#প্রশ্ন হলো Lumber Puncture (CSF Fluid Collection) এবং Spinal Anaesthesia Between L3-L4 Disc space কেন Selected করা হয়? # WHY_why ? উওর সহজ Conus medullaris Lumber Vertebrae Between L1 or L2 Disc space এ শেষ হয়েছে! সেক্ষেত্রে L3-L4 এর Disc space এ CSF সংগ্রহ করলে Nerve injury হওয়ার Risk কম থাকে! কারণ Subarachnoid space between the pia and the arachnoid,filled with CSF. তাছাড়া spinal cord encloses the cauda equina. #প্রশ্ন হচ্ছে Lumber Puncture বা Cerebrospinal Fluid Collection কেন করা হয়?? যখন কোন Patients life theating condition চলে যায়,Lab Test,Radiological test রিপোর্ট এ সঠিক রোগের ডায়াগনোসিস হচ্ছে না, তখন Cerebrospinal Fluid Analysis করেন,Correct Dx. জন্য! যেমন, *Suspicion Meningitis/Tubercular Meningitis *Suspicion of Subarachnoid hemorrhage *Suspicion of central nervous system [GBS] *Carcinomatus Meningitis *Pseudotomur cerebri *তাছাড়া Neurological ও Bacterial, Viral,Parasite জনিত রোগ সনাক্তকরণ করতে CSF analysis করে থাকেন! Cerebrospinal Fluid বিভিন্ন Co
Sedatives and hypnotics drug Sedatives and hypnotics drug Classification : * benzodiazepines * non benzodiazepines Benzodiazepines type: (on the basis of duration of action) *short acting drug (3-8 hour) midazolam triazolam *intermediate acting drugs (10-20 hours) alprazolam, estrazolam, lorazepam, temazepam, bromazapam, oxazepam, clobazepam *long acting drugs (40-100 hours) diazepam, chlordiazepoxide,flurorozepam,nitrazepam. Nonbenzodiazepines / Barbiturates: *ultra short acting thiopental sodium *short acting pentobarbital, secobarbital *intermediate acting amobarbital, butabarbital *long acting phenobarbital, phenobarbitone from all of these drugs, *short acting benzodiazepines use as anasthetics agents. *intermediate acting benzodiazepines use as hypnotics agents. *long acting benzodiazepines use as sedative agents.