Indian Journal of Anaesthesia最新文献

{"title":"Ultrasound-guided pectointercostal facial block (PIFB) for postoperative analgesia after sternotomy in paediatric cardiac surgery.","authors":"","doi":"10.4103/ija.ija_373_25","DOIUrl":"https://doi.org/10.4103/ija.ija_373_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"432"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020048","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":"Effect of bilateral intranasal transmucosal sphenopalatine ganglion block on intraoperative fentanyl requirement in children undergoing palatoplasty under general anaesthesia - A randomised, double-blinded, comparative study.","authors":"Yellala Srinivas, Shubhi Singhal, Rupesh Yadav, Devang Bharti","doi":"10.4103/ija.ija_1186_24","DOIUrl":"10.4103/ija.ija_1186_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Palatoplasties are extremely painful surgeries commonly performed in children; hence, providing excellent analgesia for these surgeries is crucial. This study aims to evaluate the effect of bilateral intranasal transmucosal sphenopalatine ganglion (SPG) block on intraoperative fentanyl requirement in children undergoing palatoplasty under general anaesthesia (GA).</p><p><strong>Methods: </strong>Thirty American Society of Anesthesiologists physical status (PS) I and II patients, aged 6 months-12 years, scheduled to undergo palatoplasty, were randomised to two groups. After induction of anaesthesia, patients in Group T received bilateral SPG block using 0.5% bupivacaine-soaked cotton-tip applicators, while patients in Group C received standard anaesthesia care. The primary outcome was intraoperative fentanyl requirement, and secondary outcomes were intraoperative haemodynamics and post-extubation Paediatric Anaesthesia Emergence Delirium (PAED) scale scores at 5 and 10 min, respectively.</p><p><strong>Results: </strong>The mean intraoperative fentanyl consumption was 26.73 [standard deviation (SD): 10.19)] [95% confidence interval (CI): 20.38, 33.08] μg in Group T compared to 34.47 (SD: 12.73) (95% CI: 27.20, 41.74) μg in Group C (<i>P</i> = 0.008). Heart rate and mean arterial pressure were lower in Group T as compared to that in Group C (<i>P</i> < 0.05). PAED scale scores were recorded to be 7.33 (SD: 1.50) (95% CI: 6.47, 8.19) and 6.00 (SD: 1.31) (95% CI: 5.30, 6.70) for Group T, and 15.53 (SD: 0.74) (95% CI: 15.13, 15.93) and 14.07 (SD: 0.59) (95% CI: 13.75, 14.39) for Group C at 5 and 10 min, respectively (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>SPG block causes a significant reduction in intraoperative fentanyl consumption, stabilises haemodynamics, and facilitates smoother recovery of children undergoing palatoplasty under GA.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"471-476"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063541","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":"Impact of inferior vena cava clamping on electroencephalographic change during anaesthesia.","authors":"Tsai-Shan Wu, Yu-Jie Xue, Hou-Chuan Lai, Zhi-Fu Wu","doi":"10.4103/ija.ija_1341_24","DOIUrl":"10.4103/ija.ija_1341_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"516-518"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998435","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":"Ease of intubation using oral Microcuff RAE (Ring-Adair-Elwyn) tube with and without premounted Frova intubating introducer in children undergoing cleft lip and palate surgeries - A randomised controlled study.","authors":"Sireesha Chilakapati, Sandeep K Mishra, Priya Rudingwa, Muthapillai Senthilnathan, Ajay K Jha, Satyen Parida","doi":"10.4103/ija.ija_1117_24","DOIUrl":"10.4103/ija.ija_1117_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Ring-Adair-Elwyn (RAE) tracheal tube is morphologically different from the routine endotracheal tubes. Unlike conventional endotracheal tubes, the passage of the RAE tube through the laryngopharynx and vocal cords might be challenging. We hypothesised that an oral RAE endotracheal tube railroaded over the Frova intubating introducer would reduce intubation time.</p><p><strong>Methods: </strong>Eighty children with cleft lip and palate anomalies without additional difficult airway predictors were enroled. They were randomly assigned to two groups: Group Frova (<i>n</i> = 40), which received preloaded oral RAE tracheal tubes with a Frova intubating introducer, and Group Non-Frova (<i>n</i> = 40), which received oral RAE tracheal tubes without the Frova introducer. The primary outcome was the tracheal intubation time. Secondary outcomes were the first-attempt intubation success rate, the need for external laryngeal manoeuvres (ELMs), ease of intubation and airway complications.