14 research outputs found
ROLE OF SPHENOPALATINE GANGLION BLOCK IN REDUCING PERIOPERATIVE OPIOID CONSUMPTION IN TONGUE CANCER SURGERY: A CLINICAL CASE SERIES
No full textObjective: To determine the time interval for first rescue analgesia that is intravenous diclofenac in the post-anaesthesia care unit and assess its impact on perioperative fentanyl consumption.
Methods: This case series evaluated sphenopalatine ganglion block (SPGB) as an adjunct to general anaesthesia in seven patients with carcinoma of the tongue who underwent elective surgery. The ultrasound-guided SPGB via suprazygomatic approach using 4 ml of 0.5% bupivacaine was performed after administering general anaesthesia to the patient.
Results: SPGB was successfully performed within 5–6 min and was associated with 200–260ug perioperative fentanyl and 2.0–3.1µg/kg/min nitro-glycerine use. Hemodynamic remained stable, blood loss was 140–180 ml, and the surgical field improved. Postoperatively, pain scores (VAS<3) were maintained for 22–24 h, with delayed need for rescue analgesia, effectively managed with intravenous diclofenac. No major complications were observed.
Conclusion: These findings suggest that SPGB is a simple, safe, and effective component of enhanced recovery after surgery (ERAS) in oral cancer surgery, reducing opioid consumption and improving surgical and postoperative outcomes
IMPACT OF \u27SIP TILL SEND\u27 HYDRATION PROTOCOL ON PREOPERATIVE PATIENT COMFORT AND POSTOPERATIVE OUTCOMES: A CONTROLLED STUDY
No full textObjective: The primary objective was to estimate actual fasting durations for solid foods and clear fluids. Secondary objectives included assessing preoperative thirst using the Perioperative Thirst Discomfort Questionnaire, recording the incidence of postoperative nausea and vomiting (PONV), measuring patient satisfaction, and evaluating the safety of the \u27Sip Till Send\u27 (STS) hydration protocol.
Methods: A controlled trial using the Plan-Do-Study-Act (PDSA) model was conducted over six months at Maharshi Vashishtha Autonomous State Medical College, Basti, Uttar Pradesh. Adults (18–65 y) scheduled for elective surgery under general anaesthesia were included, excluding emergencies and high-risk cases. A total of 1350 elective surgical patients were included in the study. The intervention group received the \u27Sip Till Send\u27 (STS) protocol, allowing sips of fluids until operating room transfer; the control group followed standard fasting. Outcomes included fasting duration, thirst scores, patient satisfaction, postoperative nausea and vomiting (PONV), and safety. Data were analysed using SPSS (p<0.05).
Results: A total of 1,350 patients participated (STS: n=772; control: n=578). The STS group demonstrated a significant reduction in median fluid fasting time (3.5±1.0 h vs. 7.5±1.5 h, p<0.001). Perioperative thirst discomfort was markedly lower in the STS group (mean score 3.1±2.4 vs. 7.1±2.9, p<0.001).98% patients of the STS group and 60% in the control groupdid not complain of nausea and vomiting in the postoperative period. Patient satisfaction scores improved correspondingly. No pulmonary aspiration events were reported, confirming the safety of the protocol. Iterative PDSA cycles improved adherence and clinical outcomes.
Conclusion: The \u27Sip till Send\u27 protocol effectively reduces preoperative fluid fasting duration, alleviates patient thirst, and enhances satisfaction without compromising safety. These findings support wider implementation of STS as a perioperative hydration strategy to improve patient comfort and outcomes
Morphological and electro optic studies of polymer dispersed liquid crystal in reverse mode
No full textIssue 1: Reimagining Overrepresentation Research: Critical Reflections on Researching the Overrepresentation of First Nations Children in the Child Welfare System
No full textThis paper builds on the experiences of the first author in doing research on the overrepresentation of First Nations children in child welfare systems in Canada. Six lessons are presented: (1) overrepresentation is an inherently quantitative construct; (2) overrepresentation is an inherently comparative construct; (3) a focus on overrepresentation draws attention to the needs of specific groups, but may obscure the need for broader systemic reform; (4) available data relies on, but incompletely represents, decision-maker perspectives; (5) available data emphasizes point-in-time decisions; and (6) ambiguity in data must be very clearly acknowledged. Building on discussion of these lessons, we explore implications for future research directions and highlight considerations for child welfare policy and practice
