Journal of Ayub Medical College, Abbottabad : JAMC
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J Ayub Med Coll Abbottabad · Oct 2005
Clinical TrialAnticholinergic premedication for prevention of oculocardiac reflex during squint surgery.
Profound bradycardia during eye surgery is potentially serious event. In clinical practice this Oculocardiac Reflex (OCR) is most often encountered during squint surgery. The objective of this study was to assess the occurrence of OCR and prove the effect of anticholinergic premedication (atropine) to prevent OCR. ⋯ Our study showed that atropine premedication in the patients of squint surgery under general anaesthesia definitely obtunds OCR and prevents any untoward effects of dysrhythmias during eye surgery.
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Postoperative pulmonary complications contribute significantly to morbidity and morality in surgical patients. Pulmonary complications occur more frequently than cardiac complications. The complication rates for upper abdominal and thoracic surgery are the highest. ⋯ In any individual patient the benefit from a surgical procedure should be weighed against the risks it imposes. When possible, stabilization of respiratory status is advisable before surgery. This article reviews patient and procedure related risk factors, clinical and laboratory evaluation for preoperative risk assessment and risk reduction strategies to minimize the complication rates.
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J Ayub Med Coll Abbottabad · Oct 2005
Randomized Controlled TrialComparison of metoclopramide, prochlorperazine and placebo in prevention of postoperative nausea and vomiting (PONV) following tonsillectomy in young adults.
Postoperative nausea and vomiting following anaesthesia and surgery are common and can create considerable problems regarding management of patients and outcome of the surgical procedure. ⋯ It is concluded that the differences in the results of occurrence of PONV in the experimental group and control group are not statistically significant. However either Prochloperazine 0.1 - 0.2 mg kg(-1) or metoclopramide 0.1 - 0.2 mg kg(-1) can be safely administered as Prophylactic antiemetic till the availability of more efficacious and safe antiemetic drugs.