We report a case of cellulitis, compartment syndrome, and septicemia associated with fish handling. The etiologic pathogen isolated from the wound and blood cultures was Plesiomonas shigelloides. The pathogen can cause serious illness in people handling fish.
Background: Lignocaine and bupivacaine are still the largely used local anaesthetics in the present day. Here, we are presenting a comparative study of single dose extradural analgesia with Bupivacaine and Lignocaine with adrenaline.Methods: The study was carried out in 60 healthy subjects posted for lower abdominal, pelvic, perineal and lower limb surgeries. They were randomly divided into 2 groups. Group I and Group II. Group I (N=30): Received 20ml of 1.5% Lignocaine with adrenaline 1:200000. Group II (N=30): Received 20ml of 0.5% Bupivacaine. Results: The mean times (with standard times) been extradural injection and onset of analgesia indicate that Lignocaine had a significantly quicker onset of action. However, it is evident from figure that for both the drugs about 50% of patients showed a latency of 6-10 min. Intra operative complications like hypotension, drowsiness, nausea and vomiting and post-operative complications like headache, back ache, nausea ,vomiting, retention of urine and neurological sequelae were noted. Conclusion: Lignocaine with adrenaline had a significantly quicker onset of action. Duration of analgesia produced by Bupivacaine was found to be significantly longer than that produced by Lignocaine with adrenaline.
CraniectomyHead moulage a b s t r a c t Aim: To fabricate a cost effective, indigenous and simple orthotics helmet for postoperative cranial molding in patients with craniosynostosis surgery. Methods: We present a case of 15 month old infant with secondary cranial vault deformity.Cranial vault remodeling surgery involving the posterior skull was planned and executed to increase the posterior gap, so that brain growth would be facilitated towards this empty space. Materials such as thermoplastic sponge, thermoplastic ionomer resin sheet, soft sponge and Velcro straps are used to fabricate a cranial orthotics helmet. Results: We have successfully used the above materials to fabricate the orthotics helmet for post-operative cranial molding. Conclusion: The technique described in this article is simple and cost effective. It can be custom made according to the demands of the surgical technique and the type of synostosis. It favors an individualistic prognosis, and proves worthwhile as every synostosis requires a unique treatment plan. It is an excellent adjuvant to craniosynostosis remodeling surgery.
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