Journal of clinical and diagnostic research : JCDR
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The prognosis of myocardial dysfunction in critically ill patients with sepsis and its association with mortality is controversial. We aim to determine the significance of left ventricular systolic dysfunction in septic shock patients and their associated outcome. ⋯ Low ejection fraction, a marker to measure left ventricular systolic dysfunction is a predictor of mortality in septic shock patients. However, more research is needed to confirm the findings.
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Tonsillectomy is one of the most common surgeries done worldwide and often the first one a child sustains. Pain relief after tonsillectomy is helpful for oral feeding after surgery. Acetaminophen and diphenhydramine have been conventionally used for reducing pain. This study was conducted to compare the effect of honey and diphehydramine on pain relief after tonsillectomy. ⋯ Although honey can help the pain decrease, more research is supported for confirmation of this effect.
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The advent of laparoscopic surgery has benefited the patient and surgeon; however creation of pneumoperitoneum for same has bearings during the perioperative period. These effects of pneumoperitoneum are associated with significant haemodynamic changes, increasing the morbidity of the patient. ⋯ Dexmedetomidine is more effective than esmolol for attenuating the hemodynamic response to pneumoperitoneum in elective laparoscopic cholecystectomy. Dexmedetomidine and esmolol also reduced requirements of anaesthetic agents.
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Axillary nerve is one of the terminal branches of posterior cord of brachial plexus, which is most commonly injured during numerous orthopaedic surgeries, during shoulder dislocation & rotator cuff tear. All these possible iatrogenic injuries are because of lack of awareness of anatomical variations of the nerve. Therefore, it is very much necessary to explore its possible variations and guide the surgeons to enhance the better clinical outcome by reducing the risk and complications. ⋯ The findings were found to be highly significant when males were compared with females but not significant when sides (right & left) were compared.
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To ensure the utmost safety, it is recommended that prior checking the machine and breathing systems as mandatory. Certain factors beyond the control of the anaesthesiologist lead to the operative room incidences jeopardizing the anaesthetised patient which otherwise cannot be prevented by prior custom checking. ⋯ In above events, a prior checking the machine or tracheal tube, could not prevent its occurrence. However, use of a deputy of the objects resulted in uneventful anaesthesia.