International Journal of Medical Anesthesiology最新文献_第5页

Serum sodium and potassium changes during transurethral resection of prostate gland in patients under subarachnoid block 蛛网膜下腔阻滞患者经尿道前列腺切除术时血清钠钾变化

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3b.418

Dr. Babli Attri, Dr. Vikash Kumar, Dr. Vishal Kant

引用次数: 0

Case report: Electric dry needling for treatment of low back pain 病例报告:电干针治疗腰痛

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3b.420

Vishal V Lanjewar, Vivek Manohar Chawali

{"title":"Case report: Electric dry needling for treatment of low back pain","authors":"Vishal V Lanjewar, Vivek Manohar Chawali","doi":"10.33545/26643766.2023.v6.i3b.420","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i3b.420","url":null,"abstract":"From thounds of years, electricity used for treatment of pain such as Ancient Egyptians and later the Greeks and Romans recognized that electrical fishes are capable of generating electric shocks for relief of pain. The modern era of neuromodulation began in the early 1960s, first with deep brain stimulation which was soon followed (in 1967) by spinal cord stimulation, both for otherwise intractable pain. Dry needling is one of the common intervention used for low back pain of different origine. Electric current can be used in addition to dry needling in treatment of neuropathic and nociceptive type of pain by using percutaneous needles. Sixty years old female patient came with complaint of severe low back pain since two years on and off, which become persistent since last 1 month with increased pain intensity. Pain was diffuse, aching, stabbing type with numerical rating scale (NRS) score of 8/10 and score on pain detect tool was 18. Low back pain used to aggravate on prolonged sitting, standing in one place, and repetitive lifting and bending activities. MRI lumber spine suggestive of L5-S1 disc prolapsed posterocentral non compressing nerve roots with normal lumber canal. Based on these findings our provisional diagnosis L5-S1 disc prolapsed posterocentral with myofascial trigger points over gluteal region. For that tablet baclofen and etodolac for 2 weeks was prescribed but there was no significant relief i.e. patient reported NRS score 7/10 on follow up after 2 weeks. Subsequently intervention was planned. Dry needling with electric stimulation done for 60 minutes on bilateral gluteal region. On follow up visit after onemonth patient reported excellent pain relief with NRS sore of 1/10. Patient had good pain relief by the followup of nine months. Dry needling with electric stimulation increases duration of pain relief and cause some neuromodulation effect in low back pain.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135804632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

to study the hemodynamic variation to laryngoscopy and endotracheal intubation while comparing the effectiveness of nebulised VS intra-venous form of 2% lidocaine to attenuate the sympathetic response to laryngoscopy in Indian population 研究喉镜检查和气管插管后的血流动力学变化，同时比较2%利多卡因雾化和静脉注射减轻印度人群喉镜检查交感神经反应的有效性

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3a.408

Dr. Arjun Joshi, D. S. Raghu, Dr. Hakam Singh, Dr. Rajat Jain, Mitesh Garg

引用次数: 0

Successful airway management in a comorbid patient with retrosternal goiter: A case study on lipoma excision and biopsy 一例胸骨后甲状腺肿合并症患者气道管理的成功:脂肪瘤切除和活检的病例研究

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3b.422

Dr. Chenal Shah, Dr. Rahul Gupta

{"title":"Successful airway management in a comorbid patient with retrosternal goiter: A case study on lipoma excision and biopsy","authors":"Dr. Chenal Shah, Dr. Rahul Gupta","doi":"10.33545/26643766.2023.v6.i3b.422","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i3b.422","url":null,"abstract":"This case study presents the management of a 54-year-old British male patient suffering from rerosternal goiter with a BMI of 46.11, who was scheduled for lipoma excision and biopsy with adjacent tissue transfer or rearrangement on the back. The patient had a complex medical history, including type 2 diabetes mellitus, hypertension, hyperlipidemia, and obstructive sleep apnea. Preoperative assessments revealed difficulties in mask ventilation, intubation, and ventilation due to anatomical factors, such as a thyromental distance of less than 6 cm and a large retrosternal goiter causing compressive symptoms and wheezy breathing. A multidisciplinary team implemented a dual-plan approach utilizing a laryngeal mask airway (LMA) as the primary airway management strategy, with an endotracheal tube as the backup plan. The patient underwent successful surgery with stable vital signs and optimal oxygenation. This case emphasizes the significance of comprehensive preoperative assessments, multidisciplinary collaboration, and adaptable airway management strategies in challenging surgical cases.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135806106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perioperative management of the antiplatelet therapy in patients with ischemic heart disease undergoing noncardiac surgery 缺血性心脏病非心脏手术患者抗血小板治疗的围手术期管理

