Journal of Anaesthesiology, Clinical Pharmacology最新文献

{"title":"Effect of infratrochlear nerve block on discharge readiness in patients undergoing strabismus surgery.","authors":"Vanita Ahuja, Lekshmi V Nair, Deepak Thapa, Sukanya Mitra, Sudesh K Arya","doi":"10.4103/joacp.joacp_307_22","DOIUrl":"10.4103/joacp.joacp_307_22","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"1 1","pages":"679-680"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42853487","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":"Let bubble solve the trouble.","authors":"Gegal Pruthi, Bhanupreet Kaur, Mayank Gupta, Vaibhav Saini","doi":"10.4103/joacp.joacp_79_22","DOIUrl":"10.4103/joacp.joacp_79_22","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"655-656"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546470","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":"Anesthetic management in a Tessier cleft child with CHARGE syndrome: A new association?","authors":"Anju Gupta, Pratibha Mudgal, Madhu Dayal, Nishkarsh Gupta","doi":"10.4103/joacp.joacp_28_22","DOIUrl":"10.4103/joacp.joacp_28_22","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"665-666"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546499","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":"Criteria to be an author of a manuscript: Time to revisit the ICMJE criteria and CRediT.","authors":"Himel Mondal, Shaikat Mondal, Rudrashish Haldar","doi":"10.4103/joacp.joacp_175_22","DOIUrl":"10.4103/joacp.joacp_175_22","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"674-675"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546526","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 stress on contextual pain sensitivity in the preoperative period- A proof of concept study.","authors":"Shibani Padhy, Ruhi Fatima, Shubhranshu Jena, Akhya Kumar Kar, Padmaja Durga, Vishal Kumar Neeradi","doi":"10.4103/joacp.joacp_187_22","DOIUrl":"10.4103/joacp.joacp_187_22","url":null,"abstract":"<p><strong>Background and aims: </strong>The importance of non-noxious contextual inputs in the interplay of pain with neurophysiologic and behavioral factors is gaining recognition. Stress of impending surgery can act as a negative context, leading to a decrease in pain threshold in patients. This study was conducted to assess the influence of stress conferred by the imminent and other contextual inputs such as anxiety, socioeconomic status, prior painful experience, and the effect of gender on modulation of pain perception in patients undergoing elective surgery.</p><p><strong>Material and methods: </strong>In total, 120 patients aged between 18 and 60 years of either gender posted for elective gastrointestinal surgery under general anesthesia were recruited. Data were collected on preoperative anxiety level, socioeconomic status, education, and any prior painful experience. A pressure algometer was used to measure the pressure pain thresholds and pain tolerance on the day before surgery and on the morning of surgery in the preoperative suite.</p><p><strong>Results: </strong>There was a statistically significant decrease in both pain threshold (<i>P</i> < 0.0001) and pain tolerance in the immediate preoperative period in comparison to the baseline readings taken the day before surgery (<i>P</i> = 0.048). The magnitude of change in pain scalars was greater in females (<i>P</i> < 0.001), those with a high anxiety score, and a history of severe painful experience in the past.</p><p><strong>Conclusion: </strong>Preoperative surgical stress lowers the pain threshold and pain tolerance. Contextual modulation of pain by factors such as anxiety and memory of prior painful experience, especially in the female gender, could influence postoperative patient outcomes and warrants further research.</p>","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"603-608"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546536","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":"Green anesthesia: How green is our practice?","authors":"Ghansham Biyani, Rajasekhar Metta","doi":"10.4103/joacp.joacp_515_23","DOIUrl":"10.4103/joacp.joacp_515_23","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"519-520"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546538","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 simulation practices on experienced anesthesiologists.","authors":"Madhurjya Baishya, Rakesh Garg, Neha Pangasa, Puneet Khanna","doi":"10.4103/joacp.joacp_106_22","DOIUrl":"10.4103/joacp.joacp_106_22","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"672-674"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546548","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":"When the intra-operative neuro-monitoring techniques crossed swords with the electro-encephalogram monitoring!","authors":"Keta Thakkar, Dhritiman Chakrabarti, Srinivasa Babu Krothapalli, Georgene Singh","doi":"10.4103/joacp.joacp_96_22","DOIUrl":"10.4103/joacp.joacp_96_22","url":null,"abstract":"","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"39 4","pages":"662-664"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546566","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":"Techniques of securing endotracheal tube during cosmetic facial surgeries involving nose, cheeks, and chin","authors":"Sunil Rajan, Aishwarya P. Suresh, Madhumita Ramakrishnan, Jerry Paul","doi":"10.4103/joacp.joacp_132_22","DOIUrl":"https://doi.org/10.4103/joacp.joacp_132_22","url":null,"abstract":"Dear Editor, Securing endotracheal tubes (ETT) during facial cosmetic surgeries can be challenging.