Indian Journal of Anaesthesia最新文献_第9页

Navigating the anomalous path of the tibial nerve at the ankle - attention to the intricacies! 踝部胫神经异常路径导航--注意错综复杂的情况！

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-03-01 Epub Date: 2024-02-22 DOI: 10.4103/ija.ija_1126_23

Sivaselvi Nagaraj, Tuhin Mistry, Kartik Sonawane, Chelliah Sekar

引用次数: 0

Retrolaminar block for opioid-free anaesthesia and enhanced recovery after posterior lumbar discectomy: A randomised controlled study. 后腰椎间盘切除术后不使用阿片类药物进行麻醉并促进恢复的网膜阻滞：随机对照研究。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-03-01 Epub Date: 2024-02-22 DOI: 10.4103/ija.ija_773_23

Alshaimaa A F Kamel, Ahmed M Fahmy, Marwa M Medhat, Wael A E Ali Elmesallamy, Dina A E Salem

{"title":"Retrolaminar block for opioid-free anaesthesia and enhanced recovery after posterior lumbar discectomy: A randomised controlled study.","authors":"Alshaimaa A F Kamel, Ahmed M Fahmy, Marwa M Medhat, Wael A E Ali Elmesallamy, Dina A E Salem","doi":"10.4103/ija.ija_773_23","DOIUrl":"10.4103/ija.ija_773_23","url":null,"abstract":"Background and aims: Intraoperative regional analgesia and enhanced recovery are standard care models aimed at reducing perioperative opioid use following spine surgeries. This study aimed to examine the analgesic effect of retrolaminar block in promoting recovery and pain relief after posterior lumbar discectomy.Methods: The patients undergoing elective posterior lumbar discectomy were randomised into the retrolaminar group (n = 36) (received an intra-operative bilateral retrolaminar block with 15 mL of bupivacaine 0.25%, 2 mL (8 mg) of dexamethasone, and 2 mL of magnesium sulphate 10% (200 mg) on each side) and control group (n = 36) (received standard general anaesthesia). Primary outcomes were recovery time (time from isoflurane discontinuation to the first response to verbal command) and time to discharge (time from admission to the post-anaesthesia care unit (PACU) to discharge from the PACU, when Aldrete score was ≥9). P values < 0.05 were considered statistically significant.Results: The extubation, recovery, and discharge times were significantly shorter in the retrolaminar group compared to the control group (P < 0.001). Postoperative pain scores were significantly lower in the retrolaminar group for up to 8 h compared to only 2 h in the control group (P < 0.001). The time to first administration of ketorolac post-operatively was significantly longer in the retrolaminar group compared to the control group (P < 0.001). The total consumption of ketorolac post-operatively was significantly reduced in the retrolaminar group compared to the control group (P < 0.001).Conclusion: Intra-operative retrolaminar block is an easy and effective opioid-free regional anaesthesia technique that improves recovery after posterior lumbar discectomy.","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 3","pages":"261-266"},"PeriodicalIF":2.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10926343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109945","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}

引用次数: 0

Use of Griggs forceps for submental intubation: A modification of Seldinger's technique. 使用格里格斯镊子进行下颌插管：塞尔丁格技术的改良。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-03-01 Epub Date: 2024-02-22 DOI: 10.4103/ija.ija_974_23

Amiya K Barik, Kajal Jain, Nidhi Bhatia, Rajani Kant Kumar

引用次数: 0

Comments on: Ultrasound-guided subclavian cannulation using open door technique - A technical report. 评论：超声引导下使用开门技术进行锁骨下插管 - 技术报告。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-03-01 Epub Date: 2024-02-22 DOI: 10.4103/ija.ija_1245_23

Charulatha Ravindran, T Sivashanmugam

引用次数: 0

ISACON 2023: Gurugram heralding a new growth in anaesthesia. ISACON 2023：古鲁格拉姆预示着麻醉领域的新发展。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-02-01 Epub Date: 2024-02-23 DOI: 10.4103/ija.ija_127_24

Khanna Sangeeta, Sapra Harsh

引用次数: 0

SARS-CoV-2-related polyradiculitis during pregnancy. 妊娠期与 SARS-CoV-2 相关的多发性神经炎。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-02-01 Epub Date: 2024-01-29 DOI: 10.4103/ija.ija_455_23

Josef Finsterer, Sounira Mehri

引用次数: 0

Message by the Past President and Academic Chairperson, Indian Society of Anaesthesiologists (ISA) National (2024). 印度麻醉医师协会（ISA）全国（2024 年）前任主席兼学术主席致辞。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-02-01 Epub Date: 2024-02-23 DOI: 10.4103/ija.ija_157_24

M V Bhimeshwar

引用次数: 0

Comparison of airway collapsibility following single induction dose ketamine with propofol versus propofol sedation in children undergoing magnetic resonance imaging: A randomised controlled study. 对接受磁共振成像检查的儿童进行单次诱导剂量氯胺酮加丙泊酚与丙泊酚镇静后气道塌陷性的比较：随机对照研究。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-02-01 Epub Date: 2024-01-29 DOI: 10.4103/ija.ija_287_23

