JNMA; journal of the Nepal Medical Association
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Burn injuries constitute a major concern in the pediatric age group with respect to morbidity and mortality particularly in children in developing countries. Burn injuries represent an extremely stressful experience for both the burn victims as well as their families. Burn injuries are least explored areas among other injuries in Nepal. ⋯ Twenty one patients survived after treatment and one patient died due to sepsis. Mortality in this series is about four percent. Burn injury is a leading cause of unintentional injuries mainly seen in children less than 5 years of age with physical as well as psychological consequences.
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JNMA J Nepal Med Assoc · Jul 2006
Case ReportsPractice in anesthesia: intrathecal morphine for off pump coronary artery bypass graft.
Off pump coronary artery bypass grafting is gaining popularity because of its beneficial effects like reduced inflammatory response, early extubation, reduced hospital & ICU stay, less homologous blood transfusion & reduced cost. Here we report a case of left anterior descending artery blockade who had undergone off pump coronary artery bypass grafting. ⋯ It not only provides intense analgesia which helps for early extubation & hemodynamic stability but also provides calm & quiet surgical field with slow beating heart & aids in critical time of vessel anastomosis. We have also discussed the other aspects of anesthetic management with little elaboration in surgical aspect as well.
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JNMA J Nepal Med Assoc · Apr 2006
Comparative Study Clinical TrialReduction of acute anterior shoulder dislocations: comparing intraarticular lignocaine with intravenous anesthesia.
Anterior shoulder dislocation is the most common dislocation in the body. Various methods of anesthesia are available for reduction. The objective of this study was to compare the application of intra-articular anesthesia with intravenous anesthesia for reduction of acute anterior shoulder dislocation. ⋯ However, in the intra-articular group the average time taken from injection to reduction was significantly longer (<.001). The use of intra-articular lignocaine for reduction of shoulder dislocation is safe and effective especially when patients present early. In patients presenting late (more than 5 hours) intravenous anesthesia should be primarily considered as the method for shoulder reduction.
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JNMA J Nepal Med Assoc · Jan 2006
Attitudes of first-year medical students towards the doctor patient relationship.
In recent years, medical schools all over the world have instituted a variety of curricula to teach communication skills, professional values and ethics to medical students. Studies on the student attitudes towards doctor-patient relationships are lacking in Nepal. The present study was carried out to obtain information on the sharing and caring dimensions of the doctor-patient relationship and note any association of the dimensions with the demographic characteristics of the respondents. ⋯ Students had a positive attitude towards the doctor-patient relationship. Our scores were lower than those reported previously. Further studies are required and the results obtained will be helpful in designing a doctor-patient relationship course for Nepal.