Physical and psychosocial functioning following motor vehicle trauma The relationship between posttraumatic stress disorder and trauma cognitions Infections and treatment of wounds in survivors of the 2004 Tsunami in Thailand Field hospital analgesia The evolution of pain management in the critically ill trauma patient What is the ideal pre-hospital analgesic? Continuous infusion of local...

Background: Regional anaesthesia techniques are now being preferred over General in patients with major medical problems and those at high risk for GA. Thoracic segmental spinal has recently gained popularity because of its safety efficacy procedures like laparoscopic cholecystectomy, breast surgeries etc. Methods: A comparative study involving 50 ASA grade I & II both genders age group 25-...

A systematic review, including a meta-analysis, on the timing effects of neuraxial analgesia (NA) on cesarean and instrumental vaginal deliveries in nulliparous women was conducted. Of 20 articles identified, 9 met the inclusion quality criteria (3,320 participants). Cesarean delivery (odds ratio, 1.00; 95% confidence interval, 0.82-1.23) and instrumental vaginal delivery (odds ratio, 1.00; 95%...

Puppies and kittens are considered neonates until 4 to 5 weeks of age and are classified as pediatric until about 12 weeks old. Anesthesia of neonates may be necessary for urgent correction of congenital anomalies or for necessary (not elective) diagnostics. Anesthesia of pediatric patients may be undertaken for elective early ovariohysterectomy or castration or for urgent procedures. The physi...

Pain, restlessness, tension and delirium are almost always encountered while treating hemodynamic unstable critical patients in the intensive care units. Usually in critical patients, the evaluation of the nature and pain intensity (VAS scale) are often impossible. During the last 10 years intense nociceptor somatic and visceral post operative pain is believed to be the most crucial factor in t...

Aim To determine if a single pre-operative dose of oral corticosteroids would be effective in reducing pain, trismus and oedema following lower third molar surgical extraction. Secondary outcomes interest were post-operative complications such as infections. Methods Searching was conducted using Embase, Medline, DOSS, CINAHL CENTRAL for randomised controlled trials. Four studies which compared ...

We investigated the role of foetal spine position in the first and second labour stages to determine the probability of OPP detection at birth and the related obstetrical implications. We conducted an observational-longitudinal cohort study on uncomplicated cephalic single foetus pregnant women at term. We evaluated the accuracy of ultrasound in predicting occiput position at birth, influence o...

Many techniques and drug regimens, with partial or greater success, have been tried from time to time to eliminate the anxiety component and to prolong the postoperative analgesia during regional anesthesia. α 2 agonists like clonidine, dexmedetomidine are used as adjuvant to local anaesthetics in order to prolong the duration of spinal anaesthesia. They potentiate the effect of local anestheti...

Sedation/analgesia is a mode of anaesthesia which facilitates an uncomfortable or painful procedure, such as gastrointestinal endoscopy, in a rousable and cooperative patient. The objective of the study was to assess the practice trends for administering sedation analgesia in non operative locations in Aga Khan Hospital, Karachi by anaesthetists. It was a descriptive study which retrospective r...

Background: Shoulder arthroscopy is associated with severe post-operative pain, which causes significant discomfort to the patient, interfering recovery and rehabilitation. The aim of this work was compare efficacy intra post operative analgesia inter-scalene block (ISB), shoulder (SHB) suprascapular nerve (SSNB) for arthroscopic surgeries. Methods: This prospective randomized controlled double...