introduction: the aim of this study was to evaluate audiological outcomes following adenoidectomy by the classical method and by endoscopically-assisted adenoidectomy using a powered instrument (microdebrider).   materials and methods: this study was conducted in a tertiary care center. it included 40 patients divided into two equal groups of 20 each. group-a patients underwent classical adenoi...

BACKGROUND The aim of this study was to determine if the post-operative serum arterial lactate concentration is associated with mortality, length of hospital stay or complications following hepatic resection. METHODS Serum lactate concentration was recorded at the end of liver resection in a consecutive series of 488 patients over a seven-year period. Liver function, coagulation and electroly...

Aim: To share our experience as day care laparoscopic cholecystectomy and to assess its safety and feasibility in local set up. Methods: All patients who underwent laparoscopic cholecystectomy as day care from October 2011 to April 2012 at Akhtar Saeed Trust Hospital and Farooq Hospital Lahore after fulfilling the criteria were included in study. There were 50 patients. The patient’s demographi...

Introduction: Various efforts have been made to reduce post tonsillectomy pain in children. The present study was undertaken to evaluate the efficacy and safety of Ropivacaine in post-operative pain management in these children. Materials and Methods: This study is a Randomized control study on 140 patients between 4 - 12 years of age, in whom tonsillectomy was performed in a ...

BACKGROUND Post-operative pulmonary complications are a significant problem following open upper abdominal surgery. Preliminary evidence suggests that a single pre-operative physiotherapy education and preparatory lung expansion training session alone may prevent respiratory complications more effectively than supervised post-operative breathing and coughing exercises. However, the evidence is ...

The author considers airway maintenance in the care of adult patients by providing a clinical overview of the pre- and post-operative requirements of tracheostomy care, including complications and the longer term implications that can arise immediately after tracheostomy surgery.

Hip fractures are intensely painful, so post‐operative analgesia is an integral part of patient care for early rehabilitation and mobility.[1] Local anaesthetics with epidural additives ideally should provide stable haemodynamics and prolonged analgesia. There is limited literature comparing dexmedetomidine and ketamine as epidural additives. We conducted a study of continuous epidural infusion...

INTRODUCTION Ultra-fast track anaesthesia aims at immediate extubation of cardiac surgical patients at the end of the operation. This study compares the effect of ultrafast track anesthesia versus continued postoperative mechanical ventilation on the intensive care unit length of stay. METHODS Fifty-two elective adult patients were randomly allocated into ultrafast track anaesthesia and conve...

Surgical operations may be hazardous on patients who are being treated with steroid hormones or who have recently received such therapy. This is a problem which is likely to occur more frequently now that cortisone and the A,-steroids, prednisone and prednisolone have been made generally available. The situation may arise in one of two ways. First, the patient may be receiving small (physiologi...