IAR Journal of Anaesthesiology and Critical Care最新文献

{"title":"Socio-demographic Characteristics and its Association with Outcome in Secondary Peritonitis cases in a Tertiary Care Hospital","authors":"P. Thakur, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjacc.2022.v03i04.003","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i04.003","url":null,"abstract":"Background: Peritonitis still poses major problem for surgeons as far as morbidity and mortality is concerned. The aim of this study is to evaluate the Socio-demographic characteristics and its association with outcome in Secondary Peritonitis cases in a tertiary care Hospital. Material and Methods: This study was a longitudinal, prospective study in which all patients presenting to the Department of Surgery, IGMC, Shimla over a period of twelve months from January 2022 – December 2022 and with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria were recruited. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: In this study, a total of 250 patients with diagnosis of perforation peritonitis were evaluated. Among the total Males were 205 (82%) and Females were 45 (18%). Mean age of the patients was 47.28±17.34 years with range from 18 to 87 years. Among the total, 99 (39.6%) patients were age less than 40 years while 151 (60.4%) patients were aged > 40 years. Among the total, 32 (12.80%) were expired while 218 (87.20%) were discharged after treatment. Among the total 205 males, 19 (9.3%) were expired and 186 (90.7%) were discharged while among total 45 females 13 (28.9%) were expired and 32 (71.1%) were discharged. There was significant difference in mortality among males and females. Mean age of 32 expired patients was 59.16±13.32 years while mean age of 218 discharged patients was 45.49± 16.96 years. There was significant difference in mortality according to age. Among the total 205 Males mean BMI was 21.93±3.00 while among the total 45 females mean BMI was 20.68±2.46. Among the total 32 expired patients mean BMI was 22.69±3.54 while among the total 218 discharged patients mean BMI was 21.76 ±2.80. There was no significant difference in mortality according to BMI. Conclusion: In the present study maximum patients of secondary peritonitis were males and less than 40 years old. There was significant association of mortality with gender and age group.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134573904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ASA Grading and Duration of Stay among Secondary Peritonitis Cases and its Association with Outcome in a Tertiary Care Hospital","authors":"P. Thakur, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjacc.2022.v03i04.002","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i04.002","url":null,"abstract":"Background: The present study was carried out to evaluate the ASA Grading and Duration of stay among Secondary Peritonitis cases and its association with outcome in a tertiary care Hospital. Material and Methods: This study was a longitudinal, prospective study in which all patients presenting to the Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 and with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria were recruited. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: In the present study a total of 250 patients with diagnosis of perforation peritonitis were evaluated. Among the total Males were 205 (82%) and Females were 45 (18%). Mean age of the patients was 47.28±17.34 years with range from 18 to 87 years. Among the total, 99(39.6%) patients were age less than 40 years while 151(60.4%) patients were aged > 40 years. Among the total, 32(12.80%) were expired while 218(87.20%) were discharged after treatment. Among the total, 114(45.60%) patients were in grade 1 according American Society of Anesthesiologists (ASA) scoring system, 107 (42.80%) were in grade 2, 22(8.80%) were in grade 3 and 7(2.80%) were in grade 4. Among the total 32 patients who were expired, 2(6.3%) were in grade 1, 19(59.4%) were in grade 2, 9(28.1%) were in grade 3 and 2(6.3%) were in grade 4 while among the total 218 patients who were discharged, 112(51.4%) were in grade 1, 88(40.4%) were in grade 2, 13(6.0%) were in grade 3 and 5(2.3%) were in grade 4 according American Society of Anesthesiologists (ASA) scoring system. There was found significant association between ASA Grading and mortality. The mean duration of hospital stay among study participants was 8.99±6.07 days with range 1 to 40 days. The mean duration of hospital stay among 32 expired patients was 9.19± 8.26 days while among 218 discharged patients was 8.96±5.70 days. There was no significant association between duration of hospital stay and mortality. Conclusion: The present study concluded that most of patients of secondary peritonitis were in grade 1 of American Society of Anesthesiologists (ASA) scoring system old and there was significant association of mortality with ASA Grading but not with duration of stay in hospital.