Karnataka Anaesthesia Journal最新文献_第10页

Hydrothorax: An uncommon complication of central venous catheterization 胸腔积液:中心静脉置管术中一种罕见的并发症

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173538

Jayashree C Patki

引用次数: 0

Impacted toothbrush in the oropharynx: An anesthetic challenge 口咽部埋伏牙刷:麻醉挑战

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173535

Surbhi Gupta, R. Nayar, R. Rani, Usha Sastry, A. Kartha

引用次数: 0

Chemical lumbar sympathectomy for lower limb rest pain associated with thromboangiitis obliterans 化学腰交感神经切除术治疗伴血栓闭塞性脉管炎的下肢休息痛

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173528

Karthik Jain, Vasudeva Upadhyaya, S. Varghese

引用次数: 1

Validation of the Apfel scoring system for identification of High-risk patients for PONV Apfel评分系统识别PONV高危患者的验证

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173527

L. Sherif, R. Hegde, Mallikajaya Mariswami, Anjali Ollapally

{"title":"Validation of the Apfel scoring system for identification of High-risk patients for PONV","authors":"L. Sherif, R. Hegde, Mallikajaya Mariswami, Anjali Ollapally","doi":"10.4103/2394-6954.173527","DOIUrl":"https://doi.org/10.4103/2394-6954.173527","url":null,"abstract":"Background and Aims: Postoperative nausea and vomiting (PONV) still present an important problem in anesthesia. In order to identify surgical patients who may benefit from prophylactic antiemetic medication, it is of interest to evaluate the risk factors for PONV using a simple scoring system. The simplified Apfel score includes four factors: female gender, nonsmoking status, postoperative use of opioids, and previous history of PONV or motion sickness. Each of these risk factors is supposed to elevate the incidence of PONV by about 20%. The aim of this study was to validate Apfel's clinical risk assessment score for identification of patients with high risk for PONV in our hospital. Materials and Methods: In a prospective study, 150 patients posted for various elective surgeries under general anesthesia with endotracheal intubation were analyzed and grouped into five groups, based on the Apfel risk scoring system. Each risk was given a score of 1, the total score being 4. PONV was monitored for 24 h and classified as grades 0, 1, and 2. Grades 1 and 2 were considered as PONV. The results obtained were analyzed for total incidence of PONV in each group of Apfel's scores and they were compared with the predicted incidence of PONV as per the documented Apfel's risk assessment. Collected data were analyzed by the Chi-square test, and the scoring system was assessed for sensitivity and specificity. Results: Of the 150 patients assessed, a total of 42% had PONV. Patients grouped under Apfel Score I had PONV incidence of 25.5%, the group with Score II had an incidence of 37.8%, the group with Score III had 64.6%, and the group with Score IV had 83.3%. This incidence of PONV corresponded to the predicted approximate values of 20% for Apfel Score I, 40% for Apfel II, 60% for Apfel III, and 80% for Apfel IV. Conclusions: The Apfel scoring system is simple and useful for identifying patients with high risk for PONV.","PeriodicalId":17751,"journal":{"name":"Karnataka Anaesthesia Journal","volume":"1 1","pages":"115 - 117"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83225937","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: 13

Sole epidural, a misnomer 足底硬膜外，用词不当

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173541

P. Shanthappa

引用次数: 0

Effectiveness of addition of intrathecal tramadol with hyperbaric bupivacaine in prevention of shivering in parturients undergoing cesarean section under spinal anesthesia: A randomized Placebo-controlled study 鞘内添加曲马多与高压布比卡因预防脊柱麻醉下剖宫产术中产妇寒战的有效性:一项随机安慰剂对照研究

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173536

Rakshith Prasad, Chakravarthy Joel, Varghese K. Zachariah

{"title":"Effectiveness of addition of intrathecal tramadol with hyperbaric bupivacaine in prevention of shivering in parturients undergoing cesarean section under spinal anesthesia: A randomized Placebo-controlled study","authors":"Rakshith Prasad, Chakravarthy Joel, Varghese K. Zachariah","doi":"10.4103/2394-6954.173536","DOIUrl":"https://doi.org/10.4103/2394-6954.173536","url":null,"abstract":"Context: Intravenous (IV) tramadol has been in use for the treatment of postanesthetic shivering. Aims: To assess the efficacy of addition of tramadol to bupivacaine in subarachnoid block to reduce the incidence of shivering. Settings and Design: The study was conducted as a single-blind study in a 350-bedded teaching hospital. Materials and Methods: One hundred parturients undergoing cesarean section were randomly divided into two groups of 50 each. Group T received 0.2 mL (10 mg) of tramadol with 2 mL of 0.5% bupivacaine. The presence of shivering was noted intraoperatively and postoperatively. Statistical Analysis Used: Student's t-test (two-tailed, independent) was applied for continuous variables and Chi-square/Fisher's exact test was applied for categorical variables between the two groups. Results: Shivering was noted in 66% of the patients in Group NS as against the 16% noted in Group T with a majority of the cases (88%) noted in the intraoperative period. The mean duration to the two-segment regression was 135 ± 26 min in Group T versus 104 ± 22 min in Group NS and duration to 1-grade motor block regression was 128 ± 21 min in Group T versus 103 ± 18 min in Group NS. The analgesic effect of the block lasted for a mean duration of 232 min in Group T and 176 min in Group NS while nausea and vomiting were increased in group T versus NS. Conclusions: Tramadol (10 mg), along with bupivacaine given intrathecally plays a significant role in reducing the incidence of anesthesia-induced shivering in parturients while prolonging both the sensory and motor components of the subarachnoid block.","PeriodicalId":17751,"journal":{"name":"Karnataka Anaesthesia Journal","volume":"92 1","pages":"123 - 127"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87212738","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: 5

Comparison of thiopentone sodium and propofol as anesthetic agents for modified electroconvulsive therapy 硫喷妥钠与异丙酚用于改良电休克麻醉的比较

Karnataka Anaesthesia Journal Pub Date : 2015-07-01 DOI: 10.4103/2394-6954.173532

B. Manjula, P. Nagaraja

引用次数: 6

Perioperative pneumothorax: A rare complication 围手术期气胸:一种罕见的并发症

Karnataka Anaesthesia Journal Pub Date : 2015-04-01 DOI: 10.4103/2394-6954.163088

M. Jain, K. Kilpadi

引用次数: 0

Anesthetic management of a patient with ischemic heart disease posted for open reduction internal fixation of the upper limb 缺血性心脏病上肢切开复位内固定1例的麻醉处理

Karnataka Anaesthesia Journal Pub Date : 2015-04-01 DOI: 10.4103/2394-6954.163083

Nikhila Rajendra, Ravi Madhusudhana

引用次数: 0

Dobutamine infusion for complex congenital heart disease with pulmonary hypertension in an infant posted for open pyloromyotomy 多巴酚丁胺输注治疗一名接受幽门肌切开手术的婴儿并发肺动脉高压的复杂先天性心脏病

Karnataka Anaesthesia Journal Pub Date : 2015-04-01 DOI: 10.4103/2394-6954.163092

Madhavi Ravindra, D. Bhagya

引用次数: 1