JPMA. The Journal of the Pakistan Medical Association
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Randomized Controlled Trial Clinical Trial
Effect of single dose magnesium on arrhythmias in patients undergoing coronary artery bypass surgery.
To evaluate the safety and role of prophylactic administration of magnesium in preventing arrhythmias. ⋯ Low magnesium levels were noticed in the placebo group after cardiopulmonary bypass and although prophylactic administration of magnesium sulphate was relatively safe but significant benefit on prevention of arrhythmias could not be attained.
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To assess the complinance of anaesthetists towards gloving on shifting the patients to post anaesthesia care unit and hand hygiene before leaving the PACU. ⋯ Implementation of hand hygiene policy and education has positive effects among anaesthetists. Compliance to the policy remained above fifty percent. In order to further improve the situation continuous education and definitive administration measures of hand hygiene practices are suggested.
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Laryngeal Mask Airway has gained wide acceptance for routine airway management, difficult airway and in emergency situations. The classical method of insertion was recommended by Dr Brain. Over the years various induction and insertion techniques have been described with variable results. ⋯ There is less also lesser incidence of mucosal trauma with partially inflated cuff. Insertion with cuff facing laterally or backwards and rotating it forwards into position has also been described. A review of various options and their advantages and limitations is presented.
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Randomized Controlled Trial Clinical Trial
Comparison of two sedation techniques in patients undergoing surgical procedures under regional anaesthesia.
Intraoperative comfort and patient satisfaction during surgical procedures under regional anaesthesia can be improved with the use of supplemental intravenous sedation. The authors conducted a study to compare two sedation techniques for surgical procedures performed under regional anaesthesia, i.e., midazolam and pethidine combination compared with midazolam and tramadol combination. ⋯ Midazolam-tramadol combination may be used as an alternative to midazolam-pethidine combination for sedation during surgical procedures performed under regional anaesthesia.