Background and Aims:
Spinal anesthesia is the regional technique preferred for cesarean section and is usually administered using the traditional landmark technique. Ultrasonography of the spine appears to be helpful in locating the puncture site and increasing the success rate. The primary objective of this study was to assess the use of ultrasonogram in locating the lumbar interspinous space for spinal anesthesia in laboring parturients brought for elective cesarean section.
Material and Methods:
Sixty parturients scheduled to undergo elective cesarean section under spinal anesthesia were included in this prospective randomized controlled trial, after obtaining the institutional ethical clearance. In Group I, 30 patients received spinal anesthesia by landmark technique and in Group II, 30 patients underwent ultrasound-guided spinal anesthesia. The statistical analysis was done using SPSS software version 17 (SPSS Inc., Chicago, Illinois, USA) for Microsoft windows.
Results:
The time taken for spinal in Group I was longer than in Group II (62 ± 18s; 41 ± 11s;
P
= 0.0001). The number of attempts of needle insertion was significantly less in Group II (group I 1.86 ± 1.04: group II 1.06 ± 0.25). However, the total preparation time (28 8.30 ± 92 vs 804.73 ± 77;
P
= 0.0001) was more in the ultrasound-guided than in the landmark group. The patients had better satisfaction in group II.
Conclusion:
Preprocedural ultrasound is a useful tool for successful lumbar puncture in parturients as it minimizes the number of attempts of needle insertion and provides better patient satisfaction.
A total of 14,747 dogs were presented to Small Animal Ophthalmology unit of Madras Veterinary College Teaching Hospital for different ophthalmic diseases during the period of 2018 to 2021. Out of which, 649 (4.4%) dogs had less common intraocular and orbital diseases. The remaining 14,098 (95.6%) dogs had only corneal and extraocular diseases which were not included in this incidence study. The incidence was higher with cataract (n=170, 26.19%), followed by retinal detachment (n=96, 14.79%), proptosis (n=95, 14.64%) and retinal degeneration (n=89, 13.71%). Apart from these, incidence of eyeball lesions like exophthalmos was 2.16% (n=14), enophthalmos 0.46% (n=3) and anophthalmia 0.46% (n=3). The incidence of amaurosis was 7.86% (n=51), hyphema 5.39% (n=35), lens luxation 3.08% (n=20), glaucoma 2.31% (n=15) and panophthalmitis 6.78% (n=44). Incidence of intraocular tumours 1.23% (n=8) and retrobulbar tumours was 0.92% (n=6).
Aim: Vasectomy is performed in deer for population control, maintain pedigreed animals and prevent inbreeding. Conventional procedure of vasectomy required a long-term anesthesia and longer duration of hospitalization, which often result in stress, morbidity and mortality. A study was conducted to capture, neuter and release the deer with minimal hospitalization and stress by adopting three finger palpation technique of vas deferens and performing vasectomy through a key-hole incision.
Materials and Methods:The study was conducted on three spotted male deer and three sambar male deer, which were immobilized with a mixture of xylazine at the dose of 1.00 mg/kg and ketamine at the dose of 5.00 mg/kg. The vas deferens could be palpated as a piece of cooked spaghetti at the neck of the scrotum on the anterior aspect by three finger palpation technique and was able to fix the vas deferens between the thumb and middle finger. Through a key-hole incision of <5 mm length, the vas deferens was exteriorized and resected using electrocautery and the skin incision was sealed with methyl methacrylate. The deer were released on the same day, and no post-operative complication was noticed.
Conclusion:The study revealed that three finger palpation technique of vas deferens provided guidance for easy access to vas deferens for vasectomy in deer with less hospitalization, and the deer could be released on the same day.
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