Magnetic Resonance Imaging Guided Diagnosis of Subungual Glomus Tumour in Two Young Females

Garg, Vikas; Ahuja, Ashish; Nain, Prabhdeep Singh; Bhagtana, Anju; Minakshi, Minakshi; Girn, Hardev Ramandeep Singh; Jindal, Jyoti

doi:10.14260/jemds/2016/579

jemds

2016

DOI: 10.14260/jemds/2016/579

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Magnetic Resonance Imaging Guided Diagnosis of Subungual Glomus Tumour in Two Young Females

Vikas Garg¹,

Ashish Ahuja²,

Prabhdeep Singh Nain³

et al.

Abstract: Glomus tumours are uncommon benign hamartomas arising from glomus body. We report two cases of subungual glomus tumour, who had presented because of intense pain in fingertip. Both were diagnosed with Magnetic Resonance Imaging (MRI). They were treated with excision biopsy and histopathology revealed subungual glomus tumour.

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2022

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Efficacy of Ketamine versus Magnesium Sulphate as Adjuvants to Levobupivacaine in Ultrasound Bilevel Erector Spinae Block in Breast Cancer Surgery (a Double-Blinded Randomized Controlled Study)

Sherif¹,

Youssef²,

Fares³

et al. 2022

LRA

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Purpose Breast surgeons seek simple, safe, effective, and novel regional anesthesia techniques for postoperative analgesia. Erector spinae plane (ESP) block is a new ultrasound-guided technique. We aimed to explore the analgesic effect of adding ketamine and magnesium sulfate as adjuvants to levobupivacaine in ESP. Patients and Methods Sixty female patients (aged 18–60 years) with breast cancer, weighing 50–90 kg who were scheduled for modified radical mastectomy (MRM) were randomly allocated into three groups (20 patients each) to receive an ESP block with 20 mL 0.25% levobupivacaine with adjuvants according to the following groups: group C: levobupivacaine; group K: levobupivacaine + 2 mg/kg ketamine; and group M: levobupivacaine + 2 mg/kg magnesium sulfate. The block was administered preoperatively before anesthesia induction. Postoperatively, hemodynamics, visual analog scale scores, the first request for analgesia, total analgesic consumption, and side effects were observed for 48 hours. Results The total amount of Morphine rescue analgesia was significantly lower in groups M (7.00 ± 0.61 mg) and K (7.50 ± 0.58 mg) than in group C (14.40 ± 3.47 mg) during the first 48 h postoperatively. Nine (45%) patients in group M and 13 (65%) patients in K, compared with 20 (100%) patients in group C, requested analgesia. The time to first request of analgesia was significantly longer in groups M (30 h) and K (24 h) than in group C (7 h). No hemodynamic changes or serious side effects were observed. Conclusion Magnesium sulphate and ketamine seem to be both effective adjuvants to levobupivacaine in ESP blocks for postoperative analgesia in patients undergoing MRM, with slightly better analgesia provided by magnesium sulphate.

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Efficacy of Ketamine versus Magnesium Sulphate as Adjuvants to Levobupivacaine in Ultrasound Bilevel Erector Spinae Block in Breast Cancer Surgery (a Double-Blinded Randomized Controlled Study)

Sherif¹,

Youssef²,

Fares³

et al. 2022

LRA

View full text Add to dashboard Cite

show abstract

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Magnetic Resonance Imaging Guided Diagnosis of Subungual Glomus Tumour in Two Young Females

Cited by 1 publication

References 12 publications

Efficacy of Ketamine versus Magnesium Sulphate as Adjuvants to Levobupivacaine in Ultrasound Bilevel Erector Spinae Block in Breast Cancer Surgery (a Double-Blinded Randomized Controlled Study)

Efficacy of Ketamine versus Magnesium Sulphate as Adjuvants to Levobupivacaine in Ultrasound Bilevel Erector Spinae Block in Breast Cancer Surgery (a Double-Blinded Randomized Controlled Study)

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