Amanat Khan - Academia.edu (original) (raw)

Papers by Amanat Khan

Research paper thumbnail of Comparison of Transversus Abdominis Plane Block Versus Local Infiltration of Wound with Bupivacine After Appendisectomy

DOAJ: Directory of Open Access Journals - DOAJ, Jun 1, 2018

Research paper thumbnail of Reviewer's List Reviewer's List Reviewer's List Reviewer's List Reviewer's List

Research paper thumbnail of The Mediating Role of Job Stress between Social Support and development of Stress, Anxiety and Depression in Educators and Health Professiona

Foundation University Journal of Psychology, Jan 31, 2017

Current study is intended to examine the mediating role of job stress between social support and ... more Current study is intended to examine the mediating role of job stress between social support and development of stress, anxiety and depression in educators and health professionals. Sample comprised of 231 professional (Educators =131, Health =100) age ranged from 21 to 65 years. Purposive sampling technique was employed based on cross-sectional design. Three scales were used to measure job stress, social support, stress, anxiety and depression. This study revealed that job stress was positively significant predicted by social support (β=.39, p<.000; β=.04, n.s for educators and health professional respectively). In turn, job stress was positively significant predicting to stress (β = .54, p<.000; β = .04, n.s for educator and health professional respectively).Our study analysis revealed that job stress was significantly playing the role of full mediator between social support and stress in health professionals. Recommendations of the study are that both educators and health professional can equally be benefitted by an intervention addressing job stress however, educators can get more benefit by addressing job stress and stress.

Research paper thumbnail of Ultrasound Guided Transversus Abdominis Plane Block Versus Wound Infiltration with Local Anesthetic Agent in Abdominal Surgeries

Pakistan Armed Forces Medical Journal, 2016

Objective: To compare the pain relief and frequency of analgesia requirement in post abdominal su... more Objective: To compare the pain relief and frequency of analgesia requirement in post abdominal surgeries using ultrasound guided transverses abdominis plane (TAP) block with that of wound infiltration with local anesthetic agent. Study Design: Randomized control trial. Place and Duration of Study: This randomized control trial study was conducted at Anesthesia Department of Combined Military Hospital, Rawalpindi, after getting permission from hospital ethical committee from 28th Feb, 2015 to 31st Aug 2015. Material and Methods: The total number of patients included in the study were 100 with American Society of Anaesthesiologists (ASA) status I/II scheduled for elective abdominal surgeries. They were included in the study after written informed consent. The patients in group I received TAP block with 20 ml of 0.25% bupivacaine while those in group II had wound infiltration at the end of surgery with 20 ml of 0.25% bupivacaine. After induction of general anesthesia, ultrasound guided...

Research paper thumbnail of Comparison of 0.5% and 0.75% Hyperbaric Bupivacaine Given Intrathecally in Elective Caesarean Section

OBJECTIVE: To compare the effects on hemodynamic stability,block level,patient’s comfort,nausea ... more OBJECTIVE: To compare the effects on hemodynamic stability,block level,patient’s comfort,nausea and vomiting using 0.5% and 0.75% hyperbaric bupivacaine in lower segment caesarean section.METHODS: A total of 100 patients, having American Society of Anesthesiology status I/II, aged 20 to 40 years, scheduled for electivelower segment caesarean section were selected through consecutivenon-probability sampling technique. Patients were randomly allocated by lottery method to either the group I (n=50) to whom 0.5% hyperbaric bupivacaine was given or group II (n=50) to which 0.75% hyperbaricbupivacaine was administered. Hemodynamic parameters were noted 03 minutes apart for first 30 minutes. Block level was confirmed to cold using ethyl chloride spray. Pain, uneasiness, nausea and vomiting were also noted. Student t-test and Chi square tests were applied where appropriate.RESULTS: Both groups were comparable in terms of age, weight, heightand duration of surgery. There was no significant...

