Shaken Baby Syndrome is a condition of intracerebral hemorrhage or intraocular without or with only minimal trauma to the head, neck or face. This case is ofien referred to cases of child-parent violence. This cases in the U.S, approximately 50,000 cases per year. From all event, one third died and half of the cas es that survive with severe neurological deficit. Generally, prognosis of patien…
Intra cerebral haemorrhage (ICH) burdens approximately 20 in 100,000 people every year. The typical hemorrhagic stroke patient is ten years younger than the ischemic stroke patient. Most ICH bleeds are subcortical and over 50% of spontaneous intracerebral hemorrhages occur in the basal ganglia. Populations at greatest risk include men, the elderly and African American, and Asian. Stroke is one …
Stress response to post-surgical pain can raise blood sugar level. Excessive blood sugar level (hyperglycemia) in turn may increase the risk of mortality. Intrathecal morphine as a spinal anesthesia adjuvant has shown effective to suppress blood sugar increase. However, morphine can induce serious adverse effects such as respiratory distress. This study aimed to determine the effect of Clonidi…
This study compared the analgesic efficacy and safety of i.v ketorolac 30 mg 6 hourly with that of PR ciclofenac 50 mg 8 hourly for pestoperative pain relief within 24 hr period, in patients undergoing ORIF of fracture humerus under general anesthesia. Sixty patients (thirty in each group) was administered when VAS was ≥6 VA (visual analogue scale, 10 cm linear scale). VRS (verbal rating scal…
Laparoscopic procedures offer several advantages over other surgical procedures among others less pulmonary complications, reduced post-operative pain, and more cosmetically acceptable and reduced the overall operation time. The objective of anaesthesia in laparoscopy is to provide adequate anaesthesia with maximal abdominal relaxation and the other objective is to prevent/reduce the complicati…
Head injuries often pose problems for anesthesia, the main issues are cranial blood supplay, intracranial pressure, hypoxemia and shock. In severe head injuries, the autoregulation of the brain is often lost, causing the existing ischemic areas to suffer from inadequate blood supply, ensued by extending ischemic areas. Furthermore, intracranial pressure may increase due to intracranial causes. …
Anesthesia in preeclampsia-eclampsia allows enesthesiologists to modify their routine anesthetic practice to preeclampsia-eclampsia allows enesthesiologists to modify their routine anesthetic practice to provide optimum care for these high-risk parturients. The anesthesiologists must understand the pathophysiology of preeclampsia-eclampsia. He must be flexible plan ahead and communicate activel…