Indian Journal of Anaesthesia最新文献

{"title":"Pectoral nerve block and pecto-intercostal fascial block versus thoracic paravertebral block for postoperative analgesia in modified radical mastectomy: A randomised controlled trial.","authors":"Adarsh M Sheshagiri, Ajeet Kumar, Chandni Sinha, Abhyuday Kumar, Poonam Kumari, Amarjeet Kumar, Chandan Jha","doi":"10.4103/ija.ija_734_24","DOIUrl":"10.4103/ija.ija_734_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Modified radical mastectomy (MRM) is associated with persistent postoperative pain. Paravertebral block (PVB) is the gold standard for postoperative analgesia. A pecto-intercostal fascial plane (PIFB) block added to the pectoral nerve block (Pecs) may provide effective analgesia. This trial aimed to compare the analgesic efficacy of Pecs-PIFB with PVB.</p><p><strong>Methods: </strong>Fifty American Society of Anesthesiologists (ASA) I/II patients scheduled for MRM were randomly assigned to receive either Pecs-PIFB block with 30 mL for Pecs block and 15 mL for PIFB or PVB block with 20 mL (0.2% ropivacaine). Postoperatively, intravenous (IV) morphine was administered through a patient-controlled analgesia (PCA) pump. The primary outcome was to compare the time to the first demand dose of rescue analgesic. The secondary outcomes were postoperative 24-hour opioid consumption, pain scores (30 mins and 1, 2, 4, 6, 12, and 24 h), patient satisfaction score (24 h), and block-related complications. The unpaired <i>t</i>-test compared quantitative normally distributed data, while the Mann-Whitney U test compared quantitative discrete data. A <i>P</i> value < 0.05 was considered to be statistically significant.</p><p><strong>Results: </strong>Patients in the Group Pecs-PIFB had an increased median time to first demand dose: 440 [interquartile range (IQR): 360-540] versus 340 (IQR: 180-360) minutes (<i>P</i> = 0.019) and lower median 24-h postoperative morphine consumption: 4 (3-6) versus 6 (4-8) mg (<i>P</i> = 0.020). Patients in the Group Pecs-PIFB had better pain scores at 30 minutes and 1 h.</p><p><strong>Conclusion: </strong>Compared to thoracic PVB, the combination of Pecs and PIFB block prolonged the duration of analgesia and decreased postoperative opioid consumption in patients undergoing MRM surgeries. There was no statistical increase in complications in patients receiving this block.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"302-307"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752475","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":"Representation of women as lead authors in Indian Anaesthesiology Journals: Quo Vadis?","authors":"Divya Jain, Vanita Ahuja, Indubala Maurya, Rakesh Garg, Pradeep Bhatia, Sheila N Myatra","doi":"10.4103/ija.ija_167_25","DOIUrl":"10.4103/ija.ija_167_25","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"257-260"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752488","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":"A randomised controlled trial comparing video laryngoscopy versus conventional blind technique for transoesophageal echocardiography probe insertion in paediatric patients undergoing cardiac surgery: A pilot study.","authors":"Guriqbal Singh, Jigisha Pujara, Ankit Chauhan, Venuthurupalli S P Rajesh, Shrikant Sonune, Jamalpur Sravan Kumar, Himani Pandya","doi":"10.4103/ija.ija_975_24","DOIUrl":"10.4103/ija.ija_975_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Inserting a transoesophageal echocardiography (TEE) probe can cause pharyngeal and oesophageal injuries in paediatric patients undergoing cardiac surgery. The study's primary objective was to assess the incidence of oropharyngeal injury on video laryngoscope (VL) examination at the end of surgery.</p><p><strong>Methods: </strong>This randomised controlled study was conducted on 100 patients, aged 2-10 years, undergoing elective cardiac surgery requiring TEE evaluation. Patients having a deranged coagulation profile, sore throat, difficult tracheal intubation, trauma during tracheal intubation and contraindications for TEE insertion were excluded from the study. Patients were randomised into the conventional group (Group C; <i>n</i> = 50), where the TEE probe was inserted using the conventional blind insertion technique, and the VL group (Group VL; <i>n</i> = 50). All patients were examined with VL for oropharyngeal injury after removal of the TEE probe at the completion of surgery, and the injury site was documented.