Research paper thumbnail of Conscious Sedation in Spinal Anesthesia: A Comparative Study of Propofol Versus Midazolam

OBJECTIVE: To determine the advantages of conscious sedation in spinal anesthesia by comparing Pr... more OBJECTIVE: To determine the advantages of conscious sedation in spinal anesthesia by comparing Propofol with Midazolam.METHODS: The study was carried out on 60 patients undergoing various elective surgical procedures under spinal anesthesia. The patients were divided into three groups each containing 20 patients. Group A (n=20) received initial bolus of 30 mg of Propofol intravenously (IV) followed by 10 mg top ups on as-required basis. Group B (n=20) received initial bolus of 2 mg of Midazolam followed by 1 mg increments to maintain the conscious sedation. Group C (n=20) did not receive any conscious sedation (Control). The patients were interviewed through a structured questionnaire before anesthesia and 24 hours after the surgical proce­dure. Demographic variables were scored using descriptive statistics and results were analyzed using correlation methods.RESULTS: It was revealed that in patients who were given conscious sedation, 17 patients (85%) from Midazolam group as compare...

Research paper thumbnail of Malaria

The Professional Medical Journal

Objectives: To see the effects of malaria infection on platelet count and haemoglobin in children... more Objectives: To see the effects of malaria infection on platelet count and haemoglobin in children suffering from malaria.Design: Descriptive study. Setting: CMH Okara and CMH Pano Aqil Cantt. Period: July 2008 to June 2012. Methodology: Childrenadmitted with fever of less than seven days duration who had positive smear for malaria parasite were included in the study. After detailedhistory and thorough examination, patients were investigated to find out the cause of fever. All the patients with localizing cause for feverand history of drug intake were excluded. All patients were investigated with complete blood counts and serial peripheral smears formalaria parasite. Peripheral blood smear examination for malarial parasite was taken as gold standard for the diagnosis of malaria. Cut off9 value for low hemoglobin (anemia) was taken as 10gm/dl and platelet count of less than 150x10 /L, was used to definethrombocytopenia. Patients with thrombocytopenia were divided in to three categorie...

Research paper thumbnail of The effect of ketorolac (Toradol) on pain scores and the length of stay in post Anaesthetic Care unit (PACU) after Major Abdominal Surgery

ABSTRACT Objective: To find out the effectiveness of ketorolac administered at the end of surgery... more ABSTRACT Objective: To find out the effectiveness of ketorolac administered at the end of surgery in reducing pain scores and the length of stay in the PACU for the patients undergoing major abdominal surgery Design: Interventional study, a double blind randomized control trial Place & duration of study: POF Hospital, WahCantt, Year 2004-2007 Materials and methods: Hundred adult patients, planned for major surgery fulfilling the inclusion criteria were randomized by simple random numbers table into two groups by codes. At the end of procedure, 30mg ketorolac was given I/V to every member of ketorolac group and 10 ml normal saline I/V (placebo) was given to every member in control group. All the patients were shifted to PACU. The doctor incharge PACU had to decide the length of stay based on two parameters; 1) Pain score on the basis of visual analogue score (VAS) and 2) Salim ABC score for recovery room stay. Results: The initial mean post operative scores in the PACU were lower for ketorolac group,3.6 on Visual analogue score(VAS) with a standard deviation (S.D.) of +/-0.9, and for control group the respective mean postoperative pain score was 5.4 with the S.D. of +/-1.3. This difference was of statistical significance with a p value of less than 0.05. The mean length of stay in PACU for ketorolac group was 97 minutes with an S.D. of +/-30 minutes, while the corresponding mean and S.D. for the control group were 134 minutes and +/-35 minutes respectively which also depicted a difference of statistical significance with a p value of less than 0.05. Conclusion: We conclude that intra-operative I/V ketorolac administration decreases the immediate post operative pain scores and reduces the length of stay in PACU.

