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Home > Outcomes of the Laryngeal Mask Airway Lma Application During Ventilation Among Children at French Medical Institute for Children, Kabul, Afghanistan

Outcomes of the Laryngeal Mask Airway Lma Application During Ventilation Among Children at French Medical Institute for Children, Kabul, Afghanistan

Thesis Info

Author

Khesrow Afghanyar

Department

French Medical Institute for Children (FMIC)

Program

Diploma

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2016

Thesis Completion Status

Completed

Subject

Anaesthesiology

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676727858133

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Background: Historically, there were some difficulties in saving patients’ lives in many cases such as diseases in which the patients were unable to managed for airway resuscitation. The laryngeal mask airway (LMA) has traditionally been used to secure the patients airway and maintain spontaneous ventilation during short outpatient surgical procedures in which general anesthesia required. To continue this practice at FMIC, Kabul, this study was conducted to identify the outcome of LMA among children of Kabul, Afghanistan, at FMIC. Objective: This research study was conducted to identify the outcomes of the laryngeal mask airway (LMA) application during ventilation among children at FMIC Institute, Afghanistan. Methodology: A descriptive Case series study design was employed to study research question. The study population comprised of all the children undergoing laryngeal mask airway (LMA) application during surgery at FMIC, Afghanistan from January 2015 till August 2016 and the data collection was done from the file records from July till August 2016. The information was also collected after reviewing the history of LMA. This study was conducted at French Medical Institute for Children (FMIC), Kabul Afghanistan. FMIC is a children's hospital in Kabul, Afghanistan, established in 2005 and is ISO 9001:2008 accredited, and was the first medical centre to receive this accreditation in 2009. The sample size for this study was calculated by using the statistical method of Epi-Info software 2000. The data was entered in SPSS version 23. Discriptive analysis was mainly done to estimate the proportion of the outcomes among those who had LMA during proceudres from 2015 till 2016. Results: There were 207 children with different airway anomalies from different province of Afghanistan (Parwan 7.8%, Kabul 80%, Qandhar 12% etc). All of them underwent for application of LMA under mechanical ventilation at department of anesthesia, FMIC Afghanistan from, 1st January 2015 to 31st August 2016. This study also identified that LMA was used in both the genders; Females (71%) and Males (29%). Our study demonstrated high success in application of anesthesia equipment with minimum, complication during ventilation and have identified only 9.15 % children had development of complication. These complications were only bronchospasm and stridor.Conclusion: Our study have shown that Larengyal Mask airway is safe to intubate among children during diferent surgical procedure with airway anomilies. They developed less complication. From review of history of LMA, this study identified that LMA is safe and secure equipment for ventilation during anesthesia.
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۔نعمان سلیم کی انگریزی نظم کا ترجمہ

نعمان سلیم  کی انگریزی نظم کا ترجمہ ۔۔۔عنبرین خان

 

شبِ تیرہ کی سیاہی کے چند خاموش،

بے رنگ، دودھیا لمحوں میں

خوابیدہ رہے ہم تم

یہاں آؤ

گھڑی بھر کو

تم اپنی سرخ ہتھیلی کو کھڑکی پر ٹکا کے

دھند کے اس پار،

افق سے بھی پرے دیکھو

سنو!

سرگوشیاں چلتی ہواؤں کی

یہ موسم، جان و دل کے زخم بوسیدہ، پرانے سب،

ہرے کرنے کا موسم ہے

وہ دیکھو!

دور اوپر آسماں کی وسعتوں میں

سرمئی گہرائیاں ہم کو بلاتی ہیں

چلو آؤ!

