Indian Journal of Anaesthesia最新文献

{"title":"Does the resistive index of the radial artery change after arterial cannulation in patients undergoing abdominal surgery? A prospective observational study.","authors":"Lakshmi Kumar, Rajasri Subramaniam, P Anandajith Kartha, Dimple E Thomas, Sunil Patel, Niveditha Kartha","doi":"10.4103/ija.ija_628_24","DOIUrl":"https://doi.org/10.4103/ija.ija_628_24","url":null,"abstract":"<p><strong>Background and aims: </strong>To evaluate the flow at the cannulation site in the radial artery, the resistive indices (RIs) before cannula insertion and 6 h after decannulation were measured (primary outcome). The secondary outcomes were measurement of the artery size by anteroposterior (AP) diameter at the insertion site, RI and AP diameter at a point 4 cm proximal and in the ipsilateral ulnar artery before insertion and 6 h after cannula removal.</p><p><strong>Methods: </strong>In 96 patients requiring an arterial line during surgery, peak systolic velocity (PSV) and end-diastolic velocity (EDV) were measured to derive RI using a linear ultrasound transducer. The RI was measured at R1 (insertion point), R2, 4 cm proximal to R1, and U1 on the ipsilateral ulnar artery. The AP diameter of the arteries at baseline R1₀, R2₀ and U1₀ was measured and repeated 6 h after removal of the cannula, R1₆, R2₆ and U1₆.</p><p><strong>Results: </strong>RI or AP diameter in R1 or R2 did not differ pre- and post-cannulation. Mean R1₀ 1.143 [standard deviation (SD: 0.239)] versus R1₆ 1.181 (SD: 0.260) m/sec [mean difference (MD): -0.0372 (95% confidence interval (CI): -0.098, 0.023), <i>P</i> = 0.230]. Mean AP diameter at baseline versus 6 h decannulation 0.177 (SD: 0.042) versus 0.172 (SD: 0.045) cm [MD: 0.005 (95% CI: 0.003, 0.013), <i>P</i> = 0.222] was also similar. The mean PSV in U1₀ versus U1₆ was higher: 0.480 (SD: 0.178) versus 0.528 (SD: 0.316) m/sec [MD: 0.120 (95% CI: -0.185, -0.054), <i>P</i> = 0.002] and AP diameter was also higher than baseline (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>The flow in the radial artery did not change following cannulation. The PSV and AP diameter in the ulnar artery increased after decannulation, suggesting a compensatory increase in flow.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"909-914"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499527","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":"Optimising oxygenation prior to and during tracheal intubation in critically ill patients.","authors":"Kunal Karamchandani, Alex Iancau, Craig S Jabaley","doi":"10.4103/ija.ija_553_24","DOIUrl":"https://doi.org/10.4103/ija.ija_553_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"855-858"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499532","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 central neuraxial block: Practice to curriculum?","authors":"Srinivasan Parthasarathy, Nishant Kumar, Indubala Maurya, J Edward Johnson","doi":"10.4103/ija.ija_777_24","DOIUrl":"https://doi.org/10.4103/ija.ija_777_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"849-851"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499536","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":"ABCs of anaesthesia private practice: Adapting, building and conquering.","authors":"Pankaj Gupta, Meera Pandey, Amit Jain","doi":"10.4103/ija.ija_726_24","DOIUrl":"https://doi.org/10.4103/ija.ija_726_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"934-935"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499520","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":"Medication stewardship in the operating theatre in Malaysia: A quality improvement project.","authors":"Siti Nadzrah Yunus, Nur Haryanti Izumi Suhaimi, Ka Ting Ng, Ili Syazana Jamal Azmi, Noorjahan Haneem Md Hashim, Ina Ismiarti Shariffuddin","doi":"10.4103/ija.ija_1186_23","DOIUrl":"https://doi.org/10.4103/ija.ija_1186_23","url":null,"abstract":"<p><strong>Background and aims: </strong>A quality improvement project ('Safe Anaesthesia for ALL-SEAL') was implemented to reduce preventable medication errors and drug wastage in the operating theatre (OT) of a tertiary hospital. The primary objective of this quality improvement project was to prevent the incidence of medication errors, and the secondary objective was to reduce the wastage of unused drugs.</p><p><strong>Methods: </strong>A pre-intervention questionnaire and an audit survey were performed, and multidirectional interventions were designed post-survey. A post-intervention survey was conducted to evaluate effectiveness. The incidence of medication errors, including near misses, was assessed for root causes. Unused drugs drawn or diluted in syringes were recorded daily in each OT. The weekly drug orders and mid-week reordering frequency were also monitored. The data were reported as simple means and percentages.