Original Research Article
Sept. 20, 2020
Intra-Operative & Post-Operative Complications in Pediatric Anesthesia: A Study in Cumilla Medical College, Cumilla, Bangladesh
Md. Delwar Hossain, Md. Atower Rahman, Md. Kamrul Hossain, Mohammad Shakhawat Hossain
None | 2132-2136
DOI : 10.36347/sjams.2020.v08i09.030
Introduction: Pediatric patients differ in their drug requirements because of their smaller body size, differences in body composition and handling capacity of drugs. Usually dosages are based on body weight, because it correlates so intimately with body water compartments. Objective: To find out the Intra-Operative & Post-Operative Complications in Pediatric Anesthesia. Materials & Methods: The present study was conducted in the Department of Anaesthesiology & ICU, Cumilla Medical College, Cumilla, Bangladesh during from January 2017 to December 2017. It included 250 pediatric patients of both gender. Parents were informed regarding the study and written consent was obtained. Ethical clearance was taken from institutional ethical committee. General information such as name, age, sex, ASA status, technique of anesthesia and complications were recorded. Results: The present study was conducted to identify anesthesia-related complications in pediatric patients. The present study was conducted on 250 pediatric patients of both genders. Factors such as conscious state, colour, respiration, pulse and blood pressure were also assessed. Age group 1 month- 1 year had 22 males and 33 females. 1-5 years had 45 males and 50 females, 5-10 years had 15 males and 20 females and 10-14 years had 40 males and 25 females. The difference was non- significant (P-0.5). Patients had ASA I (180), ASA 2 (50), ASA 3 (15), ASA 4 (3) and ASA 5 (2) status. The difference was significant (P-0.05). Type of anesthesia was general anesthesia (200), general anesthesia with caudal block (27), subarachnoid block (5) and general anesthesia with local anesthesia (18). The difference was significant (P-0.01). Common intra- operative complications were bradycardia (5), tachycardia (4), hypotension (4), hypertension (3), cardiac arrest (2), brochospasm (1), hypoventilation (2), pain (3) and prolonged unconsciousness (1). The difference was significant (P-0.01). Post- operative complications were..........
Improvement and Application of Logistic Growth Model
Lan Xiao, Yanqiu Chen
None | 192-196
DOI : 10.36347/sjpms.2020.v07i09.002
Logistic growth model, as an important mathematical model to describe population or population changes, is now widely used in many fields. Researchers found that the problems involved cover many disciplines such as mathematics, physics, medicine, and biology. Therefore, the Logistic growth model has a strong application background and practical significance. This paper improves the logistic growth model that introduces harvest items, and applies the improved model to population forecasting. And with the help of mathematical software and the principle of least squares method to estimate the parameters of the improved model, the curve fitting comparison verifies that the improved model can achieve better results.
Original Research Article
Sept. 17, 2020
Effectiveness of Metoclopramide Combined with Dexamethasone and Granisetron alone in Preventing Post-operative Nausea and Vomiting in High Risk Patients Undergoing Laparoscopic Cholecystectomy
Rahnuma Tasnim, Debasish Banik, Md. Abdur Rahim, Shamima Akter, Sahin Sultana Chowdhury, Dilip Kumar Bhowmik
None | 2073-2079
DOI : 10.36347/sjams.2020.v08i09.019
Objective: In this study our main goal is to comparison of the effectiveness of metoclopramide combined with dexamethasone and granisetron alone in preventing post-operative nausea and vomiting in high risk patients undergoing laparoscopic cholecystectomy. Method: It is a cross sectional observational study on 120 patients who underwent laparoscopic cholecystectomy. The study period was July, 2017 to June, 2018. The study was conducted in the department of Anesthesia, Analgesia and Intensive care medicine of BSMMU. All the patients were chosen by purposive sampling. The study population was divided into two groups by simple lottery method. Group A patients got Granisetron (1mg iv single dose) and Group B patients got Metoclopramide and Dexamethason (Inj. Metoclopramide (10mg) and Inj. Dexamethasone (8mg)) just before induction. The observations were plotted into tabular and figure form. The categorical variable was analyzed by chi square test and the quantitative variables were analyzed by unpaired student’s t test. Results: The mean age of Group A and B patients were 33.73±6.97 and 34.62±7.16 years respectively. The sex ratio showed 21:39 and 15:45 in case of Male: Female respectively.out of 60 patients in each group PONV was reported in 20 (33.33%) and 16(26.67%) patients in Group A and Group B respectively. No PONV was reported in 40 (66.67%) and 44 (73.33%) patients in Group A and B respectively. 40(66.67%) and 44(73.33%) in Group A and B respectively showed no nausea and vomiting. 8(13.33%) and 7(11.67%) patients showed score 1 (nausea) in Group A and B respectively. On the contrary, 7(11.67%) and 5(8.33%) patients in Group-A and B respectively were categorized PONV score 2 (who experienced both nausea and vomiting. Only 5(8.33%) and 4(6.67%) patients experienced repeated vomiting ≥2 times who were categorized as PONV score 3.(p= 0.872). Among rescue antiemetic drug, analgesic drug use and postoperative hospital stay nothing but the hospital stay showed ......