MedPulse International Journal of Anesthesiology最新文献_第3页

A study of comparison between pre procedural ultrasound and real time ultrasound for spinal spaces 脊柱间隙术前超声与实时超声对比研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10151921

C RaghuK

{"title":"A study of comparison between pre procedural ultrasound and real time ultrasound for spinal spaces","authors":"C RaghuK","doi":"10.26611/10151921","DOIUrl":"https://doi.org/10.26611/10151921","url":null,"abstract":"Background: Use of thoracic epidurals for intra‑ and post‑operative analgesia for open abdominal surgeries has exponentially increased over the last decade. Spinal anaesthesia is used a landmark – guided midline approach, in these absent, indistinct or distorted in the presence of obesity, previous spinal surgeries, deformities, or degenerative changes associated with ageing. In the present study evaluates the efficacy of real‑time ultrasound (RUS)‑guided paramedian approach, and pre‑procedure ultrasound (PUS) landmark‑guided paramedian approach in obese persons. Methods: This is a Prospective Randomized Double-Blind Study conducted in Akash Institute of Medical Sciences and Research centre. Total 50 subjects (Group A – 25, Group A – 25). All the subjects included after informed consent, Along with Chest X- ray and ECG-for patients over 40 years of age. The primary end point was to attain a successful lumbar puncture. Variables like the number of attempts, the number of passes, the time taken for identifying landmark(s), and time for a successful lumbar puncture(s) were secondary end points and were recorded in both the groups. Results: This study was evaluated In real‑time ultrasound (RUS)‑guided paramedian approach, and pre‑procedure ultrasound (PUS) landmark‑guided paramedian approach in obese patients. There is a statistically high significant difference in PUS group than RUS Group. A P value < 0.002 is the statistically in between 2 groups. Conclusion: the space identification and number of attempts, passes and time consuming in pre procedure ultrasound when compared to real time ultrasound. This study suggest real time ultrasound is good for identification of space.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90442640","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

A prospective comparative evaluation of gabapentin vs pregabaline for the acute post-operative pain management in lower limb surgeries under spinal anaesthesia 加巴喷丁与普瑞巴林在脊柱麻醉下下肢手术后急性疼痛管理中的前瞻性比较评价

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10151911

S. Ramakrishna, C. Agarwal

{"title":"A prospective comparative evaluation of gabapentin vs pregabaline for the acute post-operative pain management in lower limb surgeries under spinal anaesthesia","authors":"S. Ramakrishna, C. Agarwal","doi":"10.26611/10151911","DOIUrl":"https://doi.org/10.26611/10151911","url":null,"abstract":"Background: Pre emptive analgesia is multimodal approach where drug is used before surgery and has potential to be more effective than a similar analgesic treatment initiated after surgery. Pregabaline and Gabapentin are GABA analogue used is used as pre-emptive analgesic. Its analgesic action is mediated through α2δ subunit of voltage gated calcium channels on dorsal horn neurons. Material and Method:96 patients satisfying selection criteria were enrolled for this study and divided in to three groups Group P, Group G and Group C each having 32 patients. All patients were explained about visual analogue score. Result: There is significant difference between three groups regarding time of first rescue analgesia and tramadol consumption. The mean time for rescue analgesia was longer in pregabaline group then gabapentin group (482.7±113.5 min vs 343.35±70.74 min). The mean amount of dose of tramadol requirement was also less in pregabaline and gabapentin group (164.32±39.41 vs178.32±48.21 vs 272.82±83.01) in comparison control. Conclusion: The VAS score was significantly higher in control then pregabaline and gabapentin group. Both pregabaline (group P) and gabapentin (group G) are comparable to each other regarding VAS score at different time interval in post operative period. Ramsay sedation score was significantly higher in pregabaline and gabapentin group up 4 hour post operatively but after that there was no significant difference between two groups. Both pregabaline (group P) and gabapentin (group G) are comparable to each other regarding Ramsay sedation score at different time interval in post operative period.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87829550","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