</p><p><strong>Results: </strong>Ninety-eight anaesthesia care providers participated in the survey (72.4% doctors and 27.6% anaesthetic nurses). Pre-intervention, 76.1% of respondents had experienced medication errors during their practice. Common errors included misidentification of ampoules or vials (65.2%), miscalculation of dosages (65.2%), improper syringe labelling (56.5%), accidental drug omission (54.3%) and wrong prescriptions (39.1%). The main sources of errors were fatigue/overwork (80.4%) and a hectic OT environment (71.7%). Post-intervention, no incidents of medication errors were reported. In addition, there was a significant reduction in drug wastage.</p><p><strong>Conclusions: </strong>The SEAL project positively prevented medication errors and reduced drug wastage, which should be further validated in other clinical settings.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"882-888"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499530","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":"Novel supraglottic airway device for ophthalmic procedures.","authors":"Renu Sinha, Kanil Ranjith Kumar, Vinay Balnath Gaikwad, Arshad Ayub","doi":"10.4103/ija.ija_537_24","DOIUrl":"https://doi.org/10.4103/ija.ija_537_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"927-928"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499531","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":"Effects of a mindfulness-based intervention on pain intensity, disability and quality of life of chronic low back pain patients: A randomised study.","authors":"Anirban Pal, Purnava Mukhopadhyay, Debasish Bhattacharyya, Subrata Ray","doi":"10.4103/ija.ija_361_24","DOIUrl":"https://doi.org/10.4103/ija.ija_361_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"915-920"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516412","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 pain gap after cancer surgery - Evaluating the feasibility of transitional pain service to prevent persistent postsurgical pain - A systematic review and meta-analysis.","authors":"Raghu S Thota, S Ramkiran, Aveek Jayant, Koilada Shiv Kumar, Anjana Wajekar, Sadasivan Iyer, M Ashwini","doi":"10.4103/ija.ija_405_24","DOIUrl":"https://doi.org/10.4103/ija.ija_405_24","url":null,"abstract":"<p><strong>Background and aims: </strong>The lack of a dedicated pain service catering to the postsurgical period has resulted in the origination of the pain-period gap. This has led to a resurgence of transitional pain service (TPS). Our objective was to evaluate the feasibility of TPS in pain practice among postsurgical cancer patients and its prevention of persistent postsurgical pain (PPSP), culminating in chronic pain catastrophising.</p><p><strong>Methods: </strong>The protocol for this meta-analysis was registered in the International Prospective Register of Systematic Reviews (ID: CRD42023407190). This systematic review included articles involving all adult cancer patients undergoing cancer-related surgery experiencing pain, involving pharmacological, non-pharmacological and interventional pain modalities after an initial systematic pain assessment by pain care providers across diverse clinical specialities, targeting multimodal integrative pain management. Meta-analysis with meta-regression was conducted to analyse the feasibility of TPS with individual subgroup analysis and its relation to pain-related patient outcomes.</p><p><strong>Results: </strong>Three hundred seventy-four articles were evaluated, of which 14 manuscripts were included in the meta-analysis. The lack of randomised controlled trials evaluating the efficacy of TPS in preventing PPSP and pain catastrophising led to the analysis of its feasibility by meta-regression. The estimate among study variances τ² was determined and carried out along with multivariate subgroup analysis. A regression coefficient was attained to establish the correlation between the feasibility of TPS and its patient outcome measures and opioid-sparing.</p><p><strong>Conclusion: </strong>TPS interventions carried out by multidisciplinary teams incorporating bio-physical-psychological pain interventions have resulted in its successful implementation with improved pain-related patient outcomes mitigating the occurrence of PPSP.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"861-874"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499523","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":"ERAS pathways and ambulatory surgery can reduce the global surgical burden: Role of anaesthesiologists.","authors":"Girish P Joshi","doi":"10.4103/ija.ija_746_24","DOIUrl":"https://doi.org/10.4103/ija.ija_746_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"852-854"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516414","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 child with suspected Opitz-Kaveggia syndrome.","authors":"Ankita Dey, Anju Grewal, Manisha Patlan","doi":"10.4103/ija.ija_548_24","DOIUrl":"https://doi.org/10.4103/ija.ija_548_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"924-925"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499521","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}