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Indian Journal of Clinical Anaesthesia最新文献

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Devic’s disease: A devil’s trap for the Anesthesiologist: A case report 德维奇氏病麻醉师的魔鬼陷阱：病例报告
Indian Journal of Clinical Anaesthesia Pub Date : 2024-06-15 DOI: 10.18231/j.ijca.2024.049
Roshin Binoy, Bincy V. Thomas, Sheela Verghese
{"title":"Devic’s disease: A devil’s trap for the Anesthesiologist: A case report","authors":"Roshin Binoy, Bincy V. Thomas, Sheela Verghese","doi":"10.18231/j.ijca.2024.049","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.049","url":null,"abstract":"Neuromyelitis optica spectrum of disorder (NMOSD) is a rare autoimmune inflammatory relapsing astrocytopathy due to immunoglobulin against aquaporin 4 (AQP4) receptor. It is characterized by demyelination of the spinal cord and optic nerve. The vulnerability of demyelinated neurons to local anesthetics and increased response to neuromuscular blocking agents make the choice of anesthesia challenging. The rarity of the disease has made the literature scarce, especially when it comes to those undergoing surgeries and their anesthetic implications. We report the case of a 54-year-old patient with NMOSD who underwent modified radical mastectomy for carcinoma breast under general anesthesia. The use of multimodal analgesia for pain management and the avoidance of muscle relaxants resulted in an uneventful perioperative period in this patient.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141336387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful outcome in pregnancies with eisenmenger syndrome for category 1 LSCS: A case series 患有艾森曼格综合征的 1 类 LSCS 孕妇的成功结局：病例系列
Indian Journal of Clinical Anaesthesia Pub Date : 2024-06-15 DOI: 10.18231/j.ijca.2024.044
Mudhabir Ashraf, U. Salmani, Tantry Tariq Gani, Muneeb Ur Rashid
{"title":"Successful outcome in pregnancies with eisenmenger syndrome for category 1 LSCS: A case series","authors":"Mudhabir Ashraf, U. Salmani, Tantry Tariq Gani, Muneeb Ur Rashid","doi":"10.18231/j.ijca.2024.044","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.044","url":null,"abstract":"PAH associated eisemnenger syndrome is a congenital heart diseases with bidirectional or reversed shunt. The maternal mortality in this syndrome is very high 30-50%. We present a case series of 3 patients with eisemnenger syndrome with successful materno-faetal outcome of patients under general anaesthesia for category 1 LSCS. The focus of anesthetic management was to preserve SVR (systemic vascular resistance) to PVR (pulmonary vascular resistance) ratio.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141337243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaesthetic management of post-PTCA cardiac tamponade from cath lab to cardiothoracic operating theater 从心导管实验室到心胸外科手术室的 PTCA 术后心脏填塞的麻醉管理
Indian Journal of Clinical Anaesthesia Pub Date : 2024-06-15 DOI: 10.18231/j.ijca.2024.050
Ameerunnisha Begum, Niranjni Sivadoss, Lakshmi Ramakrishnan
{"title":"Anaesthetic management of post-PTCA cardiac tamponade from cath lab to cardiothoracic operating theater","authors":"Ameerunnisha Begum, Niranjni Sivadoss, Lakshmi Ramakrishnan","doi":"10.18231/j.ijca.2024.050","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.050","url":null,"abstract":"Cardiac tamponade is a medical emergency characterized by the accumulation of fluid in the pericardial sac, exerting pressure on the heart and impairing its ability to pump blood effectively. This condition can result from various causes, including trauma, infection, malignancy, or complications of medical procedures such as percutaneous coronary interventions (PCI) like percutaneous transluminal coronary angioplasty (PTCA). The anaesthesiologists play a pivotal role as peri operative physicians in the catheterization laboratory and intensivists in the ICU in prompt recognition and intervention which is crucial to prevent hemodynamic collapse and improve patient outcomes. In this case, a female in her fifties with a history of previous PCI developed cardiac tamponade shortly after undergoing PTCA. Despite immediate stabilization attempts in the catheterization laboratory, the patient's condition deteriorated rapidly, necessitating emergency pericardiocentesis and subsequent thoracotomy for definitive management. The successful outcome of this case underscores the importance of early recognition, rapid intervention, and a multidisciplinary approach in managing cardiac tamponade post-PTCA.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":"6 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141337282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of efficacy of intrathecal hyperbaric ropivacaine and hyperbaric bupivacaine in terms of enhanced recovery after surgery (ERAS) for ACL reconstructions 在前交叉韧带重建手术（ERAS）中，比较鞘内高压罗哌卡因和高压布比卡因在增强术后恢复（ERAS）方面的疗效
Indian Journal of Clinical Anaesthesia Pub Date : 2024-06-15 DOI: 10.18231/j.ijca.2024.031
N. Panse, Noopur Dasmit Singh, Payoja Narendra Khadpekar, Varun Raj Dubey
