Comparison of Two Concentrations of Triamcinolone Injection in the Prevention of Supratip Edema after External Rhinoplasty: A Randomized Trial

2017 ◽  
Vol 31 (6) ◽  
pp. 412-415 ◽  
Author(s):  
Babak Saedi ◽  
Amin Amali ◽  
Mina Arabpor
Keyword(s):  
Visual Analog Scale ◽  
Study Groups ◽  
Control Group ◽  
Analog Scale ◽  
Significant Difference ◽  
Triamcinolone Injection ◽  
Scale Scores ◽  
Photo Editing ◽  
Group B ◽  
External Rhinoplasty

Background A comparison of the two methods of corticosteroid (triamcinolone) use in reducing supratip edema (pollybeak deformity) after rhinoplasty. Methods Ninety patients who were candidates for rhinoplasty were randomly divided into three groups. Group A received no treatment, group B received 8 mg/mL of triamcinolone, and group C received 16 mg/mL of triamcinolone. Their effects on dorsal edema were evaluated by using the patients' and surgeons' visual analog scale scores. Also, dorsal edema was measured by using photo editing software. Results There was no significant difference in the patients' characteristics in the study groups. The surgeons' visual analog scale scores were significantly better in those patients who received triamcinolone injection than in the control group (p = 0.02). However, none of the other assessment methods showed significant differences among the study groups. There was no significant difference between the two evaluated concentrations. Conclusion Triamcinolone injection had positive temporary effects on reducing supratip edema without any important complications.

scholarly journals The effect of local ketamine infiltration on post tonsillectomy pain scale

2020 ◽  
Vol 50 (1) ◽  
pp. 38
Author(s):  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Elniza Morina ◽  
Rimelda Aquinas ◽  
Nasman Puar ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Secondary Infection ◽  
Pain Scale ◽  
Control Group ◽  
Analog Scale ◽  
Noticeable Effect ◽  
Local Infiltration ◽  
Significant Difference ◽  
Post Test ◽  
Test Control

Background: Post tonsillectomy pain is one of the surgery side effects that most disturbing for patient’s comfort and will cause dysphagia, low intake, dehydration, secondary infection and bleeding. Ketamine is an anesthetic drug that has strong analgesic effect and easily available in any hospital at relatively cheap price. Objective: To find out the effect of local ketamine infiltration on the post tonsillectomy pain scale. Method: An experimental study during tonsillectomy with a Post Test Control Group on 12 samples without local infiltration of ketamine and 12 samples with local infiltration of ketamine in peritonsillar pillar. The pain was assessed 2 hours and 24 hours post extubation with pain Visual Analog Scale (VAS). Result: The VAS value from patients who were given local infiltration of ketamine in peritonsillar pillar were lower (5.83 ± 0.72 at 2 hours and 2.83 ± 0.58 at 24 hours post extubation) compared to patients without ketamine infiltration (7.83 ± 0.58 at 2 hours and 3.58 ± 0.51 at 24 hours post extubation). The result showed statistically significant difference (p <0.05) at 2 hours and 24 hours post extubation. Conclusion: The VAS score of the ketamine infiltration group is lower at 2 hours and 24 hours post extubation than the group without ketamine infiltration, showing there was a noticeable effect of local ketamine infiltration on the post tonsillectomy pain scale.Keywords : post tonsillectomy pain, ketamine, local infiltration, visual analog scale ABSTRAKLatar belakang: Nyeri pascatonsilektomi adalah salah satu efek samping operasi yang sangat mengganggu kenyamanan pasien, dan dapat menyebabkan gangguan menelan, kurangnya asupan nutrisi, dehidrasi, infeksi sekunder dan perdarahan. Ketamin merupakan obat anestesi yang memiliki efek analgetik yang kuat dan mudah didapatkan di semua tipe rumah sakit dengan harga yang relatif murah. Tujuan: Mengetahui efek pemberian infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi. Metode: Penelitian eksperimental dengan desain Post Test Control Group pada 12 sampel tanpa pemberian infiltrasi lokal ketamin dan 12 sampel dengan pemberian infiltrasi lokal ketamin di pilar peritonsil saat tonsilektomi. Dilakukan penilaian nyeri 2 jam dan 24 jam pascaekstubasi menggunakan skala nyeri Visual Analog Scale (VAS). Hasil: Nilai VAS pasien yang diberi infiltrasi lokal ketamin di pilar peritonsil lebih rendah (5,83±0,72 pada 2 jam dan 2,83 ± 0,58 pada 24 jam pascaekstubasi) dibanding tanpa diberi infiltrasi lokal ketamine (7,83 ± 0,58 pada 2 jam dan 3,58± 0,51 pada 24 jam pascaekstubasi), dan bermakna secara statistik (p<0,05) pada kedua penilaian. Kesimpulan: Terdapat efek nyata infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi, dimana nilai VAS kelompok yang diberi infiltrasi ketamin lebih rendah, baik pada 2 jam ataupun 24 jam pascaekstubasi dibanding kelompok yang tidak diberi infiltrasi ketamin.