Pooja Bhardwaj, Sakthirajan Panneerselvam, Priya Rudingwa, Kirthiha Govindaraj, M V S Satya Prakash, Ashok S Badhe, Krishnan Nagarajan

{"title":"Comparison of airway collapsibility following single induction dose ketamine with propofol versus propofol sedation in children undergoing magnetic resonance imaging: A randomised controlled study.","authors":"Pooja Bhardwaj, Sakthirajan Panneerselvam, Priya Rudingwa, Kirthiha Govindaraj, M V S Satya Prakash, Ashok S Badhe, Krishnan Nagarajan","doi":"10.4103/ija.ija_287_23","DOIUrl":"10.4103/ija.ija_287_23","url":null,"abstract":"Background and aims: Adequate sedation is essential for children undergoing magnetic resonance imaging (MRI) console. Propofol is commonly used for sedation, but it has the drawback of upper airway collapse at higher doses, which may be overcome by ketamine. This study was designed to evaluate the beneficial effect of ketamine on propofol in preventing airway collapse.Methods: Fifty-eight children undergoing MRI were randomised to Group P (propofol bolus dose followed by infusion or Group KP (bolus dose of ketamine and propofol followed by propofol infusion). The primary aim is to compare the upper airway cross-sectional area (CSA) and diameters (transverse diameter [TD] and anteroposterior diameter [APD]) obtained from MRI during inspiration and expiration.Results: Upper airway collapse as measured by delta CSA in mean (SD) [95% confidence interval] was statistically more significant between the two groups [at the soft palate level, 16.9 mm2 (19.8) [9.3-24.4] versus 9.0 mm2 (5.50) [6.9-11.1] (P = 0.043); at the base of the tongue level, 15.4 mm2 (11.03) [11.2-19.6] versus 7.48 mm2 (4.83) [5.64-9.32] (P < 0.001); at the epiglottis level, 23.9 (26.05) [14.0-33.8] versus 10.9 mm2 (9.47) [7.35-14.5] (P = 0.014)]. A significant difference was obtained for TD at all levels and for APD at the soft palate and base of tongue level.Conclusion: Adding a single dose of ketamine to propofol reduced the upper airway collapse significantly, as evidenced by the MRI-based measurements of upper airway dimensions, compared to propofol alone.","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 2","pages":"189-195"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021604","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}

引用次数: 0

Erratum: Shaping the future of ISA: Act local, think global. 勘误：塑造国际海底管理局的未来：立足本地，放眼全球。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-02-01 Epub Date: 2024-01-29 DOI: 10.4103/ija.ija_91_24

引用次数: 0

Intrathecal ropivacaine versus bupivacaine in a non-obstetric population- A meta-analysis and trial sequential analysis. 鞘内罗哌卡因与布比卡因在非产科人群中的应用--荟萃分析和试验序列分析。

IF 2.9

Indian Journal of Anaesthesia Pub Date : 2024-02-01 Epub Date: 2024-01-29 DOI: 10.4103/ija.ija_715_23

Rashaad S Khalil, Aaliya Mehmud, Rahul Banerjee, Rajiv Malhotra, Arnab Banerjee

{"title":"Intrathecal ropivacaine versus bupivacaine in a non-obstetric population- A meta-analysis and trial sequential analysis.","authors":"Rashaad S Khalil, Aaliya Mehmud, Rahul Banerjee, Rajiv Malhotra, Arnab Banerjee","doi":"10.4103/ija.ija_715_23","DOIUrl":"10.4103/ija.ija_715_23","url":null,"abstract":"Background and aims: Intrathecal bupivacaine is used for anaesthesia and analgesia but is associated with hypotension. Ropivacaine is an alternative drug that may have fewer cardiotoxic and neurotoxic events. This meta-analysis investigated whether intrathecal ropivacaine is associated with reduced hypotension as compared to bupivacaine.Methods: The meta-analysis is registered in the International Prospective Register of Systematic Reviews (PROSPERO). The databases PubMed, Cinahl Plus, Google Scholar, and Scopus were searched, and papers from January 1980 to January 2023 were deemed eligible and filtered using predetermined inclusion and exclusion criteria. The primary outcome was the incidence of hypotension. Secondary outcomes were the duration of sensory block, duration of motor block, incidence of bradycardia, ephedrine usage, and duration of analgesia. Jadad scores were used to evaluate the quality of the papers. RevMan statistical software® utilised inverse variance and a random effect model to calculate the standardised mean difference with 95% confidence intervals for continuous variables and the Mantel-Haenszel test and the random effect model to calculate the odds ratio for dichotomous variables.Results: Thirty-three papers, including 2475 patients in total, were included. The Jadad score was between 1 and 5. The incidence of hypotension was significantly higher with intrathecal bupivacaine than with ropivacaine (P = 0.02). The duration of sensory block (P < 0.001) and motor block (P < 0.001) was prolonged with intrathecal bupivacaine. The duration of analgesia favoured intrathecal bupivacaine (P = 0.003).Conclusion: Intrathecal ropivacaine has a reduced incidence of hypotension and a reduced duration of sensory block compared to bupivacaine.","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":"68 2","pages":"129-141"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021606","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}

引用次数: 0