{"title":"Comparison of efficacy of intrathecal hyperbaric ropivacaine and hyperbaric bupivacaine in terms of enhanced recovery after surgery (ERAS) for ACL reconstructions","authors":"N. Panse, Noopur Dasmit Singh, Payoja Narendra Khadpekar, Varun Raj Dubey","doi":"10.18231/j.ijca.2024.031","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.031","url":null,"abstract":": Bupivacaine is the drug of choice in spinal anaesthesia (SA), while Ropivacaine with its comparatively shorter duration of motor block allows early mobilization post ACL reconstruction surgery which is a crucial factor in Early Recovery after Surgery. : In this randomized double-blind comparative study of a total of 60 patients irrespective of gender undergoing ACL reconstruction surgery were studied. After Administration of SA to group R (2.5ml of 0.75% Heavy Ropivacaine) & group B (2.5ml of 0.5% Bupivacaine) both were compared for their post-operative effects with Bromage score, Aldrete score & Visual Analogue Score. : The time required for complete regression of motor blockade in group R (144.5+26.1 mins) < group B (181±21.3mins) which allowed for early mobilization which over all provides better and faster recovery.: Hyperbaric Ropivacaine when compared to Bupivacaine promises better results in terms of early ambulation and intraoperative hemodynamic stability promoting ERAS in patients undergoing ACL reconstruction surgeries. Promoting ERAS policy will reduce the duration of hospital stay, thereby improving the cost-effectiveness of health services.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":"7 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141337015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paediatric pulmonary hypertension due to congenital heart disease in non-cardiac surgery: Anaesthetic implications 非心脏手术中先天性心脏病导致的小儿肺动脉高压：麻醉影响
Indian Journal of Clinical Anaesthesia Pub Date : 2024-06-15 DOI: 10.18231/j.ijca.2024.040
Iti Shri, Leena Tayshete, Jasvinder K Kohli, R. Kashav
{"title":"Paediatric pulmonary hypertension due to congenital heart disease in non-cardiac surgery: Anaesthetic implications","authors":"Iti Shri, Leena Tayshete, Jasvinder K Kohli, R. Kashav","doi":"10.18231/j.ijca.2024.040","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.040","url":null,"abstract":"Paediatric patients with pulmonary hypertension associated with Congenital Heart Disease (PH-CHD) are frequently encountered in non-cardiac surgical settings. Although the pharmacological and surgical management of the underlying CHD in the group has improved yet its management remains challenging due to associated high morbidity and mortality. The dilemma prevails more so because of the dearth of adequate literature describing its pathophysiology and management in non-cardiac surgical settings. There are no specific guidelines pertaining to paediatric PH-CHD care, and the precepts have been extrapolated from adult studies and guidelines. This review article intends to apprise the pathophysiology of PH-CHD, its management, and its perioperative care with special emphasis on pulmonary vascular hypertensive crisis in these patients posted for non-cardiac procedures.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":"78 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141337779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaesthetic challenges in a patient with eisenmenger syndrome: A case report 艾森曼格综合征患者的麻醉挑战：病例报告
Indian Journal of Clinical Anaesthesia Pub Date : 2024-03-15 DOI: 10.18231/j.ijca.2024.018
Priya Chandran, Shiril Ashraf, Sheela Verghese
{"title":"Anaesthetic challenges in a patient with eisenmenger syndrome: A case report","authors":"Priya Chandran, Shiril Ashraf, Sheela Verghese","doi":"10.18231/j.ijca.2024.018","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.018","url":null,"abstract":"The term Eisenmenger syndrome describe a large left-to-right cardiac shunt. Occur in 8% of patients with congenital heart disease. Pregnancies carries very high risk of mortality and premature delivery. 20-30% pregnancies result in spontaneous abortion and premature delivery. Pulmonary microembolism and macroembolism have caused peripartum maternal death even after delivery. Anaesthetic management is challenging due to the patho-physiology of the shunt. Our case report is a 27-year-old female known case of Eisenmenger syndrome with chronic thromboembolism presented with inevitable abortion scheduled to undergo emergency evacuation under general anaesthesia.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaesthetic management of a case of Takayasu arteritis: A case report 一例高安动脉炎的麻醉处理：病例报告
Indian Journal of Clinical Anaesthesia Pub Date : 2024-03-15 DOI: 10.18231/j.ijca.2024.023
R. Wadhwa, Ehtesham Naqvi, Suman Keshav, S. Virmani
