JNMA; journal of the Nepal Medical Association
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Nicorandil is a cardioprotective drug which is used in the prophylaxis and long-term treatment of angina pectoris. Debilitating perianal ulcer is a rare complication of Nicorandil therapy which can cause diagnostic and management dilemmas. We describe the management of a case of Nicorandil-induced perianal ulcer and review pertinent contemporary literature.
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JNMA J Nepal Med Assoc · Apr 2009
Comparative StudyThe role of sedation and pulse oximetry during upper gastrointestinal endoscopy.
To determine the changes in oxygen saturation, blood pressure and pulse rate during endoscopic procedure and to evaluate--oesophagogastroduodenoscopy (OGD) related discomfort assessed by the patient. ⋯ There is slight more incidence of mild hypoxia in sedated group than in non sedated group but no change in pulse and blood pressure. However, sedated patient have significant less level of discomfort than in non sedated group. Though routine use of pulse oxymeter is not necessary, routine use of sedation during endoscopy is recommended.
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JNMA J Nepal Med Assoc · Apr 2009
Randomized Controlled Trial Comparative StudyComparative study on effectiveness of doxapram and pethidine for postanaesthetic shivering.
Postanaesthetic shivering is a common condition after surgery which needs proper management with pharmacologic agents so as to make postoperative period comfortable to the patient and prevent from the untoward complications that can arise from it. This study was done to compare the effectiveness of Pethidine and Doxapram in the treatment of postanaesthetic shivering. ⋯ Pethidine was found to be more effective compared to Doxapram in treating patients with postoperative shivering.
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JNMA J Nepal Med Assoc · Apr 2009
Comparative StudyNeed of improvement in emergency medical service in urban cities.
An effective Emergency Medical Service system does not exist in Nepal. For an effective EMS system to be developed the scale of the problem and the existing facilities need to be studied. ⋯ Very less number of patients use the ambulance service for emergency services. The available ambulances are not properly equipped and do not have trained staff and as such are only a means of transportation to the hospitals of urban Lalitpur and Kathmandu.