Background We evaluated whether the addition of a small dose ketamine or fentanyl would lead to reduction in total propofol consumed without compromising safety and recovery patients having endoscopic ultrasonography (EUS). Methods A 210 adult undergoing elective EUS under sedation were included study. Patients randomized into three groups. premedicated intravenously with normal saline group 1, 50 µg 2, 0.5 mg/kg 3. All received intravenous for sedation. Propofol consumption mg/kg/h was...

Background: Central venous cannulation (CVC) is frequently required during the management of patients with liver disease deranged conventional coagulation parameters (CCP). Since CVC known to be associated vascular complications, it standard practice transfuse Fresh-Frozen Plasma or platelets correct CCP. These CCP may not reflect true coagulopathy in disease. Additionally when performed under ultrasound guidance (USG-CVC) itself reduces incidence complications. Aim: To assess safety USG-CVC...

Coagulopathy after living donor hepatectomy (LDH) may endanger safety during removal of thoracic epidural catheter (TEC). The present study was conducted to evaluate the extent and duration immediate postoperative coagulopathy LDH.A retrospective analysis perioperative record LDH over three years IRB approval. Variables such as age, gender, BMI, ASA classification, liver volume on CT scan, preoperative INR, platelet count (PC) ALT each for five days noted. In addition, surgery, remnant...

Hepatic resection is a major surgery associated with intraoperative massive fluid shifts, blood loss, haemodynamic instability and risk of development post-hepatectomy liver failure. predisposes the patient to coagulopathy as well venous thrombosis. However, due deranged coagulation profile post-operatively, there dilemma in starting thromboprophylaxis. Our aim this study was determine incidence patients undergoing hepatectomy.In retrospective study, we included 86 who had undergone...

Background and Aims: Blood transfusion is unpredictable in liver transplantation associated with increased patient morbidity, mortality cost. This retrospective analysis was conducted to detect factors which could predict intraoperative of more than four units packed red blood cells (PRBCs) during elective living donor (LDLT). Methods: a single-centre study. Demographic, clinical data 258 adult patients who underwent LDLT from March 2009 January 2015 were analysed. Univariate multivariate...

Cerebral involvement is rare in polyarteritis nodosa (PAN) and mostly characterized by ischemic events intracranial hemorrhages secondary to cerebral aneurysms extremely rare. We report two patients of PAN with multiple aneurysms. One patient presented intracerebral hemorrhage the other were incidental findings asymptomatic. Both our cases suggest that are not very uncommon angiography should be considered while doing abdominal angiogram these patients.

Freedom from pain has almost developed to be a fundamental human right. Providing relief via epidural catheters in thoracic and upper abdominal surgeries is widely accepted. Pain through this technique not only provides continuous analgesia but also reduces post-operative pulmonary complications hastens recovery. But being blind procedure it accompanied by certain complications. Hypotension, dura puncture, high epidural, total spinal, haematoma, spinal cord injury infection are some of the...

Spinal cord disease can present in a variety of ways with acute, subacute or chronic onset, and clinical symptoms may vary from incomplete syndromes to complete quadriparesis. Acute quadriparesis beginning excruciating pain the chest back progressing over short period is highly suggestive spinal hemorrhage which be epidural, subdural, subarachnoid intramedullary. Intramedullary least common type mostly associated predisposing focal diseases like tumor, AVM, cavernomas, artery aneurysm, due...

The present study was an endeavor to the incidence of double J stent related morbidity.In this prospective study, 90 patients with various indications for DJ stenting were studied post-stent complications during immediate post-operative period and on follow up.Out total 59 male 31 female, mean age 42.64 years.Most common indication ureteric calculus followed by hydronephrosis, pelvi-ureteric junction obstruction stricture.Complication occurred in 68 out studied, being 75.5%.Frequency dysuria...

Contrast radiography of the alimentary canal was conducted in six adult sheep with barium sulfate (70% W/V, 25–30 ml/kg). A period 12 hours adequate for opacification most parts gastrointestinal tract. The presence contrast medium different noted as long 60 hours. right lateral view visualization structures, but typical laminar mucosal pattern omasum and spiral folds abomasum were demonstrated better on ventrodorsal view.

Abstract Takayasu aortoarteritis (TA) rarely affects the nervous system, but when it does, usually manifests as cerebral ischemia or stroke. These strokes have mainly been attributed to stenotic extracranial vessels. Stenoses of intracranial vessels, although rare in TA, can occur due either embolization into vessel because vasculitic process itself. Intracranial aneurysms are very patients with TA. Bilateral cavernous internal carotid artery (ICA) rarer. They reported following radiation...

Critical care outreach services (CCOS) is a relatively new concept in India and not as developed Western countries. Efficient utilization of limited intensive service requires comprehensive CCOS. Appropriate activation such will limit excess burden on already scarce human resources.To evaluate the functioning CCOS tertiary hospital also to identify factors leading its overactivation.Data 400 calls received resuscitation room (RR) Trauma Center during January 2011-June 2011 was analyzed....

Takayasu’s arteritis is a rare type of vasculitis unknown origin in which aorta and its branches are affected.Aortoarteritis causes narrowing vessel lumen due to inflammatory changes the wall turn leads thrombus formation, occlusion, or both. However, very rarely these may present exclusively with facial palsy at time onset. We such case young female child who reported outpatient department unusual findings followed by stroke was diagnosed as Type I on basis various investigations. Magnetic...

Background: The National Rural Health Mission (NRHM), announced in 2005 and implemented on the ground 2006, has formulated 'revitalizing local health traditions mainstreaming AYUSH' as one of its strategies to strengthen public services. Objective: Purpose is assess overall collocation coverage AYUSH, Training AYUSH doctors available facilities for find gaps these facilities. Material Methods: This study was a cross sectional study. Three districts (50% total) were randomly selected from...