Karnataka Anaesthesia Journal最新文献_第7页

Incidental detection of venous air embolism during modified radical neck dissection 改良根治性颈部清扫术中静脉空气栓塞的偶然发现

Karnataka Anaesthesia Journal Pub Date : 2016-01-01 DOI: 10.4103/2394-6954.190777

T. Anandaswamy, Prathima P. Thamanna, G. Rajappa, M. Chikkapillappa

引用次数: 1

Hysterical paraplegia 歇斯底里的截瘫

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180657

J. Attri, R. Khetarpal, Rajinder P Singh, Lipsy Bansal

引用次数: 0

Identification of ideal preoperative predictors for difficult intubation 确定困难插管的理想术前预测因素

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180649

R. Garg, C. Dua

{"title":"Identification of ideal preoperative predictors for difficult intubation","authors":"R. Garg, C. Dua","doi":"10.4103/2394-6954.180649","DOIUrl":"https://doi.org/10.4103/2394-6954.180649","url":null,"abstract":"Background: Unexpected difficult intubation is probably the result of inadequate preoperative examination of airway and a lack of accurate predictive tests for difficult intubation. Preoperative evaluation forms basis to suspect and be prepared for a difficult airway situation. Aim: The aim of our study was to identify the ideal preoperative predictors of difficult intubation. Materials and Methods: It was a Prospective Observational study done on 350 patients in a community-based hospital. Preoperative airway assessment included: Mallampati Class (MC), Mouth opening (MO), Thyromental distance (TMD), Ability to prognath (AP) and Neck mobility and size (NM). Monitors were attached, anesthesia induced and laryngoscopy performed. Intubation Difficulty Scale (IDS) score was used to grade difficulty in intubation. Results: The overall incidence of Difficult Intubation was 24.6 %. A slight difficulty in 24% (IDS = 1-5) and moderate to major difficulty (IDS >5) in 0.6% cases was noted. Intubation was possible in all the patients. Mallampati class III & Mouth opening was less than 4 cm in about 6% cases and Thyromental distance less than 6 cm in 5.4%. 12.5% were unable to prognath and Neck mobility was restricted in 4.6% patients. Sensitivity and specificity of MC- 16.3 % and 97%, MO- 16.3% and 96.6%, TMD - 12.8% and 97%, AP - 33.3% and 93.9% , NM - 10.5% and 97.3%. Positive and Negative Predictive Values for MC, MO, TMD, AP and NM were 63.6% and 78%, 60.9% and 78%, 57.9 and 77.3 %, 62.8% and 81.9%, 56.3% and 76.9% respectively. Conclusion: We concluded that Mallampati grading and ability to prognath are the most important of the variables studied.","PeriodicalId":17751,"journal":{"name":"Karnataka Anaesthesia Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78593936","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

The challenges in anesthetic management of pediatric craniopharyngioma 小儿颅咽管瘤麻醉管理的挑战

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180650

V. Bhatnagar, D. Dwivedi, U. Tandon, K. Bhushan

引用次数: 3

Spinal Anesthesia for a premature infant weighing 800 gm 800克早产儿的脊髓麻醉

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180658

D. Murugesan, Dhanasekaran Chidambaram

引用次数: 0

An unintended cannulation of aberrant radial artery! 异常桡动脉意外插管!

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180656

I. Kapoor, C. Mahajan, H. Prabhakar

引用次数: 1

A comparative study of intranasal midazolam spray and oral midazolam syrup as premedication in pediatric patients 小儿患者鼻用咪达唑仑喷雾剂与口服咪达唑仑糖浆前用药的比较研究