Research paper thumbnail of N0 Neck Treatment in cases of Oral cavity carcinoma: Supraomohyoid or extended supraomohyoid neck dissection?

rmj.org.pk

... N0 Neck Treatment in cases of Oral cavity carcinoma: Supraomohyoid or extended supraomohyoid ... more ... N0 Neck Treatment in cases of Oral cavity carcinoma: Supraomohyoid or extended supraomohyoid neck dissection? M Usman Ahmed, M Riaz Akhtar, Amannat Khan, Muahmmad Ajmal, Amna Usman From Wah Medical College, Wah Cantt, Rawalpindi Medical College and ...

Research paper thumbnail of Fat Embolism Syndrome: A Case Report

A young motorcyclist, who had met a road traffic accident resulting in multiple fractures, later ... more A young motorcyclist, who had met a road traffic accident resulting in multiple fractures, later developed fat embolism syndrome. He had to be instituted mechanical ventilation for hypoxemia and deteriorating levels of consciousness and was rendered vigorous management for his critical general condition.

Research paper thumbnail of Effect of Ketorolac on Pain Scores and Length of Stay in Post Anaesthetic Care Unit after Major Abdominal Surgery

Journal of Rawalpindi …, 2007

Background: To find out the effectiveness of ketorolac administered at the end of surgery in redu... more Background: To find out the effectiveness of ketorolac administered at the end of surgery in reducing pain scores and the length of stay in the Post Anaesthetic Care Unit (PACU) for the patients undergoing major abdominal surgery.

Research paper thumbnail of A nasopharyngeal foreign body presenting as adenoid

Rawal Med J, 2007

Page 1. Case Report A Nasopharyngeal foreign body presenting as adenoid M Usman Ahmed, M Riaz Akh... more Page 1. Case Report A Nasopharyngeal foreign body presenting as adenoid M Usman Ahmed, M Riaz Akhter, Tariq M Mufti, Amanat Khan, Amna Usman ... and Shifa International Hospital, Islamabad Correspondance: Dr M Usman Ahmed, Assistant Professor of ENT ...

Research paper thumbnail of Comparison of Transversus Abdominis Plane Block Versus Local Infiltration of Wound with Bupivacine After Appendisectomy

DOAJ: Directory of Open Access Journals - DOAJ, Jun 1, 2018

Research paper thumbnail of Reviewer's List Reviewer's List Reviewer's List Reviewer's List Reviewer's List

Research paper thumbnail of The Mediating Role of Job Stress between Social Support and development of Stress, Anxiety and Depression in Educators and Health Professiona

Foundation University Journal of Psychology, Jan 31, 2017

Current study is intended to examine the mediating role of job stress between social support and ... more Current study is intended to examine the mediating role of job stress between social support and development of stress, anxiety and depression in educators and health professionals. Sample comprised of 231 professional (Educators =131, Health =100) age ranged from 21 to 65 years. Purposive sampling technique was employed based on cross-sectional design. Three scales were used to measure job stress, social support, stress, anxiety and depression. This study revealed that job stress was positively significant predicted by social support (β=.39, p<.000; β=.04, n.s for educators and health professional respectively). In turn, job stress was positively significant predicting to stress (β = .54, p<.000; β = .04, n.s for educator and health professional respectively).Our study analysis revealed that job stress was significantly playing the role of full mediator between social support and stress in health professionals. Recommendations of the study are that both educators and health professional can equally be benefitted by an intervention addressing job stress however, educators can get more benefit by addressing job stress and stress.