</p><p><strong>Results: </strong>The incidence of pharyngeal mucosal injury was significantly lesser in Group VL (<i>n</i> = 2) than in the Group C (<i>n</i> = 9) (<i>P</i> = 0.025). The number of attempts for successful TEE probe insertion was significantly lower in Group VL (<i>P</i> < 0.05). The mean duration for successful TEE probe insertion at the first attempt was significantly longer in Group VL than in Group C (<i>P</i> < 0.0001).</p><p><strong>Conclusion: </strong>The use of VL for TEE probe insertion in paediatric patients significantly reduced the incidence of pharyngeal injury related to its insertion and provided direct visualisation of the oesophageal inlet.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"268-274"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752461","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":"Impact of hypercapnia on bispectral index and burst suppression: Insights from anaesthetic management.","authors":"Ting-Ting Hsiao, Kuei-Lin Liao, Mei-Chun Chen, Zhi-Fu Wu","doi":"10.4103/ija.ija_893_24","DOIUrl":"10.4103/ija.ija_893_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"320-322"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752471","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":"Enhancing recovery in cervical spine surgery with erector spinae plane (ESP) block- A case series.","authors":"Ajit Kumar, Sony Sony, Shivam Shekhar, Kajal Shrestha","doi":"10.4103/ija.ija_690_24","DOIUrl":"10.4103/ija.ija_690_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"326-328"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752467","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 segmental spinal anaesthesia in high-risk obstetrics - A case series.","authors":"Suvarna Kaniyil, Naresh W Paliwal, Indu Susheela, Shijas Mancheri","doi":"10.4103/ija.ija_1100_24","DOIUrl":"10.4103/ija.ija_1100_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"328-330"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752493","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":"Sacral erector spinae plane block for chronic pain: Fascial plane block or more?","authors":"Andrea Sanapo, Gian Marco Petroni, Francesca De Sanctis, Pierfrancesco Fusco","doi":"10.4103/ija.ija_1013_24","DOIUrl":"10.4103/ija.ija_1013_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"322-324"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752491","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 between opioid-based anaesthesia technique and opioid-free anaesthesia technique in patients undergoing laparotomy for gynaecological malignancy: A randomised controlled trial.","authors":"Reshma Kalagara, Debesh Bhoi, Rajeshwari Subramaniam, Dalim Kumar Baidya, Souvik Maitra, Praveen Talawar","doi":"10.4103/ija.ija_151_24","DOIUrl":"10.4103/ija.ija_151_24","url":null,"abstract":"<p><strong>Background and aims: </strong>To investigate whether opioid-free anaesthesia (OFA) or opioid-based anaesthesia (OBA) technique with ultrasound (US)-guided rectus sheath block (RSB) provides early recovery and less opioid-related side effects in patients undergoing laparotomy for gynaecological malignancy.</p><p><strong>Methods: </strong>This was a double-blind randomised controlled trial. Fifty female patients of the American Society of Anesthesiologists (ASA) physical status I-II, aged 18-65 years, and scheduled to undergo elective gynaecological laparotomy under general anaesthesia were included. The patients were randomised into two groups. Both received US-guided RSB with 10 mL of local anaesthetic on each side. Group OBA (<i>n</i> = 25) received intravenous (IV) fentanyl 2 μg/kg at induction and 0.5 μg/kg as rescue analgesic. Group OFA (<i>n</i> = 25) received IV dexmedetomidine (0.5 μg/kg bolus over 10 min at induction, followed by 0.3 μg/kg/h infusion) and ketamine (0.25 mg/kg before incision, 0.15 mg/kg as rescue analgesic). The primary outcome was the time to attain post-anaesthesia care unit (PACU) discharge criteria. Time to eye-opening, time to extubation, time to shift to PACU, postoperative pain as visual analogue score (VAS), time to first rescue, total 24-h morphine consumption, and any postoperative nausea and vomiting till 24 h were also noted as secondary outcomes.</p><p><strong>Results: </strong>The time to attain PACU discharge criteria was comparable between the groups; however, the time to extubation and time to shift to the PACU was higher in Group OFA (<i>P</i> = 0.043 and <i>P</i> = 0.046, respectively). Other secondary outcomes were comparable (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>OFA provides comparable postoperative analgesia and time to attain PACU discharge in adult patients undergoing open gynaecological oncological surgery under general anaesthesia.