Subarachnoid Block in Prone Position for lower limb surgery

Abstract

Subarachnoid block is a safe and effective regional anesthesia technique. It is usually carried out in sitting or lateral position but it can also be performed in prone position. Here we report two cases of flame burn over bilateral gluteal region extending to the posterior and lateral aspect of both thighs, who were planned for debridement and split skin grafting. Both patients had difficulty in siting and lying on either side of lateral position. We had administered subarachnoid block in prone position taking into consideration of patient’s comfort and the nature of the procedure. Both patients remained hemodynamically stable throughout the procedure and their post-operative periods were uneventful.Keywords: Burn; prone position; subarachnoid block

Antibiotics Prescription, Dispensing Practices and Antibiotic Resistance Pattern in Common Pathogens in Nepal: A Narrative Review

“…23,28,29 Since the qualifications, training and authorities for prescribing drugs is different among these prescribers, their prescribing practices need to be regularly monitored. 30 In Nepal, antibiotic prescription is regulated by various acts and regulations including Drug Act 1978; however, it has not been found followed by most of the practitioners. 30 This regulatory framework had defined antibiotics as the drug requiring prescription for dispensing.…”

“…30 In Nepal, antibiotic prescription is regulated by various acts and regulations including Drug Act 1978; however, it has not been found followed by most of the practitioners. 30 This regulatory framework had defined antibiotics as the drug requiring prescription for dispensing. Similarly, a clear guideline has been developed by Nepal Pharmacy Council regarding dispensing of prescribed drugs by registered pharmacists.…”