</p><p><strong>Results: </strong>The mean age (months) was 21 [standard deviation (SD): 14.2] in Group Frova and 20.7 (SD: 13.5) in Group Non-Frova. The mean intubation time (sec) was not different between Group Frova and Group Non-Frova [39.15 (SD: 15.39) (95% confidence interval {CI}: 31.3, 47.0) vs. 35.76 (SD: 15.29) (95% CI: 27.9, 43.6); mean difference = 3.39 (95% CI: -3.6, 10.41); <i>P</i> = 0.338]. Furthermore, the first-attempt success rate was comparable between groups (34 vs. 29, <i>P</i> = 0.308). There was no difference in the requirement of ELMs (13 vs. 17, <i>P</i> = 0.261), and the ease of intubation was also comparable.</p><p><strong>Conclusion: </strong>Frova introducer-guided endotracheal intubation with an oral RAE tube does not decrease intubation time in children undergoing cleft lip and palate surgery.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"458-464"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981932","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":"Deep rectus sheath block: A novel pain management approach after laparoscopic cholecystectomy - A case study.","authors":"Francesco Marrone, Marco Tomei, Carmine Pullano, Pierfrancesco Fusco","doi":"10.4103/ija.ija_1366_24","DOIUrl":"10.4103/ija.ija_1366_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"515-516"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984773","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":"Foreign body removal in a paediatric patient: <i>Attract to extract!</i>","authors":"Vishesh Jain, Rohan Magoon, Nitin Choudhary, Devendra K Yadav","doi":"10.4103/ija.ija_1317_24","DOIUrl":"10.4103/ija.ija_1317_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"520-521"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991183","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":"Enhancing the safety of thoracic segmental spinal anaesthesia: Do's and don'ts.","authors":"Naresh W Paliwal, Imran A Khan","doi":"10.4103/ija.ija_157_25","DOIUrl":"10.4103/ija.ija_157_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"509-511"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999852","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":"Streamlining implementation of the one-minute preceptor model in clinical settings by ensuring proper training of faculty.","authors":"Saurabh R Shrivastava, Prateek S Bobhate, Pratibha Deshmukh","doi":"10.4103/ija.ija_1219_24","DOIUrl":"10.4103/ija.ija_1219_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"512-513"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005281","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":"Comparison between ultrasound-guided subpectoral intercostal plane approach and pectoserratus plane approach for intercostobrachial nerve block in surgeries involving posterior and medial aspects of the arm - A randomised comparative trial.","authors":"Selvakumar Kingslin Appadurai, S V Bini, Melvin Cyriac","doi":"10.4103/ija.ija_990_24","DOIUrl":"10.4103/ija.ija_990_24","url":null,"abstract":"<p><strong>Background and aims: </strong>The intercostobrachial nerve (ICBN), along with the brachial plexus, supplies the medial and posterior aspects of the upper arm. This study hypothesised that ultrasound blockade of ICBN by subpectoral intercostal plane block may provide faster and complete blockade compared to the pectoserratus plane block.</p><p><strong>Methods: </strong>Sixty patients were randomised into two groups, and initially, an ultrasound-guided supraclavicular brachial plexus block was performed. After 10 min, Group A received a subpectoral intercostal plane block at the second rib. Group B received a pectoserratus plane block at the fourth rib. Anaesthesia over the posterior and medial aspects of the upper arm was assessed. The primary outcome was the time of onset of the blockade. The secondary outcome was the time taken to perform the block and the block failure rate. Student's <i>t</i>-test was used to compare the means. The categorical variables were compared using the Chi-squared test. Significance was defined by a <i>P</i> value of <0.05.</p><p><strong>Results: </strong>The time of onset of the block over the medial and posterior sides of the arm was significantly faster in Group A. Time taken for administering block in Group B was more than twice that of Group A (<i>P</i> < 0.001). The block was 100% successful in Group A, while in Group B, only 70% was successful.</p><p><strong>Conclusion: </strong>The subpectoral intercostal plane block at the second rib produces a faster and more complete blockade of ICBN in all patients compared to the pectoserratus plane block at the fourth rib.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"477-482"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010981","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":"Total intravenous anaesthesia in neurosurgery: The fading role of inhalation agents?","authors":"Rudin Domi","doi":"10.4103/ija.ija_96_25","DOIUrl":"10.4103/ija.ija_96_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 5","pages":"428-431"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999854","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}