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"261-267"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752463","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 BlockBuster® Laryngeal Mask Airway, King Vision® Video Laryngoscope, and flexible intubation scope for orotracheal intubation in adult patients with simulated immobilised cervical spine: A randomised controlled trial.","authors":"Neha Sinha, Kharat Bhat, Samiksha Khanuja, Mahima Gupta, Megha Wadhwani, Pratibha Panjiar","doi":"10.4103/ija.ija_509_24","DOIUrl":"10.4103/ija.ija_509_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Flexible intubation scope, video laryngoscope and supraglottic airway device-guided tracheal intubation are suggested in cervical spine injury patients to avoid further exacerbation of cord injury. This study compared the intubation characteristics of BlockBuster laryngeal mask airway (BBLM), King Vision video laryngoscope (KKVL) and flexible intubation scope (FIS) in patients with simulated immobilised cervical spine.</p><p><strong>Methods: </strong>This study was performed on 120 adult patients with American Society of Anesthesiologists physical status I-II scheduled for elective surgery under general anaesthesia requiring orotracheal intubation. Patients were randomly allocated to Group BBLM, Group KVVL and Group FIS. Time to intubation, first-attempt success rate and complications were recorded and compared between the three groups.</p><p><strong>Results: </strong>There was a significant difference in the mean total time for intubation between the groups (<i>P</i> < 0.0001). The success rate of the first attempt was 75% in Group BBLM, 77% in Group KVVL and 82.5% in Group FIS (<i>P</i> = 0.727). Complications like mucosal damage, oesophageal intubation, and incidence of sore throat and cough were comparable in the three groups.</p><p><strong>Conclusion: </strong>Intubation time was faster with BBLM and KVVL than with FIS in patients with simulated cervical spine immobilisation. The first-attempt success rate and complications were the same for all three devices.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"296-301"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752464","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 efficacy of a smartphone application in reducing preoperative anxiety in children: A randomised controlled trial.","authors":"Yiting Pan, Lichun Wan, Qineng Xue, Guo Ran, Kaizheng Chen, Xia Shen","doi":"10.4103/ija.ija_526_24","DOIUrl":"10.4103/ija.ija_526_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Preoperative anxiety is a common issue in paediatric patients, which can negatively impact perioperative outcomes. While various interventions have been explored, the use of smartphone applications (apps) remains underinvestigated. This study aims to evaluate whether a specific smartphone app offering video-based tools can effectively alleviate perioperative anxiety in children.</p><p><strong>Methods: </strong>This study involved 104 children, aged 4-10 years, scheduled for otorhinolaryngology surgery, who were randomly allocated into two groups: Group C (standard care) and Group MP (provided with access to the smartphone app). Anxiety levels were evaluated at five specific time points using the modified Yale Preoperative Anxiety Scale-Short Form: during the pre-anaesthesia consultation on the day before surgery, upon arrival in the preoperative holding area, at the moment of parental separation when transitioning to the operating room, after entering the operating room and immediately before anaesthesia induction. Guardian anxiety was assessed at the first three time points using a visual analogue scale to better understand family dynamics during the perioperative period. In addition, the cooperation of paediatric patients during mask induction for anaesthesia was evaluated.</p><p><strong>Results: </strong>Compared to the Group C, children in Group MP showed significantly reduced anxiety levels before anaesthesia induction (median: 34.4 versus 57.3, <i>P</i> = 0.012). The anxiety level of the guardian at separation was lower in Group MP (median: 3.0 versus 5.0, <i>P</i> = 0.013). Patients also showed improved cooperation during mask induction for anaesthesia (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>A smartphone app with video tools may effectively reduce perioperative anxiety in children and their guardians and enhance their cooperation during mask induction for anaesthesia.</p>","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"69 3","pages":"308-314"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752469","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}