Indian Journal of Anaesthesia最新文献

{"title":"Enhanced recovery after anaesthesia (ERAA) protocols must be followed in all surgeries.","authors":"Mukul C Kapoor","doi":"10.4103/ija.ija_724_24","DOIUrl":"https://doi.org/10.4103/ija.ija_724_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"859-860"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516413","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}

{"title":"Comparing the effects of three local anaesthetic agents on cardiac conduction system - A randomised study.","authors":"Vaishali Agarwal, Pravin K Das, Soumya S Nath, Manoj Tripathi, Bhuwan Tiwari","doi":"10.4103/ija.ija_1185_23","DOIUrl":"https://doi.org/10.4103/ija.ija_1185_23","url":null,"abstract":"<p><strong>Background and aims: </strong>This study aimed to compare the effects of three local anaesthetic (LA) agents, namely bupivacaine, levobupivacaine, and ropivacaine, on the cardiac conduction system as assessed by corrected QT (QTc) and P wave dispersion (PWD) intervals in lower limb orthopaedic surgeries and to find the most suitable LA agent that can be used for a long duration.</p><p><strong>Methods: </strong>The study included 75 patients with American Society of Anesthesiologists physical status I and II of either gender in the age group of 18-65 years undergoing elective lower limb orthopaedic surgeries under epidural anaesthesia. These were allocated to groups B (bupivacaine), L (levobupivacaine), and R (ropivacaine). We observed blood pressure, heart rate, respiratory rate, PWD, and QTc intervals from baseline value through Holter monitoring, pain assessment by visual analogue scale, and demand and total volume of LA consumed by patient-controlled analgesia devices. The repeated measures of ANOVA were carried out to find the effect of time and time-to-group interaction among the groups across the periods.</p><p><strong>Results: </strong>On intergroup comparison of QTc and PWD, no significant difference among groups was observed, but on intragroup analysis, a statistically significant increase in QTc and PWD from baseline was observed for each of groups B, L, and R at all time intervals. However, the mean increase in QTc and PWD recorded for Group B was higher than in groups L and R.</p><p><strong>Conclusions: </strong>Bupivacaine has the maximal tendency to prolong QTc and PWD. All three agents showed comparable haemodynamic effects and time to onset of sensory and motor blockade.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"889-895"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499526","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}

{"title":"Limitations of high-frequency variability index in pain monitoring during pheochromocytoma resection.","authors":"Jun Honda, Rieko Oishi, Keisuke Yoshida, Satoki Inoue","doi":"10.4103/ija.ija_350_24","DOIUrl":"https://doi.org/10.4103/ija.ija_350_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"930-932"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499529","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}

{"title":"Sensitivity and subgroup analysis in a meta-analysis - What we should know?","authors":"Abhijit Sukumaran Nair, Nitinkumar Borkar","doi":"10.4103/ija.ija_623_24","DOIUrl":"https://doi.org/10.4103/ija.ija_623_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"922-924"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499533","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}

{"title":"Does the resistive index of the radial artery change after arterial cannulation in patients undergoing abdominal surgery? A prospective observational study.","authors":"Lakshmi Kumar, Rajasri Subramaniam, P Anandajith Kartha, Dimple E Thomas, Sunil Patel, Niveditha Kartha","doi":"10.4103/ija.ija_628_24","DOIUrl":"https://doi.org/10.4103/ija.ija_628_24","url":null,"abstract":"<p><strong>Background and aims: </strong>To evaluate the flow at the cannulation site in the radial artery, the resistive indices (RIs) before cannula insertion and 6 h after decannulation were measured (primary outcome). The secondary outcomes were measurement of the artery size by anteroposterior (AP) diameter at the insertion site, RI and AP diameter at a point 4 cm proximal and in the ipsilateral ulnar artery before insertion and 6 h after cannula removal.</p><p><strong>Methods: </strong>In 96 patients requiring an arterial line during surgery, peak systolic velocity (PSV) and end-diastolic velocity (EDV) were measured to derive RI using a linear ultrasound transducer. The RI was measured at R1 (insertion point), R2, 4 cm proximal to R1, and U1 on the ipsilateral ulnar artery. The AP diameter of the arteries at baseline R1₀, R2₀ and U1₀ was measured and repeated 6 h after removal of the cannula, R1₆, R2₆ and U1₆.</p><p><strong>Results: </strong>RI or AP diameter in R1 or R2 did not differ pre- and post-cannulation. Mean R1₀ 1.143 [standard deviation (SD: 0.239)] versus R1₆ 1.181 (SD: 0.260) m/sec [mean difference (MD): -0.0372 (95% confidence interval (CI): -0.098, 0.023), <i>P</i> = 0.230]. Mean AP diameter at baseline versus 6 h decannulation 0.177 (SD: 0.042) versus 0.172 (SD: 0.045) cm [MD: 0.005 (95% CI: 0.003, 0.013), <i>P</i> = 0.222] was also similar. The mean PSV in U1₀ versus U1₆ was higher: 0.480 (SD: 0.178) versus 0.528 (SD: 0.316) m/sec [MD: 0.120 (95% CI: -0.185, -0.054), <i>P</i> = 0.002] and AP diameter was also higher than baseline (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>The flow in the radial artery did not change following cannulation. The PSV and AP diameter in the ulnar artery increased after decannulation, suggesting a compensatory increase in flow.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"909-914"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499527","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}

