A Study of Transcutaneous Oxygen Saturation by Pulse Oximetry in Symptomatic Ischaemic Lower Limb – A Cross Sectional Analytical Study in a Tertiary Care Hospital in Tirupathi

BACKGROUND Chronic arterial insufficiency (CAI) results in stenotic-occlusive disease of vascularized arterial disorders of tissues and organs. CAI of the lower extremities represents a significant medical and socio-economic problem due to a high incidence of morbidity, invalidity and mortality. METHODS A cross sectional analytical study was conducted in a group of 100 patients, admitted at the Vascular Department of the Sri Venkateshwara Ramnaraian Ruia Government General Hospital, Tirupati during the period from September 2018 to August 2019, with evident symptoms and signs of different stages of lower extremities CAI verified by ultrasonography. In patients with lower extremity disorder of tissue arterial capillaries, SpO2 was determined by pulse oximetry. CAI of the lower extremity was determined on the basis of clinical findings and colour Doppler duplex scan echo sonography results. Using the conventional method (single-gate) and colour Doppler duplex scan (multi-gate), the presence and localization of stenosis, the segmental predominance (with multisegmental forms) and the degree of progression of stenotic-occlusive lesions were verified. RESULTS Results Using pulse oximetry, depending on the of stage of lower extremities CAI, we revealed a considerable difference in the stages of functional ischemia Mean SpO2: Fontaine I – 95.50 %, Fontaine II – 92.90; in stage critical ischemia SpO2: Fontaine III – 65.00 % and Fontaine IV – 49.87 %. In 29 patients with gangrenous foot and fingers SpO2 was immeasurable and progressive decrease in SpO2 of arterial capillaries (p<0.01 between stages). CONCLUSIONS Due to the reliability and simplicity of pulse oximetry it can be a routinely used diagnostic device for patients with early determined stage of lower extremities CAI. KEYWORDS Chronic Arterial Insufficiency, SPO2, Pulse Oximetry, Ischemia

Download Full-text

Coral reef aorta: case report and review of the literature

Vascular ◽

10.1177/1708538113478764 ◽

2013 ◽

Vol 21 (4) ◽

pp. 251-259 ◽

Cited By ~ 1

Author(s):

Aleksandra Policha ◽

Neil Moudgill ◽

Joshua Eisenberg ◽

Atul Rao ◽

Paul DiMuzio

Keyword(s):

Case Report ◽

Coral Reef ◽

Lower Extremity ◽

English Literature ◽

Lower Extremities ◽

Retroperitoneal Approach ◽

Review Of The Literature ◽

Rare Form ◽

Arterial Insufficiency

Coral reef aorta (CRA) is a rare form of atherosclerosis that affects the paravisceral and pararenal aorta and its branches. Patients typically present with arterial insufficiency of the bowels, kidneys and lower extremities. The current mainstay of treatment is operative, typically involving transaortic endarterectomy. Herein, we describe a 54-year-old woman with incapacitating lower extremity claudication secondary to a paravisceral coral reef atheroma treated successfully with transaortic endarterectomy via a left retroperitoneal approach. In addition, we present a complete review of modern English literature on CRA.

Download Full-text

Quality of Life and its Associated Factors among Patients Undergoing Dialysis in a Tertiary Care Hospital, Puducherry, South India - A Cross-Sectional Analytical Study

Journal of Urology and Renal Diseases ◽

10.29011/2575-7903.001189 ◽

2020 ◽

Vol 05 (05) ◽

Keyword(s):

Quality Of Life ◽

Associated Factors ◽

Analytical Study ◽

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Cross Sectional

Download Full-text

The Use of Doppler Ultrasound to Diagnose Deep Vein Thrombosis of the Lower Limbs

Journal of Biomedical Engineering and Medical Imaging ◽

10.14738/jbemi.94.9302 ◽

2021 ◽

Vol 8 (4) ◽

pp. 7-13

Author(s):

Nagla Hussein ◽

Mohamed Khalid

Keyword(s):

