Singh A.,GGS Medical College & Hospital |
Gupta K.K.,GGS Medical College & Hospital |
Solanki S.L.,Tata Memeorial Hospital |
Kumar M.,GGS Medical College & Hospital
Indian Journal of Public Health Research and Development | Year: 2016
Aim & Background- Shivering is a common problem during spinal anaesthesia. Neuraxial anaesthesia impairs thermoregulatory control and up to a 40-70% incidence of shivering has been reported. The aim of this study was to evaluate and compare the efficacy, potency and side effects of clonidine, dexmedtomidine and tramadol in post–spinal anaesthesia shivering. Material & Method- A prospective, randomised, and double-blind study was conducted in 90 American Society of Anaesthesiologists Grade I and II patients of either gender, aged between 20 and 50 years, scheduled for various surgical procedures under spinal anaesthesia who developed shivering. The patients were randomised in to three groups of 30 patients each to receive either dexmedetomidine 0.5 μg/kg or clonidine 0.5 ug/kg or tramadol 0.5 mg/kg as a slow intravenous bolus. Onset time of shivering, time for cessation of shivering, recurrence, response rate, and adverse effects were observed at scheduled intervals. Statistical Analysis: Data among groups was compared using one way ANOVA. The incidence of shivering and side-effects were compared using the chi-square test. Results- Time taken for cessation of shivering was significantly less with dexmedetomidine and clonidine when compared to tramadol. Response rate was comparable in all the three groups. Nausea and vomiting was observed only in tramadol group (36% and; 26% respectively). Conclusion- Treatment of post-spinal shivering is faster with dexmedtomidine or clonidine in comparison to tramadol with fewer side effects but dexmedtomidine has an edge over clonidine in being more haemodynamic stable with less adverse effects. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.
PubMed | Ggs Medical College & Hospital
Type: Case Reports | Journal: International journal of STD & AIDS | Year: 2010
The Buschke-Lwenstein tumour is an extremely rare, slow-growing, locally destructive, cauliflower-like mass, also known as giant condyloma acuminatum. We report a case of a 42-year-old man who presented to the department of surgery with a two-year history of a perineal tumour. The mass was painless initially but had become painful more recently. After histopathological confirmation, the tumour was removed surgically, as it was resistant to medical treatment. There has been considerable debate regarding the exact nature, aetiology and treatment of these lesions.
PubMed | GGS Medical College & Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015
To study the prevalence and predictive factors of spontaneous bacterial peritonitis (SBP) in patients of cirrhosis with ascites and to study the clinical characteristics and prognosis of patients with SBP.The present study was conducted on 122 cases admitted in Department of Medicine, through emergency, in Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India. Cases of cirrhosis (irrespective of aetiology) with ascites between the ages of 18-75 years were included in this study. Ascitic fluid of every patient was aspirated under all aseptic measures, before initiation of antibiotic therapy and was sent for biochemical analysis, culture and cytological analysis.Mean age of patients enrolled was 50.30 10.98 years. 85% were male and 15% were female. Alcohol (73.8%) was the leading cause of cirrhosis followed by HCV (37.7%) and HBV (4.9%). Of the 122 patients studied, 27 (20.4%) patients were diagnosed as having SBP and its variants. Monomicrobial Bacterascites (BA) was present in 5 patients and Culture Negative Neutrocytic Ascites (CNNA) was present in 22 patients. Escherichia coli were the most common isolated organism followed by Klebsiella. The various factors that predispose to development of SBP include low ascitic fluid protein concentration, a high level of serum bilirubin, deranged serum creatinine, high Child-Pugh score and high MELD score.Ascitic fluid analysis remains the single most important test for identifying and assessing a course of SBP. Bedside inoculation of 10-20ml of ascitic fluid into culture bottle at patient bedside will yield better results. Early diagnosis and treatment will reduce the mortality rate in these patients.
PubMed | Gangaram Bansal Hospital and GGS Medical College & Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014
Intracranial dermoid cysts are rare tumours which usually occur in the midline. Sylvian fissure is a very unusual site for this lesion. This case presents a patient with unruptured dermoid cyst in the left sylvian fissure who was operated successfully without any residual deficit.