Comparison of ultrasound-guided abdominal nerve blocks and subarachnoid block as an anaesthetic technique for appendectomy: a retrospective study

Bhattarai, Prajjwal Raj; Rayamajhi, Anuj Jung; Yadav, Rupesh Kumar; Paudel, Shambhu; Pangeni, Anang; Byanjankar, Bikram; Pandit, Rabin

doi:10.3126/jsan.v4i1.17384

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…This finding indicates length of hospital stay is varying for different types of surgical procedures. Duration of hospital stay for appendectomy in this study is slightly higher than the other studies conducted in Nepal which showed mean hospital stay ranges from 3.19 (2.16) days to 5.14 (0.72)days [5,10]. It ranges from 5.15(0.09) days to 4.76 (0.01) days in Taiwan [11,12] and 4.1(0.8) days in India [13].…”

Section: Discussioncontrasting

confidence: 59%

Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal

Chaudhary

Chaurasia

Singh

2019

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Appendectomy, cholecystectomy, fistulectomy, and herniotomy or herniorrhaphy are the most common surgical operations in Nepal. Despite the high prevalence and complexity of the patient population served by general and universal surgery services, little has been reported about the services, treatment procedures and outcomes. Therefore, the study is designed to investigate the duration of hospital stay, and treatment pattern among patients undergoing common surgical operative procedures at Janaki Medical College, Janakpur, Nepal. Material and methods: A prospective observational study was conducted among patients undergoing common surgical operative procedures at surgery department of Janaki Medical College (JMC) over a period of one year from January 2018 to December 2018. Patients of all age groups and gender undergoing surgical operative procedures; appendectomy, herniotomy cholecystectomy and fistulectomy were included in the study. The patients were assessed preoperatively, intra-operatively and postoperatively. Results: In a total of 325 patients, 11.1% of patients underwent fistulectomy, 14.5% underwent appendectomy, 35.4% underwent herniorrhaphy and 39.1% underwent cholecystectomy. Mean duration of stay at hospital for cholecystectomy was slightly higher (8.13±2.40 days) than other operating procedures: fistulectomy (5.44 ±1.48 days), appendectomy (7.40±2.00 days), and operative procedure of hernia (6.17±1.59 days). Most commonly used antibiotic for control of preoperative and post operative infection was third generation cephalosporin’s, ceftriaxone and cefixime. Conclusion: The study demonstrates longer duration of hospital stay for cholecystectomy as compared to other operating procedures like fistulectomy, appendectomy, herniorrhaphy, hernioplasty and herniotomy with significant difference by types of surgery. Most commonly used antibiotic for control of infection was third generation cephalosporin, ceftriaxone and cefixime.

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Section: Discussioncontrasting

confidence: 59%

Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal

Chaudhary

Chaurasia

Singh

2019

Janaki Med. Coll. J. Med. Sci.

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“…However, in the developing countries, the perioperative use of ultrasound has, until now, been limited to USG-guided regional anesthesia [ 3 ] and vascular access [ 4 ]. There are reports of its use in other perioperative settings [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

eFAST for the diagnosis of a perioperative complication during percutaneous nephrolithotomy

Sharma¹,

Bhattarai²,

Sharma³

2018

Crit Ultrasound J

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A 29-year-old patient with normal preanesthetic evaluation was planned for percutaneous nephrolithotomy (PCNL) for right nephrolithiasis with right pyelolithiasis. Surgery was performed under general anesthesia with endotracheal intubation with muscle relaxation. At the conclusion of surgery, when the patient was turned over to supine position, tense abdomen was noted. Immediately extended focused assessment with sonography in trauma (eFAST) was done in which both right and left quadrants of abdomen including pericardial and suprapubic region, right and left thoracic, and both lung basis were examined. Fluid collection was seen in Morison’s pouch which was drained by the urologist under real-time ultrasonography guidance by anesthesiologist. Distension of abdomen subsequently subsided and patient had normal vitals. Trachea was extubated and patient shifted to post-operative ward. eFAST and FAST scans are routine procedures in the rapid assessment of trauma victims in emergency settings. The fluid extravasation during a routine PCNL procedure may lead to abdominal compartment syndrome. This case demonstrated that use of eFAST rapidly detected abdominal collection and ruled out life-threatening conditions such as hemothorax and pneumothorax and prevented abdominal compartment syndrome. Our case is only an example that potentially lethal conditions like these may be encountered in the perioperative setting and the knowledge of eFAST scan may be of great help.Electronic supplementary materialThe online version of this article (10.1186/s13089-018-0088-1) contains supplementary material, which is available to authorized users.

show abstract

Comparison of ultrasound-guided abdominal nerve blocks and subarachnoid block as an anaesthetic technique for appendectomy: a retrospective study

Cited by 2 publications

References 9 publications

Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal

Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal

eFAST for the diagnosis of a perioperative complication during percutaneous nephrolithotomy

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