Journal of Ayub Medical College, Abbottabad : JAMC
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Postoperative pulmonary complications contribute significantly to morbidity and morality in surgical patients. Pulmonary complications occur more frequently than cardiac complications. The complication rates for upper abdominal and thoracic surgery are the highest. ⋯ In any individual patient the benefit from a surgical procedure should be weighed against the risks it imposes. When possible, stabilization of respiratory status is advisable before surgery. This article reviews patient and procedure related risk factors, clinical and laboratory evaluation for preoperative risk assessment and risk reduction strategies to minimize the complication rates.
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J Ayub Med Coll Abbottabad · Oct 2005
Clinical TrialAnticholinergic premedication for prevention of oculocardiac reflex during squint surgery.
Profound bradycardia during eye surgery is potentially serious event. In clinical practice this Oculocardiac Reflex (OCR) is most often encountered during squint surgery. The objective of this study was to assess the occurrence of OCR and prove the effect of anticholinergic premedication (atropine) to prevent OCR. ⋯ Our study showed that atropine premedication in the patients of squint surgery under general anaesthesia definitely obtunds OCR and prevents any untoward effects of dysrhythmias during eye surgery.
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J Ayub Med Coll Abbottabad · Jul 2005
Iron deficiency anaemia in moderate to severely anaemic patients.
Anaemia is defined as a clinical abnormality characterized by reduction in haemoglobin concentration below the normal for age, sex, physiological condition and altitude from the sea level of a person. It can be of different types, the commonest being iron deficiency anaemia which affects mostly pregnant and lactating females and growing children in the developing world. The present study was conducted at Ayub Teaching Hospital on this problem of global importance. ⋯ Iron deficiency anaemia is the commonest type of anaemia in our area. It is more common in females. It is more common in age group 21-60 years, with two peaks, one in 21-30 years and the other in 41-50 years.
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J Ayub Med Coll Abbottabad · Jul 2005
Clinical TrialApplication of alvarado scoring system in diagnosis of acute appendicitis.
In conditions like acute appendicitis it is impractical to have definitive diagnosis by gold standard test (histopathology) before surgery, we would like a simple test like Alvarado scoring system which depends on the presence and absence of certain variables and which provides an accurate guide to whether or not the patient has the condition. This study was conducted to evaluate Alvarado scoring system for the diagnosis of acute appendicitis in our set up. ⋯ This scoring system is easy, simple and cheap complementary aid for supporting the diagnosis of acute appendicitis especially for junior surgeons.
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J Ayub Med Coll Abbottabad · Apr 2005
Case ReportsDiagnostic and therapeutic implications of ST-segment elevation in lead aVR of 12 lead ECG during chest pain.
'aVR' is usually not the preferred lead to diagnose myocardial infarction in clinical settings, it is rather a neglected lead in this context. We describe the case of a 44 year old male who presented with short duration chest pain and ST segment elevation in lead 'aVR'. ⋯ Patient underwent emergency coronary artery bypass-grafting with favorable outcome. This case highlights the significance of ST segment elevation in lead aVR during chest pain both in diagnosis and management of patients with acute coronary syndrome.