کہ ہم بانہوں میں بانہیں ڈال کر

آغاز کرتے ہیں، نئی اک بےکراں

نیلی، بنفشی سی مسافت کا

کہ ہر حد سے پرے

ہم نور کی پرواز کرتے ہیں

The Rationale for Colonialism: Akbar’s Dream (Notes)

Akbar’s Dream [1892] is among the last poems of Alfred, Lord Tennyson – Poet-Laureate of Britain. It was composed when the British Empire was at its apex of territorial expansion and Queen Victoria was the Empress of India. It is reflective of the position of Tennyson as PoetLaureate – whose ‘official’ task was to celebrate the achievements and other notable events of Britain. Tennyson was an ultra-conservative person who believed that Britain was doing a favour to the peoples they had conquered and subjugated. This was intended for their benefit so as to advance them in the scale of civilization.

Spatio-Temporal Patterns and Bio-Rational Management of Earias Spp. on Okra Abelmoschus Esculentus L. Moench

The insecticidal efficacy of indigenous isolate of entomopathogenic fungi Beauveria bassiana (Balsamo) Vuillemin, Bacillus thuringiensis subsp. kurstaki (Dipel®) and a novel insecticide of the class anthranilic diamide, chlorantraniliprole (Coragen®) was assessed in various laboratory bioassays and in field trials against one of the major okra insect pest Earias vittella (Fab.) and Earias insulana (Boisd.) (Lepidoptera: Noctuidae). Initially, the field population of Earias spp. was monitored by their multiplication capacity in terms of fruit infestation and larval population under different environmental regimes in five districts of Punjab, Pakistan. In laboratory bioassays, second and fourth instar larvae of E. vittella, from three different populations were exposed to the alone and combined applications of B. bassiana, B. thuringiensis and chlorantraniliprole to investigate the effect of dose rate and insect population (strain) on the insecticidal effectiveness of all three chemicals against the test insect species. The results of current studies revealed that the maximum fruit infestation was observed in district Vehari followed by Pakpattan, T.T. Singh, Faisalabad and Chiniot, however, the maximum fruit infestation was recorded on the 5th week during both the years 2011 and 2012. The larval population was maximum in Vehari followed by Pakpattan, T.T. Singh, Faisalabad and Chiniot districts respectively, where the maximum larval population was observed in 5th week during both the years 2011 and 2012. Generally, positive correlation has been observed between temperature, larval population and fruit infestation, while negative correlation has been observed in case of relative humidity, larval population and fruit infestation in both the years. In laboratory bioassays, when B. bassiana was combined with B. thuringiensis, individually the B. thuringiensis was more effective as compared with B. bassiana alone at all the three concentrations against both the larval instars in all the three field populations. In combined treatments significant differences in larval mortality were recorded with highest mortality at higher dose rate of B. bassiana and B. thuringiensis. The combined action of B. bassiana and B. thuringiensis exhibited considerable increase in larval mortality compared with their sole application. The population from Faisalabad was most susceptible followed by T.T. Singh and Pakpattan. The maximum pupation was observed at lower dose of B. bassiana and minimum in combined treatment at higher dose rate for both the larval instars. Similar trend has been observed in case of adult emergence and egg eclosion. When B. bassiana was combined with chlorantraniliprole, individually the chlorantraniliprole was more effective compared with B. bassiana alone at all the three dose rates against both the larval instars against all the three different populations. In combined treatments significant differences in larval mortality were recorded with highest mortality at higher dose rate of B. bassiana and chlorantraniliprole. The combined action of B. bassiana and chlorantraniliprole exhibited considerable increase in larval mortality compared with their sole applications. The Faisalabad population was most susceptible followed by T.T. Singh and Pakpattan. Maximum pupation was observed at lower dose of B. bassiana and minimum in combined treatment at higher dose rate for both the larval instars. Similar trend has been observed in case of adult emergence and egg eclosion. During on farm trials higher larval population was observed in B. bassiana treated plots and minimum in combined treatment of chlorantraniliprole and B. thuringiensis for both the years 2012 and 2013, data regarding fruit infestation also followed the same trend. The average number of Spiders, Bracon spp. and Trichograma spp. were more after first spray compared with the second spray and significantly higher yield was recorded in combined treatments as compared to the alone treatments with highest Cost-benefit ratio (CBR). In both the growing year, CBR was maximum in plots treated with combined application of Bt and Coragen.