Trigeminocardiac Reflex during Maxillary Reconstruction Surgery: A Case Report

Systemic hypotension, cardiac dysrhythmia especially bradycardia, apnoea, and gastric hypermotility occurring presumably after stimulation of any of the sensory branches of trigeminal nerve is coined as trigeminocardiac reflex (TCR). It has been described to occur in various surgeries like cerebello-pontine angle and pituitary fossa surgeries. Such bradycardic reflex responses have also been observed during maxillofacial surgeries. The TCR presents as a challenge to both the Anaesthesiologist and the Surgeon in view of its varied presentations, diagnosis, prevention and appropriate management

Pygopagus Conjoined Twins for Separation Surgery: an Interesting Experience

Conjoined twins are rarely encountered in the clinical practice of the anaesthetist and the issues that have to be considered in their anaesthetic management are unique and fascinating. Pygopagus are one of the rare type of conjoined twins with only a handful of cases reported in the literature. We present the case of one and half month old male pygopagus conjoined twins who were joined together dorsally in lower lumbar and sacral region and shared a single thecal sac. They were brought to our hospital for separation surgery

Assessment of Oral Hygiene awareness in Geriatric patients attending OPD at ESIC Dental College, Rohini, New Delhi

Aim: To assess and learn oral health awareness and hygiene practices among geriatric patients and also to identify important barriers in the establishment of oral health services, disease prevention and oral health promotion programmes for the same. Materials and Methods: A total of 500 patients in the age group of 50 years and above were selected using random sampling technique. A self‑administered structured questionnaire including 20 multiple choice questions was given to them. The results were analyzed using percentage. Results: The result of this study shows an acute lack of oral hygiene awareness and limited knowledge of oral hygiene practices. In Rohini, few people use tooth brush. Conclusions: Hence, there is an urgent need for comprehensive educational programs to promote good oral health and impart education about correct oral hygiene practices