Frequency of obesity and its risk of adverse outcomes associated with coronary artery bypass surgery

We aimed to investigate the prevalence of obesity in patients undergoing CABG, to assess in these patients the distribution of prognostic factors and the early outcomes after surgery. It was a perspective, observational and descriptive study, conducted at National Institute of Cardiovascular Diseases [NICVD] Karachi. All patients underwent first and elective CABG whether underwent on or off-pump were included. The prognostic variables noted were: age, gender. coronary risk profile, h/o prior myocardial infarction or unstable angina, cerebrovascular accident. The degree of obesity was assessed by BMI derived from Quetelet's formula i.e. Underweight [<20 kg/m2] Normal [> 20 and <25 kg/m], Overweight [> 25 and < 30kg/m2], Obese [> 30 and < 35 kg/m2] and Severely obese > 35 kg/m2. RESULTS: Total of 115 patients underwent CABG during the study period. Patients were classified as underweight 6 [5%]; as normal weight 57 [50.9%]; as overweight 38 [33.9%]; as obsess 5 [4.2%]; and as severely obese 6[5%]. Total obese patients were 11 [10%]. The incidence was more in obese patients as regard to postoperative arrhythmias 5 [45%]; pulmonary complications 5 [45%]; hours ventilated > 10 5 [45%]; perioperative MI occurred only obese patients 1 [9%] as compared to non-obese. There was no incidence of CVA, surgical and renal complications in obese patients

Pregnant truma patients at JPMC, Karachi

Though reporting and monitoring of trauma to pregnant patients is very low, it is a major cause of maternal death in the present active life style. Trauma during pregnancy is more likely due to an accidental fall and changes in body stability during pregnancy from records of obstetricians and anaesthetists of Jinnah Postgraduate Medical Centre [JPMC], during the last 5 years 16 cases of trauma to pregnant women were identified including motor vehicle accidents [9], assault [3] and fall [4]. Of these 16 cases two were in the 2nd trimester and the rest in the 3rd trimester of pregnancy. Emergency laparotomy was done in one case and Cesarean section in five. Nine cases were discharged undelivered after 72 hours of monitoring and two cases died in emergency unit during resuscitation. There were two foetal losses one with a direct bullet injury and the other with placental abruption due to pelvic fracture