scholarly journals A New Non-touch Technique (Partha’s Technique) of Administering Spinal Anaesthesia in Paediatric Age Group- A Pilot Study

2020 ◽  
Author(s):  
S Parthasarathy ◽  
Indubala Maurya
Keyword(s):  
Pilot Study ◽  
Failure Rate ◽  
Spinal Anaesthesia ◽  
Lateral Position ◽  
The Novel ◽  
Age Group ◽  
Medical College ◽  
Paediatric Age ◽  
Group A ◽  
Gandhi Medical College

Introduction: Paediatric spinal anaesthesia is often the technique of choice in many short duration surgeries. However, the failure rate is higher with spinal anaesthesia in children than in adults. Aim: To evaluate if a non-touch technique of paediatric spinal anaesthesia can reduce anaesthetic failure. Materials and Methods: A pilot study was done in 10 paediatric patients from January 2018 to July 2018 in Mahatma Gandhi Medical College and Research Institute, Puducherry, India. Ten children posted for infra-umbilical surgeries in the age group of 4-10 years were given a sedative premedication with a combination of Pethidine and Midazolam They were kept in lateral position with the back much inside the edge of the table so that there was a considerable space between the table edge and the baby. Identification of the L3-L4 space was done by touching the patient. The 25-gauge quincke needle was pricked and the hub was held with the hand in the table without touching the patient. Results: The anaesthesia was successful with adequate level in all the patients; T8 in five patients and T10 in the other five patients. There were no significant side effects. Conclusion: From this pilot study on 10 patients, it can be suggested that the novel non-touch Partha’s technique is feasible and more successful with absent failure rate when administering spinal anaesthesia in the paediatric age group.

scholarly journals Clinical analysis of post sterilization failure cases in a tertiary hospital

2017 ◽  
Vol 6 (8) ◽  
pp. 3294
Author(s):  
Setu Rathod ◽  
Sunil Kumar Samal
Keyword(s):  
Ectopic Pregnancy ◽  
Failure Rate ◽  
Tertiary Hospital ◽  
Clinical Analysis ◽  
Intrauterine Pregnancy ◽  
Open Method ◽  
Medical College ◽  
Gandhi Medical College ◽  
Laparoscopic Sterilization ◽  
Permanent Method

Background: The most common permanent method of family planning accepted in India is female tubal sterilization as it has a very low failure rate of 0.1-0.8% in the first year and overall pregnancy chances of 1 in 200. It can be done by open method but laparoscopic method has now gained wide popularity.Methods: Ours was a retrospective study of post sterilization failure cases admitted to Department of Obstetrics and Gynecology, Mahatma Gandhi medical College and Research Institute, Pondicherry within a 3 year time period between May 2014 to May 2017.Results: Within a 3 year period, 3 patients presented with intrauterine pregnancy whereas 28 presented as ectopic pregnancy following sterilization. Majority of patients belonged to 26-30 year age group and had 2 children. 35.7% of ectopics presented at 7-8 weeks gestational age. Over 70% of sterilization failures were done by open method and around 43% were done during caesarean section. Around 71.4% sterilization failures were seen within 5 years of sterilization but 1 patient presented as late as 17 years post sterilization.Conclusions: Female sterilization may result in failure even after years of sterilization. In present study, open sterilization had a higher failure rate than laparoscopic sterilization. The most common mode of sterilization failure was ectopic pregnancy. Therefore, patients undergoing sterilization must be counseled about chances of failure; even though it is a permanent method, and to consult immediately if missed period else at a later stage they may go in for rupture ectopic leading to high maternal morbidity and mortality.

scholarly journals A rare case of osteomyelitis of the clavicle in a child due to Group A streptococcal infection

2019 ◽  
Vol 12 (4) ◽  
pp. e227090
Author(s):  
Molla Imaduddin Ahmed ◽  
Muhammad Nadeem ◽  
Srini Bandi
Keyword(s):  
Rare Case ◽  
Streptococcal Infection ◽  
Case Reports ◽  
Left Shoulder ◽  
Age Group ◽  
Incision And Drainage ◽  
Left Clavicle ◽  
Paediatric Age ◽  
Group A ◽  
Medial Clavicle

