Distal radius fractures are the most common of upper limb. It is a fracture in elderly and indiction an osteosynthesis by locked plate often posed view osteopenia. Surgical fixation distal under local anesthesia with patient wide awake without tourniquet allows intraoperative testing stability active mobilization. This technique people extensive comorbidities to avoid adverse effects commonly a...

Background: Propofol is the most commonly used induction agent, but causes pain on injection in many patients. Various techniques have been tried and tested for reducing pain due to propofol injection with different results. Objective: To compare the use of pretreatment with granisetron in comparison with lignocaine in reducing pain on propofol injection. Patients and Methods: 104 patients (ASA...

Introduction: Ischaemic-reperfusion nerve injury has been suggested as the mechanism for post-tourniquet limb paralysis. As dexamethasone (Dex) has been shown to Prevent ischaemic-reperfusion process in some tissues, we tested the hypothesis that this drug would reduce tourniquet induced nerve injury. Methods: 36 male Wistar rats (200-250 gr) were chosen and divided randomly into 6 equal grou...

Massive hemoperitoneum from spontaneous bleeding of uterine myoma is an extremely rare condition, that needs urgent surgical exploration. We report a 40-year-old woman, admitted for acute onset of abdominal pain. Physical examination revealed hypovolemic shock. The hemoglobin level was of 5 g/dL. Ultrasonography revealed hemoperitoneum. Emergency surgical exploration was planned. There was hemo...

This study compares the intra- and post-operative outcomes of upper limb orthopaedic surgical procedures performed with and without tourniquet assistance. A systematic review was undertaken assessing the electronic databases Medline, CINAHL, AMED and EMBASE. The evidence-base was critically appraised using the Cochrane Bone, Joint and Muscle Trauma Group quality assessment tool. Study heterogen...

introduction: the management of pain and inflammation related problem is a real challenge that people face daily. although several drugs are available for these conditions, medicinal plants are believed to be an important source of new chemical substances with potential therapeutic effects. the objective of current study was to investigate the anti-nociceptive effect of tanacetum fisherae which...

We have investigated whether the thigh tourniquet used during total knee replacement (TKR) influenced the development of postoperative wound hypoxia and was a cause of delayed wound healing. We allocated randomly 31 patients (31 TKRs) to one of three groups: 1) no tourniquet; 2) tourniquet inflated at low pressure (about 225 mmHg); and 3) tourniquet inflated to high pressure of about 350 mmHg. ...

Ultrasound (USG) guided supraclavicular brachial plexus block (BPB) helps in precise delivery of local anesthetic injection, reduced volume or dose drug providing excellent surgical anesthesia with fewer complications. Objective the study was to compare effect two different volumes Ropivacaine and Lignocaine at sites USG-guided BPB on diaphragmatic motility, quality tourniquet pain. A prospecti...

OBJECTIVES The objective was to determine whether just-in-time (JiT) instructions increase successful tourniquet application by laypersons. METHODS This was a randomized pilot study conducted in August 2014. The study occurred at the Uniformed Services University campus in Bethesda, Maryland. A total of 194 volunteers without prior military service or medical training completed the study. The...

BACKGROUND Pain due to injection propofol is a common problem. Different methods are used to decrease the pain but with limited success. The objective of this study was to assess the effect of injection dexmedetomidine 0.2 mcg/kg for prevention of pain due to propofol injection and compare it with injection lignocaine 0.2mg/kg. METHOD After taking permission of the Institutional Ethical Commi...