Journal of Ayub Medical College, Abbottabad : JAMC
-
J Ayub Med Coll Abbottabad · Oct 2016
Randomized Controlled TrialEfficacy Of Local Anaesthesia In Repair Of Inguinal Hernia.
Local anaesthesia has been identified as the most favourable anaesthesia for elective inguinal hernia repair with respect to complication rate, cost effectiveness and overall patients' satisfaction. This study was conducted to determine the efficacy of local anaesthesia in inguinal hernia in terms of pain relief, wound infection and hospital stay. ⋯ This study demonstrates that local anaesthesia for inguinal hernia repair has better efficacy as compared to general anaesthesia.
-
J Ayub Med Coll Abbottabad · Oct 2016
Weight Changes In Patients With Hodgkin Lymphoma Following Treatment: Experience From A Cancer Hospital.
Some recent studies have suggested that patients with Hodgkin lymphoma who undergo remission following treatment are likely to experience significant weight gain and may become overweight or obese. The association between treatment for Hodgkin lymphoma and subsequent weight gain has not been explored in Pakistan. We undertook a review of weight changes in adult Hodgkin lymphoma patients who received treatment at Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore. ⋯ The evaluation of Hodgkin lymphoma patients after treatment demonstrated considerable tendency for weight gain. Further work is warranted to explore this association and its impact on HL survivors.
-
J Ayub Med Coll Abbottabad · Oct 2016
Hyperlactetemia And Its Trends In Critically Ill Children Admitted In Pediatric Intensive Care Unit Of A Developing Country.
There is increasing evidence that in setting of critical ailments clinical signs lag biomarkers like Lactate and hyperlactetemia can be the only marker for this disorder. This study was conducted to describe the incidence of hyperlactatemia in critically ill children and its association with outcome. ⋯ Hyperlactatemia and increasing LA trend in critically ill children are associated with worse outcome in PICU.
-
J Ayub Med Coll Abbottabad · Oct 2016
Pattern and profile of electric burn injury cases at a Burn centre.
Electrical burns are quite different from thermal and chemical burns. This study is from a centre which deals with job related electric burn injuries alone and thus can give a pure account of the electric burns and discuss the related peculiarities. Study aims to highlight the differences in the mechanism of electric burn injury, its mode of presentation, morbidity, complications and thus the treatment strategies as compared to rest of the burn injuries. ⋯ Electric burn injuries are altogether different from rest of the burn injuries and must be treated accordingly. These injuries are peculiar for ongoing damage, extensive trauma, complications and prolonged morbidity. Treatment requires a high degree of suspicion, more aggressive management to unfold and minimize the deep seated insult.
-
J Ayub Med Coll Abbottabad · Oct 2016
Observational StudyFast Track Extubation In Adult Patients On Pump Open Heart Surgery At A Tertiary Care Hospital.
Fast-track cardiac surgery programs have been established as the standard of cardiac surgical care. Studies have shown that early extubation in elective cardiac surgery patients, including coronary and non-coronary open-heart surgery patients does not increase perioperative morbidity and mortality. The objective of this observational study was to determine the success and failure profile of fast track extubation (FTE) practice in adult open-heart surgical patients. ⋯ The perioperative parameters were significantly better in success group and the safety was also demonstrated in the patients who were fast tracked successfully. To implement the practice in its full capacity and benefit, a fast track protocol needs to be devised to standardize the current practices and to disseminate the strategy among junior anaesthesiologists, perfusionists and nursing staff.