Indian Journal of Anaesthesia最新文献

{"title":"Translation and validation of the Hindi version of the Quality of Recovery-15 (QoR-15H) questionnaire: A prospective cohort study.","authors":"Geetanjali T Chilkoti, Manoj Beniwal, Ashok K Saxena, Rajeev K Malhotra, Spriha Tiwari","doi":"10.4103/ija.ija_924_24","DOIUrl":"10.4103/ija.ija_924_24","url":null,"abstract":"<p><strong>Background and aims: </strong>The Quality of Recovery (QoR)-15 questionnaire is self-rated and commonly used to assess QoR following anaesthesia. QoR-15 has been validated in many languages, but the Hindi version (QoR-15H) has not yet undergone formal validation. We aimed to translate the QoR-15 questionnaire into Hindi and evaluate its validity and reliability in the Hindi-speaking population.</p><p><strong>Methods: </strong>The prospective cohort study was conducted among patients scheduled for elective general surgery under either general or regional anaesthesia. QoR-15H was used twice before surgery (T1 and T2; 30 min apart) and twice on postoperative day 1 (T3 and T4; 30 min apart). We assessed its validity, reliability and clinical feasibility.</p><p><strong>Results: </strong>A total of 300 patients were included. The recruitment and feasibility rates were 67.8% and 90.36%, respectively. A high negative correlation between the Numeric Rating Scale (NRS)-Pain and QoR-15H in both the preoperative and postoperative periods indicated significant convergent validity. Age, duration of surgery and total hospital stay were positively correlated with NRS and negatively correlated with QoR-15H scores. The optimal cut-off points of the QoR-15H score at par to NRS ≤3 equivalent was <95.5. The sensitivity and specificity were 96.6 and 1.0, respectively, indicating good discriminant power. For reliability, intraclass correlation coefficients were greater than 0.98 and Cronbach's alpha coefficient was greater than 0.9.</p><p><strong>Conclusion: </strong>The Hindi version of the QoR-15 questionnaire is valid, reliable and feasible for patients undergoing general surgeries under general and regional anaesthesia.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 4","pages":"393-401"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674646","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":"Do not resuscitate, but only anaesthetise!","authors":"Anjan Trikha, Joseph G Tharion","doi":"10.4103/ija.ija_1302_24","DOIUrl":"10.4103/ija.ija_1302_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 4","pages":"331-334"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674633","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":"Does parallel versus perpendicular catheter placement for a subsartorius approach to a continuous adductor canal block influence injectable distribution? A comparative cadaveric study.","authors":"Wirinaree Kampitak, Napatpong Thamrongskulsiri, Peeranut Purngpiputtrakul, Wannida Kertkiatkachorn","doi":"10.4103/ija.ija_1271_24","DOIUrl":"10.4103/ija.ija_1271_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 4","pages":"405-409"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674634","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 modified versus classical selective trunk block on the incidence of hemi-diaphragmatic paresis for upper extremity surgery.","authors":"Chunzhong Huang, Chaocheng Zhang, Quehua Luo","doi":"10.4103/ija.ija_1335_24","DOIUrl":"10.4103/ija.ija_1335_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 4","pages":"418-420"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674635","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":"Continuous peripheral nerve block in patients with proximal femur fracture: A randomised comparison of three techniques.","authors":"Nidhi Bhatia, Kajal Jain, Vikas Saini, Uttam C Saini, Bismanjeet Khurana, Jeetinder K Makkar","doi":"10.4103/ija.ija_1095_24","DOIUrl":"10.4103/ija.ija_1095_24","url":null,"abstract":"<p><strong>Background and aims: </strong>The literature mentions numerous approaches to peripheral nerve blockade for pain management following proximal femur fractures. We aimed to explore the best analgesic option in these patients while comparing blocks of the femoral nerve and fascia iliaca compartment.</p><p><strong>Methods: </strong>Sixty consenting adult trauma patients admitted with proximal femur fractures for surgical fixation under general anaesthesia were randomised to receive either sonography-guided continuous fascia iliaca plane block employing suprainguinal (SFICB group) or infrainguinal (IFICB group) approach or femoral nerve block (FNB group) for postoperative analgesia, using 0.2% ropivacaine as initial bolus (volume based on patient's weight), followed by its continuous infusion @10 mL/h for first 24 h. Intravenous morphine was used as a rescue analgesic (RA) to keep a visual analogue scale (VAS) score of <4. Our primary objective included a total number of RA doses administered in the 24-h postoperative period. As secondary outcomes, total RA consumption, analgesia duration, pain scores, quality of pain relief, and adverse effects were noted.</p><p><strong>Results: </strong>The number of RA doses administered was significantly lower in the SIFCB group, with 15% of patients requesting RA boluses in the SFICB group as opposed to 40% and 50% of patients in the IFICB and FNB groups, respectively. Patients in the SFICB group had lower median morphine consumption of 3 mg [interquartile range (IQR): 0-3; range: 0-3.5] in the SFICB group versus 6.5 mg (IQR: 4.1-8.0; range: 3-10.5) and 9.0 mg (IQR: 5.3-14.0; range: 3-14) in the IFICB and FNB groups, respectively (<i>P</i> = 0.044), significantly decreased VAS scores, and reported superior quality of pain relief.</p><p><strong>Conclusion: </strong>Following proximal femur fracture surgery, superior pain relief was provided by continuous suprainguinal fascia iliaca compartment block compared to the infrainguinal approach or simple femoral nerve block.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 4","pages":"335-342"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674631","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":"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":"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":"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":"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}