Journal of Ayub Medical College, Abbottabad : JAMC
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There have been rapid and significant advances in diagnostic and interventional radiology, including interventional neuroradiology, in recent years. Many intracranial vascular pathologies are being successfully managed by endovascular interventional neuroradiology techniques. These techniques include procedures like embolization of vascular tumours and arterio-venous malformations, coiling of cerebral aneurysms. etc. ⋯ The main aims of the anaesthesiologist during any interventional neuroradiology procedure are provision of a physiologically stable and immobile patient, alteration of arterial blood pressure as necessary, and appropriate and timely management of complications. Provision of anaesthesia in remote locations, such as the radiology suite, has its own inherent risks. In this article the anaesthetic considerations for therapeutic interventional neuroradiology procedures performed in the radiology suite have been reviewed, including the preprocedure preparation, monitoring requirements, suitable anaesthetic techniques, postprocedure management and complications.
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J Ayub Med Coll Abbottabad · Jul 2007
Comparative StudyComparision between bed side testing of blood glucose by glucometer vs centralized testing in a tertiary care hospital.
To determine the accuracy, turnaround time and cost effectiveness of bedside monitoring of blood glucose levels by non-laboratory health care workers and centralized testing of blood glucose by automated analyzer in a tertiary care hospital. ⋯ Bedside glucometer testing, though less expensive does not have good accuracy in acutely ill patient with either very high or very low blood glucose levels.
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J Ayub Med Coll Abbottabad · Jul 2007
Cancelled elective general surgical operations in Ayub Teaching Hospital.
Cancellation of operations in hospitals is a significant problem with far reaching consequences. This study was planned to evaluate reasons for cancellation of elective surgical operation on the day of surgery in Ayub Teaching Hospital, Abbottabad. ⋯ Cancellation of patients on operation lists occupy a substantial population (25%) of cases. Majority of cancellation were due to reasons other than patients medical conditions. Better management could have avoided most of these cancellations.