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3a.409

Reham Zaki Zaki El-mazawy, Ahmed Ali Al-daba, Mohammed Mohy Eldin Abu Elyazed, Sameh Mohamed Refaat El shehdawy

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Comparison of conventional caudal block, ultrasound guided caudal block and ultrasound guided erector spinae block for pediatric hip surgery: A randomized double blinded study 常规尾侧阻滞、超声引导下的尾侧阻滞和超声引导下的竖肌脊柱阻滞在儿童髋关节手术中的比较:一项随机双盲研究

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3a.415

Eman Hamdy Abu-Shanab, Mohamed Lotfy, Ahmed Said El-Gebaly, N. Yousef

引用次数: 0

Value of B lines score on lung ultrasound as a direct measure of respiratory dysfunction and volume overload in critical care patients with acute kidney injury 肺超声B线评分作为急性肾损伤重症患者呼吸功能障碍和容量过载的直接指标的价值

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3b.425

Mohamed Shaaban Shehataa

{"title":"Value of B lines score on lung ultrasound as a direct measure of respiratory dysfunction and volume overload in critical care patients with acute kidney injury","authors":"Mohamed Shaaban Shehataa","doi":"10.33545/26643766.2023.v6.i3b.425","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i3b.425","url":null,"abstract":"Background: Fluid overload is commonly detected in critically ill cases with AKI and is accompanied by serious outcome. Lung US (LUS) is an efficiently used tool to assess volume noninvasively. We assessed the importance of these measurements in combination, for estimation of the PaO2/FiO2 ratio in critical patients with AKI.The aim of the study: To evaluate the value of B-lines on chest ultrasound in predicting respiratory dysfunction in AKI and to assess the relation between the B lines on chest ultrasound and po2/fio2 ratio in acute kidney injury patients.Patients and methods: This was a prospective observational study in which 40 cases who were presented on admission or developed at any time during ICU stay acute kidney injury determined based on the KDIGO criteria and according to RIFLE classification. Cases were studied at baseline as well as following 48 hrs using lung US, in addition to measuring the arterial blood gases.Results: The PaO2/FiO2 ratio showed negative correlation with the B-lines score, and this correlation was kept even following adjustment. A cut of value of 15 for the B-lines score has a sensetivity of 94% and a specificity of 77.3% in detecting cases with PaO2/ FiO2 of less than 300.Conclusion: It can be concluded that B-lines on chest US can predict volume overload and respiratory dysfunction in cases with AKI.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative study of safety of Baska mask and Proseal LMA with respect to the oropharyngeal seal in a tertiary centre Baska口罩与Proseal LMA在三级中心口咽密封安全性的比较研究