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180661

R. Abhishek, Anish N. G. Sharma, P. Ganapathi, P. Shankaranarayana, D. Aiyappa, M. Nazim

{"title":"A comparative study of intranasal midazolam spray and oral midazolam syrup as premedication in pediatric patients","authors":"R. Abhishek, Anish N. G. Sharma, P. Ganapathi, P. Shankaranarayana, D. Aiyappa, M. Nazim","doi":"10.4103/2394-6954.180661","DOIUrl":"https://doi.org/10.4103/2394-6954.180661","url":null,"abstract":"Background: Preoperative preparation of children to alleviate the stress and anxiety related to surgery is an important aspect of balanced anesthesia care, it can not only affect the smoothness of induction and emergence from anesthesia but also the emotional and psychological make-up of the child, considering the pharmacological profile, midazolam is widely considered to be the ideal premedicant. The purpose of our prospective randomized observer-blinded study is to compare the effect of midazolam through oral and intranasal routes and determine the safer, more effective, and acceptable route by children. Subjects and Methods: Sixty patients aged 2–8 years, belonging to the American Society of Anesthesiologist I and II undergoing various surgeries were randomized into two groups of 30 each. Group O received 0.5 mg/kg of oral midazolam syrup, and Group N received 0.2 mg/kg of midazolam intranasal spray. Hemodynamic variables, sedation scores, ease of parental separation, and mask acceptance at the time of induction were studied. Results: Onset of sedation was shorter and the sedation scores were higher in intranasal group, separation from parents and acceptance to mask were satisfactory but statistically insignificant in both the groups. There was no statistical difference in hemodynamic parameters, and no major adverse effects were seen in either group. Conclusion: Both oral and intranasal midazolam are safe and effective as sedative premedication in children.","PeriodicalId":17751,"journal":{"name":"Karnataka Anaesthesia Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76249008","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: 1

Anesthesia in a patient with huntington's Chorea 亨廷顿舞蹈病患者的麻醉

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180651

A. Kulkarni, S. Kulkarni, A. Tarkase

引用次数: 0

Perioperative management of a case for elective surgery after high-voltage electrical injury 高压电伤择期手术1例围手术期处理

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180653

Rajender Kumar, R. Gandhi, Meenaxi Bose

引用次数: 0

Anesthesia management of an elderly patient having permanent pacemaker for total hip replacement 老年患者全髋关节置换术中永久性起搏器的麻醉处理

Karnataka Anaesthesia Journal Pub Date : 2015-10-01 DOI: 10.4103/2394-6954.180655

S. Govindswamy, S. Geetha

{"title":"Anesthesia management of an elderly patient having permanent pacemaker for total hip replacement","authors":"S. Govindswamy, S. Geetha","doi":"10.4103/2394-6954.180655","DOIUrl":"https://doi.org/10.4103/2394-6954.180655","url":null,"abstract":"Elderly patients with serious cardiac problems are presenting for major orthopedic surgeries. We present a case of an elderly male patient posted for total hip replacement having a permanent pacemaker in situ in ventricle paced, ventricle sensed, pacing inhibited (VVI) mode. The patient, on preoperative examination, was found to have a complete atrioventricular (AV) block on electrocardiogram (ECG) and electrophysiology study showed degenerative AV conduction disease and symptomatic complete AV block. The patient had seizure disorder and anemia, for which the patient was treated accordingly and optimized before surgery. The pacemaker mode changed to vesiculo-vacuolar organelle (VVO). Combined spinal-epidural was given. Arterial line was secured and the patient was monitored hemodynamically. The patient tolerated the procedure of total hip replacement well; vitals were maintained within 20% of the baseline. Phenylephrine infusion was given to maintain blood pressure. After operation was shifted to the intensive care unit (ICU), pacemaker was reprogrammed to VVI mode, and epidural infusion for pain and vigilant monitoring was done. The patient was shifted to the ward on the 3rd day and was discharged on the 5th day. To conclude, combined spinal-epidural along with invasive cardiac monitoring is a reasonable choice for elderly patients with permanent pacemakers coming for major orthopedic surgeries.","PeriodicalId":17751,"journal":{"name":"Karnataka Anaesthesia Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81043633","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: 2