5 research outputs found
A Study on Absolute Eosinophil Count as a Prognostic Marker in Sepsis & Septic Shock in ICU
No full text<p>Abstract<br>Aim: The aim of the present study was to find out the usefulness of absolute eosinophil count as a biomarker<br>for sepsis and septic Shock In ICU.<br>Material & Methods: A prospective cohort study was conducted in the ICU of Subjects were recruited<br>consecutively. 50 subjects were included in the study. The recruitment criteria were patients age ≥18 years<br>admitted to the ICU.<br>Results: 74% were males and 26% were females. 78% had infection on admission. 48% had sepsis on<br>admission. These findings contrasted when compared with the CRP levels, which did not differ significantly<br>among the study groups.<br>Conclusion: In conclusion, the present study found an association between eosinopenia with the diagnosis of<br>sepsis. However, considering the low sensitivity and specificity, our study did not recommend the use of<br>absolute eosinophil count as single diagnostic tool.</p><p>Abstract<br>Aim: The aim of the present study was to find out the usefulness of absolute eosinophil count as a biomarker<br>for sepsis and septic Shock In ICU.<br>Material & Methods: A prospective cohort study was conducted in the ICU of Subjects were recruited<br>consecutively. 50 subjects were included in the study. The recruitment criteria were patients age ≥18 years<br>admitted to the ICU.<br>Results: 74% were males and 26% were females. 78% had infection on admission. 48% had sepsis on<br>admission. These findings contrasted when compared with the CRP levels, which did not differ significantly<br>among the study groups.<br>Conclusion: In conclusion, the present study found an association between eosinopenia with the diagnosis of<br>sepsis. However, considering the low sensitivity and specificity, our study did not recommend the use of<br>absolute eosinophil count as single diagnostic tool.</p>
comparative study of duration of analgesia with epidural bupivacaine & bupivacaine with tramadol in lower limb and lower abdominal surgeries
Get PDFBackground: The administration of local anaesthetic opioid mixtures neuraxially (particularly epidurally) is excellent for post-operative pain following abdominal, pelvic or orthopaedic procedures on lower extremities. The rational for this relatively new technique in post-operative pain management is a better quality of analgesia that can be achieved by systemically administered analgesics, a lower incidence of side-effects, improved surgical outcome and high levels of patient satisfaction. Therefore, this study was taken up to evaluate the efficacy of epidural opioids in the management of post-operative pain. Methods: A total of 80 patients group A 40& group B 40 ,of age 20-70yrs and ASAI &II, were selected for the study who were admitted for lower abdominal and lower limb surgeries . Group A was given epidural bupivacaine 0.5% & group B was given epidural bupivacaine 0.5% with tramadol 50mg. The onset & duration of analgesia, effects on the hemodynamics and side effects were evaluated and compared between two groups. Pain was evaluated on VAS scale and end point of study was when rescue analgesic was given on demand. Result- In this study, we used 1 ml (50 mg) tramadol with 0.5% bupivacaine (15-20 ml) through epidural route in patients for short surgical procedures in lower extremity & lower abdomen, it was found that mean duration of analgesia was significantly longer than the patients who received 15-20 ml 0.5% bupivacaine only through the same route. Key words- neuraxial, epidural, tramadol, bupivacain
comparative study of duration of analgesia with epidural bupivacaine & bupivacaine with tramadol in lower limb and lower abdominal surgeries
Get PDFBackground: The administration of local anaesthetic opioid mixtures neuraxially (particularly epidurally) is excellent for post-operative pain following abdominal, pelvic or orthopaedic procedures on lower extremities. The rational for this relatively new technique in post-operative pain management is a better quality of analgesia that can be achieved by systemically administered analgesics, a lower incidence of side-effects, improved surgical outcome and high levels of patient satisfaction. Therefore, this study was taken up to evaluate the efficacy of epidural opioids in the management of post-operative pain. Methods: A total of 80 patients group A 40& group B 40 ,of age 20-70yrs and ASAI &II, were selected for the study who were admitted for lower abdominal and lower limb surgeries . Group A was given epidural bupivacaine 0.5% & group B was given epidural bupivacaine 0.5% with tramadol 50mg. The onset & duration of analgesia, effects on the hemodynamics and side effects were evaluated and compared between two groups. Pain was evaluated on VAS scale and end point of study was when rescue analgesic was given on demand. Result- In this study, we used 1 ml (50 mg) tramadol with 0.5% bupivacaine (15-20 ml) through epidural route in patients for short surgical procedures in lower extremity & lower abdomen, it was found that mean duration of analgesia was significantly longer than the patients who received 15-20 ml 0.5% bupivacaine only through the same route. Key words- neuraxial, epidural, tramadol, bupivacain