[1] We are reporting how ETT was secured in two patients who underwent cosmetic facial surgeries which demanded bilateral cheeks, chin, and nose to be free. Flexometallic ETTs were used and were secured to incisors. In case 1, a 25-year-old female was posted for rhinoplasty, chin implant placement, and liposuction of the cheeks. After intubation, ETT was brought to the midline and a firm knot was made around ETT using size 1.0 silk (Centisilk, Centenial Surgical Suture Ltd, India) that was tied twice around ETT, and the knot was kept near the inner aspect of the upper incisors. Threads were then slipped down to gum through either side of one upper incisor, like performing dental flossing, and tied firmly on the buccal aspect of the incisor [Figure 1a].Figure 1: (a) ETT secured with thread to the upper incisor, (b) ETT secured with stainless steel wire to lower incisorsIn case 2, a 55-year-old female was posted for a chin implant, neck lift, lip lift, and liposuction of nasolabial folds. As incisors were closely placed, we failed to slip the thread between teeth down to the gum. Therefore, we decided to use a pre-stretched 26 G stainless steel wire (Ortho Max Mfg Co Pvt Ltd, India) which is commonly used by dental surgeons for arch bar fixation. The wire was wound twice around ETT and twisted repeatedly by holding both wires at a short distance from ETT using a needle holder. Once the wire was tightly wound around ETT, both the free ends of the wire were brought out to the buccal aspect through the lateral part of the first two lower incisors close to the gum. Both the ends were held together and twisted repeatedly till it was secured tightly around the incisors. The extra length of twisted wire was then cut short, the free end turned away from the lip, and covered with a piece of transparent incision drape to avoid lip trauma [Figure 1b]. Fixing ETT using adhesive tapes to cheeks or chin was not practical in both patients as surgeries involved the chin and both cheeks and frequent assessment of facial symmetry intraoperatively was required. Preformed tube (oral/nasal) was avoided as surgeries involved the nose, chin, and neck. The use of a flexometallic tube prevented kinking of ETT and gave surgeons freedom to move the proximal part of ETT with an attached breathing circuit (covered in sterile plastic sheet) away from the surgical field with no distortion of facial anatomy. These requirements could have been met with submental intubation as in panfacial trauma,[2-4] but not considered as our patients were undergoing cosmetic procedures. Though tying ETT with silk to incisors is totally atraumatic, dental wires may cause minimal gum injury. As tips of incisors are always broader than root, the chance of suture slipping out intraoperatively is rare, if the knot is tied firmly close to the root of incisors. ETT should not be tied to loose or partly br","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135207765","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}

{"title":"Effects of oral melatonin premedication on hemodynamic responses to intubation, anesthetic requirements and postoperative sedation: A randomized trial","authors":"Sunil Rajan, Reema Abubaker, Revathy Ajayachandran Kala, Niranjan Kumar Sasikumar, Mani Vignesh Kannan, Lakshmi Kumar","doi":"10.4103/joacp.joacp_159_22","DOIUrl":"https://doi.org/10.4103/joacp.joacp_159_22","url":null,"abstract":"Abstract Background and Aims: Sedative effects of melatonin may have an additive effect on general anesthesia (GA). We compared hemodynamic response to intubation following oral premedication with melatonin versus placebo. Induction dose of propofol, isoflurane and fentanyl consumption were also compared. Material and Methods: This prospective, double-blinded study was conducted in fifty patients randomized into two equal groups. Group M received oral melatonin 6 mg and group P a placebo two hours before surgery. All patients were induced with intravenous propofol of 1.5–2.5mg/kg till loss of response to verbal commands, three minutes after vecuronium, laryngoscopy was done and trachea was intubated. Heart rate (HR) and mean arterial pressures (MAP) were recorded before premedication, before induction, immediately after induction and then at 1,3,5 and 10 minutes after intubation. Results: Mean HR was comparable in both groups throughout the study period. Group M had significantly lower MAP before induction and immediately after induction ( P < 0.05). At all other time points MAP remained comparable in both groups. Mean isoflurane consumption was significantly lower in group M compared to group P (14.8 ± 4.2 vs 19.7 ± 3.2 mL). Propofol requirement for induction was also significantly lower in group M (102.4 ± 19.6 vs 122.4 ± 26.3mg). Intraoperative fentanyl consumption was comparable. Conclusion: Oral premedication with melatonin 6mg administered two hours before surgery significantly reduced MAP before and after induction of GA with a significant reduction in dose of propofol requirement.Titrating induction dose of propofol till loss of response to verbal commands did not effectively attenuate responses to laryngoscopy and intubation following melatonin oral premedication.","PeriodicalId":14946,"journal":{"name":"Journal of Anaesthesiology, Clinical Pharmacology","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135207768","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}