Kathmandu University medical journal (KUMJ)
-
Kathmandu Univ Med J (KUMJ) · Jul 2011
Randomized Controlled Trial Comparative StudyPropofol sedation during spinal anaesthesia- a dose finding study.
It is important to be able to measure and maintain a specific sedation level to compare outcomes of different levels of sedation during anesthesia and the aims include general patient comfort, freedom from specific discomfort, and some amnesia for both the block procedure and the surgical operation, in order to meet the patient preference and safety. In this prospective randomized clinical study, we compared the three different infusion doses of propofol. ⋯ Propofol infusion at the rate of 50 mcg/kg/min for sedation in spinal anaesthesia provides optimal sedation, early awakening and excellent satisfaction level in the postoperative period.
-
Kathmandu Univ Med J (KUMJ) · Jul 2011
Comparative StudyPractices and perceptions on contraception acceptance among clients availing safe abortion services in Nepal.
The Government of Nepal has implemented safe abortion policy since 2002. There are 245 approved sites providing safe abortion services to women across the country. Family planning counselling is one of the components of the safe abortion policy, which is important to reduce unwanted pregnancy, maternal morbidity and mortality due to the consequences of unsafe abortion and the service burden. ⋯ Knowledge, acceptance of counselling service and intention to use family planning measure was high in the study participants. There is need to provide skills on adapting with the adverse effect of family planning measure through continuous education and reinforcement.
-
Kathmandu Univ Med J (KUMJ) · Jul 2011
Comparative StudyIntramedullary nailing for paediatric diaphyseal forearm bone fracture.
Though most of the pediatric diaphyseal forearm bone fracture can be treated with closed reduction and cast application, indications for operative intervention in pediatric both-bone forearm fractures include open fractures, irreducible fractures, and unstable fractures. Controversy exists as to what amount of angulation, displacement, and rotation constitutes an acceptable reduction. ⋯ Fixation with intramedullary rush pin for forearm fracture is an effective, simple, cheap, and convenient way for treatment in pediatric age group.