Acute osteomyelitis of the clavicle is rare in the paediatric age group. We treated a 5-year-old boy who presented initially with fever and left shoulder pain, and subsequently developed swelling in the region of the left clavicle. Group AStreptococcus(GAS) was isolated in blood culture. MRI of the clavicle showed osteomyelitis of the medial clavicle. The child had incision and drainage of his clavicular collection. The child received intravenous benzylpenicillin and oral cephalexin in the initial presentation; he was treated with 2 weeks of intravenous ceftriaxone and 4 weeks of oral penicillin thereafter with the resolution of his symptoms. There are no previous case reports of osteomyelitis of the clavicle in children caused by GAS. This case highlights the importance of identifying the microbial aetiology in these children to ensure early initiation of treatment with appropriate antibiotics.

scholarly journals Morphology of Right Atrioventricular Valve -A Postmortem Study

2020 ◽  
Vol 32 (1) ◽  
pp. 42-44
Author(s):  
Mahmuda Sultana ◽  
Md Tazul Islam ◽  
Pran Krishna Basak ◽  
Md Samir Uddin ◽  
Zakia Sultana
Keyword(s):  
Human Heart ◽  
Heart Valves ◽  
Age Group ◽  
Atrioventricular Valve ◽  
Inclusion Criteria ◽  
Mitral Valves ◽  
Medical College ◽  
Group A ◽  
Medicine Today ◽  
Group B

Introduction: Heart valves serve the important function of preventing backflow, or regurgitation, in the healthy heart. It is well known that cardiac valves can suffer from congenital and acquired disease. Most frequent acquired valvular abnormalities are stenoses of the aortic and mitral valves, which account for approximately 2/3rd of all valve disease. For the management of valvular disease morphology of right atrioventricular valve is essential. Materials and Methods: Study design was descriptive type of study. Place and period of study was Department of Anatomy, Sylhet MAG Osmani Medical College, Sylhet from July 2015 to June 2016. Results: Present study was performed on 70 post mortem human hearts of age ranging from 9 to 70 years. Human heart was collected from the unclaimed dead bodies autopsied in the department of Forensic medicine in Sylhet MAG Osmani Medical College during the study period fulfilling the inclusion criteria. Conclusion: The collected samples were divided into 3 groups depending on age. Group – A: (9 - 21 Years), Group - B: (22 - 41 Years), Group - C: ( 42 -70) Years. Each group was subdivided into two groups depending on their sex. Medicine Today 2020 Vol.32(1): 42-44

Domiodol Treatment for Bronchopulmonary Diseases in the Paediatric Age Group: A Double-Blind Controlled Clinical Trial versus Placebo

1988 ◽  
Vol 16 (1) ◽  
pp. 31-38 ◽  
Author(s):  
A. Fiocchi ◽  
U. Grasso ◽  
G. Zuccotti ◽  
R. Arancio ◽  
E. Riva ◽  
...  
Keyword(s):  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Thyroid Stimulating Hormone ◽  
Controlled Clinical Trial ◽  
Age Group ◽  
Double Blind ◽  
Bronchopulmonary Diseases ◽  
Paediatric Age ◽  
Group A ◽  
Expiratory Flow

Thirty children (25 males, five females), mean age 9.33 ± 2.57 years, with acute infectious pulmonary diseases or acute flare-ups of chronic bronchitis, were randomly treated with either domiodol or placebo. The study was conducted between November 1986 and February 1987. Domiodol was administered orally for 14 days in doses of 0.5 mg/kg three times daily. Subjective symptoms (cough, sputum viscosity, difficulty in raising sputum and sputum characteristics) were assessed semi-quantitatively. They were all reduced significantly in the group treated with domiodol compared to those given placebo. Spirometric measures of vital capacity and peak expiratory flow rate were also improved in patients given domiodol compared with placebo. Conversely, no differences were noted in forced expiratory volume in 1 s, Tiffenau index, or mid-expiratory flow. There were no clinical side-effects and no changes in any other parameters measured; in particular, levels of thyroid hormone and thyroid stimulating hormone were unchanged. Thus, domiodol proved effective in reducing the symptoms of infection of the lower respiratory tract and in improving the consistency of mucus in children.