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127878525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing and Visual Challenges Of ICU Nurses Due to Protective Equipment in the COVID-19 Pandemic","authors":"Ö. Uğur, Y. Tire","doi":"10.47310/iarjacc.2022.v03i04.001","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i04.001","url":null,"abstract":"Background: Personal protective equipment is the most crucial weapon of health workers against COVID 19, which is confirmed by reporting increased infection and death rates in health workers because they could not reach adequate Personal protective equipment. Aims: We planned to conduct a questionnaire study aiming to evaluate the effects that may occur on the hearing and vision abilities of nurses. Design This study investigated the effectiveness of protective equipment for hearing and vision loss in intensive care nurses during the Covid-19 pandemic (N=102) by a survey. Method: The study was applied to the Covid-19 intensive care unit nurses by obtaining their consent via the internet. Results: As a result, 13.7% of the nurses stated that they experienced communication problems due to hearing loss due to protective equipment. In addition, 56.9% of the participants stated that they had difficulty working due to the evaporation caused by the protective equipment. Finally, the rate of the nurses who noted that the protective equipment blocked them from doing their work in cases such as cardiopulmonary arrest was 28.4%. Conclusions: As a result, in our study, it was found that the equipment used in Covid-19 intensive care units caused hearing and visual communication and working difficulties on nurses.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124013102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Post Procedural Medication Requirement and Side Effects among the Patients of Chronic Pelvic Pain in Pulsed Radiofrequency Ablation versus Thermal Radiofrequency Ablation of Ganglion Impar","authors":"Madhav Verma, K. Syal, R. Verma, Manoj Maitan, Akshu Bhardwaj","doi":"10.47310/iarjacc.2022.v03i03.006","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i03.006","url":null,"abstract":"The present study was done to compare the Post Procedural medication requirement and side effects among the patients of chronic pelvic pain in pulsed radiofrequency ablation versus thermal radiofrequency ablation of Ganglion Impar. Material andMethods: The present study was prospective, randomized, single blinded study and was based on series of 30 patients presenting with chronic pelvic pain , having already failed conservative medical management, presenting in Pain clinic if IGMC Shimla. The patients were divided into 2 groups of 15 patients. Patients in Group A(n=15) were given thermal radiofrequency ablation where as patients in Group B were given pulsed radiofrequency ablation.Results: Mean age (in years) in group A and B was found to be 47.60± 6.833 and 42.67±7.807 years respectively. The p value was calculated to be 0.76 which was found to be statistically non significant. In Group A, 13(86.7%) patients didn’t need any Medication to be started Post Procedure and 2(13.3 %) need medication post procedural while in Group B, 6(40.0%) patients didn’t need any Medication to be started Post Procedure and 9(60.0 %) need medication post procedural. The P value was 0.021 which was statistically significant. In both Group A and B None of the patients had any side effects post procedural. Conclusion: Present study showed that Post Procedural medication requirement was significantly less in group A as compared to group B and none of the patients had any side effects post procedural in both Groups.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129559146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Visual Analog Scale (VAS) between Pulsed and Thermal Radiofrequency Ablation of Ganglion Impar in Patients of Chronic Pelvic Pain","authors":"Madhav Verma, K. Syal, R. Verma, Manoj Maitan, Akshu Bhardwaj","doi":"10.47310/iarjacc.2022.v03i03.005","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i03.005","url":null,"abstract":"The present study was done to compare theVisual Analog Scale (VAS) score between Thermal and Pulsed radiofrequency ablation in Ganglion Impar block for treatment of chronic pelvic pain in female patients. Material and Methods: The present study was prospective, randomized, single blinded study and was based on series of 30 patients presenting with chronic pelvic pain, having already failed conservative medical management, presenting in Pain clinic if IGMC Shimla. The patients were divided into 2 groups of 15 patients. Patients in Group A(n=15) were given thermal radiofrequency ablation where as patients in Group B were given pulsed radiofrequency ablation.Results: Mean Pre-procedural VAS score of the patients in Group A was 7.93 ± 0.704 where as mean Pre-procedure VAS score in patients of group B was 8.00 ± 0.655.( P =0.790).Mean 24 Hours Post Procedural VAS Score of the patients in Group A was 2.53 ± 0.516 where as mean 24 Hours Post Procedural VAS Score in patients of group B was 3.53 ± 0.640.( P= 0.000). Mean 1 week Post Procedural VAS Score of the patients in Group A was 2.60 ± 0.507 where as mean 1 week Post Procedural VAS Score in patients of group B was 3.40 ± 0.507. (P= 0.000) Mean 2 week Post Procedural VAS Score of the patients in Group A was 2.33 ± 0.507 where as mean 2 week Post Procedural VAS Score in patients of group B was 3.31 ± 0.564. (P=0.000) .Mean 3 week Post Procedural VAS Score of the patients in Group A was 2.31 ± 0.415 where as mean 3 week Post Procedural VAS Score in patients of group B was 3.29 ± 0.516.( P =0.000). Conclusion: Present study showed that mean Post Procedural VAS Score(24 Hours, 1,2 and 3 week) was significantly lower in group A as compared to group B. we can conclude that thermal radiofrequency ablation of ganglion impar for chronic pelvic pain produces prolonged pain free period in the patients as compared to patients who were treated with pulsed radio frequency ablation.