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Mirji P.,SN Medical College and HSK Hospital | Emmi S.,SN Medical College and HSK Hospital | Joshi C.,SN Medical College and HSK Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

Varicose veins are a common condition that the current paper elaborates the features of the condition in a local Indian population. Methodology: Over a two year period all admitted patients to a government tertiary level district hospital of varicose veins were evaluated for demographics, clinical manifestations, treatment and outcome. Results: This study reveals that the disease is more prevalent during the active adult life in their 3rd and 4th decades and males were more affected. The occupations needing prolonged standing and use of violent muscular efforts is found to be a contributing or precipitating factor for varicose veins. Hereditary factors may play an important role in the development of varicose veins. 25% of patients had a family history of varicose veins occurring in close relatives. Majority of patients presented to the hospital for complications of the disease (60%) rather than for cosmetic purposes. The commonest symptoms in the study were prominent swellings in the lower limb and pain. Majority of the patients had combined valvular incompetence (71%). The most common post-operative complication observed was wound infection (25%). Source


Goudar B.V.,SN Medical College and HSK Hospital | Lamani Y.P.,SN Medical College and HSK Hospital | Kalburgi E.B.,SN Medical College and HSK Hospital
Journal of Clinical and Diagnostic Research | Year: 2011

Jejunal diverticulosis (JD) is a rare disease of elderly people. A majority of the diagnosed individuals are asymptomatic and are found incidentally on laparotomy. The disease is clinically significant because of the associated potential risk of serious complications. Due to the variable presentation and the rarity of this clinical entity, its diagnosis is often difficult and delayed, resulting in unnecessary morbidity and mortality. In our institute, we came across a case of jejunal diverticulae - which presented as acute intestinal obstruction. Source


Ambi U.,SN Medical College and HSK Hospital | Koppal R.,SN Medical College and HSK Hospital | Joshi C.,SN Medical College and HSK Hospital | Prakashappa D.S.,SN Medical College and HSK Hospital | Iyer H.,T N Medical College And B Y L Nair Ch Hospital
Journal of Clinical and Diagnostic Research | Year: 2011

Introduction: Airway management is a fundamental aspect of the anaesthesia practice and of emergency and critical care medicine.The proseal laryngeal mask airway (PLMA), a modified version of the classic laryngeal mask airway (LMA), is being considered as an alternative airway device for a wide range of surgical procedures. The aim of the study was to assess the use of the PLMA as a ventilatory device in anaesthetized, paralyzed patients for various elective procedures. Materials and Methods: This prospective study comprised of 50 patients between the ages of 18-60 years, of either sex and belonging to the physical status ASA I and ASA II. We assessed the haemodynamic responses to the insertion of the PLMA, ventilatory parameters, the ease of the gastric tube placement, gastric insufflation and any postoperative complications. Results: The statistically analyzed results showed that the PLMA caused minimum haemodynamic responses to the insertion and that it was a reliable airway management device which ensured adequate ventilation and provided an effective glottic seal. Conclusion: We conclude that the Proseal LMA is capable of achieving a better seal than the LMA and facilitating gastric placement, but later is more difficult to insert. Source


Koppal R.,SN Medical College and HSK Hospital | Adarsh E.S.,SN Medical College and HSK Hospital | Ambi U.,SN Medical College and HSK Hospital | Anilkumar G.,SN Medical College and HSK Hospital
Journal of Clinical and Diagnostic Research | Year: 2011

Background: The role of effective premedication in children is of utmost importance in the conduct of paediatric anaesthesia. Midazolam is a proven and safe sedative anxiolytic in the paediatric group. Objective: To evaluate the safety and effectiveness of Midazolam by the transnasal and oral routes for paediatric sedation. Materials and Methods: We evaluated 60 ASA grade I and II children who were randomized to receive either oral (0.5mg/kg) or transnasal (0.5mg/kg) midazolam. The demographic details, the sedation score and the separation score were noted by a blinded observer and were statistically analysed. Results: Both the routes were equally effective in achieving the adequate sedation and the separation scores. The transnasal route showed a faster onset of the adequate sedation scores. The oral route was better accepted by children. Source


Joshi C.,SN Medical College and HSK Hospital | Ambi U.,SN Medical College and HSK Hospital | Prakashapa D.S.,SN Medical College and HSK Hospital | Mirji P.,SN Medical College and HSK Hospital
Journal of Clinical and Diagnostic Research | Year: 2011

A difficult airway in emergency settings poses a challenge to the attending anaesthesiologist. Fibre optic intubation can be a valuable option in such a scenario. There are very few reports in the literature about airway management in adults who are complicated by haemangioma of the tongue. We are describing here, our experience of a 64 year old man who presented with acute intestinal obstruction with macroglossia which was secondary to haemangioma of the tongue with cervical spondylosis. We emphasize the importance of attention to a difficult intubation and airway management by using the fibre optic technique. Source

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