The Frequency of Early and Late Neonatal Hypocalcemia : Prince Zaid Bin Al Hussein Military Hospital Experience

2020 ◽  
Vol 27 (1) ◽  
pp. 15-20
Author(s):  
Alyassen , Abdalrazzaq Ahmmad ◽  
Ayash , Fadi Farhan ◽  
Bani Khaled , Nasser Eyadeh ◽  
Sharadgha , Zakaria Mohammad ◽  
Mohammad , Amro Maher
1993 ◽  
Vol 38 (2) ◽  
pp. 191-195 ◽  
Author(s):  
M. A. Majeed-Saidan ◽  
Brian Joyce ◽  
Masood Khan ◽  
Hisham D. Hamam

Author(s):  
Camilo Eduardo Velez-Escobar ◽  
Dora Milena Muñoz-Barrios ◽  
Norton Perez

ABSTRACT Background Lower extremity blast injuries are frequent in Colombia as a result of the ongoing internal conflict. General anesthesia has been the preferred method of anesthesia for the surgical treatment of these injuries; spinal anesthesia is a safe alternative, which allows hemodynamic management. Design A retrospective cross-sectional trial was designed, reviewing clinical charts of patients with lower extremity blast injuries in a military hospital in Villavicencio, Colombia, from June 2005 to June 2012. Descriptive and bivariate analysis was performed. Chi-square or Fisher's exact test or Student's t-tests were used to establish statistical significance when p < 0.05. Results The medical records of 63 male patients were included for analysis. The average age was 25 years; the majority were professional soldiers, who had selective (unilateral) spinal anesthesia. Additionally, 39 of them received sedation with midazolam. Hypotension was observed in 36% of the patients. This was easily handled with crystalloids and in 5% of the cases with vasopressors. None of the patients required postoperative admission to the intensive care unit. The patients that received blood transfusions had more infections than those patients who did not receive blood transfusions (47 vs 26%). However, the risk of infection was lower when preoperative antibiotic prophylaxis, that included penicillin and amikacin, was utilized (17 vs 33%). The difference was not statistically significant. Conclusion Spinal anesthesia is a safe technique in lower extremity blast injuries. Transfusion might be restricted, and the incidence of infection might be lowered when a regimen of preoperative antibiotic prophylaxis with penicillin and amikacin is utilized. How to cite this article Velez-Escobar CE, Muñoz-Barrios DM, Perez N. Regional Anesthesia for Antipersonnel Landmines: A Military Hospital Experience in Colombia. Panam J Trauma Crit Care Emerg Surg 2014;3(3):132-138.


1970 ◽  
Vol 25 (3) ◽  
pp. 161-163
Author(s):  
Nurun Nahar Fatema ◽  
Mamunur Rahman ◽  
Mujubul Haque

A four year old girl was diagnosed as a case of mid muscular Ventricular Septal Defect (VSD) since early infancy. She had history of failure to thrive (FTT) and recurrent chest infection or pneumonia. As her pulmonary artery pressure was almost normal she was planned for device closure on elective basis once device and technology would be available in cardiac centre of combined Military Hospital (CMH) Dhaka. Finally it was done on 21st August 2005 and patient was discharged after 72 hours observation period. Echocardiography on next morning showed complete occlusion of defect with no residual shunt. (J Bangladesh Coll Phys Surg 2007; 25 : 161-163)


2017 ◽  
Vol 13 (1) ◽  
pp. 42-45
Author(s):  
SM Shakhwat Hossain ◽  
Ferdous Rahman

Introduction: Pancreaticoduodenectomy is the procedure of choice for periampullary neoplasms. It is considered as a major surgical procedure. It is associated with relatively higher postoperative mortality and morbidity rate, however, with development of technology, proper patient selection, meticulous operative technique, appropriate postoperative care, morbidity and mortality rate has decreased subsequently. Up to the 1970s, the operative mortality rate after pancreaticoduodenectomy approached 20% but it has been reduced to less than 5% in recent reports. This study is designed to evaluate the postoperative outcomes of pylorus-preserving pancreaticoduodenectomy procedure in our set up. Objective: To evaluate the outcome of the pylorus-preserving pancreaticoduodenectomy procedure with the intention to measure operation time and per-operative bleeding, observing postoperative anastomotic leakage and gastric emptying time. To find out postoperative wound infection and complications to detect the dumping syndrome. Materials and Methods: A prospective observational study was carried out in the Department of Hepatobiliary Surgery, Combined Military Hospital, Dhaka from July 2013 to January 2017. Fifty patients who underwent pylorus-preserving pancreaticodudenectomy procedure were included in this study. Results: Out of 50 postoperative patients, 12(24%) patients developed complications. Of these patients, 3(6%) developed wound infection, 2(4%) developed bile leakage and 2(4%) developed postoperative haemorrhage. Pancreatic fistula, vomiting, delayed gastric emptying and abdominal collection all were 1(2%) each. Postoperative mortality was 3(6%). Conclusion: The present study demonstrated the development of postoperative complications after pylorus-preserving pancreaticoduodenectomy is as similar as published in different studies. Better outcome can be achieved with meticulous pre-operative evaluation of risk factors and per-operative skill maneuvering. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 42-45


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