Journal Issue: No. 3, Issue 3, JULY-SEPT, 2003
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Volume
1
Number
3
Issue Date
2003-09
Journal Title
Journal ISSN
1812-2027
Journal Volume
Volume: 1
(1)
Articles
Supraclavicular brachial plexus block with and without dexamethasone - A comparative study
(Kathmandu University, 2003) BR, Shrestha; SK, Maharjan; S, Tabedar
To compare the analgesic efficacy of local aesthetic with and without dexamethasone in supraclavicular brachial
plexus block. Methods: Forty patients undergoing arm, forearm and hand surgeries were randomly selected. The
forty patients were divided in two groups of 20 each. In-group one, a brachial plexus block was done with 40-50 ml
of local anaesthetic with 1:200,000 adrenaline and in the other group the block was performed with the same amount
of local anaesthetics with dexamethasone. The onset of action and duration of analgesia in the two groups were
compared and any complications of the procedure were noted. Statistical analysis was done using the independent
sample t-test. Results: The two groups were comparable in respect to age, sex, and weight. There was significant
faster onset of action and prolonged duration of analgesia in the dexamethasone group than in the other group.
There were no complications. Conclusion: Addition of dexamethasone for brachial plexus block significantly
prolongs the duration of analgesia without any unwanted effects.
Analysis of 400 cases of posterior segment diseases visiting retina clinic of Nepal eye hospital
(Kathmandu University, 2003) DB, Karki; OK, Malla; RN, Byanju; S, Shrestha
Objective: To determine the disease pattern of 400 patients attending Nepal Eye Hospital for strategic planning.
Materials and methods: A retrospective hospital based analysis of 400 cases visiting Retina Clinic of Nepal Eye
Hospital (NEH) over a period of one year was carried out in order to know the disease pattern for planning purpose.
Results: Males slightly outnumbered females (58% versus 42%). The diseases were more common in age group 50
to 59 years. Diabetes mellitus with or without retinopathy was the commonest cause (20.25 %) for attendance in
retina clinic followed by hypertensive retinopathy and venous occlusive disorders.
Keywords: Posterior segment disease pattern, diabetic retinopathy, hypertension, venous occlusive disease.