scholarly journals Efficacy and safety of intrathecal morphine for post cesarean section analgesia

2015 ◽  
Vol 1 (1) ◽  
pp. 13-17
Author(s):  
Rupesh Kumar Gami ◽  
Kumar Jahan ◽  
Chandra Bhushan Jha
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Visual Analog Scale ◽  
Intrathecal Morphine ◽  
Safe Motherhood ◽  
Control Group ◽  
Efficacy And Safety ◽  
Analog Scale ◽  
Morphine Group ◽  
Significant Difference

Background: Government of Nepal has been conducting Cesarean section under “Safe Motherhood” program all over country. The purpose of this study was to evaluate the efficacy and safety of intrathecal morphine for post cesarean analgesia under spinal anesthesia.  Methods: A total of 300 parturients posted for Cesarean section under spinal anesthesia were divided into two groups of 150 each in this prospective randomized case-control study. Morphine group received 0.15 mg of intrathecal morphine mixed in 12 mg of 0.5% bupivacaine heavy while control group received 12 mg of 0.5% bupivacaine heavy alone, after proper preparation of spinal anesthesia. The parturients were assessed for first request of analgesic as per Visual Analog Scale, frequency of analgesics required within 24 hr, nausea, vomiting, pruritus, sedation and respiratory depression.Results: Postoperative analgesia was significantly greater in morphine group as compare to control group (12.1 ± 7.6 vs 3.7 ± 2.9 hr). Frequency of analgesics requirements was also significantly lower in morphine group (1.7 ± 2.0 vs 3.4 ± 8.1). Visual Analog Scale was below 4 at most of time in morphine group. The incidence of nausea, vomiting and pruritus were more in morphine group as compare to control group but without any respiratory depression. There was no significant difference in APGAR score among fetus.  Conclusion: Mixing low dose of intrathecal morphine in standard dose of spinal anesthesia effectively prolongs the duration of post cesarean analgesia and decreases the frequency of analgesics requirement without any major complication in parturients or fetus.Journal of Society of Anesthesiologists 2014 1(1): 13-17

scholarly journals The Effect of 1,8-Cineole Inhalation on Preoperative Anxiety: A Randomized Clinical Trial

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ka Young Kim ◽  
Hyo Jin Seo ◽  
Sun Seek Min ◽  
Mira Park ◽  
Geun Hee Seol
Keyword(s):  
Visual Analog Scale ◽  
Controlled Trial ◽  
Major Constituent ◽  
Control Group ◽  
Analog Scale ◽  
Almond Oil ◽  
Eucalyptus Oil ◽  
Significant Difference ◽  
Before And After ◽  
Selective Nerve Root Block

