A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Singh, I.
- Jeevan Rekha: Combating Hepatitis C in Haryana
Authors
1 Deptt. of Medical Gastroenterology, PGIMS, Rohtak, Haryana (124001), IN
2 Deptt. of Gynaecology & Obstetrics, PGIMS, Rohtak, Haryana (124001), IN
3 Deptt. of Anaesthesiology, PGIMS, Rohtak, Haryana (124001), IN
Source
The Indian Practitioner, Vol 69, No 3 (2016), Pagination: 48-51Abstract
Introduction: Hepatitis C is a contagious liver disease that results from infection with the hepatitis C virus. Progression from acute to chronic HCV infection occurs in 50% to 85% of cases. Hepatitis C virus (HCV) is a major cause of liver disease worldwide and a potential cause of substantial morbidity and mortality in the future.Aims and Objectives: To study the effectiveness of the Jeevan Rekha Scheme (State Sponsored Scheme) in combating the menace of chronic hepatitis C in the state of Haryana-India.
Material and Methods: The patients who were anti-HCV positive and subsequently confirmed on HCV RNA (quantitative) and genotyping were treated with Pegylated Interferon and Ribavirin and followed up serially for viral loads at repeated intervals, till they reached stage of sustained virological response.
Results: Majority of the subjects were male and belonged to younger age group. Genotype 3 was most common, followed by 4 and 1. The compliance rate was excellent i.e.,93%. The overall sustained virological response was very high i.e., 90%.
Keywords
Hepatitis C Virus, Sustained Virological Response, Compliance Rate, Genotype.
- Comparative Analysis of Unilateral Subarachnoid Block with Ankle Block for Elective Foot Surgery
Authors
1 Department of Anesthesia and Critical Care, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
2 Department of Community Medicine, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 5, No 2 (2016), Pagination: 1150-1155Abstract
Background:There are many accepted anesthesia techniques for elective foot surgery ranging from general anesthesia to regional anesthesia, regional anesthesia being the preferred method. Regional anesthesia techniques employed for foot surgery includes subarachnoid block, epidural anesthesia and ankle block.Objective: The present study is aimed at providing comparative analysis of ankle block with unilateral subarachnoid block for elective foot surgeries in terms of hemodynamic safety profile and post operative analgesia.
Material and Methods: Study includes prospective analysis of 80 ASA II and III patients who underwent elective foot surgery. Patients were randomly divided into two groups of 40 each, Ankle block group (AB) and Unilateral subarachnoid group (US). The parameters recorded for study includes systolic blood pressure, diastolic blood pressure, heart rate, visual analogue scale for pain severity, time of first analgesic need and the complications.
Results: There were minimal blood pressure changes and heart rate variability in AB group as compared to US group when compared with basal values (p<0.05). The time for first analgesic requirement is prolonged in AB group as compared to US group. The visual analogue scale score was assessed at 2nd, 4th and 6th hours for group AB were lowered as compared to group US (p < 0.05).
Conclusion: Ankle block is associated with lesser hemodynamic variations and better postoperative analgesia as compared to unilateral subarachnoid block.
Keywords
Elective Foot Surgery, Unilateral Subarachnoid Block, Ankle Block, Hemodynamic Stability, Post Operative Analgesia.Full Text
References
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- Comparative Study of Preloading with Ringer Lactate V/S 6% Hexa Starch Solutions to Prevent Hypotension Following Spinal Anaesthesia in Elective Surgery
Authors
1 Department of Anesthesia and Critical Care, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 5, No 2 (2016), Pagination: 1178-1183Abstract
Background:Hemodynamic variations are commonly encountered following subarchnoid block and can attribute to significant mortality and morbidity. To counteract the hypotension, fluid adminstration before spinal anaesthesia is recommended (preloading). Crystalloids and colloids are recommended as preloading fluids but both have their own merits and demerits.Objective: This comparative study was done to compare the effectiveness of ringer lactate versus 6% hydroxyl ethyl starch for preventing spinal anesthesia induced hypotension.
Material and Methods: In this prospective study, we compare the effectiveness of ringer lactate versus 6% hydroxy ethyl starch at 10ml/kg over a period of 20 minutes before spinal anaesthesia in preventing hypotension. After administration of spinal anaestheisa mean arterial pressure were recorded at 1, 5, 10, 15, 30, 45, 60, 90 minutes and 3 hours after spinal anaesthesia. Number of patient, recieving injection Mephentermine sulphate for persistent hypotension was also recorded.
Results: We found that hydroxy ethyl starch is more effective than ringer lactate solution as a preloading fluid in prevention of hypotension following spinal anaesthesia.
Conclusion: Hydroxy ethyl starch is superior to ringer lactate in preventing hypotension in patients undergoing elective lower abdominal surgeries under spinal anaesthesia but the incidence of hypotension is not completely eliminated.
Keywords
Hypotension, Pre-Loading, Ringer Lactate, Hydroxy Ethyl Starch, Spinal Anaesthesia.Full Text
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