Deep Vein Thrombosis ◽

Lower Extremity ◽

Femoral Vein ◽

Lower Extremities ◽

Duplex Ultrasound ◽

Imaging Method ◽

Colour Doppler ◽

Vein Thrombosis ◽

Age Range ◽

Deep Vein

In most cases of pulmonary embolism, death occurs as a result of deep vein thrombosis (DVT) of the lower extremities. Therefore, to avoid DVT complications and sequel, DVT must be diagnosed as early as possible and this can be achieved via B-mode and colour Doppler imaging. The present paper seeks to investigate the suitability of the imaging method of ultrasound for lower extremity DVT diagnosis and to explore the outcomes of the use of this method in DVT cases. To this end, the paper undertakes a retrospective descriptive study of 50 cases of ultrasound-based diagnosis of DVT at King Khalid Hospital in the period between January 2019 and August 2020. Half of the cases were subjected to compression, colour, and duplex ultrasound, 14 cases were subjected to compression and duplex ultrasound, and 11 cases were subjected to compression and colour Doppler. The mean age across all cases was 46.2±19.9 years. The majority of cases (56%) were in the age range 22-41 years old (n=28), while 28% of cases were in the age range 42-61 years old (n=14), 6% of cases were in the age range 62-81 years old (n=3), and 10% of cases were in the age range 82-102 years old (n=5). Regarding sex, females accounted for 60% of cases, while males accounted for the rest of 40%. Furthermore, in 90% of cases (n=45), just one lower extremity was affected, whereas in 10% of cases (n=5), both lower extremities were affected. Regarding thrombus location, it was found mostly in the area above the knee, particularly the popliteal vein (34%), common femoral vein (18%), and superficial femoral vein (20%). Moreover, 2% of cases presented thrombus in the calf vein. In 26% of cases, multiple veins were affected. DVT was acute in 76% of cases (n=38) and chronic in 24% of cases (n=12). It is concluded that symptomatic and at-risk cases benefit from the use of ultrasound for DVT diagnosis. The suitability of this method stems from its lack of invasiveness and capability to assess thrombus location, magnitude, and stage.

Download Full-text

Knowledge and practices of mothers of under-five children regarding Zinc supplementation in childhood diarrhea

Panacea Journal of Medical Sciences ◽

10.18231/j.pjms.2021.061 ◽

2021 ◽

Vol 11 (2) ◽

pp. 301-304

Author(s):

Meenal Kulkarni ◽

Vedant Nayse ◽

Jaydeep Nayse

Keyword(s):

Analytical Study ◽

Zinc Supplementation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Childhood Diarrhea ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Socio Demographic Factors

Diarrhoea continues to plaque the developing worldresulting in morbidity of 1.7 billionand mortality of 5.25 lakhsin under- five childrenIn India diarrhea is 3 most common cause of death among under-five children with morbidity of 11.6 million and mortality of 1300 deaths and thus causing 8% of deaths per yearZinc has a major role in prevention of diarrhea. To assess the knowledge and practices of mothers of under-five children regarding zinc supplementation for prevention of childhood diarrhea, to find out the reasons for not supplementing Zinc during diarrhoeal episodes, to find out association between socio-demographic factors and awareness of zinc supplementation. : Hospital based cross sectional analytical study was conducted among 200 mothers of underfive children in outpatient department of Paediatrics of a tertiary care hospital. The data was entered in predesigned semistructured questionnaire. Data was analysed by EPI INFO 7 software. Only 18(9%) mothers were aware about use of Zn supplementation to the under-five children in childhood diarrhoea. Only 10 mothers administered zinc supplementation in childhood diarrhea. Unawareness regarding Zn supplement was common reason mentioned for not giving Zn supplementation. Association was found between religion, type of family and awareness of Zn supplementation. There is a need to increase awareness of mothers regarding zinc supplementation by conducting health education sessions.

