Indian Journal of Anaesthesia最新文献

{"title":"Challenges in central venous catheter placement due to thoracic venous anomaly in an infant - A case report.","authors":"Anita S Joselyn, R Vijayalakshmi, Amit Mathew, Anand B Medidi","doi":"10.4103/ija.ija_413_24","DOIUrl":"https://doi.org/10.4103/ija.ija_413_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"929-930"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499524","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":"Troubleshooting the defect in the sampling line of the side stream capnograph.","authors":"Umesh Goneppanavar","doi":"10.4103/ija.ija_719_24","DOIUrl":"https://doi.org/10.4103/ija.ija_719_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"921-922"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499535","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":"Use of supraglottic airway device during non-intubated video-assisted thoracic surgery (NI-VATS) for bilateral sympathectomy: Our experience.","authors":"Jyotirmoy Das, Sudhir Kumar, Sangeeta Khanna, Yatin Mehta","doi":"10.4103/ija.ija_513_24","DOIUrl":"https://doi.org/10.4103/ija.ija_513_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"932-933"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499537","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":"Awake Seldinger technique-based tracheal intubation in near-total laryngeal obstruction.","authors":"Yashaswi Belli, Shanmugapriya Arunachalam, Sivaprakash Dhatchinamoorthi, Sakthirajan Panneerselvam","doi":"10.4103/ija.ija_538_24","DOIUrl":"https://doi.org/10.4103/ija.ija_538_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"926-927"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499522","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":"Comparative analysis of LMA Blockbuster^® clinical performance: Blind versus Miller laryngoscope-guided insertion in paediatric general anaesthesia - A double-blinded, randomised controlled trial.","authors":"Pooja Bihani, Shivanand, Rishabh Jaju, Naveen Paliwal, Sarita Janweja, Ankit Vyas","doi":"10.4103/ija.ija_186_24","DOIUrl":"https://doi.org/10.4103/ija.ija_186_24","url":null,"abstract":"<p><strong>Background and aims: </strong>The second-generation supraglottic airway device is conventionally inserted blindly, which might result in suboptimal placement. Limited literature exists on under-vision insertion techniques, particularly in paediatric patients. The primary objective of this study was to compare the oropharyngeal leak pressure (OPLP) between the blind insertion of the LMA Blockbuster^® and the Miller laryngoscope-guided insertion in children. Secondary outcomes included the number of insertion attempts, haemodynamic disturbances, insertion time and airway complications.</p><p><strong>Methods: </strong>This randomised controlled trial study enroled 100 patients aged 1-4 years undergoing elective surgery. Patients were randomised into blind insertion (Group A) or Miller laryngoscope-guided insertion (Group B) of the LMA Blockbuster^®. The primary outcome measure was OPLP. Insertion time, haemodynamic changes and postoperative complications were also assessed. The Chi-square, Fisher's exact and <i>t</i>-test were applied appropriately, with the significance level set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Significantly higher mean OPLP was observed in Group B compared to Group A - 27.9 [standard deviation (SD): 1.58] cmH₂O versus 25.94 (SD: 0.63) cmH₂O [mean difference (MD): 1.96 (95% confidence interval {CI}: 1.48, 2.44; <i>P</i> < 0.001)]. Mean insertion time was longer in Group B, that is, 11.9 (SD: 1.91) s versus 8.7 (SD: 0.6) s [MD: 3.2 s; (95% CI: 2.63, 3.76; <i>P</i> < 0.001)]; however, the difference was not clinically relevant. First-attempt insertion, haemodynamic stability and postoperative complications were comparable (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Miller laryngoscope-guided under-vision insertion of LMA Blockbuster^® improves alignment with epiglottic structures compared to blind insertion.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"875-881"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499525","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":"Evaluating the precision of ultrasound versus computed tomography-guided measurement of cricoid cartilage diameter for double-lumen tube selection in thoracic surgery: A randomised comparative study.","authors":"Roshni M Mathew, Shefali Gautam, Rajesh Raman, Anurag Rai, Vinod K Srivastava, Manish K Singh","doi":"10.4103/ija.ija_641_24","DOIUrl":"https://doi.org/10.4103/ija.ija_641_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Precise airway management is vital in thoracic surgeries to ensure patient safety and optimal outcomes. Choosing the correct double-lumen tube (DLT) size is challenging, as it typically relies on height, gender and subjective experience. This study investigates using ultrasonography (USG) and computed tomography (CT) to measure cricoid cartilage diameter for objective DLT sizing.