Background: This study aims to evaluate the effectiveness of 0.5% bupivacaine soaked surgicel placed in the gall bladder bed and infi ltration at port sites at laparoscopic cholecystectomy, in relieving pain during 1st 24 hours post procedure. ...
- Antibiotics play an important role in preventing and treating infections in orthopedic surgery and injuries. The document discusses protocols for antibiotics in open fractures, surgical prophylaxis, and bone infections.
- For open fractures, the antibiotic protocol depends on the Gustilo classification and wound characteristics. For surgical prophylaxis, timing, antibiotic choice (usually cefazolin), and duration (no more than 24 hours after surgery) are discussed.
- Bone infections require coverage of likely pathogens, with protocols varying based on factors like patient age, infection origin, and presence of implants. Duration typically lasts 4-6 weeks depending on the infection.
Termination of second trimester pregnancies by dr alka mukherjee nagpur m.s. ...alka mukherjee
This document discusses termination of second trimester pregnancies. It describes the eligibility requirements for providers and facilities, as well as the various methods used, including surgical (D&E, hysterotomy) and medical (mifepristone and misoprostol). Close attention must be paid to counseling, clinical assessment, pain management, complications, and follow-up care to ensure safety. Terminating second trimester pregnancies requires special training and adhering to guidelines.
This randomized controlled trial assessed the efficacy of paravertebral block (PVB) for perioperative analgesia in patients undergoing laparoscopic cholecystectomy. It found that patients receiving PVB before general anesthesia required significantly less intraoperative fentanyl and postoperative PCA morphine compared to those receiving only general anesthesia. PVB also resulted in lower pain scores in the immediate postoperative period and fewer opioid-related side effects. The study demonstrates that PVB can provide effective analgesia and reduce opioid consumption for laparoscopic cholecystectomy.
Introduction: The current treatment for acute cholecystitis consists of antibiotics followed by surgery. We conducted a study to audit our practices of perioperative antibiotic use in patients with acute cholecystitis and to compare the outcomes after implementation of Tokyo guidelines.
This document contains information about the editorial board and executive body of the M.P. State Anaesthesiology journal for 2017-2018. It lists the editor and co-editor, and provides contact information. It also lists the executive body members including the president, vice president, secretary, and treasurer. The document then continues with several articles on topics in anaesthesiology, including one on anaesthesia for thoracoscopic procedures.
rakshat syn presentation.pptx for learniRakshatNayak1
This document presents a research proposal that aims to compare the analgesic effect of two different doses of intrathecal nalbuphine hydrochloride with 0.5% hyperbaric bupivacaine for lower abdominal surgeries. The study will involve 150 patients randomized into three groups receiving different combinations of intrathecal bupivacaine and nalbuphine. Outcome measures will include onset of sensory and motor blockade, duration of analgesia, and hemodynamic parameters. A literature review found that intrathecal nalbuphine prolongs postoperative analgesia without increasing side effects when used as an adjuvant to bupivacaine. The results of this study may provide insights into
Fascial plane blocks have become quite popular in the present practice of regional anaesthesia. Transverses abdominal plane (TAP) block, quadratus lumborum (QL), serratus anterior plane (SAP) block, pectoralis block (PECS 1/ 2), rectus sheath and adductor canal block are quite easy to perform with ultrasonographic (USG) guidance
Dr. Sanskriti Shah is presenting her dissertation proposal on assessing the safety and efficacy of 0.5% bupivacaine and 0.75% ropivacaine in patients undergoing mandibular third molar surgery. The study will be a randomized split mouth crossover design involving 60 impacted teeth in 30 subjects. The objectives are to compare the onset of action, duration of action, hemodynamic changes, and adverse reactions of the two local anesthetics. Informed consent will be obtained from subjects meeting the inclusion criteria. Surgeries will be performed using inferior alveolar nerve blocks of either bupivacaine or ropivacaine, and outcomes will be evaluated based on sensory testing and monitoring of vitals
- Antibiotics play an important role in preventing and treating infections in orthopedic surgery and injuries. The document discusses protocols for antibiotics in open fractures, surgical prophylaxis, and bone infections.
