Highlights on Medicine and Medical Science Vol. 3最新文献

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Significance of Extra Hepatic Portal Vein Variations in Hepatopancreatic Surgeries 肝外门静脉变异在肝胰手术中的意义

Highlights on Medicine and Medical Science Vol. 3 Pub Date : 2021-06-03 DOI: 10.9734/BPI/HMMS/V3/9473D

Neelesh Kanasker, P. Sonje, J. Bankar, .. Vatsalaswamy

{"title":"Significance of Extra Hepatic Portal Vein Variations in Hepatopancreatic Surgeries","authors":"Neelesh Kanasker, P. Sonje, J. Bankar, .. Vatsalaswamy","doi":"10.9734/BPI/HMMS/V3/9473D","DOIUrl":"https://doi.org/10.9734/BPI/HMMS/V3/9473D","url":null,"abstract":"Introduction: Knowing the variations in the portal vein's path is important when performing pancreas and duodenum surgeries. \u0000It is also useful in the treatment of traumatic mesentery rupture. In surgical resection and transplantation, Awareness about the variations of the portal vein is vital, especially during pre-treatment planning, to lower the complication rates of the surgical and radiological treatments. Furthermore, a thorough understanding of portal vein variations is critical in assessing the technical feasibility of surgical interventions such as liver transplantation, portal vein embolization prior to hepatectomy, and postoperative care. \u0000Aim: The goal of this study is to look at the anatomical variations of the portal vein, correlate the findings with clinical problems, and provide a good ontological explanation. \u0000Materials and Methods: In this study, Twenty four cadavers embalmed in 10% formalin were procured from the department of anatomy and were dissected. Variations were cleaned and photographed with great care. \u0000Results: The creation of the portal vein by the confluence of the superior mesenteric, inferior mesenteric, and splenic veins (1 case), as well as the inferior mesenteric vein terminating in the superior mesenteric vein (6 cases), were among the variations observed. \u0000Conclusion: This research was undertaken with the intention of determining the approximate percentage of incidence of major variations in the formation of portal vein. Preventing severe intraoperative haemorrhage can thus be avoided by being aware of such variations before the major abdominal procedures.","PeriodicalId":385436,"journal":{"name":"Highlights on Medicine and Medical Science Vol. 3","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128427221","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}

引用次数: 0

NCCT Head Findings in Patients of Chronic Renal Failure with Altered Sensorium: A Prospective Study in a Tertiary Care Centre 慢性肾功能衰竭伴感觉改变患者的NCCT头部发现:三级保健中心的前瞻性研究

Highlights on Medicine and Medical Science Vol. 3 Pub Date : 2021-06-03 DOI: 10.9734/BPI/HMMS/V3/9435D

Vinod Kumar, Achint K Singh, R. Bhagat, A. Azad

引用次数: 0

Studies on Dexmedetomidine as an Adjuvant to Levobupivacaine in Ultrasound Guided Supraclavicular Brachial Plexus Block 右美托咪定辅助左布比卡因在超声引导锁骨上臂丛阻滞中的应用研究

Highlights on Medicine and Medical Science Vol. 3 Pub Date : 2021-06-03 DOI: 10.9734/bpi/hmms/v3/9694d

V. Waindeskar, K. Bhatia, S. Garg, J. Kumar, S. Songir, V. Singla

{"title":"Studies on Dexmedetomidine as an Adjuvant to Levobupivacaine in Ultrasound Guided Supraclavicular Brachial Plexus Block","authors":"V. Waindeskar, K. Bhatia, S. Garg, J. Kumar, S. Songir, V. Singla","doi":"10.9734/bpi/hmms/v3/9694d","DOIUrl":"https://doi.org/10.9734/bpi/hmms/v3/9694d","url":null,"abstract":"Background: Alpha-2 agonists are added to local anesthetic agents to extend the duration of peripheral nerve blocks. \u0000Objective: We evaluated the effect of combining dexmedetomidine with levobupivacine with respect to duration of motor and sensory block and duration of analgesia. In our study, while the onset time of both sensory and motor blocks were shortened in the drug group, the duration of analgesia was significantly prolonged. \u0000Materials and Methods: Sixty patients of ASA grade I or II aged between 18-60 years, posted for elective upper limb surgeries were enrolled for a prospective, randomized, double-blind study. Patients were divided into two groups, the control group B and the study group BD. In group B (n = 30), 30 ml of 0.325% levobupivacaine; and in group BD (n = 30), 30 ml of 0.325% levobupivacaine + 1 µg/kg dexmedetomidine were given for ultrasound guided supraclavicular brachial plexus block. Duration of motor and sensory block and time to first rescue analgesia were recorded. \u0000Results: Demographic profile and surgical characteristics were similar in both groups. The onset times for sensory and motor blocks were significantly shorter in BD group (p < 0.05), while the duration of sensory and motor blocks and duration of analgesia (DOA) was significantly longer in BD group. Heart rate level and SBP and DBP levels in group BD were significantly lower 15-20 min after block (p< 0.05). Bradycardia was observed in two patients in the group BD. No other adverse effects were observed in either of the groups. \u0000Conclusion: Dexmedetomidine added as an adjuvant to levobupivacaine for supraclavicular brachial plexus block significantly shortens the onset time and prolongs the duration of sensory and motor blocks and duration of analgesia.","PeriodicalId":385436,"journal":{"name":"Highlights on Medicine and Medical Science Vol. 3","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128995568","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}

引用次数: 0