Indian Journal of Anaesthesia最新文献

{"title":"Gender-related barriers to career progression in Indian anaesthesiologists: Perception, structure, and the path forward.","authors":"Manisha Katikar, Devyani Desai, Alla Prasanthi, Pratheeba Natarajan","doi":"10.4103/ija.ija_327_26","DOIUrl":"10.4103/ija.ija_327_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"427-430"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573771","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":"Anaesthetic management of a Floating-Harbor syndrome child with Moya-Moya disease for revascularisation surgery.","authors":"Aravind Ayyappan, Sravan Sreekumar, Manikandan Sethuraman, Ranganatha Praveen","doi":"10.4103/ija.ija_1374_25","DOIUrl":"10.4103/ija.ija_1374_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"494-495"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573613","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":"Gender-related barriers to career progression in Indian anaesthesiologists: A nationwide online survey.","authors":"Shagun Bhatia Shah, Seema Shukla, Rajiv Chawla, Sweta Gulati, Charanjeet Kaur, Nikhil Bhasin","doi":"10.4103/ija.ija_257_26","DOIUrl":"10.4103/ija.ija_257_26","url":null,"abstract":"<p><strong>Background and aims: </strong>The presence and extent of gender bias in the workplace among Indian anaesthesiologists has not been previously assessed. We aimed to find out whether gender is perceived as a barrier to a flourishing career in anaesthesia in India. The secondary objectives included identifying causes of gender disparity, if any.</p><p><strong>Methods: </strong>The opinion of male and female anaesthesiologists of different seniority, spanning government and private institutions pan India, was sought via an online survey questionnaire (25 questions; multiple choice, matrix type, Likert type; Survey Monkey platform). The responses answered by 255 anaesthesiologists in a time frame of 1 month were compared between male and female respondents using Chi-square test and odds ratios (ORs) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>78% of male versus 48% of female respondents disagreed that female gender is a barrier to a flourishing career in anaesthesia. Female anaesthesiologists were significantly more likely than males to perceive female gender as a barrier to a flourishing career (27.9% vs 6.9%; OR 6.69, 95% CI 2.68-16.70, <i>P</i> < 0.001). Added home responsibility is the most important barrier to female career progression as per 73% males and 72% females. Lack of support structure (55% females; 32% males), lack of safety at workplace especially during odd hours (44% males; 50% females), male competency assumptions (49% females; 11% males), equating top leadership with geographical mobility and 24 × 7 availability (32% females; 14% males), a trailing spouse (21% females; 12% males), and lack of role models (13% females; 8% males) were other perceived barriers.</p><p><strong>Conclusion: </strong>Pragmatic solutions for a more harmonious, equitable, and stress-free work environment begin with acknowledging the existence of gender-related barriers.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"415-426"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573737","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 of dexmedetomidine, haloperidol, and propofol sedation on intra-abdominal pressure, inflammatory response, and clinical outcomes in patients with abdominal sepsis: A randomised controlled study.","authors":"Sherif K Arafa, Mostafa M Shaheen, Ahmed S Abdelhamid, Shaimaa Abdelbadie, Asmaa Abdelbadie, Ahmed A A Shama","doi":"10.4103/ija.ija_647_25","DOIUrl":"10.4103/ija.ija_647_25","url":null,"abstract":"<p><strong>Background and aims: </strong>Abdominal sepsis serves as a significant challenge in critical care and frequently requires mechanical ventilation (MV) and sedation to ensure patient satisfaction and promote recovery. The present research compared the effect of dexmedetomidine, haloperidol, and propofol on intra-abdominal pressure (IAP), inflammatory markers, and clinical outcomes in abdominal septic cases.</p><p><strong>Methods: </strong>This randomised controlled trial enroled 90 adult abdominal sepsis patients requiring postoperative MV. Patients were randomised to three groups: Group D received intravenous (IV) dexmedetomidine (1 μg/kg loading dose over 10 min; 0.2-0.3 μg/kg/h maintenance), Group H was administered IV haloperidol (2.5 mg loading dose; 1-2 mg/h infusion), and Group P received IV propofol (1 mg/kg loading dose over 15 min; 20-80 μg/kg/min maintenance). The primary outcome was the serum interleukin (IL)-6 level at 24 hours. Data were analysed using one-way analysis of variance (ANOVA), Tukey's <i>post hoc</i> test, Kruskal-Wallis test, or Chi-square test as appropriate, with a <i>P</i> value <0.05 considered significant.