The aim of this study was to investigate the effect of inhalation of eucalyptus oil and its constituents on anxiety in patients before selective nerve root block (SNRB). This study was a randomized controlled trial carried out in 62 patients before SNRB. The patients were randomized to inhale limonene, 1,8-cineole, or eucalyptus oil, each at concentrations of 1% vol/vol in almond oil or almond oil (control). Anxiety-visual analog scale (A-VAS), state-trait anxiety inventory (STAI), profile of mood states (POMS), pain-visual analog scale (P-VAS), blood pressure, and pulse rate were measured before and after inhalation prior to SNRB. Measures of anxiety, including A-VAS (P<0.001), STAI (P=0.005), and POMS (P<0.001), were significantly lower in 1,8-cineole than in the control group and significantly greater in 1,8-cineole than in the eucalyptus group in A-VAS. P-VAS was significantly lower after than before inhalation of limonene, 1,8-cineole, and eucalyptus, despite having no significant difference in the four groups compared with control group. 1,8-Cineole, a major constituent of eucalyptus, was effective in decreasing anxiety before SNRB. The present findings suggest that inhalation of 1,8-cineole may be used to relieve anxiety before, during, and after various operations, in addition to SNRB.

Lumbar Disk Herniation in Children and Adolescents

Neurosurgery ◽  
2015 ◽  
Vol 77 (6) ◽  
pp. 954-969 ◽  
Author(s):  
Lei Dang ◽  
Zhongqiang Chen ◽  
Xiaoguang Liu ◽  
Zhaoqing Guo ◽  
Qiang Qi ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Visual Analog Scale ◽  
Oswestry Disability Index ◽  
Disk Herniation ◽  
Analog Scale ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Intervertebral Disks ◽  
Significant Difference ◽  
Scale Scores

BACKGROUND: Lumbar disk herniation in adults is thought to be caused by repetitive overloading and age-rated degenerative changes. However, these causes are absent in children and adolescent patients. We assume that structural malformations in the lumbar spine could predispose intervertebral disks to early degeneration and hence need to be surgically fused. This issue has never been raised before. OBJECTIVE: To investigate the assumption that structural malformations in the lumbar spine could predispose intervertebral disks to early degeneration and hence need to be surgically fused. METHODS: Lumbar spine configurations, including the height of the intercrestal line, the length of L5 transverse processes, and the presence of transitional vertebrae, were recorded from anteroposterior radiographs taken from 63 consecutive pediatric patients with lumbar disk herniation admitted to our hospital over a period of 8 years. Each configuration was compared in relation to the level of disk herniation. Diskectomy alone was performed in 36 cases; arthrodesis was added in the remaining 27 cases. Patients' back and leg pain visual analog scale scores and frequency and their Oswestry Disability Index scores were recorded before surgery and at follow-up. The results were compared for assessment of outcome. RESULTS: Patients with high intercrestal lines and long L5 transverse processes had a significantly higher incidence of L4/5 disk herniation, whereas low intercrestal line and lumbarization were associated with L5/S1 disk herniation. Patients' visual analog scale scores, pain frequency, and Oswestry Disability Index score all improved significantly after surgery, but there was no significant difference with or without arthrodesis. CONCLUSION: Pediatric lumbar disk herniation is significantly associated with structural malformations of the lumbar spine, but arthrodesis does not improve the clinical outcome.

scholarly journals Bite Force Assessment of Mandibular Interforaminal Fractures Treated with Combination of Microplate and Miniplate—A Randomized Control Study

2018 ◽  
Vol 2 (1) ◽  
pp. s-0038-1646776 ◽  
Author(s):  
D. Anand ◽  
Kavitha Prasad ◽  
RM Lalitha ◽  
K. Ranganath ◽  
BR Rajnikanth ◽  
...  
Keyword(s):  
Randomized Study ◽  
Study Groups ◽  
Bite Force ◽  
Control Group ◽  
Mandibular Fractures ◽  
Clinical Parameters ◽  
Hardware Failure ◽  
Significant Difference ◽  
Group A ◽  
Group B