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3b.419

Dr. Anuradha Sen, Dr. Mukta Jitendra, Dr. Rajesh Mahajan, Dr. Jyoti Raina

{"title":"Comparative study of safety of Baska mask and Proseal LMA with respect to the oropharyngeal seal in a tertiary centre","authors":"Dr. Anuradha Sen, Dr. Mukta Jitendra, Dr. Rajesh Mahajan, Dr. Jyoti Raina","doi":"10.33545/26643766.2023.v6.i3b.419","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i3b.419","url":null,"abstract":"Background: Traditionally, endotracheal intubation has been the standard practice for administering general anaesthesia for most of the surgeries. Now a number of supraglottic airway devices (SAD) have been introduced in the clinical practice offering a simple and effective alternative to the endotracheal intubation, avoiding the use of laryngoscope to put the ETT (endotracheal tube) which is associated with exaggerated hemodynamic response. Method: The present prospective comparative study was conducted in the Department of anaesthesiology and Intensive Care, Government Medical College, Jammu. After attaining approval of the Ethical committee of the Institute, present study included 90 patients of either gender ranging from 18 – 70 years, belonging to ASA grade I and II scheduled for elective surgery of less than 2 hours duration under general anaesthesia. Patients were randomly allocated into Group P (PLMA) &Group B (Baska mask) of 45patients in each group. Result: Mean oropharyngeal leak pressure for Group P and Group B was almost equal (30.1 ± 3.08 cm H 2 O vs 30.7 ± 2.59 cm H 2 O after 5 minutes and 30.4 ± 3.09 cm H 2 O vs 31.6 ± 2.55 cm H 2 O after 30 minutes of device placement respectively). Conclusion: Oropharyngeal seal provided by the Baska mask is comparable with that of Proseal LMA with no difference in postoperative oropharyngeal morbidity.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79315016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Local anesthesia toxicity in occipital nerve block: A case of generalized tonic-clonic convulsions 枕神经阻滞的局部麻醉毒性:全身性强直-阵挛性惊厥1例

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3b.421

Dr. Jaya Batra, Dr. Himanshu Chauhan, Dr. Praveen Kesav, Dr. Ashootosh Batra

引用次数: 0

Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery 双侧超声引导下颈浅丛阻滞在甲状腺手术后增强恢复中的作用

International Journal of Medical Anesthesiology Pub Date : 2023-07-01 DOI: 10.33545/26643766.2023.v6.i3a.426

Fatma Alzahraa Ibrahim Alsamahy, Sabry Mohammad Amin, Mohammad Ali Mohammad Abdullah, Mohammad Elsayed Afandy

{"title":"Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery","authors":"Fatma Alzahraa Ibrahim Alsamahy, Sabry Mohammad Amin, Mohammad Ali Mohammad Abdullah, Mohammad Elsayed Afandy","doi":"10.33545/26643766.2023.v6.i3a.426","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i3a.426","url":null,"abstract":"Methods: The current study was a prospective randomized controlled double blinded study was conducted at Tanta University Hospitals for patients admitted to undergo elective thyroid surgeries for a period of 9 months. Inclusion criteria were patients aged 21 -65 y and ASA physical status I or II, prepared for elective thyroid operation were encouraged to contribute to the study cases were divided to 2 equal groups (50 cases each) in a random manner: Group I (Control group): Sham Technique: the cases received general anaesthesia plus US guided Bilateral SCPB with 10 ml NaCl 0.9% were injected on both sides. Group II (Study group): cases received general anaesthesia plus US guided Bilateral SCPB with a total volume of 10 ml containing Bupivacaine 0.25% was injected (5 ml Bupivacaine 0.5%- and 5-ml NaCl 0.9% bilaterally).Results: Postoperative QOR-15 score was significantly elevated in group II in comparison with group I; P value less than 0.001. Time to 1st rescue analgesia was significantly higher in group II in comparison with group I; P value < 0.001. VAS was significantly elevated in group I at 30min, 2hrs, 4hrs and 6 hrs in comparison with Group II: P value less than 0.001. nevertheless, no statistically significant differences were found between both groups at 8hr, 10hr, 12hr, 18hr and 24hr; P value < 0.005. Postoperative opioid consumption was significantly reduced in group II in comparison with group I: P value less than 0.001.Pre and post-operative values of diaphragmatic excursion revealed that there was no statistically significant differences either in the same group or between the 2 groups. Conclusions: Patients undergoing thyroid surgery showed improved global quality of recovery after preoperative US guided BSCPB. It decreased POP score, diminished intraoperative analgesic consumption, reduced postoperative morphine consumption, and maintained diaphragmatic excursion.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135806172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0