Peripheral nerve blocks can be a very safe option in elderlypatients with multiple comorbidities where spinal or general anesthesia may be associated with increased risks. We present a 67 years male taking antiplatelet drugs with deranged coagulation profile with bilateral pneumonia with diabetic foot with wet gangrene planned for emergency below knee amputation under ultrasound guided femoral and sciatic nerve block.
Ondansteron is widely used as prophylaxis for postoperative nausea and vomiting and is associated with various side effects. We present a case of hypersensitivity reaction in the form of itching and rashes in a 6‐year‐old female patient with a single dose of intravenous ondansetron.
Regional anesthesia can be a very safe option in patients with limb girdle muscular dystrophy undergoing lower abdominal surgeries as general anesthesia and volatile anesthetic agents are associated with increased risk of malignant hyperthermia and rhabdomyolysis.
Background Sinonasal anatomical variations are common and its knowledge
plays an integral part in the management of sinonasal disease. Although
sinonasal anatomic variations have been postulated as a risk factor for
sinus disease, its role in the pathogenesis of nasal polyp is still
unclear. This study was done to determine the prevalence of sinonasal
anatomical variations by CT imaging and examine its association with
sinonasal polyposis. Methodology A descriptive cross sectional study was
conducted from January, 2019 to January, 2020 at a tertiary care center
in Nepal after receiving ethical approval from the Institutional Review
Committee of the hospital. Patients above 17 years of age having
sinonasal polyp and not responding to 3-4 weeks of medical treatment
were included in the study. Convenience sampling was done. Data were
collected and entered in Microsoft Excel and analyzed using Statistical
Package for the Social Sciences version 24.0. Results Among 72 patients,
the prevalence of anatomical variations of nose and paranasal sinuses
was found to be in 62 patients (86.11%). Agger nasi (79.09%) and
deviated nasal septum (72.5%) were the common variations noted. Single
variation was found in 29% and multiple variations in 70.9% Conclusion
Our study showed that the prevalence of sinonasal anatomical variations
was higher in patients with sinonasal polyp and the severity of polyp
increases with the presence of more than one variation in a patient. Key
words Computed tomography scan, sinonasal anatomical variations,
sinonasal polyp
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