Indian Journal of Anaesthesia最新文献

{"title":"Ultrasonographic evaluation of palatoglossal space to predict difficult mask ventilation - A prospective observational study.","authors":"Sarath Sekhar, Pankaj Kundra, Vasuki Krishnan Mohan, Muthapillai Senthilnathan, Ananthakrishnan Ramesh","doi":"10.4103/ija.ija_963_24","DOIUrl":"10.4103/ija.ija_963_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"315-318"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752498","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":"Application of EXORA block for analgesia following hand-assisted laparoscopic donor nephrectomy (HALDN).","authors":"Korgün Ökmen, Asiye Demirel, Aycan Kurtarangil Doğan, Ceren Yağdıran Ertuş","doi":"10.4103/ija.ija_1263_24","DOIUrl":"10.4103/ija.ija_1263_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"324-326"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752462","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 i-gel®, Ambu® AuraGain™, Baska Mask, LMA® Protector™ for airway management of obese surgical patients - A randomised comparative study.","authors":"Rajesh Raman, Apoorva Gupta, Rati Prabha, Shefali Gautam, Akshay Anand","doi":"10.4103/ija.ija_755_24","DOIUrl":"10.4103/ija.ija_755_24","url":null,"abstract":"<p><strong>Background and aims: </strong>A few trials have studied the use of supraglottic airway devices (SADs) for obese patients. This trial aimed to compare four SADs: I-gel, Ambu AuraGain, Baska mask, and Laryngeal Mask Airway (LMA) Protector for airway management of obese patients.</p><p><strong>Methods: </strong>This parallel-group, single-blind, comparative randomised study included 154 obese patients aged between 18 and 60 years who were planned for elective surgery. They were randomly allocated one of the above four SADs for airway management. Each group had 38 patients. The allocated SAD was inserted after induction of anaesthesia. oropharyngeal leak pressure (OLP) was the primary outcome. Data were analysed using analysis of variance, Kruskal-Wallis, or χ² test.</p><p><strong>Results: </strong>Baseline data of the patients were comparable. Mean OLP was highest with the Baska mask and lowest with the LMA Protector [32.97 (standard deviation (SD): 1.30) (95% confidence interval (CI): 32.54, 33.40] vs 30.08 (SD: 1.51) (95% CI: 29.58, 30.58) cm H₂O). The mean leak fraction was highest with the Baska mask and lowest with Ambu AuraGain (6.88 (SD: 1.33) (95% CI: 6.44, 7.31) vs 6.08 (SD: 1.18) (95% CI: 5.69, 6.47)). The mean time taken to insert the SAD was shortest with I-gel and longest with Ambu AuraGain (18.58 (SD: 1.97) (95% CI: 17.93, 19.23) vs 29.11 (SD: 2.50) (95% CI: 28.28, 29.93) sec). Heart rate, SAD placement success rate, fibreoptic view of the glottis, blood pressure, and side effects were comparable amongst the devices.</p><p><strong>Conclusion: </strong>For obese patients undergoing elective surgery, the Baska mask has the highest OLP, but I-gel, Ambu AuraGain, and LMA Protector are also acceptable choices.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"289-295"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752465","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 different volumes of bupivacaine 0.25% caudal blocks on cardiac index measured by electrical cardiometry in children undergoing elective lower abdominal surgeries: A randomised controlled trial.","authors":"Khaled Sarhan, Maha Gebreel, Ashgan Raouf, Islam Reda, Mohammed Ameen, Rana Walaa, Nazmy Seif","doi":"10.4103/ija.ija_858_24","DOIUrl":"10.4103/ija.ija_858_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Studies assessing caudal block's effects on children's cardiac output are scarce. We aimed to estimate the effects of the caudal block using different volumes of plain bupivacaine 0.25% on the cardiac index assessed by electrical cardiometry.</p><p><strong>Methods: </strong>Children aged 1-8 years undergoing minor lower abdominal surgeries were randomly assigned to one of three equal groups: The 0.8 group received general anaesthesia (GA) along with caudal block with 0.8 mL/kg of bupivacaine 0.25%, the 1.2 group received GA along with caudal block with 1.2 mL/kg of bupivacaine 0.25%, and the control group received GA only. The primary outcome was the percentage of change in the cardiac index from the baseline 10 minutes after the caudal block. Continuous variables were analysed using the ANOVA test, while categorical data was analysed using a chi-squared test with the significance level set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>The mean percentage of change of cardiac index from baseline 10 minutes after caudal block was significantly lower in the 0.8 and 1.2 groups (-11.4 (standard deviation (SD): 12.5%) and -17.1 (SD: 15.5%), respectively) compared to the control group (-0.7 (SD: 11.5%), (<i>P</i> = 0.007 and <i>P</i> = 0.0001). Mean differences were -11 (0.8 vs control, 95% confidence interval (CI): -18.7, -3.3%, and -15.2 (1.2 vs control, 95% CI: -23, -7.5%).</p><p><strong>Conclusion: </strong>The cardiac index progressively decreased with the increase in the volume of the caudal block with plain bupivacaine at 0.25% compared to the baseline. However, this decrease was not clinically significant, suggesting that the cardiac index remained within an acceptable range after the caudal block. Nevertheless, caution is warranted due to the increased incidence of hypotension with increasing volumes of plain local anaesthetics in the caudal block.