Anesthetic management of patients with dilated cardiomyopathy (DCM) can be challenging for anesthesiologists because it is associated with high perioperative mortality rate. This case report describes successful management and important anesthetic considerations in a 15-year-old boy, a known case of burn-associated dilated cardiomyopathy, who underwent bilateral ectropion correction surgery. In such patients, it is imperative to have meticulous preoperative planning, wise selection of medications, and tailored anesthetic technique in order to achieve a favourable outcome. Key words: Anesthesia; Burns; Cardiomyopathy, Dilated; Ketamine; Propofol; Dopamine Citation: Sheikh N, Salik M, Faraz A, Aldahish MM. Anesthetic management of burn-associated dilated cardiomyopathy with difficult intubation for bilateral correction of ectropion. Anaesth. pain intensive care 2020;24(5): Received: 22 August 2020, Reviewed: 23 August 2020, Accepted: 28 August 2020
ABSTRACT… One of the major and important but preventable causes of neonatal morbidity and mortality is Neonatal sepsis. Objectives: To determine the frequency of maternal risk factors in diagnosed cases of early neonatal sepsis. Study Design: Descriptive cross sectional study. Setting: Nursery, Department of Children Hospital and the institute of child health, Lahore. Period: 15-01-2016 to 15-07-2016. Material and Methods: After approval from hospital ethical committee, according to inclusion and exclusion criteria, 250 patients were enrolled in the study from nursery department of children hospital, Lahore. Maternal risk factors i.e. PROM, meconium stained liquor and preterm delivery were recorded along with the demographic information of each case. Results: In our study, out of 250 cases, cases between 1-2 days were 64.8% (n=162) while cases between 3 days of life were 35.2% (n=88), mean+sd was resulted as 2.17+0.69 days. Frequency of maternal risk factors in diagnosed cases of early neonatal sepsis was turned out as 64.8% (n=162) PROM, 29.6% (n=74) meconium stained liquor and preterm delivery was resulted in 21.2% (n=53). Conclusion: The leading maternal risk factor is PROM followed by meconium stained liquor and preterm delivery in diagnosed cases of early neonatal sepsis. Article Citation: Ahmed F, Ali M, Sarwar HA, Haider M, Safdar MB, Usman S. Frequency of maternal risk factors in diagnosed cases of early neonatal sepsis. Professional
Objective: To determine the frequency of lactose intolerance in malnourished children presenting with acute watery diarrhea. Study Design: Cross Sectional study. Setting: Department of Pediatrics at The Children’s Hospital & the Institute of Child Health. Period: 20th December 2015 till 20th June 2016. Material & Methods: A total of 225 children fulfilling inclusion criteria were selected. Stool samples were tested for reducing substances after informed consent from parents. Approval from Ethical Committee was taken. Data was entered and analyzed through SPSS 2.0. Results: Out of total 225 patients with age 3 months to 2 years (mean age 13.41±5.93 months), 112 (49.8%) were males and 113 (50.2%) were females. Overall lactose intolerance was observed in 57 (25.3%) patients, out of which, 27 (24.1%) were males and 30 (26.5%) were females. Total of 129 (57.3%) had low socio-economic status out of which 35 (27.1%) had lactose intolerance. Conclusion: In these malnourished children with acute watery diarrhea, lactose intolerance is high and local guidelines are necessary for proper screening and management.
Background: Plantar fascitis is a common condition that occurs in the heel, and approximately 11% to 15% of adult foot symptoms are plantar fascitis. In terms of treatment, various methods have been used in the treatment of plantar fascitis, both conservative and surgical methods. When these conservative treatments fail, injecting steroids and Platelet rich plasma injection is considered an option. Both methods have proven good results in different studies. The purpose of this study was to assess the role and efficacy of isolated corticosteroids injection versus platelet rich plasma injection versus combination of both in the treatment of plantar fascitis. Materials and Methods: A total of 95 patients were studied. Patients were divided into three groups. Group A had 35 patients of which 25 were females and 10 were males and they received only platelet rich plasma injection. The Group B had 30 patients 16females and 14maleswho received corticosteroid injection only and Group C had 40 patients of which 20 were males and 20 were females who received both corticosteroid injection and platelet rich plasma. The evaluation of pain was done using VAS score. Results: Visual Analog Scores on 0 day, the day of injection for group A, B, C were 6.75, 4 and 5.85 respectively. The study showed a lower VAS scores with the combined and corticosteroid group till 3 months and no significant change at the end of 6 months. Conclusion:Our study has shown that corticosteroid injection group is effective for immediate pain relief, group but in long term there is no significant change in all the three groups.
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