- For open fractures, the antibiotic protocol depends on the Gustilo classification and wound characteristics. For surgical prophylaxis, timing, antibiotic choice (usually cefazolin), and duration (no more than 24 hours after surgery) are discussed.
- Bone infections require coverage of likely pathogens, with protocols varying based on factors like patient age, infection origin, and presence of implants. Duration typically lasts 4-6 weeks depending on the infection.
Termination of second trimester pregnancies by dr alka mukherjee nagpur m.s. ...alka mukherjee
This document discusses termination of second trimester pregnancies. It describes the eligibility requirements for providers and facilities, as well as the various methods used, including surgical (D&E, hysterotomy) and medical (mifepristone and misoprostol). Close attention must be paid to counseling, clinical assessment, pain management, complications, and follow-up care to ensure safety. Terminating second trimester pregnancies requires special training and adhering to guidelines.
This randomized controlled trial assessed the efficacy of paravertebral block (PVB) for perioperative analgesia in patients undergoing laparoscopic cholecystectomy. It found that patients receiving PVB before general anesthesia required significantly less intraoperative fentanyl and postoperative PCA morphine compared to those receiving only general anesthesia. PVB also resulted in lower pain scores in the immediate postoperative period and fewer opioid-related side effects. The study demonstrates that PVB can provide effective analgesia and reduce opioid consumption for laparoscopic cholecystectomy.
Introduction: The current treatment for acute cholecystitis consists of antibiotics followed by surgery. We conducted a study to audit our practices of perioperative antibiotic use in patients with acute cholecystitis and to compare the outcomes after implementation of Tokyo guidelines.
This document contains information about the editorial board and executive body of the M.P. State Anaesthesiology journal for 2017-2018. It lists the editor and co-editor, and provides contact information. It also lists the executive body members including the president, vice president, secretary, and treasurer. The document then continues with several articles on topics in anaesthesiology, including one on anaesthesia for thoracoscopic procedures.
rakshat syn presentation.pptx for learniRakshatNayak1
This document presents a research proposal that aims to compare the analgesic effect of two different doses of intrathecal nalbuphine hydrochloride with 0.5% hyperbaric bupivacaine for lower abdominal surgeries. The study will involve 150 patients randomized into three groups receiving different combinations of intrathecal bupivacaine and nalbuphine. Outcome measures will include onset of sensory and motor blockade, duration of analgesia, and hemodynamic parameters. A literature review found that intrathecal nalbuphine prolongs postoperative analgesia without increasing side effects when used as an adjuvant to bupivacaine. The results of this study may provide insights into
Fascial plane blocks have become quite popular in the present practice of regional anaesthesia. Transverses abdominal plane (TAP) block, quadratus lumborum (QL), serratus anterior plane (SAP) block, pectoralis block (PECS 1/ 2), rectus sheath and adductor canal block are quite easy to perform with ultrasonographic (USG) guidance
Dr. Sanskriti Shah is presenting her dissertation proposal on assessing the safety and efficacy of 0.5% bupivacaine and 0.75% ropivacaine in patients undergoing mandibular third molar surgery. The study will be a randomized split mouth crossover design involving 60 impacted teeth in 30 subjects. The objectives are to compare the onset of action, duration of action, hemodynamic changes, and adverse reactions of the two local anesthetics. Informed consent will be obtained from subjects meeting the inclusion criteria. Surgeries will be performed using inferior alveolar nerve blocks of either bupivacaine or ropivacaine, and outcomes will be evaluated based on sensory testing and monitoring of vitals
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Gallbladder removals and hernia repairs to name a few, are now often performed in a minimally invasive manner. Minimally invasive surgery is performed using a set of long-handled medical devices that are passed through several tiny incisions in the abdomen, versus the large single incision of traditional open surgery.