</p><p><strong>Results: </strong>Dexmedetomidine significantly reduced interleukin (IL-6, IL-8), serum lactate, and IAP at 24 and 48 h (<i>P</i> < 0.05), showing superior efficacy than haloperidol, which was more effective than propofol. Groups D and H demonstrated better haemodynamic stability than propofol. There were no notable variations in the duration of MV, intensive care unit, hospital stay, or mortality rates among the groups.</p><p><strong>Conclusion: </strong>Dexmedetomidine exhibited superior anti-inflammatory effects and better control of IAP than haloperidol and propofol in abdominal sepsis patients. However, these physiological improvements did not translate into significant differences in clinical outcomes.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"459-466"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573763","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":"Women in anaesthesia research: Onwards and upwards.","authors":"Kate Leslie","doi":"10.4103/ija.ija_310_26","DOIUrl":"10.4103/ija.ija_310_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"391-393"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573867","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":"Gender disparity and anaesthesiology: Time to close the gap.","authors":"Parthasarathy Srinivasan, J Edward Johnson, Manoj Kamal, Nishkarsh Gupta","doi":"10.4103/ija.ija_338_26","DOIUrl":"10.4103/ija.ija_338_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"431-433"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573681","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":"Sodium bicarbonate in the intensive care unit: Insights from BICARICU-2.","authors":"Pradip K Bhattacharya, Lata Bhattacharya, Tushar Kumar","doi":"10.4103/ija.ija_23_26","DOIUrl":"10.4103/ija.ija_23_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"503-504"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573778","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":"Intrathecal adjuvants in spinal anaesthesia: Balancing evidence, safety, and regulatory gaps.","authors":"Imran A Khan, Habib M R Karim","doi":"10.4103/ija.ija_1617_25","DOIUrl":"10.4103/ija.ija_1617_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"498-499"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573788","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":"The Foley-stop assembly: A frugal innovation for measuring plateau pressure in resource-limited settings.","authors":"Udismita Baruah, Dishank Rawat, Abhishek Sharma","doi":"10.4103/ija.ija_183_26","DOIUrl":"10.4103/ija.ija_183_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"499-501"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573794","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":"Interpretable artificial intelligence for predicting blood transfusion after surgery for femoral shaft fractures: A retrospective analysis.","authors":"Rameshbabu Manyam, Puneet Gupta, Pengfei Lou, Rui Guo, Andrew Carro, Eric R Heinz","doi":"10.4103/ija.ija_810_25","DOIUrl":"10.4103/ija.ija_810_25","url":null,"abstract":"<p><strong>Background and aims: </strong>Blood transfusions are often necessary in the surgical repair of orthopaedic fractures. However, these transfusions are associated with significant morbidity. The purpose of this study was to assess whether artificial intelligence (AI) based models can be utilised to predict blood transfusions after surgery for femoral shaft fractures and to identify the most important preoperative risk factors using interpretable AI methods.</p><p><strong>Methods: </strong>This retrospective study utilised 2015-2020 data of the femoral shaft fracture patient population drawn from the National Surgical Quality Improvement Program database. Five AI based models were developed using patient clinical information for predicting blood transfusions within 72 hours of surgery. SHapley Additive exPlanations were performed to visualise and interpret the risk factors that contributed to the model's performance.</p><p><strong>Results: </strong>A total of 1720 patients were included, of which 570 (33.1%) required a blood transfusion within 72 hours of femoral shaft fracture surgery. The Extreme Gradient Boosting model demonstrated the best predictive performance with an area under the receiving operating characteristic curve of 0.81 and a Brier score of 0.02. The most important risk factors for prediction were pre-operative haematocrit, age, platelet count, preoperative blood urea nitrogen, body mass index, preoperative white blood cell count, and preoperative creatinine.</p><p><strong>Conclusion: </strong>This study developed and internally validated an interpretable AI model for predicting blood transfusions in an isolated population of femoral shaft fracture patients with good performance. Interpretable AI based models may support anaesthesiologists and orthopaedic surgeons in perioperative risk stratification, management, and patient education but require external validation before clinical translation.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 3","pages":"467-476"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573801","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}