Kathmandu University medical journal (KUMJ)
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Kathmandu Univ Med J (KUMJ) · Jul 2008
Randomized Controlled Trial Comparative StudyEffectiveness of addition of neostigmine or dexamethasone to local anaesthetic in providing perioperative analgesia for brachial plexus block: A prospective, randomized, double blinded, controlled study.
Various local anaesthetic agents are used for brachial plexus block.We compared effectiveness of addition of Dexamethasone versus Neostigmine to Lignocaine, adrenaline admixtures for Brachial plexus block in providing perioperative analgesia. ⋯ The onsets of action, duration of analgesia were better in dexamethasone group and also need less number of rescue analgesics requirement.
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Kathmandu Univ Med J (KUMJ) · Jul 2008
Randomized Controlled Trial Comparative StudyAntiemetic prophylaxis against postoperative nausea and vomiting with ondansetron-dexamethasone combination compared to ondansetron or dexamethasone alone for patients undergoing laparoscopic cholecystectomy.
Postoperative nausea and vomiting (PONV) is a common distressing experience in patients following laparoscopic surgeries. This study was aimed at comparing the efficacies of Ondansetron-Dexamethasone combination with each drug alone as a prophylaxis against PONV in patients after elective laparoscopic cholecystectomy done under general anaesthesia. ⋯ Combination of Ondansetron and Dexamethasone is better than each drug alone in preventing PONV after laparoscopic cholecystectomy. Dexamethasone alone is significantly less effective in preventing early vomiting compared to its combination with Ondansetron; whereas Ondansetron alone is less effective against late PONV as compared with combination therapy.
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The main objective of the present study is to analyse the pattern of death related to trauma/injuries at Manipal in Udupi district, Karnataka state, India. ⋯ In this area of the country the trauma due to RTA is a leading cause of death among the traumatic death followed by burns.
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Kathmandu Univ Med J (KUMJ) · Jul 2008
Case ReportsAnaesthetic management of a parturient with severe kyphoscoliosis.
Use of neuraxial block in a patient with severe kyphoscoliosis is controversial. We describe the anaesthetic management by spinal anaesthesia of a parturient with severe kyphoscoliosis in obstructed labour. The perioperative course was uneventful. We suggest that a patient with severe kyphoscoliosis may be successfully managed by spinal anaesthesia for caesarean section.