{"title":"Optimising oxygenation prior to and during tracheal intubation in critically ill patients.","authors":"Kunal Karamchandani, Alex Iancau, Craig S Jabaley","doi":"10.4103/ija.ija_553_24","DOIUrl":"https://doi.org/10.4103/ija.ija_553_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"855-858"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499532","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}

{"title":"Ultrasound-guided central neuraxial block: Practice to curriculum?","authors":"Srinivasan Parthasarathy, Nishant Kumar, Indubala Maurya, J Edward Johnson","doi":"10.4103/ija.ija_777_24","DOIUrl":"https://doi.org/10.4103/ija.ija_777_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"849-851"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499536","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}

{"title":"ABCs of anaesthesia private practice: Adapting, building and conquering.","authors":"Pankaj Gupta, Meera Pandey, Amit Jain","doi":"10.4103/ija.ija_726_24","DOIUrl":"https://doi.org/10.4103/ija.ija_726_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"934-935"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499520","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}

{"title":"Medication stewardship in the operating theatre in Malaysia: A quality improvement project.","authors":"Siti Nadzrah Yunus, Nur Haryanti Izumi Suhaimi, Ka Ting Ng, Ili Syazana Jamal Azmi, Noorjahan Haneem Md Hashim, Ina Ismiarti Shariffuddin","doi":"10.4103/ija.ija_1186_23","DOIUrl":"https://doi.org/10.4103/ija.ija_1186_23","url":null,"abstract":"<p><strong>Background and aims: </strong>A quality improvement project ('Safe Anaesthesia for ALL-SEAL') was implemented to reduce preventable medication errors and drug wastage in the operating theatre (OT) of a tertiary hospital. The primary objective of this quality improvement project was to prevent the incidence of medication errors, and the secondary objective was to reduce the wastage of unused drugs.</p><p><strong>Methods: </strong>A pre-intervention questionnaire and an audit survey were performed, and multidirectional interventions were designed post-survey. A post-intervention survey was conducted to evaluate effectiveness. The incidence of medication errors, including near misses, was assessed for root causes. Unused drugs drawn or diluted in syringes were recorded daily in each OT. The weekly drug orders and mid-week reordering frequency were also monitored. The data were reported as simple means and percentages.</p><p><strong>Results: </strong>Ninety-eight anaesthesia care providers participated in the survey (72.4% doctors and 27.6% anaesthetic nurses). Pre-intervention, 76.1% of respondents had experienced medication errors during their practice. Common errors included misidentification of ampoules or vials (65.2%), miscalculation of dosages (65.2%), improper syringe labelling (56.5%), accidental drug omission (54.3%) and wrong prescriptions (39.1%). The main sources of errors were fatigue/overwork (80.4%) and a hectic OT environment (71.7%). Post-intervention, no incidents of medication errors were reported. In addition, there was a significant reduction in drug wastage.</p><p><strong>Conclusions: </strong>The SEAL project positively prevented medication errors and reduced drug wastage, which should be further validated in other clinical settings.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"882-888"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499530","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}

{"title":"Novel supraglottic airway device for ophthalmic procedures.","authors":"Renu Sinha, Kanil Ranjith Kumar, Vinay Balnath Gaikwad, Arshad Ayub","doi":"10.4103/ija.ija_537_24","DOIUrl":"https://doi.org/10.4103/ija.ija_537_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"927-928"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499531","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}