Reference Values of median and ulnar Nerve Conduction Study in adults at Chonburi hospital

Siriporn Jintasathaporn — Tue, 01 Oct 2024 00:00:00 +0700

Objects : To study the normal electrophysiological values of the median and ulnar nerve in normal healthy adult subjects for using as a standard value in electrodiagnostic laboratory,Chonburi Hospital

Design : Descriptive cross-sectional study

Method : Nerve conduction study was performed on median and ulnar nerve of 40 healthy adult subjects using standard techniques

Result : There were 40 subjects (16 males and 24 females) in the study. The mean age of subjects was 33.45 year. The median sensory nerve showed a mean (± SD) peak latency 3.29±0.39 ms and amplitude 51.25±10.57 mv. The median motor nerve showed a mean (± SD) onset latency 3.3±0.46 ms, amplitude 9.46±1.85 mv and nerve conduction velocity 59.83±3.96 m/sec. The ulnar sensory nerve showed a mean (± SD) peak latency 2.95±0.29 ms and amplitude 47.36±13.51 mv. The ulnar motor nerve showed a mean (± SD) onset latency 2.68±0.33 ms, amplitude 9.55±1.71mv and nerve conduction velocity 65.74±5.05 m/s There was no significant difference in median and ulnar nerve conduction study between right and left hand

Conclusion : This study established the normative conduction parameters of median and ulnar nerve using as a standard value in electrodiagnostic laboratory,Chonburi Hospital

Preoperative Anxiety among Adult Patients Undergoing Anesthesia of Elective Surgery in The Buddhasothorn Hospital: A Descriptive Cross-sectional Study

Supichaya Chairat — Tue, 01 Oct 2024 00:00:00 +0700

Background: Preoperative anxiety is one of the most significant problems for patients because it can lead to physiological, psychological, and anesthetic complications. It has the potential to impact various aspects of anesthesia, including an increased requirement for anesthetics, a higher incidence of awareness during surgery, and heightened pain during the postoperative period. These problems were reported to have extended the recovery period and lengthened of hospital stay. High levels of anxiety were associated with increased perioperative morbidity and mortality.

Objective: To determine the overall incidence of preoperative anxiety and associated factors among patients undergoing elective surgery in Buddhasothorn Hospital.

Materials and Methods: A Descriptive Cross-sectional Study from 1^st June to 15^th July 2024. Interviews with the adult patients were performed in The Preoperative clinic, Buddhasothorn Hospital. For the study, The Amsterdam Preoperative Anxiety and Information Scale (Thai version) has been used. Data entry and analysis were done using IBM SPSS 29.0.1. Continuous variables were summarized using mean and standard deviation, while categorical variables were presented using frequencies and proportions. Chi square test, Student t test, correlation analysis, and multivariate analysis using logistic regression were used in the analysis. The statistical significance level was set at P < 0.05 with 95% CI.

Results: A total of 291 patients participated in the study. Preoperative anxiety was present in 54 (18.6%). The age group, education status, chronic medical illness, and types of surgery were statistically associated with preoperative anxiety. The predictor of high preoperative anxiety in the study was the age group 18-33 years (41.7%), tertiary education (40%), no chronic medical illness (24.4%), and elective obstetric and gynecological surgery (38.8%).

Conclusions: The incidence of preoperative anxiety among patients undergoing elective surgery was lower than in previous studies done in similar settings. Preoperative anxiety was associated with the age group, education status, chronic medical illness, and types of surgery.

Buddhasothorn Hospital Journal

Reference Values of median and ulnar Nerve Conduction Study in adults at Chonburi hospital

Preoperative Anxiety among Adult Patients Undergoing Anesthesia of Elective Surgery in The Buddhasothorn Hospital: A Descriptive Cross-sectional Study