Adesh Medical College and Hospital

Bhatinda, India

Adesh Medical College and Hospital

Bhatinda, India
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Sidhu G.K.,Guru Gobind Singh Medical College and Hospital | Jindal S.,Guru Gobind Singh Medical College and Hospital | Kaur G.,Adesh Medical College and Hospital | Singh G.,Guru Gobind Singh Medical College and Hospital | And 2 more authors.
Indian Journal of Pediatrics | Year: 2016

Objectives: To compare effectiveness of intranasal dexmedetomidine and clonidine as anxiolytics and sedatives in pediatric patients undergoing various surgeries. Methods: This double blind randomized placebo controlled study was conducted on 105 surgical patients of American Society of Anesthesiologist (ASA) physical status І-ІІ, aged between 2 and 9 y in a tertiary-care hospital (February 2014 to September 2015). Participants were randomly allocated to three groups to receive either intranasal dexmedetomidine 2 μg/kg (Group І) or intranasal clonidine 3 μg/kg (Group ІІ) or intranasal saline 0.5 ml (Group ІІІ). The primary outcome measure was proportion of patients with satisfactory anxiolysis and sedation at 30 min after drug administration. Secondary outcome measures included time taken to achieve Aldrete score of 9 and number of doses of rescue analgesia required in 12 h after surgery. Results: Satisfactory anxiolysis was achieved by 88.5% in Group І vs. 60% in Group ІІ (p = 0.001) and satisfactory sedation by 57.1% in Group І vs. 25.7% in Group ІІ (p = 0.001) 30 min after premedication. Rescue analgesia requirement was significantly less in Group І as compared to Group ІІ (p = 0.001) while time taken to achieve Aldrete score was comparable between the study groups (p = 0.185). Conclusions: Intranasal dexmedetomidine is a better anxiolytic and sedative as compared to clonidine. Postoperative analgesic requirement was also significantly decreased after intranasal dexmedetomidine. Thus, it can be preferred as compared to clonidine for premedication in pediatric surgical patients. © 2016, Dr. K C Chaudhuri Foundation.


Singla R.,Adesh Medical College and Hospital | Goyal V.,Adesh Medical College and Hospital | Singla G.,Adesh Medical College and Hospital | Gupta P.,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital Bhatinda
Journal of Clinical and Diagnostic Research | Year: 2011

Purpose: To evaluate the acute ocular side effects of Topiramate in patients of migraine. Design: Retrospective study. Materials and Methods: 296 patients of migraine of all ages and of either sex, who were being treated with Topiramate from January 2010 to January 2011 by the neurologist, were retrospectively studied for severe ocular side effects. Results: Four patients of different ages and of either sex reported with signs of shallow anterior chamber, bilateral acute myopia and angle closure glaucoma of varying severity. All four patients responded well to conservative treatment and immediate cessation of Topiramate therapy. Conclusions: Topiramate which is recently being used quite frequently and effectively in the treatment of migraine has rare but potential side effects in the form of bilateral acute angle closure glaucoma which can be effectively managed with prompt stoppage of Topiramate therapy and conservative management.


Shadangi P.,Okay Diagnostic Research Center | Saggar V.,Sk Soni Hospital | Mittal S.R.,Sms Medical College | Singla R.,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2010

Intraocular infections by Cysticercus Cellulosae larvae are often found as part of a generalized systemic infestation. Reports of orbital adnexal cysticercosis are uncommon, despite the high incidence of brain and ocular involvement, with isolated infestation of extraocular muscle being exceedingly rare. We at our institute report a rare case of isolated right inferior rectus muscle cysticercosis which presented with unilateral eccentric proptosis and restriction of upward gaze.


