Indian Journal of Anaesthesia最新文献

{"title":"Preoperative hyperchloraemia and intraoperative metabolic acidosis in infants undergoing anorectal pull-through for Hirschsprung's disease: A retrospective observational study.","authors":"Esther E H Chan, Usha Shenoy, Satish K R Challa, Rambha Rai","doi":"10.4103/ija.ija_86_26","DOIUrl":"10.4103/ija.ija_86_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 6","pages":"775-778"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368428","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":"Bridging the literature gap: Intravenous propofol for non-operating room anaesthesia in paediatric Wilson's disease with autism spectrum disorder.","authors":"Deep Sengupta","doi":"10.4103/ija.ija_453_26","DOIUrl":"10.4103/ija.ija_453_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 6","pages":"781-783"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368408","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":"Escape room as a novel team-based activity during residency selection in anaesthesiology.","authors":"Jia Y Lim, Angela Y J Tan, Jason J I Chan, Xin F Leong, Zhongxi Zheng, Sui A Lie","doi":"10.4103/ija.ija_162_26","DOIUrl":"10.4103/ija.ija_162_26","url":null,"abstract":"<p><strong>Background and aims: </strong>Residency selection in anaesthesiology traditionally relies on curriculum vitae review, work-based assessments, and behavioural interviews which may not adequately capture non-academic attributes. Emerging evidence suggests team-based assessments may offer a more dynamic evaluation of such qualities. This study explores the feasibility and acceptability of an escape room in Anaesthesiology residency selection and evaluates its potential to provide additional insights into candidate ranking.</p><p><strong>Methods: </strong>In this pilot study, 26 candidates completed a team-based escape room activity assessing situational awareness, task management, and communication. Evaluations were conducted via customised rubric based on Accreditation Council of Graduate Medical Education (ACGME) domains, alongside traditional interviews. Escape room, interviews, and department survey scores were correlated with the final rank order list (ROL) using Spearman's coefficient. Candidate and panel feedback were collected post activity.</p><p><strong>Results: </strong>The candidates rated the escape room as part of the selection process positively. The panel feedback was generally supportive, though some suggested improving consistency and ease of evaluation. Interview (r = 0.603, <i>P</i> = 0.001) and survey scores (r = 0.921, <i>P</i> < 0.001) correlated strongly with the ROL, while escape room scores demonstrated a weak correlation (r = 0.244, <i>P</i> = 0.229). The lack of correlation likely reflects the low weight assigned to the escape room, consistent with its role as a complementary assessment, without implying direct impact on final ranking. Weak correlations with interview (r = 0.197, <i>P</i> = 0.334) and survey scores (r = 0.172, <i>P</i> = 0.400) suggest it may capture complementary attributes not assessed by traditional methods.</p><p><strong>Conclusion: </strong>Escape rooms offer a novel approach to assessing non-academic attributes in residency selection, though further refinement is needed for consistent application.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 6","pages":"726-732"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368441","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":"Peri-operative anaesthetic management of a patient with Glanzmann thrombasthenia undergoing laparoscopic ovarian cystectomy.","authors":"Shalini Thiyagarajan, C R Saravanan, Mahesh Murugan, P Karthiga","doi":"10.4103/ija.ija_361_26","DOIUrl":"10.4103/ija.ija_361_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 6","pages":"779-781"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368413","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":"Safe utility of dexmedetomidine target-controlled infusion and ketamine analgosedation in high-risk geriatric patients undergoing prone vertebroplasties-A case series.","authors":"Balaji Vaithialingam, Sucheta Anvari, Dheeraj Masapu, Ramachandran Govindasamy, Satish Rudrappa","doi":"10.4103/ija.ija_1596_25","DOIUrl":"10.4103/ija.ija_1596_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 5","pages":"687-689"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345023","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":"Antrochoanal polyp with aberrant attachment causing airway obstruction: Presenting an anaesthesia challenge in resource-limited settings.","authors":"T Krishna Prasad, Venu V S Krishna, Raghul Ramesh, Kiran K George","doi":"10.4103/ija.ija_239_26","DOIUrl":"10.4103/ija.ija_239_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 5","pages":"694-696"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345188","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":"Two-point deep serratus anterior plane block for modified radical mastectomy - A case series assessing axillary coverage using structured sensory mapping.","authors":"Sachin Bansal, Manisha Hemrajani, Pushplata Gupta, Adhiraj Baruah, Akanksha Dutt","doi":"10.4103/ija.ija_202_26","DOIUrl":"10.4103/ija.ija_202_26","url":null,"abstract":"<p><p>Serratus anterior plane block (SAPB) provides chest wall analgesia in modified radical mastectomy (MRM) surgeries by targeting T2-T6 intercostal nerves, but conventional single-injection techniques show inconsistent T2 and axillary coverage, failing to reliably block the intercostobrachial nerve - a key contributor to postoperative axillary pain and postmastectomy pain syndrome. MRM patients experience significant axillary pain from dissection-related intercostobrachial nerve (ICBN) injury, necessitating multimodal analgesia that ensures reliable T2-axillary desensitisation. There is inadequate cephalad/axillary spread in standard SAPB, confirmed by prior studies showing <20% T2 blockade and variable ICBN involvement despite high local anaesthetic volumes. This prospective case series included 10 patients in whom ultrasound-guided deep two-point SAPB was administered with 20 mL of 0.375% ropivacaine at the 5^th rib midaxillary line and 10 mL at the 3^rd rib anterior axillary line. Sensory mapping via grid, cold/pin-prick Likert scores, and photography 30 min post-block showed reliable T2-T6 dermatomal desensitisation (70% success: composite score >4) confirmed by heat maps. It is concluded that two-point injection at 3^rd and 5^th rib enhances T2/ICBN blockade over single-level SAPB; nevertheless, larger randomised controlled trials are needed for opioid-sparing validation.