</p><p><strong>Methods: </strong>In a randomised study, 120 adult patients undergoing elective thoracic surgery were randomised to three groups: Group A (DLT size determined by USG), Group B (DLT size determined by CT) and Group C (DLT size determined by conventional methods based on height and gender). The primary outcome variable was the appropriateness of DLT size. Secondary outcome variables were the degree of lung collapse and sore throat. Student's <i>t</i>-test and ꭓ² test were used to analyse continuous and dichotomous variables, respectively.</p><p><strong>Results: </strong>DLT sizing based on cricoid cartilage diameter improved the accuracy, with inappropriate sizes found in 25% in the conventional group, 5% in the USG group and 2.5% in the CT group (<i>P</i> < 0.05). Lung collapse was better in the USG (excellent in 92.5%) and CT (95%) groups compared to the conventional group (70%) (<i>P</i> < 0.05). Moderate sore throat was higher in the conventional group (37.5%) compared to the USG (5%) and CT groups (7.5%).</p><p><strong>Conclusion: </strong>The study demonstrates that USG- and CT-guided measurements of cricoid cartilage diameter are reliable and effective methods for determining DLT size in thoracic surgery compared to conventional methods.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"896-901"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499528","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":"Thoracic spinal anaesthesia - An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study.","authors":"G S Karthik, Rangalakshmi Srinivasan, R Sudheer, M Amabareesha, T S Monisha, M Dilip Kumar","doi":"10.4103/ija.ija_629_24","DOIUrl":"https://doi.org/10.4103/ija.ija_629_24","url":null,"abstract":"<p><strong>Background and aims: </strong>General anaesthesia (GA) is the preferred modality for breast surgeries; however, neuraxial anaesthesia can be performed in cases where GA poses a significant risk. We hypothesise that neuraxial blockade is a safe and effective alternative to GA in short-duration breast surgeries.</p><p><strong>Methods: </strong>This randomised study included 30 patients of the American Society of Anesthesiologists physical status I and II, who were scheduled for elective breast surgeries of a duration of less than 90 min. Group I received thoracic spinal anaesthesia, while in Group II, standardised GA was administered. The primary outcome was the time to the first rescue analgesic, and the secondary outcomes were time to recovery, patient satisfaction and the cost incurred.</p><p><strong>Results: </strong>The demographic characteristics of both groups were comparable (<i>P</i> > 0.05). The time to first rescue analgesic in Group I was more than in Group II (<i>P</i> = 0.001). Patient satisfaction score was superior in Group I compared to Group II (<i>P</i> = 0.002). The average cost was lower in Group I compared to Group II (<i>P</i> = 0.002). Recovery was quicker in Group I than in Group II (<i>P</i> = 0.001). There were no significant haemodynamic disturbances or major complications in either group.</p><p><strong>Conclusion: </strong>Thoracic spinal anaesthesia is an excellent alternative to GA in terms of analgesic efficacy, patient satisfaction, recovery and cost-effectiveness for short-duration breast surgeries.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 10","pages":"902-908"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499534","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":"Prediction of correlation between preoperative parents' anxiety and their child's anxiety before elective surgery under anaesthesia: An observational study.","authors":"Kamlesh Kumari, Sugandhi Nemani, Darshana Rathod, Ankur Sharma, Pradeep K Bhatia, Shilpa Goyal","doi":"10.4103/ija.ija_1269_23","DOIUrl":"10.4103/ija.ija_1269_23","url":null,"abstract":"<p><strong>Background and aims: </strong>Preoperative parental anxiety can have a profound impact on their children undergoing surgery. The present study was done to analyse the correlation between preoperative parental anxiety and their child's anxiety in paediatric patients undergoing elective surgery.