Spontaneous closure of acquired tracheo-oesophageal fistula

1996 ◽  
Vol 110 (7) ◽  
pp. 685-687 ◽  
Author(s):  
G. Senthilkumaran ◽  
S. Crankson ◽  
M. Yousef
Keyword(s):  
Spontaneous Closure ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Button Battery ◽  
Paediatric Age ◽  
Group A

AbstractAcquired tracheo-oesophageal fistulae are uncommon in the paediatric age group. A case of such a fistula secondary to impaction of a button battery is reported below. Prompt management is essential to reduce morbidity and mortality in these cases.

scholarly journals Mannheim’s peritonitis index a more simpler prognostic index than APACHE II score

2020 ◽  
Vol 7 (9) ◽  
pp. 3041
Author(s):  
Jyoti S. Maran ◽  
Archana Shukla ◽  
Bhupendra Singh Parmar
Keyword(s):  
Roc Curve ◽  
Prognostic Index ◽  
Prognostic Indicator ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Age Group ◽  
Roc Curve Analysis ◽  
Medical College ◽  
Gandhi Medical College ◽  
Time Of Admission

Background: The study was done with the aim to determine the clinical profile of patients with hollow viscous perforation and to compare MPI and APACHE II scoreMethods: This study was a prospective and retrospective observational study conducted in the department of General Surgery, Gandhi Medical College and associated Hamidia Hospital from the June 2017 to August 2019The possible score ranges from 0-47. All necessary preoperative data was recorded. Blood sample was taken and relevant blood investigations were done. Patients were resuscitated with iv fluids. Nasogastric tube and urinary cather insertion were done. The parameters of modified APACHE II score and Manheim’s peritonitis index were recorded at the time of admission. Patients underwent emergency laprotomy and correction of pathology was done.Results: Out of total 100 patients 79% were males, 21% were females, majority 45% belonged to the age group 26-35 years.  To calculate the cut off point for mortality ROC curve was constructed. ROC curve analysis predicted that Manheim’s score of 22 or more would predict mortality. Out of total 16 deaths, 14 cases had Manheim’s score of 22 or more thus, giving the score a sensitivity of 87.5% and specificity of 77.38% and overall accuracy of 79% in our study. ROC also predicted that APACHE II score of 15 or more would predict mortality. Thus, giving APACHE II score a sensitivity of 93.75%, specificity of 100% and accuracy of 99%.Conclusions: We consider MPI to be a more simpler prognostic indicator than APACHE II score.

scholarly journals Prevalence and Management of Otitis Media with Effusion Amongst the School Going Children of a Rural Area in Puducherry

2016 ◽  
Vol 24 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Sharath Babu K ◽  
Jayagar Prabakaran ◽  
Shankar Radhakrishnan
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Developed Countries ◽  
Wide Field ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Group A ◽  
Group B

Background :  Otitis Media with Effusion(OME) also known as  Secretory Otitis Media, has been identified as the commonest middle ear condition causing deafness in children in developed countries. Neither the indication for surgical treatment nor the types and number of procedures used are uniform. Possible treatment includes myringotomy with or without insertion of ventilation tube either alone or with adenoidectomy and occasionally tonsillectomy. Aims and Objectives :  To assess the prevalence and the different modes of presentation of Otitis Media with Effusion among the rural school children of Puducherry and to assess the improvement in hearing after 6 months of surgical intervention done on patients with Otitis Media with Effusion. Materials and Methods:  A school screening camp was conducted on 600 children in the age group of 5-12 years in a government middle school near our medical college hospital for identifying children with Otitis Media with Effusion. Students with Otitis Media with Effusion were further classified into 4 groups for various interventional procedures namely adenotonsillectomy with bilateral grommet insertion (Group A), adenoidectomy with bilateral grommet insertion (Group B), bilateral grommet insertion (Group C),  bilateral myringotomy with wide field incision in the antero-inferior quadrant (Group D). Result : The prevalence was almost in equal proportions in the age group between 5-12 years and the overall prevalence of Otitis Media with Effusion among the study population was 13.3%. The adenotonsillectomy with bilateral grommet insertion procedure had shown a significant improvement in hearing, which was measured by using pure tone audiometry by assessing the mean air-bone gap, which was 9.81, 8.27 and 6.73 at the end of 6 weeks, 3 months and 6 months respectively, when compared to the other procedures.   Conclusion : Adenotonsillectomy with bilateral grommet insertion should be considered in a child with Otitis Media with Effusion who is at risk for speech/language/hearing loss. 

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