Download Full-text

Frequency of Refractive error in children with strabismus at tertiary Care Hospital Gadap Town, Karachi.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.05.5794 ◽

2021 ◽

Vol 28 (05) ◽

pp. 686-690

Author(s):

Umer Kazi ◽

Asiya Saleem ◽

Munawar Hussain Ghulam Ali ◽

Abdul Sattar Abro ◽

Mazhar-ul- Haque ◽

...

Keyword(s):

Refractive Error ◽

Analytical Study ◽

Tertiary Care ◽

Care Hospital ◽

Cross Sectional ◽

Ocular Manifestations ◽

Snellen Chart ◽

Ocular Movement ◽

Convenience Sampling ◽

Study Setting

Objectives: This was conducted to determine frequency of various refractive errors with types of strabismus among the age group of 5-15 years children visited in the tertiary eye care hospital Gadap town, Karachi. Study Design: Cross Sectional Analytical Study. Setting: Al-Ibrahim Eye Hospital. Period: May 2019 to November 2019. Material & Methods: This study was conducted on 300 strabismic subjects with a mean age of 5 to 15 years by non-probability convenience sampling. All respondents underwent visual acuity assessment by Snellen chart with and without correction, pinhole method, and fundus examination by retinoscope, Cardiff card, cover/uncover test, cycloplegic refraction by cyclopentolate 1%, and ocular movement examination. Results: Out of 300 patients, 43(14.3%) subjects were diagnosed as strabismus with refractive error. 20(46.5%) were boys, while 23(53.5%) were girls with a mean age of 9.62 ± 3.1. The hyperopic 20(46.5 %), 17(39.6 %) myopic, and 6(13.9%) had astigmatism. Conclusion: Strabismus was more frequently observed in females than in males. Hyperopia was in Strabismic respondents than myopic and astigmatism. The esotropia was commonly seen in hypermetropia, Exotropia, in Myopia. The vertical and alternate not frequently seen are these respondents. Hence it is necessary to diagnose the children as early as possible to prevent them from other ocular manifestations.

Download Full-text

Diagnostic importance of pulse oximetry in the determination of the stage of chronic arterial insufficiency of lower extremities

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1006300i ◽

2010 ◽

Vol 138 (5-6) ◽

pp. 300-304 ◽

Cited By ~ 7

Author(s):

Nebojsa Ignjatovic ◽

Marina Vasiljevic ◽

Dragan Milic ◽

Jelena Stefanovic ◽

Miroslav Stojanovic ◽

...

Keyword(s):

Pulse Oximetry ◽

Arterial Oxygen Saturation ◽

Lower Extremities ◽

Arterial Oxygen ◽

Critical Ischemia ◽

High Incidence ◽

Arterial Insufficiency ◽

Peripheral Arterial ◽

Diagnostic Importance

Introduction Chronic arterial insufficiency (CAI) of lower extremities is important socio-economical and healthcare problem, due to its high incidence of morbidity, disability and mortality. Objective The aim of our work was to determine the diagnostic importance of pulse oximetry in the early detection of stage of lower extremities CAI based on peripheral arterial oxygen saturation of haemoglobin (SpO2). Methods Prospectively, we analyzed a group of 50 patients, admitted at the Vascular Department of Surgical Clinic in Nis during the period from September 2006 to October 2007, with evident symptoms and signs of different stages of lower extremities CAI verified by ultrasonography. In patients with lower extremity disorder of tissue arterial capillaries, SpO2 was determined by pulse oximetry. Results Using pulse oximetry, depending on the of stage of lower extremities CAI, we revealed a considerable difference in the stages of functional ischemia SpO2: Fontaine I - 95.33?1.41%, Fontaine IIa - 92.14?2.27% and Fontaine IIb - 79.67?2.73%; in stage critical ischemia SpO2: Fontaine III - 62.54?4.39% and Fontaine IV - 47.67?6.16%. In 3 patients with gangrenous foot and fingers SpO2 was immeasurable and progressive decrease in SpO2 of arterial capillaries (p<0.01 between stages). Conclusion Due to the reliability and simplicity of pulse oximetry it can be a routinely used diagnostic device for patients with early determined stage of lower extremities CAI. .

Download Full-text