{"title":"Anaesthetic management of a case of Takayasu arteritis: A case report","authors":"R. Wadhwa, Ehtesham Naqvi, Suman Keshav, S. Virmani","doi":"10.18231/j.ijca.2024.023","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.023","url":null,"abstract":"Takayasu's arteritis (TA) is a rare disease characterized by chronic progressive pan-endarteritis involving large blood vessels with resultant feeble pulsations in involved arteries. Therefore, it is also referred as pulseless disease. The challenges for anaesthesia management includes uncontrolled hypertension, invasive arterial monitoring, central nervous system monitoring and end-organ dysfunction. We present successful management of a middle-aged female diagnosed with TA posted for aorto-carotid graft. The anaesthesia management and complications encountered are highlighted.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Carcinoid syndrome: Innovative anesthetic approach utilizing erector spinae plane block 类癌综合征：利用竖脊肌平面阻滞的创新麻醉方法
Indian Journal of Clinical Anaesthesia Pub Date : 2024-03-15 DOI: 10.18231/j.ijca.2024.019
Ojaswani Rai Sood, Mohmad Salim
{"title":"Carcinoid syndrome: Innovative anesthetic approach utilizing erector spinae plane block","authors":"Ojaswani Rai Sood, Mohmad Salim","doi":"10.18231/j.ijca.2024.019","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.019","url":null,"abstract":"A 57-year-old female with history of carcinoid syndrome along with extensive liver metastases presented for a right sided mastectomy and implant insertion for breast cancer. Preoperative optimization included an octreotide infusion and anxiolysis, as well as planning a cardiostable anaesthetic that avoided any crisis stressors. Ultrasound guided thoracic (T4) ESP block using 0.2% Ropivacaine was given under propofol sedation followed by remifentanil and propofol anaesthesia. Octreotide infusion along with boluses was used to treat hypotension and bradycardia intraoperatively. The combination of perioperative octreotide administration, intraoperative remifentanil and propofol anaesthesia and ESP block provided satisfactory anaesthesia. The block was effective for 36 hours post-operatively and the patient was discharged 48 hours post admission. We suggest that a novel interfascial plane block, ESP block is a useful addition to the armamentarium of the anaesthetist in the management of a patient with carcinoid syndrome with an aim to decrease dependence on morphine and preventing conversion to chronic pain.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review on efficacy of dexmedetomidine on emergence agitation after nasal surgeries 右美托咪定对鼻腔手术后出现躁动的疗效系统综述
Indian Journal of Clinical Anaesthesia Pub Date : 2024-03-15 DOI: 10.18231/j.ijca.2024.014
Ritu Medatwal, Anil Garg
{"title":"A systematic review on efficacy of dexmedetomidine on emergence agitation after nasal surgeries","authors":"Ritu Medatwal, Anil Garg","doi":"10.18231/j.ijca.2024.014","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.014","url":null,"abstract":"Dexmedetomidine has sympatholytic, soothing, pain relieving vasoconstrictive and, sedative impacts, which might assist with forestalling hypotension. This study intended to play out an orderly survey of the writing and explore the viability of dexmedetomidine on perioperative dreariness following nasal medical procedure. We looked the electronic Embase, Cochrane, MEDLINE, and PubMed data sets. Moreover, each significant article's and book's reference index was totally looked. Included were the expressions \"Dexmedetomidine\" [MeSH] \"development disturbance, \"[MeSH]\", nasal medical procedure\" [MeSH]\" and general aneasthesia\" [MeSH]. This survey shows that the fundamental organization of dexmedetomidine can diminish intraoperative blood misfortune, careful time, postoperative torment and the rate of development unsettling.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":" 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difficult mask ventilation: An objective criterion 困难面罩通气：客观标准
Indian Journal of Clinical Anaesthesia Pub Date : 2024-03-15 DOI: 10.18231/j.ijca.2024.016
K. Chaudhary, Vishrantkumar K Kushal Shetty
{"title":"Difficult mask ventilation: An objective criterion","authors":"K. Chaudhary, Vishrantkumar K Kushal Shetty","doi":"10.18231/j.ijca.2024.016","DOIUrl":"https://doi.org/10.18231/j.ijca.2024.016","url":null,"abstract":"Effective mask ventilation plays a critical role in safe management of airway before intubation or after failed intubation. Mask ventilation (MV) is the primary technique of ventilation before tracheal intubation or insertion of any airway device. Its most unique role however, is as a rescue technique for ventilation should tracheal intubation fail or prove difficult. The ability to establish adequate MV has, therefore, become a major branch point in any difficult airway algorithm. Despite it being an important skill, MV has received little attention in the extensive body of literature and book chapters addressing airway management when compared to laryngoscopy and intubation. At present, there is no standard definition for Difficult Mask Ventilation (DMV) that is based on precise and objective criterion. The authors propose a simple objective criterion to categorize difficult mask ventilation based on the best monitoring parameters.","PeriodicalId":13310,"journal":{"name":"Indian Journal of Clinical Anaesthesia","volume":" 93","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140392352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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