Abstract:Oxygen supplementation is one of the commonest drugs required for a patient in hospital. Appropriate oxygen supplementation as per the requirement of the patient is essential. This requires optimal oxygen delivery device from the vast armamentarium. This requires understanding basics of oxygen delivery devices and its appropriate selection. This review describes various commonly available devices. The author would also propose a chart for aiding oxygen delivery devices based on the existing literature.
Background: Basic life support (BLS) is a lifesaving skill which every health-care personnel must know. It has been added to the curriculum but still studies have shown poor knowledge and skill among them in India.
Aims and Objectives: The aim of our study was to assess attitude and knowledge of BLS among healthcare personnel in a tertiary care center of Sikkim and to recommend training of BLS according to the finding of our study.
Materials and Methods: A questionnaire based cross-sectional study was done among junior doctors, physiotherapists, and nursing staffs, who were willing to participate. The questionnaire collected data under the heading of demographics, attitude, awareness, and knowledge about various domains of BLS. Analysis was done with standard statistical software.
Results: Among 208 completed surveys, 24 (11.5%) were males and 184 (88.5%) were females, majority of them (76.4%) were nursing staff and belonged to 20–30-year age group (76%). Mean score of the participants were 13.43 ± 3.725 with a range from 2 to 21. The necessity of BLS training and the requirement of mandatory renewal was strongly agreed by 77.4% and 33.2% participants respectively.
Conclusion: We conclude that they all need the trainings at frequent interval to know about the importance of BLS, to gain confidence and to improve their skill which will help them in timely saving of many lives in as well as outside the hospital. This can be achieved if institutes help in conducting the BLS session regularly despite being already in curriculum.
Background: PONV is one of the most distressing complications after anaesthesia and surgery and may lead to serious complications like dehydration, electrolyte imbalance, disruption of surgical repair. As the aetiology of PONV is multifocal, avoiding it still remains a challenge. In this study efficacy of single dose granisetron, palonosetron and ondansetron for prevention of PONV in patients undergoing elective gynaecological surgery under general anaesthesia were compared.. Methods: 90 healthy adult females of ASA physical grade I and II scheduled for elective gynaecological surgery under general anaesthesia were randomly allocated in to three equal groups. Group G (n=30) received inj. Granisetron 2.5 mg iv, Group P received inj Palonosetron 75µg iv and Group O received inj Ondansetron 8 mg iv immediately before the induction of anaesthesia. All the groups had similar fasting guidelines and underwent similar premedication and anaesthetic protocol. The incidence of PONV and the need for rescue antiemetics was evaluated. Statistical evaluation: All raw data was entered into a Microsoft excel spreadsheet and analyzed by using standard statistical tests. A p value <0.05 was considered statistically significant. Results: In the present study the complete response to PONV over the 24 hrs period was 83.3% in the granisetron group, 93.3% in the palonosetron group and 66.7% in the ondansetron group. Conclusion: In conclusion Prophylactic granisetron, palonosetron and ondansetron individually are effective and safe antiemetic in prevention of PONV. However Palonosetron is more effective in the prevention of postoperative nausea and vomiting.
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