COMPARATIVE EVALUATION OF PLAIN AND HYPERBARIC ROPIVACAINE IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERY UNDER SPINAL ANESTHESIA.

Background: Preliminary work has shown that ropivacaine provides spinal anesthesia of shorter duration with greater sensory motor dissociation than bupivacaine, and may be of particular use in the day care surgery. Hypothetically, hyperbaric solution of ropivacaine could improve and shorten both sensory and motor block.

Material And Methods: This prospective, randomized, double blind study was conducted on 80 patients undergoing lower abdominal surgeries.

Clinical evaluation of nares-vocal cord distance and its correlation with various external body parameters.

Background And Aims: The optimal visualisation of vocal cords during fibreoptic intubation may be utilised for the nares-vocal cord distance (NVD) estimation. The present study was conducted to measure NVD and to correlate with various external body parameters.

Methods: This study was conducted on 50 males and 50 females.

Urinothorax: A rare cause of severe respiratory distress.

A case of massive right pleural effusion in a postoperative patient of percutaneous nephrolithotomy leading to severe respiratory distress is reported. A high degree of clinical suspicion and prompt intervention by insertion of an intercostal drainage tube prevented the patient from going in to respiratory failure. The development of arrhythmias confused the picture increasing the morbidity of the patient.