</p><p><strong>Methods: </strong>Paediatric patients aged 2-12 years, scheduled for elective surgeries under general anaesthesia, were included in the study. The child's behaviour and anxiety were assessed in the preoperative area using the modified Yale Preoperative Anxiety Scale (m-YPAS). The parent filled out the demographic questionnaire and the Spielberger State-Trait Anxiety Inventory (STAI) form in the preoperative area on the day of surgery. Statistical analysis was conducted using Statistical Package for the Social Sciences (SPSS) statistics software version 23.0 (IBM Corp, Armonk, NY, USA).</p><p><strong>Results: </strong>A total of 150 children undergoing elective surgery were analysed. Our results showed a strong positive correlation between a child's m-YPAS and his/her parents' anxiety on the day of the surgery (STAI-state) (<i>r</i> = 0.545, <i>P</i> < 0.001). However, the correlation between a child's m-YPAS and his/her parents' anxiety levels (STAI-trait) was not found to be significant (<i>r</i> = 0.109, <i>P</i> = 0.188). A positive correlation was observed between a parent's STAI-state and STAI-trait (<i>r</i> = 0.366, <i>P</i> < 0.001). Factors like area of residence, type of surgery and previous hospitalisation had an influence on the anxiety levels of the child. The birth order of the child, previous hospitalisation and gender of the parent also influenced parental anxiety.</p><p><strong>Conclusion: </strong>Parental anxiety has a significant impact on the child's anxiety during the preoperative period.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 9","pages":"809-814"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390210","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":"Unlocking precision pain relief: The rise of fascial plane blocks in perioperative care: A commentary.","authors":"Swapnil Y Parab, Sheetal Gaikwad","doi":"10.4103/ija.ija_556_24","DOIUrl":"10.4103/ija.ija_556_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 9","pages":"828-831"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390213","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 two techniques of administering the Valsalva manoeuvre in patients under general anaesthesia: A randomised controlled study.","authors":"Shagun B Shah, Vineet Chaudhary, Rajiv Chawla, Uma Hariharan, Neha Ghiloria, Jitendra Kumar Dubey","doi":"10.4103/ija.ija_1255_23","DOIUrl":"10.4103/ija.ija_1255_23","url":null,"abstract":"<p><strong>Background and aims: </strong>Surgeons often request a Valsalva manoeuvre (VM) at the end of surgery (head-neck surgery, craniotomy) to check haemostasis and to unmask covert venous bleeders. We aimed to compare an anaesthesia machine-generated objective technique for delivering VM under pressure-control (PC) mode with the traditional subjective technique of delivering VM in manual mode.</p><p><strong>Methods: </strong>This randomised controlled study included 60 adult patients randomised to manual (Group M) and controlled ventilation (Group C) groups. Our primary outcome measure was internal jugular vein (IJV) diameter at pre-determined time points (T₀ = baseline, T₁ = VM initiation, T₂ = 20 s after VM initiation, T₃ = immediately after VM release, and T₄ = 1 min, T₅ = 2 min and T₆ = 5 min post-VM release). Secondary outcome measures included mean arterial pressure (MAP), heart rate, time to desired plateau airway pressure, number of patients with bleeders unmasked and surgeon satisfaction. Independent/paired sample <i>t</i>-tests were applied. Results are expressed as mean (standard deviation), mean difference (95% confidence interval), dotted box-whisker plots and trendlines. <i>P</i> <0.05 is considered statistically significant.</p><p><strong>Results: </strong>Mean differences in diameter changes in IJV (in centimetres) in the mediolateral and anteroposterior directions between Group C and Group M were -0.136 (-0.227, -0.044) and -0.073 (-0.143, -0.002), respectively. VM in the PC mode produced more significant IJV dilatation (<i>P</i> = 0.004, <i>P</i> = 0.044). MAP at T₀ and T₁ was comparable. At T₂ and T₃, there was a more significant fall in MAP in Group C versus Group M (<i>P</i> = 0.018 and <i>P</i> = 0.021, respectively). At T₄, T₅ and T₆, MAP was comparable.</p><p><strong>Conclusion: </strong>Performing VM in PC mode is a better technique based on IJV diameter, haemodynamics, bleeder unmasking and surgeon satisfaction.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 9","pages":"821-827"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390193","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}