The purpose of this study was to compare the mechanical behavior of combination of microplate and miniplate with two standard miniplates for fixation of mandibular fractures in the interforaminal region on the basis of bite force and other clinical parameters. A prospective randomized study was conducted on 20 patients with mandibular fracture requiring open reduction and internal fixation (ORIF) who were randomly categorized into Group A and Group B with 10 patients in each group. Ten healthy persons whose age and gender matched with study groups were included in control Group C. Pre- and postoperative bite force was measured at specified intervals in both the study groups and was compared with the control group. The bite force values were comparatively less in Group A than Group B, although there was no statistically significant difference. Also, bite force values were less in both the study groups when compared with the control group. No statistically significant difference was found in other clinical parameters such as infection, fracture mobility, and hardware failure. The results were suggestive that the use of microplate and miniplate combination in management of minimally displaced mandibular fractures in the interforaminal region provides stable fixation comparable to two miniplate combination.

Effect of Intermittent Hypoxia Training for Dizziness: A Randomized Controlled Trial

2019 ◽  
Vol 28 (6) ◽  
pp. 540-543
Author(s):  
Xiao Bao ◽  
Jie-Wen Tan ◽  
Ying Long ◽  
Howe Liu ◽  
Hui-Yu Liu
Keyword(s):  
Visual Analog Scale ◽  
Intermittent Hypoxia ◽  
Controlled Trial ◽  
Control Group ◽  
Analog Scale ◽  
Dizziness Handicap Inventory ◽  
Balance Confidence ◽  
Randomized Controlled ◽  
Scale Scores ◽  
Confidence Scale

Objective: To study the effect of intermittent hypoxia training (IHT) for dizziness. Design: A single-blind, randomized controlled trial. All participants were recruited from a rehabilitation department in an acute university-affiliated hospital. Intervention: Participants with dizziness were randomly assigned to 2 groups (IHT group and control group). The Dizziness Handicap Inventory, Activities-specific Balance Confidence Scale, and Vertigo Visual Analog Scale were conducted at baseline, end of the fourth week. Results: Among 52 subjects, there were18 males and 34 females, ages 35 to 62 years old (mean [SD] = 46.9 [7.93]). Time length since onset ranged from 12 to 34 months (20.2 [7.15] mo). Dizziness Handicap Inventory, Activities-specific Balance Confidence Scale, Vertigo Visual Analog Scale scores, and attack frequencies of dizziness were improved after IHT intervention in the end of the fourth week. There were significant differences between the IHT group and the control group in the Dizziness Handicap Inventory, Activities-specific Balance Confidence Scale, Vertigo Visual Analog Scale scores, and attack frequencies of dizziness at the end of the fourth week (P < .05). No adverse events occurred during the study. Conclusion: IHT could improve dizziness after intervention at the end of the fourth week. IHT could be the effective method for treating dizziness.

scholarly journals Prevalence of dental hypersensitivity after applying immediate dentinary sealing in the fixed partial prosthesis

2020 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
Jonathan Salguero Cárdenas ◽  
Norka Altamirano Vergara
Keyword(s):  
Visual Analog Scale ◽  
Pain Scale ◽  
Control Group ◽  
Dental Clinic ◽  
Analog Scale ◽  
Chi Square ◽  
Catholic University ◽  
Significant Difference ◽  
Chi Square Test

Objective: Evaluate the effect of inmediate dentinary sealing, as treatment of hypersensitivity in patients attending the fixed prosthetic clinic at the Catholic University of Santiago de Guayaquil dental clinic. Materials and methods: This study was designed as clinic, prospective and correlational. 25 patients were selected, they were divided into 2 groups, one group included 14 patients in which teeth were prepared with SDI (29 teeth) and a second control group of 11 patients in which teeth were not prepared with SDI (19 teeth), giving a total of 48 teeth. Surveys were made 1, 2 and 3 weeks after preparations and the presence of hipersensitivity was registered with the visual analog scale. Results: A chi-square test was made and in the analysis of the pain scale (EVA), the study sample exhibited a significant difference in a range above 3 for the group in which SDI was not applied. Conclusion: This study demostrates that the application of SDI helps diminish significantly dental hipersensitivity.