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128505424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Eyelid Position and Discharge from Eyes among Patients Admitted In Adult Intensive Care Unit of a Tertiary Care Hospital","authors":"Ankush Sharma, R. Tuli, R. Sharma, U. Kumari, Devender Singh","doi":"10.47310/iarjacc.2022.v03i03.001","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i03.001","url":null,"abstract":"Background: Present study was done to evaluate eyelid position and Discharge from eyes among Patients admitted in Adult Intensive Care Unit. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender etc. Thorough ophthalmic examination was also done for eyelid position and eye discharge and analyzed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. 64.3% of the patients were males while 35.7% were females. 26.2% of the right eyes had grade 3 eyelid positions at 48 hour, 67% at the end of first week, 64% at the end of second week and at the end of fourth and fifth week, none of the right eyes had grade 3 eyelid position. 24.6% of the left eyes had grade 3 eyelid positions at 48 hours 67% At the end of first week, 64% at the end of second week and At the end of fourth and fifth week, none of the left eyes had grade 3 eyelid position. Rate of mucopurulent discharge was 14.2% and 11.9% in right and left eyes respectively at 48 hours. At the end of first week, the rate of mucopurulent discharge was 59.2% in the right eyes and 63% in left eyes. At the end of second week, the rate of mucopurulent discharge was 18.2% and 36.4% in right and left eyes respectively. Three right eyes out of 5 eyes and one left eye out of 5 eyes showed mucopurulent discharge at the end of third week. At the end of fourth and fifth week, none of the eyes showed mucopurulent discharge Conclusion: Eye care which may include lubrication with eye drops, administration of broad-spectrum antibiotics, taping of eye lids and regular examination by ophthalmologists can markedly reduce eye related complications among AICU admitted patients.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121096621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indications for Admission and Its Association with Ocular Surface Disorders among Patients Admitted In Adult Intensive Care Unit of a Tertiary Care Hospital","authors":"Ankush Sharma, R. Tuli, R. Sharma, U. Kumari, Devender Pal Bhardwaj","doi":"10.47310/iarjacc.2022.v03i03.002","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i03.002","url":null,"abstract":"Background: Present study was done to evaluate the Indications for admission and its association with ocular surface disorders among Patients admitted in Adult Intensive Care Unit of a Tertiary Care Hospital. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender, indications for admission etc. Thorough ophthalmic examination was also done for ocular surface disorders and analysed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. Maximum patients, 23.8% of the patients were in age group of 51 and 60 years followed by 23% between 21 and 30 years and 41 and 50 years each. 64.3% of the patients were males while 35.7% were females. The most common indication for AICU admission was post-operative monitoring (30.9%) followed by head injury (19.8%) and orthopaedic injury (11.1%). In the present study, 74 (58.7%) of the patients had ocular surface disorders. Ocular surface disorders were observed most commonly among patients who had head injury Followed by Post-operative monitoring and Respiratory Insufficiency as indication for AICU admission. Conclusion: The present study concluded that post-operative monitoring was the most common indication for AICU admission and Ocular surface disorders were observed most commonly among patients who had head injury.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121482462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosing GBS in Ventilated SARS-CoV-2 Patients is Feasible","authors":"J. Finsterer","doi":"10.47310/iarjacc.2022.v03i03.004","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i03.004","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131764943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prosopagnosia as a Manifestation of Neuro-COVID","authors":"J. Finsterer","doi":"10.47310/iarjacc.2022.v03i03.003","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i03.003","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134313296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the status Normalized Difference Vegetation Index Using Sintenal-2 Satellite Data of Sulaymaniyah (Iraq)","authors":"Mahdieh Mohsen","doi":"10.47310/iarjacc.2022.v03i02.002","DOIUrl":"https://doi.org/10.47310/iarjacc.2022.v03i02.002","url":null,"abstract":"The study was conducted on the ground covers in Sulaymaniyah district, northeastern Iraq located between longitudes (45°0'0\"E) (45°20'0\"E) and latitudes (35°50'0\"N) (36°50'0\"N), Remote sensing and GIS techniques were used, using Sentinel-2 satellite image data, with a spatial resolution of 10 meters. The results of the study showed that there are six ground covers: (Shrub and Grassland and natural pastures and agricultural areas ranked first, followed by rocky lands and barren lands, sparse vegetation covers, urban areas, dense vegetation cover, which form part of coniferous forests, and water). And in percentages (24%, 22%, 17%, 14%, 10.9% and 10.2%) respectively. Overall accuracy of 86% and Kappa Coefficient 0.82. These results are consistent with the reality of the study area.","PeriodicalId":225934,"journal":{"name":"IAR Journal of Anaesthesiology and Critical Care","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116648860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}