Sidhu T.K.,Adesh Institute of Medical science and Research Bathinda | Kaushal R.,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2010

Objective: To find out patient satisfaction with the Surgical Outpatient Department in Adesh Institute of Medical Sciences and Research, Bathinda which is a tertiary care teaching hospital using Concise OPD User Satisfaction Scale. Methodology: From August 2009 to January 2010, only new patients attending the surgical OPD of Adesh Institute of Medical Sciences and Research, Bathinda were included in this observational study after taking informed consent. The Concise Outpatient Department User Satisfaction Scale was used to measure patient satisfaction. The items in this score were (i) physical environment, (ii) equipment and facilities, (iii) appointment arrangement, (iv) waiting time, (v) service of the dispensary, (vi) support staff (vii) physician's professionalism, (viii) explanation given by the case physician, (ix) consultation time. Results: A total of 510 patients, 308 (60.39%) males and 202 (39.61%) females attending the Surgical Outpatient Department were included in this cross-sectional study from August 2009 to January 2010. Physician's professionalism scored maximum with a mean ± SD score of 7.71 ± 1.68 and service of dispensary scored minimum with a mean ± SD of 3.67 ± 1.57. Significant difference was found between gender, with males satisfied more in terms of support staff, physician's professionalism, explanation and consultation time given by physicians. Conclusion: Patient satisfaction level was overall good with the Surgical Outpatient Department. The patients were most satisfied with physician's professionalism and least satisfied with service of dispensary.


Alka,Adesh Medical College and Hospital | Preeti,Adesh Medical College and Hospital | Kumar R.,Adesh Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2011

Aim: The aim of this study is to illustrate and discuss the pathological spectrum of radiologically diagnosed "possibility of cystic hygroma" as there is severe paucity of literature regarding this. Our purpose is to differentiate cystic hygromas from other cystic lesions like branchial cysts especially when cystic hygromas present at an unusual site and unusual age. Materials and Methods: Total of 20 cases of radiologically diagnosed as "possibility of cystic hygroma" were aspirated using 23 guage needle. Appearance and amount of fluid aspirated was recorded and then centrifuged. Wet fixed & air dried smears were made from the sediment and were stained with Papanicolaou (Pap) stain, Haematoxylin & Eosin (H&E) stain and Giemsa stain. Results: Cytological analysis was rendered on all the 20 cases, out of which 15 cases were diagnosed as cystic hygroma. Rest of the 5 cases were diagnosed as branchial cleft cyst (2 cases), laryngocele (2 cases) and non-conclusive (1case). Out of 20 aspirates, 10 aspirates (50.0%) were from the posterior triangle of the neck, 4 aspirates (20.0%) were from the middle triangle of the neck and 4 aspirates (20.0%) were from the anterior triangle of the neck. One (5.0%) of the aspirate was from the mediastinum and one (5.0%) aspirate was from the axilla. Histopathological correlation was available for 2 of these patients and both of these were diagnosed as cystic hygroma. Conclusion: Fine Needle Aspiration Cytology (FNAC) along with radiological correlation serves as a highly effective and efficient modality for the confident diagnosis of cystic hygroma especially in patients with atypical presentation, age and location. It provides a safe alternative to more cumbersome and time consuming surgical modalities of diagnosis.


PubMed | Guru Gobind Singh Medical College and Hospital and Adesh Medical College and Hospital
Type: Journal Article | Journal: Indian journal of pediatrics | Year: 2016

To compare effectiveness of intranasal dexmedetomidine and clonidine as anxiolytics and sedatives in pediatric patients undergoing various surgeries.This double blind randomized placebo controlled study was conducted on 105 surgical patients of American Society of Anesthesiologist (ASA) physical status -, aged between 2 and 9 y in a tertiary-care hospital (February 2014 to September 2015). Participants were randomly allocated to three groups to receive either intranasal dexmedetomidine 2g/kg (Group ) or intranasal clonidine 3g/kg (Group ) or intranasal saline 0.5ml (Group ). The primary outcome measure was proportion of patients with satisfactory anxiolysis and sedation at 30min after drug administration. Secondary outcome measures included time taken to achieve Aldrete score of 9 and number of doses of rescue analgesia required in 12 h after surgery.Satisfactory anxiolysis was achieved by 88.5% in Group vs. 60% in Group (p=0.001) and satisfactory sedation by 57.1% in Group vs. 25.7% in Group (p=0.001) 30min after premedication. Rescue analgesia requirement was significantly less in Group as compared to Group (p=0.001) while time taken to achieve Aldrete score was comparable between the study groups (p=0.185).Intranasal dexmedetomidine is a better anxiolytic and sedative as compared to clonidine. Postoperative analgesic requirement was also significantly decreased after intranasal dexmedetomidine. Thus, it can be preferred as compared to clonidine for premedication in pediatric surgical patients.

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