scholarly journals PENGARUH TERAPI MUROTAL TERHADAP SKALA NYERI KEPALA PADA KLIEN CEDERA KEPALA DI RSU PROF. DR. MARGONO SOEKARJO DAN RSUD BANYUMAS

2019 ◽  
Vol 1 (2) ◽  
pp. 119
Author(s):  
Arif Hendra Kusuma ◽  
Agus Setiawan ◽  
Rohman Azzam
Keyword(s):  
Head Injury ◽  
Visual Analog Scale ◽  
Head Injuries ◽  
Nursing Intervention ◽  
Pain Scale ◽  
T Test ◽  
Control Group ◽  
Analog Scale ◽  
Head Pain ◽  
Significant Difference

AbstrakCedera kepala merupakan suatu trauma yang menimpa struktur kepala sehingga dapat menimbulkan kelainan struktural dan atau gangguan fungsional jaringan otak. Cedera kepala dapat menyisakan tanda ataupun gejala somatik yang nyeri kepala. Penatalaksanaan terhadap nyeri dapat berupa tindakan non farmakologis salah satunya dengan terapi murotal. Penelitian ini bertujuan untuk menganalisis pengaruh terapi murotal terhadap skala nyeri kepala pada klien dengan cedera kepala Di RSU Prof. Dr. Margono Soekarjo dan RSUD Banyumas. Desain penelitian menggunakan metode Quasi-eksperimental melalui pendekatan pretest-posttest control grup design. Jumlah sampel sebanyak 22 responden (11 responden kelompok kontrol dan 11 responden kelompok intervensi). Skala nyeri diukur menggunakan Visual Analog Scale (VAS). Uji statistik menggunakan uji independent t-test. Hasil penelitian ada pengaruh yang signifikan terapi murotal terhadap penurunan skala nyeri kepala pasien cedera kepala ringan (P value = <0,001; α<0,05). Saran: penelitian ini merekomendasikan terapi murotal dijadikan sebagai intervensi mandiri keperawatan untuk mengurangi skala nyeri pasien cedera kepala dan menjadi salah satu SOP dalam perawatan pasien cedera kepala khususnya yang beragama Islam.Kata kunci      : Terapi murotal, nyeri kepala, cedera kepala  AbstractHead injury is a trauma that befell the structure so that the head can cause abnormalities of the structural and functional disorders or brain tissue. Head injuries can leave scars or somatic symptoms such as headaches. This research aimed to analyze the effect of murotal therapy on head pain scale among the client with head injuries In Prof. Dr. Margono Soekarjo Hospital and District Banyumas Hospital. The design of the research was quasi-experimental through a pretest-posttest approach with control group. The number of samples was 22 respondents (11 respondents in control group and 11 respondents in intervention group). The pain scale was measured using the Visual Analog Scale (VAS). Statistical tests using independent t-test show a significant difference of head pain scale before and after murotal therapy among head injury patients (p= 0.001 ; α < 0.05). This research recommends murotal therapy as an independent nursing intervention to reduce head injury patients pain scale and become one of the SOP in the treatment of head injury among Muslim patients. Keywords: murotal therapy, head pain, head injury 

scholarly journals The influence of ergonomic breastfeeding training on some health parameters in infants and mothers: a randomized controlled trial

2019 ◽  
Vol 77 (1) ◽  
Author(s):  
Raha Afshariani ◽  
Marjan Kiani ◽  
Zahra Zamanian
Keyword(s):  
Musculoskeletal Disorders ◽  
Visual Analog Scale ◽  
Upper Limb ◽  
Protective Factor ◽  
Controlled Trial ◽  
Intervention Group ◽  
Study Groups ◽  
Analog Scale ◽  
Significant Difference ◽  
Block Sampling

