Total Abdominal Hysterectomy is a major invasive abdominal surgery which accompanied with severe post-operative pain. Multimodal analgesia techniques can provide efficient analgesic coverage minimal side effects, Quadratus Lumborum Block an wall block gives good effect for lower pain score and less requirement opioids. A 67-year-old female was scheduled to undergo total hysterectomy surgery. Th...

This study aimed to evaluate the efficacy of pectoral nerves interfacial plane block (PECS II) in breast cancer surgery focusing on postoperative pain management and patient satisfaction. A prospective was conducted, including 200 patients scheduled for surgery. The participants were randomly assigned PECS II control groups. group received a preoperative interfascial block, while standard analg...

Background: Regional anaesthesia is the recommended technique for upper and lower limb surgeries with better postoperative profile.The brachial plexus block provides a useful alternative to general anesthesia, for upper limb surgeries. Supraclavicular approach for brachial plexus block is most commonly suitable for upper limb surgeries and post operative pain relief. Aims and objectives: The ai...

Broken water pumps continue to impede efforts to deliver clean and economically-viable water to the global poor. The literature has demonstrated that customers' health benefits and willingness to pay for clean water are best realized when clean water infrastructure performs extremely well (>99% uptime). In this paper, we used sensor data from 42 Afridev-brand handpumps observed for 14 months in...

BACKGROUND AND OBJECTIVES Commercially available bupivacaine is a racemic mixture of S(-) and R(+) enantiomers. Although the S(-) bupivacaine enantiomer is less toxic than R(+) bupivacaine to cardiovascular and central nervous systems, its relative efficacy has not yet been determined in spinal anesthesia for pediatric surgery. The aim of this study was to evaluate the effects of spinal anesthe...

Background: Various adjuvants have been added to improve the quality of supraclavicular brachail plexus block and prolong postoperative analgesia. The aim present study was compare onset duration sensory motor blockade provided by dexmedetomidine fentanyl as ropivacaine in such block. Methods: In this 60 patients with American Society Anesthesiologists grade I/II scheduled for elective upper li...