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Tando Jām, Pakistan

Baaj J.M.,King Khalid University | Alsatli R.A.,Consultant Cardiac Anaesthetist | Majaj H.A.,SAU | Babay Z.A.,Gynecologist and Perinatologist
Middle East Journal of Anesthesiology | Year: 2010

Background: Ultrasound-guided transversus abdominis plane (TAP) block has been used for intra-operative and postoperative analgesia. Here we evaluate the efficacy of TAP block for postoperative cesarean delivery analgesia. Method: A randomized, double-blind, placebo-controlled trial was performed at King Khalid University Hospital on 40 patients undergoing cesarean delivery under spinal anesthesia with bupivacaine and fentanyl. At the end of surgery they received bilateral ultrasound-guided TAP block either with bupivacaine 0.25% (B group) 20 patients, or saline (S group, or placebo group) 20 patients, followed by patient controlled analgesia with IV morphine only. Each patient was assessed 24 hours after delivery for pain, morphine consumption, nausea, vomiting, sedation, patient's satisfaction, and also pain relief during mobilization (24 hours post-cesarean section). Results: All 40 participants completed the study. Total morphine consumption was reduced more than 60% in the bupivacaine group; the bupivacaine group also reported improved satisfaction with their pain relief over 24 hours after surgery, reduced morphine consumption, less nausea, vomiting, and better patient's satisfaction. Conclusion: Ultrasound-guided TAP block improved postoperative analgesia, reduced morphine consumption and improved patient's satisfaction regarding analgesia after cesarean delivery.

The pre-hospital management of morbidly obese patients presents specific problems, notably in terms of equipment and stretcher bearing. Normal monitoring is sometimes made impossible. Emergency sedation and intubation are often difficult and always risky. The orientation of the patients is also problematic, as not all hospital structures have the necessary facilities.

Zarnovsky J.,SAU | Petkova V.,Eustream | Drlicka R.,SAU | Dobransky J..,Technical University of Kosice
Applied Mechanics and Materials | Year: 2013

The most serious sources of the air pollution are the studied company compressor stations of the transit system equipped with the number of gas turbine. [1] Pipeline parts have smaller degree of importance and gas boiler and emergency resources of thermal and electric energy have minimum influence. These sources emit into atmosphere mainly nitrogen oxide, carbon monoxide, paraffine with the exception of the methane and unburned rest of the fuel. In comparison with these emissions are emissions of sulfur dioxide and the solid contaminations substances minimal, insignificant. Along with reduction of transit performance deploys the company in recent time significantly more energy effective power units for transit of natural gas. These drive units are mainly gas turbines burning part of transported natural gas. [2] Russian natural gas is used as a fuel which in comparison with the others kinds of fuels contains only little amount of sulfur and contain almost no As, Na and heavy metals. The main parts of combustions are CO2, CO, NOx which are products of burning and N2, O2, untouched atmosphere elements. CO and NOx are considered to be harmful substances. © (2013) Trans Tech Publications, Switzerland.

Gandahi J.A.,SAU | Chen Q.S.,Nanjing Agricultural University | Yang P.,Nanjing Agricultural University | Shah M.G.,SAU | And 3 more authors.
Revista Veterinaria | Year: 2010

A total of 100 uteri from slaughtered Kundi buffaloes were studied at random. Eight different bacterial species were recognized, viz: Staphylococcus aureus, Escherichia coli, Staphylococcus epidermidis, Corynebacterium pyogenes, Micrococcus citreus, Proteus mirabilis, Pseudomonas aeruginosa, and Listeria monocytogenes. Eight different antibiotics were applied to record their efficacy against the isolates, viz. gentamycin, kanamycin, neomycin, chloramphenicol, tetracycline, sulphamethoxazole, ampicillin and polymyxin B. The species sensitive (>70%) to gentamycin were Staphylococci, Corynebacterium pyogenes and Micrococcus citreus. The species sensitive to kanamycin were Staph. aureus (73%), Staph. epidermidis (90%), C. pyogenes (90%) and Ps. aeruginosa (80%). Listeria monocytogenes was the only species sensitive (80%) to neomycin. The species Staphylococci were (86.6%), E. coli (73.3%), C. pyogenes (86.6%), Micrococcus citreus (80%), Ps. aeruginosa (86.6%) and Listeria monocytogenes (80%) sensitive to chloramphenicol. The tetracycline was found highly effective against Staph. aureus, C. pyogenes, Micrococcus citreus and Listeria monocytogenes (80%). While sulphamethoxazole was highly effective against Staph. aureus (73.3%), C. pyogenes (73.3%) and Ps. aeruginosa (80%). Moreover, the only species sensitive (80%) to ampicillin was Staph. epidermidis. Interestingly, the species Proteus mirabilis was sensitive (80%) to gentamycin only. All of the isolates reacted variably to polymyxin B but their sensitivity was not higher.

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