The role of preoperative fasting is well established in current anaesthetic practice with different guidelines for clear fluids and food. However, chewing gum may not be categorised as either food or drink by some patients, and may not always be specified in instructions given to patients about preoperative fasting. The aim of this paper was to review anaesthesia incidents involving gum chewing reported to webAIRS to obtain information on the risks, if any, of gum chewing during the preoperative fasting period. There were nine incidents involving chewing gum reported between late 2009 and early 2015. There were no adverse outcomes from the nine incidents other than postponement of surgery in three cases and cancellation in one. In particular, there were no reports of aspiration or airway obstruction. Nevertheless, there were five cases in which the gum was not detected preoperatively and was found in the patient's mouth either intraoperatively or postoperatively. These cases of undetected gum occurred despite patient and staff compliance with their current preoperative checklists. While the risk of increased gastric secretions related to chewing gum preoperatively are not known, the potential for airway obstruction if the gum is not detected and removed preoperatively is very real. We recommend that patients should be specifically advised to avoid gum chewing once fasting from clear fluids is commenced, and that a specific question regarding the presence of chewing gum should be added to all preoperative checklists.
Two cases of Fahr's disease (one female and one male) are reported here. One is young and symptomatic with neuropsychiatric disturbances. The second case is old and asymptomatic, detected incidentally on CT scan when he presented with cerebrovascular accident. Both of them had intracranial calcifications in bilateral basal ganglia and cerebral hemispheres. CT scan helped in establishing the diagnosis.
The Zinc Oxide (ZnO) nanofluids were prepared by the one-step solvothermal method. The crystal structure and average crystallite size of the ZnO nanofluids were determined by X-ray diffraction pattern. The morphology and particle size were studied using the scanning electron microscope (SEM) and transmission electron microscopy (TEM). Dynamic light scattering (DLS) is used to calculate the particle size of the ZnO nanofluids. UV-Visible absorption spectrum is used to analyze the optical property of the ZnO nanofluids. The thermal conductivity properties of ZnO nanofluids were examined.
A male child aged about one and half year old was referred to the department of Radio diagnosis for CT vena cavography after he was examined on 2 Dimensional echocardiography which revealed the diagnosis of Fallot's tetralogy. On CT scan besides the confirmation of presence of Tetralogy, there was an abnormal finding of left sided superior vena cava, an uncommon association. A male child aged about one and half year old was referred to the department of Radio diagnosis for CT vena cavography after he was examined on 2- dimensional echocardiography which revealed the diagnosis of Fallot's tetralogy. On CT scan besides the confirmation of presence of Tetralogy, there was an abnormal finding of left sided superior vena cava, an uncommon association.Keywords: Persistent left superior vena cava; 64 slice CT; developmental malformation DOI: 10.3126/ajms.v1i1.2508Asian Journal of Medical Sciences Vol.1(1) 2010 p.18-19
Breast abscess is less common in developed countries due to improved puerperal hygiene, nutrition, early administration of antibiotics and standard of living, breast abscess remains a morbid condition among lactating women in developing countries. Breast abscess is a most common cause of morbidity in puerperal women. Breast abscess ranges from mastitis to deep abscess. The Incidence of lactation breast abscess is high in India. The aim of this study is to compare the results of ultrasound guided aspiration and incision and drainage in the management of breast abscess. This is a comparative study between ultrasound guided aspiration and incision and drainage consist of 50 patients who underwent both the treatment alternatively. Even though recurrence rate is slightly high in USG guided aspiration when compared to incision and drainage, USG guided aspiration is effective method of treatment in breast abscess with good patient satisfaction. Even though recurrence rate is slightly high in USG guided aspiration when compared to incision and drainage, USG guided aspiration is effective method of treatment in breast abscess with good patient satisfaction.
Fetus in fetu is an extremely rare developmental anomaly, due to disorganised embryogenesis in a diamniotic monochorionic pregnancy. Approximately 87 reports have been documented in the literature to date. We describe such an entity in two months old boy, who presented with abdominal distension and features of obstruction. Plain X ray abdomen and CT scan helped in correct pre operative diagnosis. The literature on this rare entity is reviewed, and the diagnosis and pathogenesis of the disease are discussed. Key Words: Fetus in fetu; CT scan; Teratoma; Axial skeleton; Diamniotic monochorionic twins DOI: 10.3126/ajms.v2i1.3208 Asian Journal of Medical Sciences 2 (2011) 68-71
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