Indian Journal of Anaesthesia最新文献

{"title":"Anaesthetic challenges in central hepatectomy for hepatoblastoma in an infant with Simpson-Golabi-Behmel syndrome.","authors":"Nisha S M Jacob, Rohini Dattatri, Arindam Chatterjee","doi":"10.4103/ija.ija_437_26","DOIUrl":"https://doi.org/10.4103/ija.ija_437_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1060-1061"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109054","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":"Adapting to the unadaptable: Anaesthetic management in patients with coexisting challenges of positioning and difficult airway for cataract surgery.","authors":"Sujata Rawlani, Jaichandran Vepary Venkatakrishnan, Maneck Nicholson, Mekhla Naik","doi":"10.4103/ija.ija_13_26","DOIUrl":"https://doi.org/10.4103/ija.ija_13_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1050-1053"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109102","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 performing central neuraxial block with an innovative preprocedural ultrasound-assisted parasagittal interlaminar approach.","authors":"Ritesh Roy, Gaurav Agarwal, Aishwarya S Solanki","doi":"10.4103/ija.ija_733_26","DOIUrl":"https://doi.org/10.4103/ija.ija_733_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1066-1068"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109193","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 hyomental distance versus weight-based method for ProSeal LMA™ size selection: A randomised controlled study.","authors":"Sangeeta Yadav, Rashmi Rani, Deepak Verma, Shayak Roy, Nang S Choupoo","doi":"10.4103/ija.ija_76_26","DOIUrl":"https://doi.org/10.4103/ija.ija_76_26","url":null,"abstract":"<p><strong>Background and aims: </strong>Conventional weight-based laryngeal mask airway (LMA) size selection does not consistently correlate with individual upper airway anatomy, leading to suboptimal device fit. Ultrasound-guided measurement of hyomental distance (HMD), an indicator of submandibular space, has emerged as a promising anatomy-based alternative. This study aimed to compare the efficacy and safety of ultrasound-guided HMD-based sizing with conventional weight-based sizing of the ProSeal LMA™ (Teleflex Inc., Wayne, PA, USA) (PLMA) in adult patients undergoing elective surgery.</p><p><strong>Methods: </strong>This prospective, double-blinded randomised controlled trial included 116 American Society of Anesthesiologists (ASA) physical status I-II adults aged 18-60 years scheduled for elective surgery under general anaesthesia. Patients were randomised into two groups: Group A underwent PLMA size selection based on body weight, while Group B underwent ultrasound-guided HMD-based size selection. The primary outcome was first-attempt insertion success. Secondary outcomes included insertion time, number of attempts, need for reinsertion, and postoperative oral injury.</p><p><strong>Results: </strong>Demographic characteristics were comparable between groups. First-attempt insertion success was similar in both groups (93.1% in weight-based group vs. 96.6% in HMD group; <i>P</i> = 0.67). The mean insertion time was comparable (18.1 ± 4.8 s vs. 18.5 ± 4.6 s; <i>P</i> = 0.60). The HMD group predominantly received smaller PLMA sizes (<i>P</i> < 0.001) without increased reinsertion rates or complications. Postoperative oral injury was rare and comparable between groups.</p><p><strong>Conclusion: </strong>Ultrasound-guided HMD-based PLMA sizing provides an individualised, anatomy-based alternative to weight-based selection, achieving comparable insertion success, efficiency, and safety while favouring anatomically appropriate device sizing.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"998-1004"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108511","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":"Assessment of preload responsiveness by variation in peak aortic flow velocity in suprasternal window: A novel approach.","authors":"Jasnoor Kaur, Ajay Kumar, Mayank Priyadarshi, Anshuman Darbari","doi":"10.4103/ija.ija_265_26","DOIUrl":"https://doi.org/10.4103/ija.ija_265_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S220-S223"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108779","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":"Message by the President, Indian Society of Anaesthesiologists (ISA) National.","authors":"Naveen Malhotra","doi":"10.4103/ija.ija_1392_26","DOIUrl":"https://doi.org/10.4103/ija.ija_1392_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S163-S164"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108949","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 vigilance during endoscopic spine surgery: Impending signs of intraoperative hydroperitoneum and pleural effusion.","authors":"Deepak G Palaksha, Ivy George, Venkatapura J Ramesh, Dwarakanath Srinivas","doi":"10.4103/ija.ija_393_26","DOIUrl":"https://doi.org/10.4103/ija.ija_393_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1062-1064"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109022","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":"Alternative