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 5","pages":"676-680"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345018","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 costotransverse block and erector spinae plane block for perioperative analgesia in patients scheduled for modified radical mastectomy - A pilot study.","authors":"Aanchal R Bharuka, Dhanya G Nayak, Vibhavari Milind Naik, Basanth K Rayani","doi":"10.4103/ija.ija_1256_25","DOIUrl":"10.4103/ija.ija_1256_25","url":null,"abstract":"<p><strong>Background and aims: </strong>Fascial plane blocks have emerged as a promising element for multimodal analgesia in breast surgeries. This study aimed to compare intra-operative and post-operative opioid requirements following costotransverse block (CTB) and erector spinae plane block (ESPB) for perioperative analgesia in patients scheduled for modified radical mastectomy (MRM).</p><p><strong>Methods: </strong>Sixty patients aged 25 to 65 years scheduled for MRM were randomised to receive either CTB or ESPB with 25 ml of 0.5% bupivacaine. The primary outcome was to compare the effectiveness of these two blocks in reducing the consumption of opioids for post-operative pain relief, measured by 24-hour morphine requirement. Secondary outcomes included time required to perform the block, intra-operative haemodynamics, total intra-operative fentanyl requirement, post-operative nausea and vomiting (PONV), and any complications related to the blocks.</p><p><strong>Results: </strong>The numeric rating scale scores were comparable between the groups at all time points during the 24-hour post-operative period. The rescue analgesic requirement (morphine), median (interquartile range) was similar in the CTB group (3 [3, 3] mg) and in the ESPB group (3 [3, 3.75] mg) (<i>P</i> = 1.00). The intra-operative fentanyl requirement median (interquartile range) was significantly higher in the ESPB group, 100 (100, 150) μg, than in the CTB group, 100 (100, 100) μg (<i>P</i> = 0.006). Incidence of PONV was comparable between the groups.</p><p><strong>Conclusion: </strong>Both CTB and ESPB are comparable in providing post-operative analgesia for MRM patients. However, CTB likely offers better intra-operative analgesia as observed by the lower intra-operative opioid requirement.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 5","pages":"662-668"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344659","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":"Anaesthesiologist's role in hypnotic abreaction - Sodium thiopental revisited.","authors":"Vijayalakshmi Sivapurapu, Tenzin Nyima","doi":"10.4103/ija.ija_296_26","DOIUrl":"10.4103/ija.ija_296_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 5","pages":"696-697"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345128","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 role of the pericapsular nerve group block in early mobilisation and functional recovery after total hip arthroplasty: A systematic review and meta-analysis.","authors":"Zhuan Jin, Yuji Kamimura, Akihiro Shiroshita, Daisuke Sugiyama, Hiroshi Morimatsu, Kenichi Ueda","doi":"10.4103/ija.ija_1498_25","DOIUrl":"10.4103/ija.ija_1498_25","url":null,"abstract":"<p><strong>Background and aims: </strong>This systematic review and meta-analysis evaluated the motor-sparing pericapsular nerve group (PENG) block's effect on early mobilisation and functional recovery outcomes following total hip arthroplasty (THA).</p><p><strong>Methods: </strong>We searched MEDLINE, Web of Science, EMBASE, the Cochrane Library, ClinicalTrials.gov, and International Clinical Trials Registry Platform (ICTRP) up to 31 May 2025 for randomised controlled trials (RCTs) comparing PENG block with non-PENG analgesic strategies in adult THA patients. The primary outcome was time to first mobilisation. Secondary outcomes included Quality of Recovery (QoR) scores, quadriceps strength, hip range of motion, dynamic pain scores, patient satisfaction, and length of hospital stay. Risk of bias was assessed using the RoB 2 tool. Evidence certainty was evaluated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework. Meta-analyses were conducted using random-effects models.</p><p><strong>Results: </strong>Twenty-six RCTs involving 2208 patients were included. PENG block reduced time to first mobilisation [mean difference (MD), -2.68 h; 95% confidence interval (CI) -3.84 to -1.53; <i>P</i> < 0.001] and improved quadriceps strength on post-operative day (POD) 1 [standardised mean difference (SMD), 0.35; 95% CI 0.05 to 0.64; <i>P</i> = 0.02], hip range of motion (MD 12.69°; 95% CI 1.05 to 24.33; <i>P</i> = 0.03), patient satisfaction (SMD 0.48; 95% CI 0.11 to 0.85; <i>P</i> = 0.01), and length of hospital stay (MD, -0.41 days; 95% CI -0.67 to -0.15; <i>P</i> = 0.002). No significant effects were found for QoR scores, quadriceps strength on POD 2, or dynamic pain scores. No major block-related complications were reported.</p><p><strong>Conclusion: </strong>In this synthesis of RCTs through May 2025, compared with non-PENG analgesic strategies, the PENG block was associated with earlier time to first mobilisation after THA and improvements in some early recovery outcomes, including quadriceps strength on POD 1, hip range of motion, patient satisfaction, and length of stay. Further large, standardised trials are needed to validate these findings and define their clinical significance.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 5","pages":"611-623"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345031","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}