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"275-281"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752466","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":"Infographics in medical academia: A picture is worth a thousand words.","authors":"M Ashwin, Sukriti Jha, Vinay Kumar, Prakash Gondode","doi":"10.4103/ija.ija_1267_24","DOIUrl":"10.4103/ija.ija_1267_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"319-320"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752474","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":"Pectoral nerve block and pecto-intercostal fascial block versus thoracic paravertebral block for postoperative analgesia in modified radical mastectomy: A randomised controlled trial.","authors":"Adarsh M Sheshagiri, Ajeet Kumar, Chandni Sinha, Abhyuday Kumar, Poonam Kumari, Amarjeet Kumar, Chandan Jha","doi":"10.4103/ija.ija_734_24","DOIUrl":"10.4103/ija.ija_734_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Modified radical mastectomy (MRM) is associated with persistent postoperative pain. Paravertebral block (PVB) is the gold standard for postoperative analgesia. A pecto-intercostal fascial plane (PIFB) block added to the pectoral nerve block (Pecs) may provide effective analgesia. This trial aimed to compare the analgesic efficacy of Pecs-PIFB with PVB.</p><p><strong>Methods: </strong>Fifty American Society of Anesthesiologists (ASA) I/II patients scheduled for MRM were randomly assigned to receive either Pecs-PIFB block with 30 mL for Pecs block and 15 mL for PIFB or PVB block with 20 mL (0.2% ropivacaine). Postoperatively, intravenous (IV) morphine was administered through a patient-controlled analgesia (PCA) pump. The primary outcome was to compare the time to the first demand dose of rescue analgesic. The secondary outcomes were postoperative 24-hour opioid consumption, pain scores (30 mins and 1, 2, 4, 6, 12, and 24 h), patient satisfaction score (24 h), and block-related complications. The unpaired <i>t</i>-test compared quantitative normally distributed data, while the Mann-Whitney U test compared quantitative discrete data. A <i>P</i> value < 0.05 was considered to be statistically significant.</p><p><strong>Results: </strong>Patients in the Group Pecs-PIFB had an increased median time to first demand dose: 440 [interquartile range (IQR): 360-540] versus 340 (IQR: 180-360) minutes (<i>P</i> = 0.019) and lower median 24-h postoperative morphine consumption: 4 (3-6) versus 6 (4-8) mg (<i>P</i> = 0.020). Patients in the Group Pecs-PIFB had better pain scores at 30 minutes and 1 h.</p><p><strong>Conclusion: </strong>Compared to thoracic PVB, the combination of Pecs and PIFB block prolonged the duration of analgesia and decreased postoperative opioid consumption in patients undergoing MRM surgeries. There was no statistical increase in complications in patients receiving this block.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"302-307"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752475","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":"Representation of women as lead authors in Indian Anaesthesiology Journals: Quo Vadis?","authors":"Divya Jain, Vanita Ahuja, Indubala Maurya, Rakesh Garg, Pradeep Bhatia, Sheila N Myatra","doi":"10.4103/ija.ija_167_25","DOIUrl":"10.4103/ija.ija_167_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"257-260"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752488","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":"A randomised controlled trial comparing video laryngoscopy versus conventional blind technique for transoesophageal echocardiography probe insertion in paediatric patients undergoing cardiac surgery: A pilot study.","authors":"Guriqbal Singh, Jigisha Pujara, Ankit Chauhan, Venuthurupalli S P Rajesh, Shrikant Sonune, Jamalpur Sravan Kumar, Himani Pandya","doi":"10.4103/ija.ija_975_24","DOIUrl":"10.4103/ija.ija_975_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Inserting a transoesophageal echocardiography (TEE) probe can cause pharyngeal and oesophageal injuries in paediatric patients undergoing cardiac surgery. The study's primary objective was to assess the incidence of oropharyngeal injury on video laryngoscope (VL) examination at the end of surgery.</p><p><strong>Methods: </strong>This randomised controlled study was conducted on 100 patients, aged 2-10 years, undergoing elective cardiac surgery requiring TEE evaluation. Patients having a deranged coagulation profile, sore throat, difficult tracheal intubation, trauma during tracheal intubation and contraindications for TEE insertion were excluded from the study. Patients were randomised into the conventional group (Group C; <i>n</i> = 50), where the TEE probe was inserted using the conventional blind insertion technique, and the VL group (Group VL; <i>n</i> = 50). All patients were examined with VL for oropharyngeal injury after removal of the TEE probe at the completion of surgery, and the injury site was documented.</p><p><strong>Results: </strong>The incidence of pharyngeal mucosal injury was significantly lesser in Group VL (<i>n</i> = 2) than in the Group C (<i>n</i> = 9) (<i>P</i> = 0.025). The number of attempts for successful TEE probe insertion was significantly lower in Group VL (<i>P</i> < 0.05). The mean duration for successful TEE probe insertion at the first attempt was significantly longer in Group VL than in Group C (<i>P</i> < 0.0001).</p><p><strong>Conclusion: </strong>The use of VL for TEE probe insertion in paediatric patients significantly reduced the incidence of pharyngeal injury related to its insertion and provided direct visualisation of the oesophageal inlet.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"268-274"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752461","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 hypercapnia on bispectral index and burst suppression: Insights from anaesthetic management.","authors":"Ting-Ting Hsiao, Kuei-Lin Liao, Mei-Chun Chen, Zhi-Fu Wu","doi":"10.4103/ija.ija_893_24","DOIUrl":"10.4103/ija.ija_893_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"320-322"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752471","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 recovery in cervical spine surgery with erector spinae plane (ESP) block- A case series.","authors":"Ajit Kumar, Sony Sony, Shivam Shekhar, Kajal Shrestha","doi":"10.4103/ija.ija_690_24","DOIUrl":"10.4103/ija.ija_690_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"326-328"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752467","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}