quantitative electroencephalography electrode positions for depth-of-anaesthesia monitoring: A rescue option, not a replacement.","authors":"Ankita Dey, Prasanna U Bidkar, Protiti Chatterjee","doi":"10.4103/ija.ija_991_26","DOIUrl":"https://doi.org/10.4103/ija.ija_991_26","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1064-1065"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109044","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":"Teaching and training of anaesthesia and critical care technicians in India - Towards a competency-based modular framework.","authors":"Aparna Shukla, Manoj K Chaurasiya, Shefali Gautam, Premraj Singh, Neel K Mishra, Monica Kohli","doi":"10.4103/ija.ija_1151_25","DOIUrl":"https://doi.org/10.4103/ija.ija_1151_25","url":null,"abstract":"<p><p>There is currently a lack of published guidance on competency-based curriculum design specifically tailored to Anaesthesia and Critical Care Technicians (ACTs) training in India, creating a need for a structured and standardised educational framework. This review was undertaken to address the need for a competency-based educational framework for ACTs in India, aligning existing training programmes with contemporary national educational reforms and international standards while enhancing clinical competence, patient safety, and workforce readiness. In this article, we propose integrating key components, such as competency domains, entrustable professional activities, workplace-based assessments, and simulation-based training, into the existing educational framework without altering the mandated hours or examination weights. We outline ten teaching-learning modules, ensuring a balance across foundational sciences, applied anaesthesia, critical care, ethics, and simulation. This strategic restructuring of Diploma in Anaesthesia and Critical Care Technician training programmes has the potential to significantly improve clinical skills and enhance patient safety protocols. The literature search for this article was conducted in PubMed/MEDLINE, Embase, Scopus, and CINAHL using terms related to competency-based education, allied health training, anaesthesia, and critical care.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 Suppl 3","pages":"S194-S202"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109063","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 bispectral index-guided infusion of propofol, etomidate, and etomidate-propofol combination for supraglottic airway device insertion in paediatric patients: A randomised clinical trial.","authors":"Shreya Shah, Rohan Magoon, Nitin Choudhary, Prabudh Goel","doi":"10.4103/ija.ija_25_26","DOIUrl":"https://doi.org/10.4103/ija.ija_25_26","url":null,"abstract":"<p><strong>Background and aims: </strong>The use of supraglottic airway devices (SADs) in paediatrics has considerably increased. Focusing haemodynamics at anaesthetic induction, the study evaluated change in mean arterial pressure (MAP) amongst propofol (P), etomidate (E), and etomidate-propofol combination(etofol, EP) groups at the attainment of bispectral index (BIS) 50 for SAD insertion.</p><p><strong>Methods: </strong>A total of 132 patients of either gender between 6 and 10 years of age were randomly allocated as groups P, E, and EP with <i>n</i> = 44/group. Induced with a group-specific anaesthetic agent at 50 mL/h infusion, SAD was inserted at a BIS of 50. The primary outcome was change in MAP from baseline (∆MAP) at BIS 50, and secondary outcomes included change in heart rate (∆HR), time to attain BIS 50, SAD-related parameters (1^st attempt success, time to insertion, insertion summed score), and drug-related side effects.</p><p><strong>Results: </strong>∆MAP was maximum in group P opposed to groups E and EP (9.14 ± 1.5 versus 4.32 ± 0.98 and 4.75 ± 1.50 mmHg, <i>P</i> < 0.001). With comparable ∆ MAP between E and EP groups, ∆HR was comparable across the study groups. The 1^st attempt success and insertion summed score were significantly better for <i>P</i> and EP groups compared to group E (90.9% and 81.8% versus 68.2%; <i>P</i> = 0.033 and 6.59 ± 0.97 and 6.84 ± 1.27 versus 7.80 ± 1.58; <i>P</i> < 0.001) albeit statistically insignificant when analysed between groups P and EP. Groups P and EP had lower SAD-insertion times with the EP group displaying attenuation of pain on injection and myoclonus in contrast to groups P and E, respectively.</p><p><strong>Conclusion: </strong>Etomidate-propofol combination (etofol) demonstrated superior haemodynamic stability in BIS-guided paediatric anaesthetic induction, an added advantage to propofol use for ensuring favourable SAD insertion alongside better side-effect profile.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"70 9","pages":"1026-1033"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109085","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}