Anesthesia

AIMS AND OBJECTIVES: To find out the most effective dose of nalbuphine as adjuvant to spinal anaesthesia. To compare the three different doses and find out most optimum dose of nalbuphine with minimal side effects and maximum analgesic effect. MATERIALS AND METHODS: We conducted prospective randomized double blinded controlled study with 120 ASA I and II patients who were undergoing lowerlimb orthopedic surgery under spinal anaesthesia. We randomly allocated four groups A,B,C to receive 0.4, 0…

The nasal septum is a flesh and membrane-covered cartilage wall dividing the nose into right and left nostrils. Fashion-forward individuals pierce the nasal septum, but perforations can also result from illnesses such as syphillis or rare inflammatory disorders, nose picking and drug abuse. A perforated septum 's symptoms include nose bleeds, recurring infections, sinusitis, whistling, congestion and a bad smelling crust. Doctors can monitor small perforations while managing tjem with ointments,…

Colostomy, Adult A colostomy is a surgical procedure in which part of the colon is attached to the front of the abdomen (abdominal wall). The colon is the last part of the digestive tract. It is where water is absorbed from digested food to form stool (feces). A colostomy is done to redirect stool through an opening (stoma) in the abdominal wall. You may need this surgery if you have a medical condition that prevents stool from leaving your body through the usual opening (rectum). A bag will…

Pain that persists after the surgical wound has healed could be the result of somatic nociception, the consequence of ongoing inflammation (e.g. infection, haematoma), a manifestation of neuropathic pain from surgical injury to peripheral nerves (e.g. complex regional pain syndromes, neuralgias)3 , or from visceral nociception. chronic post surgical pain has been defined as “pathological pain that persists for longer than two months post surgery”. Recently, a mechanism of neuronal plasticity in…

The patient was draped next. After Dr. Selo was gowned and gloved, he took four blue disposable towels and squared off the flank incision that would be incised later. The towels were then clipped together at the corners with four Backhaus perforating towel clamps. A transverse laparotomy sheet was then placed with the transverse fenestration over the incision site. The sheet was clipped by the anesthesiologist to the ivy poles at the head of the bed. And ¾ drape was the placed at the foot of the…

Arthroscopic elbow fusion Overview Arthroscopic elbow fusion is persistent surgery to stick permanently the elbow with screws, essentially locking the joint in place to reduce pain; a narrow lighted tube with a camera at the end (arthroscope) and other instruments are inserted through several small cuts around the elbow to see the area and help the surgeon performing the surgery. Causes Indication for arthroscopic elbow fusion includes: • Elbow injury. • Chronic sepsis • Elbow rheumatoid…

The Everlasting Estrus “Sterilize”, “fix”, or “spay” are all synonyms to the seldom-heard term, ovariohysterectomy. As the name suggests, during surgery, the ovaries, along with the uterus, are carefully detached from the body wall (Flnk, 2014). This common procedure is performed on patients to aid in overpopulation as well as reduce the risk of uterine or mammary cancer (Why you should spay, 2014). Likewise, it is implemented in some instances to regulate behavioral issues, naturally seen…

glottis was obtained, additional 3ml of lidocaine 2% was administered under direct vision, by MADgic® atomizer (Wolfe Tory Medical, Salt Lake City, UT, USA). A maximum dose of lidocaine 5 mg/kg was permitted to avoid toxicity. The patient was placed in the sniffing position, head elevated by a ramp under shoulders, and O2 was given by a nasal catheter at 4 l/min. Remifentanil administered by target-controlled infusions (TCI) (OrchestraⓇ Base Primea, Fresenius Kabi, Brezins, France) with the…

An anesthesiologist must have a great understanding of medical technology. An anesthesiologist requires a Masters degree, a great deal of critical thinking, and a knowledge different types of medicine. An anesthesiologist needs numerous of knowledge of the body; and certain tissues in it. Last being, an anesthesiologist requires hard work and effort. Anesthesiologist is a great career; and they make an innumerable amount of money. An anesthesiologist makes about two hundred thirty two…

Surgeons and anesthesiologists represent two medical professionals with some of the highest stress work. Everyday the lives of their patients are put in their hands. These two must also work together in communicating the status of the patient before, during and after a surgery. A simple wisdom tooth removal surgery is no different. The vital signs of the patient must be monitored continuously throughout by the anesthesiologist, this information must be relayed to the surgeon, and the surgeon…