Browsing by Author "Bhujel, Amid"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Human Albumin and N-Acetylcysteine for Treatment of Fat Embolism: A Case Report(Nepal Medical Association, 2019) Keyal, Niraj Kumar; Nakarmi, Manish; Bhujel, Amid; Yadav, Sanjeev KumarAbstract Fat embolism is a life-threatening condition that mostly occurs after long bones and pelvis fractures and treatment is controversial with many available drugs. We hereby present a case of 53 years male who developed shortness of breath, tachycardia, fever, anemia, distended jugular vein, thrombocytopenia, hypoalbuminemia and was diagnosed to have fat embolism after fracture of femur, tibia, fibula and pubic rami following road traffic accident. Patient was treated with 20 percent human albumin, N-acetylcysteine, other supportive treatment and discharged after fourteen days. From this we want to emphasize role of human albumin and N-acetylcysteine in treatment of fat. Keywords: fat embolism; human albumin; N-Acetylcysteine.Publication Ulinastatin in the Management of Severe Acute Alcoholic Pancreatitis: A Case Series Authors(Nepal Medical Association, 2021) Keyal, Niraj Kumar; Singh, Amit; Pokhrel, Abishek; Bhujel, Amid; Chaurasia, Rupesh KumarAbstract: Severe acute alcoholic pancreatitis is a second common form of pancreatitis that requires intensive care unit care and has high morbidity and mortality due to lacking specific treatment. Management of alcoholic pancreatitis is generally non- specific and supportive. We hereby present a case-series of three patients that describes the successful treatment of severe acute alcoholic pancreatitis with ulinastatin and other supportive treatment. From this we want to emphasize that ulinastatin a protease inhibitor can be used in the treatment of alcoholic pancreatitis.