Research paper thumbnail of Ultrasound Guided Transversus Abdominis Plane Block Versus Wound Infiltration with Local Anesthetic Agent in Abdominal Surgeries

Pakistan Armed Forces Medical Journal, 2016

Objective: To compare the pain relief and frequency of analgesia requirement in post abdominal su... more Objective: To compare the pain relief and frequency of analgesia requirement in post abdominal surgeries using ultrasound guided transverses abdominis plane (TAP) block with that of wound infiltration with local anesthetic agent. Study Design: Randomized control trial. Place and Duration of Study: This randomized control trial study was conducted at Anesthesia Department of Combined Military Hospital, Rawalpindi, after getting permission from hospital ethical committee from 28th Feb, 2015 to 31st Aug 2015. Material and Methods: The total number of patients included in the study were 100 with American Society of Anaesthesiologists (ASA) status I/II scheduled for elective abdominal surgeries. They were included in the study after written informed consent. The patients in group I received TAP block with 20 ml of 0.25% bupivacaine while those in group II had wound infiltration at the end of surgery with 20 ml of 0.25% bupivacaine. After induction of general anesthesia, ultrasound guided...

Research paper thumbnail of Comparison of 0.5% and 0.75% Hyperbaric Bupivacaine Given Intrathecally in Elective Caesarean Section

OBJECTIVE: To compare the effects on hemodynamic stability,block level,patient’s comfort,nausea ... more OBJECTIVE: To compare the effects on hemodynamic stability,block level,patient’s comfort,nausea and vomiting using 0.5% and 0.75% hyperbaric bupivacaine in lower segment caesarean section.METHODS: A total of 100 patients, having American Society of Anesthesiology status I/II, aged 20 to 40 years, scheduled for electivelower segment caesarean section were selected through consecutivenon-probability sampling technique. Patients were randomly allocated by lottery method to either the group I (n=50) to whom 0.5% hyperbaric bupivacaine was given or group II (n=50) to which 0.75% hyperbaricbupivacaine was administered. Hemodynamic parameters were noted 03 minutes apart for first 30 minutes. Block level was confirmed to cold using ethyl chloride spray. Pain, uneasiness, nausea and vomiting were also noted. Student t-test and Chi square tests were applied where appropriate.RESULTS: Both groups were comparable in terms of age, weight, heightand duration of surgery. There was no significant...

Research paper thumbnail of Conscious Sedation in Spinal Anesthesia: A Comparative Study of Propofol Versus Midazolam

OBJECTIVE: To determine the advantages of conscious sedation in spinal anesthesia by comparing Pr... more OBJECTIVE: To determine the advantages of conscious sedation in spinal anesthesia by comparing Propofol with Midazolam.METHODS: The study was carried out on 60 patients undergoing various elective surgical procedures under spinal anesthesia. The patients were divided into three groups each containing 20 patients. Group A (n=20) received initial bolus of 30 mg of Propofol intravenously (IV) followed by 10 mg top ups on as-required basis. Group B (n=20) received initial bolus of 2 mg of Midazolam followed by 1 mg increments to maintain the conscious sedation. Group C (n=20) did not receive any conscious sedation (Control). The patients were interviewed through a structured questionnaire before anesthesia and 24 hours after the surgical proce­dure. Demographic variables were scored using descriptive statistics and results were analyzed using correlation methods.RESULTS: It was revealed that in patients who were given conscious sedation, 17 patients (85%) from Midazolam group as compare...

Research paper thumbnail of Malaria

The Professional Medical Journal

Objectives: To see the effects of malaria infection on platelet count and haemoglobin in children... more Objectives: To see the effects of malaria infection on platelet count and haemoglobin in children suffering from malaria.Design: Descriptive study. Setting: CMH Okara and CMH Pano Aqil Cantt. Period: July 2008 to June 2012. Methodology: Childrenadmitted with fever of less than seven days duration who had positive smear for malaria parasite were included in the study. After detailedhistory and thorough examination, patients were investigated to find out the cause of fever. All the patients with localizing cause for feverand history of drug intake were excluded. All patients were investigated with complete blood counts and serial peripheral smears formalaria parasite. Peripheral blood smear examination for malarial parasite was taken as gold standard for the diagnosis of malaria. Cut off9 value for low hemoglobin (anemia) was taken as 10gm/dl and platelet count of less than 150x10 /L, was used to definethrombocytopenia. Patients with thrombocytopenia were divided in to three categorie...

