Journal of Ayub Medical College, Abbottabad : JAMC
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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.
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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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J Ayub Med Coll Abbottabad · Jul 2005
Clinical TrialApplication of alvarado scoring system in diagnosis of acute appendicitis.
In conditions like acute appendicitis it is impractical to have definitive diagnosis by gold standard test (histopathology) before surgery, we would like a simple test like Alvarado scoring system which depends on the presence and absence of certain variables and which provides an accurate guide to whether or not the patient has the condition. This study was conducted to evaluate Alvarado scoring system for the diagnosis of acute appendicitis in our set up. ⋯ This scoring system is easy, simple and cheap complementary aid for supporting the diagnosis of acute appendicitis especially for junior surgeons.
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J Ayub Med Coll Abbottabad · Jul 2005
Iron deficiency anaemia in moderate to severely anaemic patients.
Anaemia is defined as a clinical abnormality characterized by reduction in haemoglobin concentration below the normal for age, sex, physiological condition and altitude from the sea level of a person. It can be of different types, the commonest being iron deficiency anaemia which affects mostly pregnant and lactating females and growing children in the developing world. The present study was conducted at Ayub Teaching Hospital on this problem of global importance. ⋯ Iron deficiency anaemia is the commonest type of anaemia in our area. It is more common in females. It is more common in age group 21-60 years, with two peaks, one in 21-30 years and the other in 41-50 years.
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J Ayub Med Coll Abbottabad · Apr 2005
Comparative StudyComparison of percutaneous pinning with casting in supracondylar humeral fractures in children.
In Children Supracondylar fracture of humerus is one of the most common fractures in first decade of life. There are various treatment modalities for this fracture i.e. Close reduction and casting, open reduction and internal fixation, skeletal traction and Percutaneous Pinning. This study was conducted to know the outcome of Percutaneous Pinning in the management of displaced supracondylar humeral fracture in children and to compare the results with close reduction and castings and published literature. ⋯ Closed reduction and cross percutaneous pinning for displaced supracondylar humerus fractures in children is safe, cost and time effective method and gives stable fixation with excellent outcome as compared to close reduction and casting.