A5025906430- Anesthesia and Pain Management
- Nausea and vomiting management
- Cardiac, Anesthesia and Surgical Outcomes
- Infectious Diseases and Tuberculosis
- Cardiovascular Syncope and Autonomic Disorders
- Spinal Hematomas and Complications
- Shoulder and Clavicle Injuries
- Public Health and Nutrition
- Spine and Intervertebral Disc Pathology
- Anesthesia and Sedative Agents
- Airway Management and Intubation Techniques
- Neurosurgical Procedures and Complications
- Healthcare Quality and Satisfaction
- COVID-19 and healthcare impacts
- Shoulder Injury and Treatment
Civil Service Hospital
2021-2023
Nepal Medical College Teaching Hospital
2019
Background: Spinal anaesthesia has side effects like hypotension and bradycardia, which may be induced by sympathetic blockade Bezold-Jarisch reflex (mediated peripheral serotonin receptor, 5-HT3 type). The objective of the study was to evaluate type 3 receptors intravenous granisetron pre-treatment in spinal parturient undergoing elective caesarean section.Methods: Fifty six with American Society Anaesthesiologists Physical Status I II section were assigned randomly receive either Normal...
Improved and efficient management of pain can certainly aid enhanced recovery after spinal surgery. Our aim is to evaluate the effect ESPB in thoracic lumbar surgeries where we have evaluated VAS for pain, cumulative analgesics consumptions, length hospital stay post-operative complications.A cross-sectional comparative study done HAMS among erector spinae block group control group. The analysis different variable was according standard statistical analysis. For quantitative data, univariate...
Acute discitis, an inflammatory process of the intervertebral disc, has been reported as a rare complication bacterial infection or chemical mechanical irritation most commonly following spinal surgery. It may extend into adjacent tissue and lead to grave orthopaedic neurological consequences. Although it infective anesthesia also, its true incidence in our part world is not known. be higher than generally thought technique overwhelmingly used. Further, we do know about awareness among...
General Anesthesia is preferred over regional anesthesia in clavicle surgery. We report 3 cases of fracture which was performed under USG guided combined Interscalene and Superficial cervical plexus block. All the patients were comfortable there no need for additional analgesia. Thus can be used as a sole anesthetic technique with an alternative where general anaesthesia its adverse effects needs to avoided.
 Keywords: fracture; interscalene brachial block; superficial Correspondance: Dr.
Introduction: Advanced illness occurs when one or more conditions become serious enough that general health and functioning declines treatment begins to loose their impact. This is a process continues the end of life. It can also be called as “End life care”, “serious illness” “advanced illness”. includes different diseases: The Pulmonary advanced illness- Chronic Obstructive Disease; Cardiovascular Stroke, Congestive Cardiac Failure; Immunological HIV/AIDS; Endocrine Diabetes Mellitus (Type...
Intracranial hemorrhage is rare potentially devastating complication of spinal anesthesia. There are very few articles reporting subarachnoid after anesthesia though there no verified relationship between the two. We report a parturient who had cesarean section under and developed severe headache with fall in Glasgow Coma Scale (GCS) motor deficit three hours operation. She Magnetic resonance imaging (MRI) done which shows intraventricular extension. got discharge seven days later recovery...
Stuttering is a form of speech disorder characterized by involuntary prolongation and repetition sound, words, syllables or phrases as well silent pauses blocks. We report case healthy twenty-six-year-old male patient without significant past history, who underwent short intravenous anesthesia for incision drainage perianal abscess. Postoperatively, the presented with prominent stuttering after six hours surgery. To our knowledge, this first reported following any airway manipulation. He was...
INTRODUCTION: Laparoscopic cholecystectomy is the most commonly performed general surgical procedure. During COVID-19 pandemic, recommendation worldwide to postpone elective surgeries as far possible decrease resource utilization and also aerosol-related transmission among hospital staff patients. We conducted this study see burden of gallbladder disease, their management outcomes all patients who presented our centre during first wave pandemic.
 METHODS: a retrospective analysis...