scholarly journals Broken needle in gluteal region following an intramuscular injection: a case report

2019 ◽  
Vol 5 (4) ◽  
pp. 744
Author(s):  
Jagdeep Singh ◽  
Anoop Kalia ◽  
Ravinder Kumar Banga ◽  
Anshul Dahuja
Keyword(s):  
Case Report ◽  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Intramuscular Injection ◽  
Image Intensifier ◽  
Gluteal Region ◽  
Hypodermic Needle ◽  
Manufacturing Techniques ◽  
Broken Needle

<p class="abstract">Incidence of broken hypodermic needle in patients has been decreased because of superior manufacturing techniques. Breaking of hypodermic needle after intramuscular injection has been rarely reported. We report a case of broken needle in the gluteal region in a 36 years old woman following an intramuscular injection. Patient arrived in the emergency after 2 days of the episode. Patient was taken for surgery for removal of the needle. Initially attempts for removal of needle were made without use of image intensifier under local anaesthesia, but it failed as it was very difficult to locate the needle. Patient was taken up for surgery under spinal anaesthesia with the use of image intensifier. Broken needle was located and removed. The following case describes the management of broken hypodermic needle and suggests valuable guidelines for minimising the chances of undue complications arising due to needle migration.</p>

Intramuscular Injection of Ketamine in the Treatment of Postburn Neuropathic Pain -A case report-

2004 ◽  
Vol 17 (2) ◽  
pp. 248
Author(s):  
Chul Ho Woo ◽  
Sung Ha Mun ◽  
Soo Yeon Lee ◽  
Tae Hyung Han ◽  
Hyun Soo Kim ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Intramuscular Injection

Uncomplicated adult inguinal hernia repair under local anaesthesia and spinal anaesthesia

2020 ◽  
Vol 11 (3) ◽  
pp. 3212-3221
Author(s):  
Naniwadekar R G
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Control Group ◽  
Early Ambulation ◽  
Inguinal Hernias ◽  
Hernia Inguinal ◽  
The Subject ◽  
Prolonged Hospital

Multiple researchers have given numerous guidelines in the clinical management of this disorder in the late nineteenth and twentieth centuries, after comprehensive works on the subject. As a result, a very wide variety of surgical procedures are now available to the surgeon to suit the requirement. There have been numerous advances in the management of inguinal hernia. Inguinal hernias can conveniently be repaired under all kinds of anaesthesia, namely general, spinal and local. Whereas the general anaesthesia requires the services of an experienced anaesthetist and new devices and spinal anaesthesia requires postoperative impairment while local anaesthesia is safe to prescribe, easy and efficient and does not cause postoperative complications. This work consisted of a study group of twenty-five adult patients of uncomplicated inguinal hernias, who after repair of hernias, which after repair of hernias were allowed early ambulation and had a short hospital, stay of one day post operatively. The second control group consisted of similar twenty-five patients who are subjected to conventional delayed ambulation and prolonged hospital stay. The results of repair in the two groups were compared; the available literature on the subject was reviewed. The implementation of ”shortstay surgery” not only relieves the waiting list in hospitals but also offers an economic boost and provides the patient with some social advantages.

scholarly journals Paediatric sialendoscopy under local anaesthesia: a case report

2021 ◽  
pp. 100139
Author(s):  
Yuxin Ken Lin ◽  
Alan Geddes ◽  
Timothy Edwin Lloyd ◽  
Simon David Jones
Keyword(s):  
Case Report ◽  
Local Anaesthesia

scholarly journals 600 The Use of a Wide-Awake Local Anaesthesia No Tourniquet (WALANT) Technique in Foot and Ankle Procedures - A Randomised Control Trial

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T M Borg ◽  
M Tahir ◽  
N Heidari
Keyword(s):  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Randomised Control Trial ◽  
P Value ◽  
Foot And Ankle ◽  
Post Procedure ◽  
Trimalleolar Fractures ◽  
Post Operative Pain ◽  
Wide Awake ◽  
No Tourniquet

