RESUMO
Oral premedicant has better patient compliance since it avoids a potential needle prick, and hence can be considered closest to an ideal premedicant. This was a randomized prospective observational study on 120 patients after obtaining ethical committee approval and valid informed consent from patients to be part of the study. We assessed the onset and duration of both sensory and motor blocks along with postoperative analgesic requirement by the patient in terms of first dose and total dose required over the period of 24 hours. It is recommended that clonidine, etoricoxib, and gabapentin be considered as good premedicants for patients undergoing surgery under spinal anesthesia. However, more research using these drugs needs to be carried out in the field of premedication.
Assuntos
Aminas/administração & dosagem , Bupivacaína/administração & dosagem , Clonidina/administração & dosagem , Ácidos Cicloexanocarboxílicos/administração & dosagem , Piridinas/administração & dosagem , Sulfonas/administração & dosagem , Ácido gama-Aminobutírico/administração & dosagem , Administração Oral , Adolescente , Adulto , Analgésicos/administração & dosagem , Raquianestesia/métodos , Etoricoxib , Feminino , Gabapentina , Humanos , Masculino , Pessoa de Meia-Idade , Bloqueio Nervoso/métodos , Dor Pós-Operatória/prevenção & controle , Pré-Medicação/métodos , Estudos Prospectivos , Espaço Subaracnóideo , Adulto JovemRESUMO
Hunan hand syndrome, a form of painful contact dermatitis, is a rare case finding. It is usually seen in people with continuous and prolonged exposure to chili peppers. The main ingredient in chili peppers is capsaicin that leads to the clinical condition, Hunan hand syndrome. This is paradoxical to the use of capsaicin as local application for relief of pain in various clinical situations, such as diabetic neuropathy and postherpetic neuralgia. We report a case of Hunan hand syndrome, managed successfully by using a multimodal approach comprised of a continuous stellate ganglion block, gabapentin, local ice water, and fluocinonide application.
Assuntos
Bloqueio Nervoso Autônomo/métodos , Capsaicina/efeitos adversos , Capsicum/efeitos adversos , Dermatite de Contato/cirurgia , Adulto , Anestésicos Locais/administração & dosagem , Bupivacaína/administração & dosagem , Capsicum/química , Dermatite de Contato/etiologia , Feminino , Mãos , Humanos , Gânglio Estrelado/cirurgia , SíndromeRESUMO
SUMMARY: During suicidal hanging, death takes few minutes to occur. Patient, if rescued, may develop respiratory distress, pulmonary oedema, convulsions, raised intra cranial pressure and unconsciousness immediately after incidence. We report a young male of suicidal hanging, brought to hospital in unconscious state with decerebrating movements. He developed pulmonary oedema after two hours of incidence. He was resuscitated and treated successfully.