This curriculum vitae outlines the professional experience and qualifications of Dr. Deepak G. Vangani, a neurosurgeon based in Jaipur, India. He has over 17 years of post-MCH experience and has held positions at major hospitals in Mumbai and Jaipur. Dr. Vangani obtained an M.B.B.S from Rajasthan University, an M.S. in General Surgery from Rajasthan University, and an M.Ch. in Neurosurgery from Bombay University. He currently works as the Head and Senior Consultant Neurosurgeon at Metro Mas Hospital in Jaipur.
A single blind RCT to evaluate the effect of intraoperative bupivacaine infilteration fro post operative pain relief was conducted. Observations based on the VAS and mean duration for requirement of 1st analgesic dose post operatively. Results compared with other similar studies and found that the there is significant reduction in the VAS of post operative pain and increase in the duration for requirement for the 1st dose of the analgesic postoperatively
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Clinical effect and safety of pulsed radiofrequency treatment for pudendal ne...Jason Attaman
The document describes a prospective, randomized controlled clinical trial that compared the clinical effect and safety of pulsed radiofrequency (PRF) treatment combined with pudendal nerve block (NB) to NB alone for treating pudendal neuralgia. Eighty patients were randomly assigned to receive either PRF+NB or NB. Pain levels, depression scores, treatment effects, analgesic use, and adverse events were assessed over 3 months. The results showed that PRF+NB provided significantly greater pain relief and improved depression scores compared to NB alone, with no severe adverse events reported for either group.
This study evaluated diagnostic hysteroscopy as a primary diagnostic modality in 400 patients with abnormal uterine bleeding seen between 2012-2017. Most patients were between 40-49 years old. Hysteroscopy found endometrial abnormalities in 56% of patients, most commonly endometrial hyperplasia (22%), followed by endometrial polyps (11%) and submucous myomas (10%). Histopathological examination agreed with hysteroscopy findings in most cases. The study concluded that hysteroscopy provides accurate diagnosis for abnormal uterine bleeding and should be the first line investigation for evaluating causes of abnormal bleeding and infertility.
This document provides guidelines for the judicious use of antibiotics in obstetrics based on evidence. It discusses principles of surgical antibiotic prophylaxis and recommendations for cesarean sections, infectious endocarditis, GBS, operative vaginal deliveries, perineal lacerations, PPH, surgical abortions and therapeutic antibiotic usage in pregnancy. Guidelines are provided for appropriate antibiotic choice, dosage, and timing for various obstetric procedures based on levels of evidence from Cochrane reviews and randomized controlled trials. The document emphasizes using narrow spectrum antibiotics when possible to reduce antibiotic resistance.
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This document provides evidence-based practical tips for office hysteroscopy. It discusses appropriate patient selection, instrumentation, techniques such as the vaginoscopic approach, use of distension media, and tips for managing complications. Key recommendations include using the smallest possible hysteroscope, considering NSAIDs for analgesia, and addressing any contraindications to minimize risks. Office hysteroscopy is presented as a generally safe procedure that can provide diagnostic and some operative capabilities when performed properly.
1) The study investigated the effectiveness of platelet-rich plasma (PRP) combined with core decompression and allogeneic fibula rod support for treating osteonecrosis of the femoral head (ONFH).
2) Patients treated with PRP in addition to core decompression and rod support showed significantly improved Harris hip scores after surgery, with no differences compared to the control group that did not receive PRP.
3) Imaging at 3 months post-surgery found no deformities or collapses in either group, with the fibula rods properly positioned and beginning to integrate with surrounding bone.
This study compared the frequency of post-operative adhesions in 62 patients undergoing endoscopic sinus surgery who received either an intranasal silastic splint plus anterior nasal packing (Group A) or anterior nasal packing alone (Group B). The frequency of post-operative adhesions was significantly lower in Group A (0%) compared to Group B (16.1%). Across age, gender, and symptom duration subgroups, adhesion rates remained significantly lower in patients receiving silastic splints. The study concludes that silastic splints are effective in reducing post-operative adhesions after endoscopic sinus surgery.