Abstract Introduction Wide awake local anaesthesia no tourniquet (WALANT) is a widely used technique in upper limb procedures that has gained increasing popularity during the coronavirus pandemic. The benefit of WALANT for foot and ankle surgeries is less clear, especially in patients with multiple comorbities. The primary aim of this study was to compare post-operative pain levels in patients undergoing ankle fracture fixation. Secondary objectives included comparison of intra-operative patient experiences, clinical outcomes, and patient satisfaction 1-year post-procedure. Method 129 patients presenting with ankle fractures were enrolled in a multicenter randomised control trial from February 2016 to January 2020. Patients with medial malleolar, lateral malleolar, bimalleolar or trimalleolar fractures received either WALANT (62 patients) or spinal anaesthesia (67 patients). A 5ml solution of 0.9% saline and 2% lidocaine with 1: 100,000 adrenaline was used for WALANT. Results Compared to patients who received spinal anaesthesia, those in the WALANT group experienced less post-operative discomfort and were more satisfied 1-year post-procedure (p-value = 0.003). Surgical outcomes were similar for both groups. Cost analysis revealed that WALANT is significantly more economical. Conclusions WALANT is an effective and safe anaesthetic for foot and ankle procedures. Without use of a tourniquet, it reduces post-operative pain and so, eases patient recovery.

scholarly journals Corrected Scoliosis, Cholinesterase Deficiency, and Cesarean Section: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Roy Somers ◽  
Yves Jacquemyn ◽  
Luc Sermeus ◽  
Marcel Vercauteren
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Regional Anaesthesia ◽  
Previous Caesarean Section ◽  
Corrective Surgery ◽  
Ultrasound Guided ◽  
Severe Scoliosis

We describe a patient with severe scoliosis for which corrective surgery was performed at the age of 12. During a previous caesarean section under general anaesthesia pseudocholinesterase deficiency was discovered. Ultrasound guided spinal anaesthesia was performed enabling a second caesarean section under loco-regional anaesthesia.

Broken needle complicating spinal anaesthesia

2006 ◽  
Vol 15 (2) ◽  
pp. 178 ◽  
Author(s):  
M.A. Abou-Shameh ◽  
G. Lyons ◽  
A. Roa ◽  
S. Mushtaque
Keyword(s):  
Spinal Anaesthesia ◽  
Broken Needle

scholarly journals Parasuicidal poisoning by intramuscular injection of insecticide: A case report

2013 ◽  
Vol 6 (3) ◽  
pp. 696-698 ◽  
Author(s):  
HUIMIN LIU ◽  
BAOTIAN KAN ◽  
XIANGDONG JIAN ◽  
WEI ZHANG ◽  
QIAN ZHOU ◽  
...  
Keyword(s):  
Case Report ◽  
Intramuscular Injection

scholarly journals Septicemic Infection Suspect In Jenkins' Whipray Pateobatis jenkinsii (Annandale, 1909): A Case Report

2020 ◽  
Vol 38 (1) ◽  
pp. 69
Author(s):  
Rifky Rizkiantino ◽  
Ridzki M.F. Binol
Keyword(s):  
Alkaline Phosphatase ◽  
Case Report ◽  
Intramuscular Injection ◽  
Liver Extract ◽  
Blood Clot ◽  
Mucous Layer ◽  
Blood Examination ◽  
Treatment History ◽  
Tunica Layer ◽  
Anatomical Pathology

A wild-captive male Jenkins' whipray was found dead in a quarantine tank with a clinical sign before death in the form of decreased appetite for a week. The treatment history was oral administration of enrofloxacin antibiotic tablets. The therapy period lasts for ten days. The last treatment was the administration of Hepavit® (liver extract) and intramuscular injection of enrofloxacin antibiotic. One day before the death, blood was collected and then examined for the hematocrit and some parameters of chemical blood. The results of blood examination were found a decrease in blood urea nitrogen (BUN), alkaline phosphatase (ALP), and alanine aminotransferase (ALT) levels, increased glucose level, decreased total protein and albumin levels, and increased globulin level. Anatomical pathology examination was found lesions on the tail, around the eyes, and claspers. Hemorrhagic lesions were found in the mucous layer of the esophagus, stomach, and spiral colon. The blood clot was found under the tunica layer of testicular organs. The liver is damaged by showing a non-homogeneous coloration, organ thickening, congestion, and fragile consistency. Based on the results of the blood examination and was supported by the results of the anatomical pathology examination after death, it is suspected that the fish died due to the condition of septicemia infection during the previous few weeks.

Sign in / Sign up

Export Citation Format

Share Document