Abstract Background Breastfeeding is considered as a protective factor against non-communicable diseases in infants and mothers. The first aim of this study was to assess the influence of ergonomic breastfeeding training on the infants’ growth. The second aim was to investigate the effectiveness of this training for improving musculoskeletal disorders in mothers. Methods In this randomized control trial, 104 participants who were referred to the health centers in Shiraz for breastfeeding care were randomly allocated into the intervention or comparison group using a size-four block sampling method. At birth, 2, 4, and 6 months later childbirth, Rapid Upper Limb Assessment was used to assess musculoskeletal disorders in participants, and the severity of their discomfort was measured with the Visual Analog Scale. During the 6 months of the study (March to September, 2017), the weight and height of the neonates were measured every 2 months. Results Significant differences were found between groups in the priority level for corrective action in mothers’ postures determined by Rapid Upper Limb Assessment at 2, 4 and 6 months after childbirth (p < 0.001). Based on the Visual Analog Scale results in mothers at 6 months after childbirth, fewer back pain was reported by the intervention group (p = 0.03). No significant difference were found in the infants’ weights and heights in boys and girls at all growing stages between the two study groups (p > 0.05). However, the mean height for age of the girl infants at age of 6 months was higher among intervention groups compared to the controls (p = 0.01). Conclusion This study demonstrated that ergonomic breastfeeding training reduced the incidence of musculoskeletal disorders in mothers but seems not to have any significant and consistent impact on the infants’ growth. Trial registration fa.irct.ir IRCT2014042317398N1.

scholarly journals Preoperative lidocaine infusion for the pain management in laparotomy procedures: a randomized control trial

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Hamid Raza ◽  
Ahmed Uddin Soomro ◽  
Maqsood Ahmed Siddiqui ◽  
Kamlaish ◽  
Muhammad Sheraz Raza Naqvi
Keyword(s):  
Pain Management ◽  
Visual Analog Scale ◽  
Randomized Control Trial ◽  
Control Group ◽  
P Value ◽  
Study Group ◽  
Care Hospital ◽  
Analog Scale ◽  
Significant Difference ◽  
Randomized Control

Objectives: To evaluate the role of pre-operative lidocaine infusion for pain management in laparotomy procedures. Study Design: Prospective double blind randomized control trial. Period: 8 months duration from April 2017 to November 2017. Setting: Tertiary care hospital in Karachi, Pakistan. Method: N= 50 patients belonging to ASA Classification types I and II were selected to be part of this study. All the patients underwent major abdominal surgeries (laparotomy). The study group received lidocaine 2%, 1.5mg/kg IV bolus half an hour before induction, followed by an infusion of 1.5mg/kg/hour. The anesthesia was induced with fentanyl 3ug/kg, propofol 2mg/kg, followed by rocuronium 1mg/kg to intubate the patient. Maintenance was done with using 33% nitrous oxide in oxygen along with 0.8% of isoflurane. Fentanyl was administered as an infusion initiating prior to the procedure with a maximum dose of 1ug/kg/hour and ceasing the infusion half an hour prior to end of procedure. Visual analog scale was used to measure the pain intensity at an interval of twenty minutes during the first hour of the procedure, and at 2,4,8,12,24 and 48 hours after the end of the procedure. If the visual analog scale score was found to be more than 3, 1 to 3mg of Morphine was administered every ten minutes up to a dose of 0.1mg/kg intravenously. A proforma was used to collect data, data was analyzed using IBM SPSS version 21.0. Results: The study was conducted on n=50 patients, with a mean age of 38.35 years in the study group and 36.48 years in the control group. The intensity of pain was found to be significantly less in the case group as compared to the control group having a p value of <0.001 during the first 48 hours of the procedure. Decreased consumption of morphine was observed in patients in the study group, as compared to the control group with a statistically significant difference, having a p value of less than <0.05. In our study we did not observe any side effects related to toxicity levels of lidocaine or morphine. Conclusion: Our study confirms the results of previously done studies, and we found that in our patient population Perioperative lidocaine infusion decreased the post-operative pain experienced by the patient and decreased the need for consumption of analgesics. Thus we conclude that lidocaine infusion perioperatively is an effective pain management modality.

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