This document summarizes several systematic reviews on the topic of hysteroscopy. It discusses findings related to hysteroscopy preparation, diagnostic hysteroscopy, operative hysteroscopy, and prevention of complications. For diagnostic hysteroscopy, vaginoscopy was found to be less painful than traditional techniques. Hysteroscopy also has high accuracy for detecting endometrial cancer, polyps, and submucous myomas. For operative procedures, hysteroscopic polypectomy and myomectomy were associated with improved pregnancy rates. Hysteroscopic techniques were generally found to have lower complication rates compared to laparoscopic or abdominal approaches. Prevention of intrauterine adhesions after hysteroscopy remains uncertain
Anti-Universe And Emergent Gravity and the Dark UniverseSérgio Sacani
Recent theoretical progress indicates that spacetime and gravity emerge together from the entanglement structure of an underlying microscopic theory. These ideas are best understood in Anti-de Sitter space, where they rely on the area law for entanglement entropy. The extension to de Sitter space requires taking into account the entropy and temperature associated with the cosmological horizon. Using insights from string theory, black hole physics and quantum information theory we argue that the positive dark energy leads to a thermal volume law contribution to the entropy that overtakes the area law precisely at the cosmological horizon. Due to the competition between area and volume law entanglement the microscopic de Sitter states do not thermalise at sub-Hubble scales: they exhibit memory effects in the form of an entropy displacement caused by matter. The emergent laws of gravity contain an additional ‘dark’ gravitational force describing the ‘elastic’ response due to the entropy displacement. We derive an estimate of the strength of this extra force in terms of the baryonic mass, Newton’s constant and the Hubble acceleration scale a0 = cH0, and provide evidence for the fact that this additional ‘dark gravity force’ explains the observed phenomena in galaxies and clusters currently attributed to dark matter.
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1. Journal of Surgery and
Surgical Research
ISSN: 2455-2968
Peertechz Journals
2. Research Article
Instillation Of 0.5% Bupivacaine Soaked Surgicel in
the Gall Bladder Bed and Infiltration at Port Sites-
Efficacy of Pain Relief after Laparoscopic
Cholecystectomy
Nilufar Shabnam*, Md Abdullah Al- Amin, Mohammuddunnobi, Rajibul Haque
Talukder and Raihan Anower
*Corresponding author: Nilufar Shabnam, Doctor, Registrar, Department of
Surgery and MISC, BIRDEM & Ibrahim Medical College, Dhaka, Bangladesh,
Tel: 01713176466;
Dates: Received: 06 February, 2017; Accepted: 11 March, 2017; Published:
13 March, 2017;
Citation: Shabnam N, Al-Amin MA, Mohammuddunnobi, Talukder RH, Anower
R (2017) Instillation Of 0.5% Bupivacaine Soaked Surgicel in the Gall Bladder
Bed and Infiltration at Port Sites-Efficacy of Pain Relief after Laparoscopic
Cholecystectomy. J Surg Surgical Res 3(1): 015-017. DOI:
http://doi.org/10.17352/2455-2968.000037
3. Abstract
Background: This study aims to evaluate the effectiveness of 0.5%
bupivacaine soaked surgicel placed in the gall bladder bed and infi
ltration at port sites at laparoscopic cholecystectomy, in relieving pain
during 1st 24 hours post procedure.
Method: In this RCT, 50 patients with chronic cholecystitis were divided
into two groups of 25 each. Group- A –Bupivacaine soaked surgicel kept
in gall bladder bed and infi ltration at trocar sites, Group-B – no local
anaesthesia was used in the gall bladder bed and at trocar sites.
Population was included on the basis of systemic random sampling
based on the inclusion and exclusion criteria. Post operatively, the
character and intensity of pain was assessed by visual analog scale
(VAS) scoring for 24 hours.
Result: The fi ndings of our study showed variable intensity of parietal,
visceral and shoulder pain in two groups over 24 hours post-surgery.
The intensity of pain in Group-A was less than in Group-B
4. Thank you
For more information Read Online Article…
https://www.peertechz.com/articles/instillation-of-0-5-bupivacaine-soaked-
surgicel-in-the-gall-bladder-bed-and-infiltration-at-port-sites-efficacy-of-
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