TY - JOUR
T1 - Anaesthesia at remote location
T2 - Use of modified bain circuit (Mapleson D) at Kunri Christian Hospital (KCH)
AU - Khan, Ehtesham Izhar
AU - Ullah, Hameed
AU - Kamal, Rehana
PY - 2009/7
Y1 - 2009/7
N2 - Objective: To develop a safe general anaesthesia technique for remote areas with lack of facilities. Methods: Four types of anaesthesia techniques using TIVA and modified Bain circuit were planned. Monitoring facility was limited to manual sphygmomanometer, palpation of radial pulse and monitoring of colour of skin and blood. Depth of anaesthesia was assessed using EVANs, RPST scoring system. Patients were asked in recovery room for awareness. Results: Surgeries done were cesarean sections, laparotomies, gynaecological, urological, hernia and burn contractures. Six patients had RPST score of 5 or more and three patients in recovery room complained of awareness. Cost per Anaesthesia was Rs225. Conclusion: TIVA with modified Bain circuit provided effective anaesthesia in remote area at low cost.
AB - Objective: To develop a safe general anaesthesia technique for remote areas with lack of facilities. Methods: Four types of anaesthesia techniques using TIVA and modified Bain circuit were planned. Monitoring facility was limited to manual sphygmomanometer, palpation of radial pulse and monitoring of colour of skin and blood. Depth of anaesthesia was assessed using EVANs, RPST scoring system. Patients were asked in recovery room for awareness. Results: Surgeries done were cesarean sections, laparotomies, gynaecological, urological, hernia and burn contractures. Six patients had RPST score of 5 or more and three patients in recovery room complained of awareness. Cost per Anaesthesia was Rs225. Conclusion: TIVA with modified Bain circuit provided effective anaesthesia in remote area at low cost.
UR - https://www.scopus.com/pages/publications/67651156012
M3 - Article
C2 - 19579731
AN - SCOPUS:67651156012
SN - 0030-9982
VL - 59
SP - 445
EP - 448
JO - Journal of the Pakistan Medical Association
JF - Journal of the Pakistan Medical Association
IS - 7
ER -