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Sinha, Smriti
- Knowledge and Perception Regarding Pre Anaesthetic Check-up (PAC) among Patients in a Tertiary Care Hospital in Sub Urban South India
Authors
1 Department of Anaesthesia, Srinivas Institute of Medical Sciences & Research Centre, IN
2 Department of Community Medicine, Kasturba Medical College, Mangalore, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 730-733Abstract
Background: Anaesthesiology branch has traded a long journey from a branch managed by physicians to a specialised branch which handles not just operative cases but also pain management and critically sick patients. Pre anaesthetic evaluation has long journey to go, the various roles of pre anaesthetic evaluation is still not well known to patients, which leads into wastage of resources and increased morbidity and mortality. Thepresentstudy was done to assess the knowledge and perception of patients regarding pre anaesthetic evaluation in suburban area of coastal district of south India.
Methodology: Across sectional study, conducted in a tertiary care medical college and hospital in Dakshin Kannada district of India.The patients were inducted in the study by using convenience sampling technique. A pre tested, semi structured questionnaire were used as the data collection tool. Data were analysed using SPSS version 16.0 and results wereexpressed as frequency and percentage.
Results: The reason to go to PAC clinic as pre operative evaluation was known by 30.90% participants but that will help in optimisation and risk reduction was known by only 3.03%. Only an anaesthesiologist can conduct a PAC was known to 23.03% and it will help in anaesthesia and surgery risk reduction was known to 18.18%. Almost half 48.48% participants were willing to communicate about their co morbidities to anaesthesiologist but that need to be optimised before surgery was known by 16.16%.
Keywords
Pre Anaesthetic Check-Up, Optimisation, Anaesthesiologist.- Severity Grading, Management, Outcome and Epidemiological Profiling of Snakebite Victims in Tertiary Care Hospital in South India:5 Years Retrospective Study
Authors
1 Assistant Professor, Department of Anaesthesiology, Kasturba Medical College, Mangalore, IN
2 Professor, HOD Anaesthesiology, SIMS&RC, Mangalore, IN
3 Associate Professor, Department of Community Medicine, Kasturba Medical College, Mangalore, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 14, No 1 (2020), Pagination: 89-95Abstract
Objective: We conducted this study to do epidemiological and clinical profiling of the patients with snake bite in a tertiary care referral centre, situated in suburban area of Dakshin Kannada district, Karnataka, south India.
Materials and Method: This retrospective, record based study was done by analysing medical records of all the patients of snake bite admitted over 5years from June 2015 to July 2019. It included demographic details and clinical profiling. Based on presenting complaint, clinical sign/symptoms and laboratory reports snake envenomation patients were divided into neurotoxic and hemotoxic group. The severity grading, amount of ASV used and outcome assessed in both the groups.
Results: Total 108 patient records were analysed, maximum of which were males (64.8%) in age group of 15-30 years (46.2%). In majority of the cases the species of snake was not identified (67.5%). Dry bites were reported in 40.7% cases, among envenomated cases, 68.7% presented with hemotoxic syndrome, 29.7% with neurotoxic syndrome and 0.9% had both the features. In all envenomated patients with increasing bite to needle time, the grade of severity, amount of used ASV, duration of hospital stay and complications were found to increase.
Conclusion: Snake bite is a neglected life threatening condition, which is a preventable disease. Tourniquet is still very commonly used first aid technique, which can be deleterious. The lack of education and awareness about snake bite management was evident and active mass education is clearly needed.