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Indian Journal of Anaesthesia最新文献

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Fluoroscopy-guided intrathecal lumbar drain placement in severe post-polio spinal deformity: A case report. 透视引导下鞘内腰椎引流术治疗严重脊髓灰质炎后脊柱畸形1例报告。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-17 DOI: 10.4103/ija.ija_611_26
Shivakumar M Channabasappa, S Srihari, S Kavyashree, Pooja Shah
{"title":"Fluoroscopy-guided intrathecal lumbar drain placement in severe post-polio spinal deformity: A case report.","authors":"Shivakumar M Channabasappa, S Srihari, S Kavyashree, Pooja Shah","doi":"10.4103/ija.ija_611_26","DOIUrl":"https://doi.org/10.4103/ija.ija_611_26","url":null,"abstract":"<p><p>Spontaneous cerebrospinal fluid (CSF) rhinorrhoea undergoing endoscopic endonasal repair often requires intraoperative intrathecal lumbar drain (ITLD) placement for fluorescein-assisted fistula localisation and postoperative CSF diversion. Severe spinal deformity can render conventional landmark and ultrasound-guided neuraxial access impossible. We describe a 45-year-old female with post-polio thoracolumbar scoliosis and vertebral rotation undergoing endoscopic repair of a cribriform plate CSF leak, in whom both landmark and ultrasound-guided ITLD placement failed because of absent acoustic windows. Fluoroscopy revealed an apparent lateral image on the standard antero-posterior projection, reflecting near 90-degree axial vertebral rotation.A patient-specific 30-degree oblique C-arm angulation restored a functional antero-posterior-equivalent view, enabling successful catheter placement after fine-needle confirmation. Fluorescein-guided endoscopic repair was subsequently completed uneventfully, with no neurological or CSF-leak-related complications. This case highlights a reproducible, stepwise rescue algorithm-landmark, ultrasound, and patient-tailored fluoroscopic oblique angulation for safe neuraxial access in severely deformed spine, applicable across diverse difficult neuraxial access scenarios.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1054-1057"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thoracic segmental spinal anaesthesia using isobaric bupivacaine for total laparoscopic hysterectomy: A retrospective study. 应用等比重布比卡因进行腹腔镜全子宫切除术的胸段性脊髓麻醉：一项回顾性研究。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-19 DOI: 10.4103/ija.ija_91_26
Richa Chandra, Tarun S Vaghela, Imran A Khan, Pranay T Vaghela
{"title":"Thoracic segmental spinal anaesthesia using isobaric bupivacaine for total laparoscopic hysterectomy: A retrospective study.","authors":"Richa Chandra, Tarun S Vaghela, Imran A Khan, Pranay T Vaghela","doi":"10.4103/ija.ija_91_26","DOIUrl":"https://doi.org/10.4103/ija.ija_91_26","url":null,"abstract":"<p><strong>Background and aims: </strong>Thoracic segmental spinal anaesthesia (TSSA) using isobaric bupivacaine is an emerging technique for abdominal surgeries, offering advantages such as stable haemodynamics, less postoperative pain, and early recovery compared to general anaesthesia. This retrospective study evaluates its feasibility, efficacy, and safety in patients undergoing total laparoscopic hysterectomy (TLH).</p><p><strong>Methods: </strong>This was a single-centre retrospective study conducted at a tertiary care hospital after obtaining ethical clearance. We reviewed electronic medical records of eligible patients who received TSSA for elective TLH between 1 April 2023 and 31 October 2025. Of 78 patients, 12 were excluded due to incomplete records. Block characteristics, feasibility, and safety were analysed in all 66 patients with adequate documentation. Detailed perioperative outcomes were reported for the primary cohort of 50 patients with a body mass index ≤35 kg/m² and standard surgical duration.</p><p><strong>Results: </strong>All 66 patients achieved adequate initial sensory block with 10 mg isobaric bupivacaine + 25 µg fentanyl (onset 4.8 ± 1.1 minutes). The feasibility of completing TLH under TSSA was 64/66 (97.0%). Two patients (3.0%) required conversion to general anaesthesia. In the primary cohort (<i>n</i> = 50), the mean surgical duration was 85 ± 15 minutes. Haemodynamic stability was excellent, with hypotension in 10.6% cases. Complications were low, with no high spinal block or neurological sequelae. Early ambulation and a short hospital stay were observed.</p><p><strong>Conclusion: </strong>TSSA with isobaric bupivacaine appears to be safe and effective for TLH, with low complication rates and excellent haemodynamic control. Prospective studies are warranted to confirm these findings.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S213-S219"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on "Staged whole lung lavage in severe pulmonary alveolar proteinosis - Anaesthetic strategies for one-lung ventilation: A case report". 对《重度肺泡蛋白沉积症分期全肺灌洗-单肺通气麻醉策略1例》的评论。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-17 DOI: 10.4103/ija.ija_1118_26
Subrata K Singha, Gade Sandeep, Sharek A Nazir
