Kathmandu University medical journal (KUMJ)
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Kathmandu Univ Med J (KUMJ) · Apr 2011
Comparative StudyIpsilateral supracondylar fracture and forearm bone injury in children: a retrospective review of thirty one cases.
Pediatric supracondylar fracture and forearm bone fracture is common in isolation but combined supracondylar fracture with ipsilateral forearm bone fracture, known as floating elbow is not common injury. The incidence of this association varies between 3% and 13%. Since the injury is rare and only limited literatures are available, choosing best management options for floating elbow is challenging. ⋯ Displaced supracondylar fracture with ipsilateral displaced forearm bone injuries need early operative management in the form of closed reduction and percutaneous pinning which provides not only stable fixation but also allows close observation for early sign and symptom of development of any compartment syndrome.
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Ocular trauma is an important cause of blindness and ocular morbidity throughout the world. Prevalence studies help to define the target group, plan strategies and thereby lessen trauma related blindness in the country. ⋯ Blunt injuries were more common in young males. Household and workplace were common location of ocular injuries. Public awareness and strict legislation to use personal protective devices can help to reduce the occurrence of ocular injury.
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Incidence and risk factor for ventilator-associated pneumonia in Kathmandu University Hospital.
Ventilator associated pneumonia is a major cause of morbidity in the intensive care unit. Difficulties in identification of the risk factors, in diagnosing and in prevention, have intensified the problem. ⋯ The incidence of ventilator pneumonia is high. Patients requiring prolonged ventilation, re-intubation, more invasive lines and H2 blockers, are at high risk and need special attention towards prevention.
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Randomized Controlled TrialRectal misoprostol versus intramuscular oxytocin for prevention of post partum hemorrhage.
Postpartum hemorrhage (PPH) is an important cause of maternal morbidity and mortality especially in the developing countries.,Compared to expectant management, active management decreases the incidence of PPH. ⋯ Rectal misoprostol is as effective as intravenous oxytocin in preventing postpartum hemorrhage with the similar incidence of side effects and is worthwhile to be used as a uterotonic agent for the routine management of third stage of labor.
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Randomized Controlled TrialComparison of sniffing position and simple head extension for visualization of glottis during direct laryngoscopy.
The ability of good glottis visualization during direct laryngoscopy is major determinant of easy tracheal intubation. Sniffing position for laryngoscopy is considered as gold standard and ideal position. Several studies have questioned the validation of sniffing potion. ⋯ Glottic visualization and intubation difficulty score was better in sniffing position as compared to simple head extension.