Research paper thumbnail of The effect of ketorolac (Toradol) on pain scores and the length of stay in post Anaesthetic Care unit (PACU) after Major Abdominal Surgery

ABSTRACT Objective: To find out the effectiveness of ketorolac administered at the end of surgery... more ABSTRACT Objective: To find out the effectiveness of ketorolac administered at the end of surgery in reducing pain scores and the length of stay in the PACU for the patients undergoing major abdominal surgery Design: Interventional study, a double blind randomized control trial Place & duration of study: POF Hospital, WahCantt, Year 2004-2007 Materials and methods: Hundred adult patients, planned for major surgery fulfilling the inclusion criteria were randomized by simple random numbers table into two groups by codes. At the end of procedure, 30mg ketorolac was given I/V to every member of ketorolac group and 10 ml normal saline I/V (placebo) was given to every member in control group. All the patients were shifted to PACU. The doctor incharge PACU had to decide the length of stay based on two parameters; 1) Pain score on the basis of visual analogue score (VAS) and 2) Salim ABC score for recovery room stay. Results: The initial mean post operative scores in the PACU were lower for ketorolac group,3.6 on Visual analogue score(VAS) with a standard deviation (S.D.) of +/-0.9, and for control group the respective mean postoperative pain score was 5.4 with the S.D. of +/-1.3. This difference was of statistical significance with a p value of less than 0.05. The mean length of stay in PACU for ketorolac group was 97 minutes with an S.D. of +/-30 minutes, while the corresponding mean and S.D. for the control group were 134 minutes and +/-35 minutes respectively which also depicted a difference of statistical significance with a p value of less than 0.05. Conclusion: We conclude that intra-operative I/V ketorolac administration decreases the immediate post operative pain scores and reduces the length of stay in PACU.

Research paper thumbnail of N0 Neck Treatment in cases of Oral cavity carcinoma: Supraomohyoid or extended supraomohyoid neck dissection?

rmj.org.pk

... N0 Neck Treatment in cases of Oral cavity carcinoma: Supraomohyoid or extended supraomohyoid ... more ... N0 Neck Treatment in cases of Oral cavity carcinoma: Supraomohyoid or extended supraomohyoid neck dissection? M Usman Ahmed, M Riaz Akhtar, Amannat Khan, Muahmmad Ajmal, Amna Usman From Wah Medical College, Wah Cantt, Rawalpindi Medical College and ...

Research paper thumbnail of Fat Embolism Syndrome: A Case Report

A young motorcyclist, who had met a road traffic accident resulting in multiple fractures, later ... more A young motorcyclist, who had met a road traffic accident resulting in multiple fractures, later developed fat embolism syndrome. He had to be instituted mechanical ventilation for hypoxemia and deteriorating levels of consciousness and was rendered vigorous management for his critical general condition.

Research paper thumbnail of Effect of Ketorolac on Pain Scores and Length of Stay in Post Anaesthetic Care Unit after Major Abdominal Surgery

Journal of Rawalpindi …, 2007

Background: To find out the effectiveness of ketorolac administered at the end of surgery in redu... more Background: To find out the effectiveness of ketorolac administered at the end of surgery in reducing pain scores and the length of stay in the Post Anaesthetic Care Unit (PACU) for the patients undergoing major abdominal surgery.

Research paper thumbnail of A nasopharyngeal foreign body presenting as adenoid

Rawal Med J, 2007

Page 1. Case Report A Nasopharyngeal foreign body presenting as adenoid M Usman Ahmed, M Riaz Akh... more Page 1. Case Report A Nasopharyngeal foreign body presenting as adenoid M Usman Ahmed, M Riaz Akhter, Tariq M Mufti, Amanat Khan, Amna Usman ... and Shifa International Hospital, Islamabad Correspondance: Dr M Usman Ahmed, Assistant Professor of ENT ...