JPMA. The Journal of the Pakistan Medical Association
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Comparative Study
Frequency of preoperative anxiety in Pakistani surgical patients.
To measure the frequency of preoperative anxiety in patients coming to our hospital and to correlate Visual analogue scale (VAS) with State Trait Anxiety Inventory (STAI) questionnaire. ⋯ Frequency of preoperative anxiety was 62%. Female gender, younger age and higher educational status were positively correlated while prior experience of surgery while preoperative anaesthesia clinic visit were negatively correlated with anxiety. VAS correlated well with STAI.
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Methanol is a toxic substance with extremely devastating effects upon exposure. The case described suffered from such kind of poisoning. MRI brain demonstrated necrosis bilaterally in the Putamen areas which is a classic hallmark finding. Additional Diffusion weighted imaging showed abnormal signal bilaterally in the putamen areas along with Diffusion positive bilateral lesions (possibly infarctions) in both the frontal and occipital lobes that were not evident on MRI with or without contrast.
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To identify the causes of delayed extubation in patients planned for fast tract extubation during cardiac surgery. ⋯ Major contributing factors for delayed extubation were identified by this audit. These factors need to be targeted accordingly by modifications in intra operative management.
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To determine whether there is a circadian pattern of onset of ischaemic and haemorrhagic strokes, and their relation to sleep/wake cycle. ⋯ The findings of this study confirm the presence of circadian variation among cases of ischaemic stroke and intra cerebral bleed while no circadian variation was found in subarachnoid haemorrhage. CIF, ICB and SAH predominantly occur in early morning hours, late morning hours and in late afternoon to early evening respectively. Only intracerebral bleed was affected by wake/sleep state.