisfaction was found in the present study after LASIK among myopic patients in Aljouf city
ABSTRACT
To present short term outcome of brachial plexus block for upper limb vascular access procedures performed for renal dialysis. This is a retrospective review of all cases that had a brachial plexus block for a renal dialysis vascular access procedure at the vascular surgery unit in King Hussein Medical Center, Amman, Jordan, between January 2009 and September 2011. Two hundred eighty- eight patients [172 males, 116 females] with a mean age of 41 [19-68] years had the block. In 183 [63.5%] patients the procedure was primary and in 75 [26.0%] patients it was native access. Procedures performed included: 27 [9.4%] brachio-cephalic arteriovenous fistula, 48 [16.7%] basilic vein transposition, 96 [33.3%] forearm prosthetic loop graft, 67 [23.3%] upper arm prosthetic loop graft, 25 [8.7%] salvage procedures with interposition prosthetic grafts, 14 [4.9%] removal of infected prosthetic grafts, and 11 [3.8%] repairs of false aneurysms and disrupted anastomoses. All blocks were guided by a nerve stimulator at strength of 0.2-0.5MHZ and Bupivacaine 0.375 [25-35 ml] used for the block. Supraclavicular block was used in 132 [45.8%] patients while combined supraclavicular and axillary blocks were used in 156 [54.2%] patients. When local anesthetic infiltration was needed for supplementation of the block, Lignocaine 1% [10-15 ml] was used. Data regarding the procedure, adequacy of the block, time of onset, duration of block, and immediate complications was retrospectively collected from anesthetic charts and operative records. All patients had an adequate block with no conversions to general anesthesia or cancellation of the procedure. A successful block was achieved in 232 [80.6%] patients while a partially successful block was achieved in 56 [19.4%] patients. The median time for onset of the block was 10 [5-20] minutes for motor block and 15 [10-35] minutes for sensory block. The mean duration of the block was 5.6 [2.2-48.0] hours. Prolonged blocks beyond 24 hours occurred in 5 patients [48 hours in 1 patient, 36 hours in 1 patient, and 24 hours in 3 patients]. Injection related complications included discomfort during injection in 100 [34.7%] patients and local hematomas relieved by compression in 8 [2.8%] patients]. Transient nerve paralysis complicated 82 [28.5%] cases [phrenic nerve in 57 [19.8%] patients, sympathetic chain resulting in Horner's syndrome in 20 [6.9%] patients and vagus nerve resulting in hoarseness of voice in 5 [1.7%] patients]. No clinically detectable pneumothorax or drug toxicity occurred. No peri-operative mortality was reported during the study period. Brachial plexus block is an effective and safe mode of anesthesia for upper limb renal dialysis vascular access procedures. It offers major advantages over general anesthesia and enjoys low rate of failure and complications. Its use as a main mode of anesthesia for such procedures is advisable