{"title":"Comments on \"Staged whole lung lavage in severe pulmonary alveolar proteinosis - Anaesthetic strategies for one-lung ventilation: A case report\".","authors":"Subrata K Singha, Gade Sandeep, Sharek A Nazir","doi":"10.4103/ija.ija_1118_26","DOIUrl":"https://doi.org/10.4103/ija.ija_1118_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1073-1074"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to comments on "Staged whole lung lavage in severe pulmonary alveolar proteinosis - Anaesthetic strategies for one-lung ventilation: A case report". 回复“重度肺泡蛋白沉积症分期全肺灌洗-单肺通气麻醉策略1例”评论。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-17 DOI: 10.4103/ija.ija_1159_26
Ashish Khanna, Nishant Chaudhary
{"title":"Reply to comments on \"Staged whole lung lavage in severe pulmonary alveolar proteinosis - Anaesthetic strategies for one-lung ventilation: A case report\".","authors":"Ashish Khanna, Nishant Chaudhary","doi":"10.4103/ija.ija_1159_26","DOIUrl":"https://doi.org/10.4103/ija.ija_1159_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1075-1076"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rescue with intralipid in severe aluminium phosphide poisoning with cardiovascular collapse. 重度磷化铝中毒并发心血管衰竭的脂内抢救。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-19 DOI: 10.4103/ija.ija_440_26
Kali C Das, Vinay Pathak, Vijay Adabala, Abhay Raj
{"title":"Rescue with intralipid in severe aluminium phosphide poisoning with cardiovascular collapse.","authors":"Kali C Das, Vinay Pathak, Vijay Adabala, Abhay Raj","doi":"10.4103/ija.ija_440_26","DOIUrl":"https://doi.org/10.4103/ija.ija_440_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S232-S235"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to comments on "dexmedetomidine versus magnesium sulphate as adjuvants to ropivacaine in ilioinguinal-iliohypogastric nerve block for inguinal hernia repair: A randomised controlled trial". 回复关于“右美托咪定与硫酸镁作为罗哌卡因佐剂在髂腹股沟-髂腹下神经阻滞治疗腹股沟疝修补：一项随机对照试验”的评论。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-17 DOI: 10.4103/ija.ija_1322_26
Laxman K Senapati, Reddi Gireesh Bodigandla, Amit Pradhan, Rajendra K Sahoo, Priyadarsini Samanta
{"title":"Reply to comments on \"dexmedetomidine versus magnesium sulphate as adjuvants to ropivacaine in ilioinguinal-iliohypogastric nerve block for inguinal hernia repair: A randomised controlled trial\".","authors":"Laxman K Senapati, Reddi Gireesh Bodigandla, Amit Pradhan, Rajendra K Sahoo, Priyadarsini Samanta","doi":"10.4103/ija.ija_1322_26","DOIUrl":"https://doi.org/10.4103/ija.ija_1322_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1079-1080"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intra-operative acute subdural haematoma during elective craniotomy: Haemodynamic warning signs for the neuro-anaesthesiologist. 择期开颅术中急性硬膜下血肿：神经麻醉师的血流动力学警告信号。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-19 DOI: 10.4103/ija.ija_218_26
Sapna Yadav, Ruchi Verma, Devendra Gupta, Sumit Sachan
{"title":"Intra-operative acute subdural haematoma during elective craniotomy: Haemodynamic warning signs for the neuro-anaesthesiologist.","authors":"Sapna Yadav, Ruchi Verma, Devendra Gupta, Sumit Sachan","doi":"10.4103/ija.ija_218_26","DOIUrl":"https://doi.org/10.4103/ija.ija_218_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S226-S228"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Message by the Honorary Secretary, Indian Society of Anaesthesiologists, National. 印度麻醉师协会名誉秘书致辞。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-19 DOI: 10.4103/ija.ija_1047_26
Rajiv Gupta
{"title":"Message by the Honorary Secretary, Indian Society of Anaesthesiologists, National.","authors":"Rajiv Gupta","doi":"10.4103/ija.ija_1047_26","DOIUrl":"https://doi.org/10.4103/ija.ija_1047_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S165-S166"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulmonary venous baffle stenosis following atrial switch repair for transposition of the great arteries. 心房开关修复大动脉转位后肺静脉瓣狭窄。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-19 DOI: 10.4103/ija.ija_209_26
Sri Rama Ananta Nagabhushanam Padala, Aaditya Sirohi, Prathamesh G Kumbhar, Anjali Tiwari
{"title":"Pulmonary venous baffle stenosis following atrial switch repair for transposition of the great arteries.","authors":"Sri Rama Ananta Nagabhushanam Padala, Aaditya Sirohi, Prathamesh G Kumbhar, Anjali Tiwari","doi":"10.4103/ija.ija_209_26","DOIUrl":"https://doi.org/10.4103/ija.ija_209_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S228-S230"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A statistical point for clarification in "dexmedetomidine versus magnesium sulphate as adjuvants to ropivacaine in ilioinguinal-iliohypogastric nerve block for inguinal hernia repair: A randomised controlled trial". “右美托咪定与硫酸镁作为罗哌卡因佐剂在髂腹股沟-髂腹下神经阻滞治疗腹股沟疝修补：一项随机对照试验”中需要澄清的统计要点。
IF 2.2
Indian Journal of Anaesthesia Pub Date : 2026-09-01 Epub Date: 2026-09-17 DOI: 10.4103/ija.ija_1301_26
Deepika R Basappakokati, Shashikant S Swami
{"title":"A statistical point for clarification in \"dexmedetomidine versus magnesium sulphate as adjuvants to ropivacaine in ilioinguinal-iliohypogastric nerve block for inguinal hernia repair: A randomised controlled trial\".","authors":"Deepika R Basappakokati, Shashikant S Swami","doi":"10.4103/ija.ija_1301_26","DOIUrl":"https://doi.org/10.4103/ija.ija_1301_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1077-1078"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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