Fibreoptic intubation in ankylosing spondylitis patients 强直性脊柱炎患者的纤维插管治疗

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10151914

C RaghuK, R. Nagesh, K ViswashG

{"title":"Fibreoptic intubation in ankylosing spondylitis patients","authors":"C RaghuK, R. Nagesh, K ViswashG","doi":"10.26611/10151914","DOIUrl":"https://doi.org/10.26611/10151914","url":null,"abstract":"Background: Ankylosing spondylytes is a chronic inflammatory disorder characterized by inflammation in spines and spinal arthritis with a complex polygenic aetiology. The disease is more common in young males and risk factors include both genetic and environmental. Anesthesia management for ankylosing spondylitis is a challenge due to management of difficult airway, respiratory and cardiovascular complications, as well as the medications for disease and pain control. Both airway management and neuraxial access may prove to be difficult. Awake fibreoptic intubation is the safest option (²) in these patients with a potentially difficult airway as it allows continuous neurological monitoring while achieving a difficult airway. Methods: This is a Prospective Randomized Double-Blind Study conducted in Sri Sathya Sai Institute of Higher Medical Sciences; Total 70 Patients (Group A – 35, Group A – 35). All the subjects included after informed consent, blood samples and urine samples are collected from the all the subjects. Hb, RBCs, WBCs and Platelets was measured by laboratory standard methods. Along with Chest X- ray and ECG-for patients over 40 years of age. Results: This study was evaluated that in ankylosing spondylitis cases most of the physicians prefer to give general anaesthesia because to prevent trauma to the spinal cord but in these cases spine and surrounding tissues also it will involve at that time for maintain airway to the patient is challenge to the physicians by using fibreoptic intubation is good way to approach and maintain airway to the ankylosing patients. Conclusion: In this study suggest that in ankylosing spondylitis patients during surgery in place of tracheal intubation fibreoptic intubation is the best way to maintain airway to the patients and also we can prevent spinal cord damage.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76026498","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 onset and duration of sensory block with magnesium sulphate and bupivacaine versus bupivacaine only in axillary brachial plexus block under ultrasound guidance 超声引导下，用硫酸镁加布比卡因与只用布比卡因治疗腋窝臂丛神经阻滞的感觉阻滞起效和持续时间的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/101520314

P. Sharma

引用次数: 0

Comparative study between intravenous clonidine versus intravenous dexmedetomidine for attenuation of pressor response during endotracheal intubation 静脉滴注可乐定与静脉滴注右美托咪定对气管插管期间降压反应的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152027

Rajashree Bhagwan Rawate

引用次数: 0

A comparative study of post-operative analgesia after caesarean section with intrathecal hyperbaric bupivacaine combined with different doses of buprenorphine 鞘内高压布比卡因联合不同剂量丁丙诺啡对剖宫产术后镇痛效果的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152012

Veereshkumar Angadi

{"title":"A comparative study of post-operative analgesia after caesarean section with intrathecal hyperbaric bupivacaine combined with different doses of buprenorphine","authors":"Veereshkumar Angadi","doi":"10.26611/10152012","DOIUrl":"https://doi.org/10.26611/10152012","url":null,"abstract":"Background: Post-operative pain relief after caeserean section is challenging to both anesthetista and obstetricians. Injection buprenorphine can be used intrathecally for post operative analgesia. Aim: the aim of the study was to compare the efficacy of two different doses(30ug and 60ug) of buprenorphine intrathecally with hyperbaric bupivacaine for post operative pain relief in caserean section. Methods and Materials: A prospective randomised controlled study was done on 60 subjects undergoing elective casarean section where in two groups were made, Group A (n=30) and Group B (n=30) who received inj bupivacaine 0.5% hyperbaric 2ml plus inj buprenorphine 30ug and inj bupivacaine 0.5% hyperbric plus inj buprinorphine 60ug intrathecally respectively. Following parameters were observed, onset and duration of sensory block, postopertive pain measured on VAS(visual analogue scale),rescue analgesia requirement, maternal side effects. Results: Unpaired t test and Chi square test were used for statistical analysis. Duration of analgesia was longer significantly in group A compared to group B. rescue analgesia requirement and VAS were significantly lower in group A as compared to group B.No major side effects were seen. Conclusion: Increasing the dosage of buprenorphine intrathecally increased the duration and quality of post operative analgesia. with no major adverse effects.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86782527","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 ketamine, clonidine and tramadol for control of shivering under neuroaxial anaesthesia 氯胺酮、可乐定和曲马多控制神经轴性麻醉下寒战的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152039

M. Murthy

引用次数: 0

Comparative evaluation of intubating dose of atracurium with Cisatracurium for abdominal surgeries 阿曲库铵与顺阿曲库铵在腹部手术中插管剂量的比较评价

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152124

Tanuja Chambyal

引用次数: 0

Attenuation of haemodynamic responses to endotracheal extubation-diltiazem versus lidocaine 气管内拔管对地尔硫卓与利多卡因血流动力学反应的衰减

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152122

Shibu Sreedhar

引用次数: 0

Comparative study between isobaric levobupivacaine and isobaric chlorprocaine in patients undergoing ambulatory surgeries under spinal anesthesia 等重左布比卡因与等重氯普鲁卡因在脊柱麻醉下门诊手术中的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152013

R. Abhishek

{"title":"Comparative study between isobaric levobupivacaine and isobaric chlorprocaine in patients undergoing ambulatory surgeries under spinal anesthesia","authors":"R. Abhishek","doi":"10.26611/10152013","DOIUrl":"https://doi.org/10.26611/10152013","url":null,"abstract":"Background: With development of safer local anesthetic agents and advances in minimally invasive surgical techniques, the performance of day care surgeries are increasing in prevalence. Many local anesthetic drugs with varying concentrations and physical properties are used in spinal anesthesia to achieve early recovery, mobilization with minimal adverse effects. In the present study we are comparing the efficacy of Isobaric 0.5% Levobupivacaine with isobaric 1% 2-chlorprocaine in patients undergoing ambulatory surgeries under spinal anesthesia. Material and Methods: Sixty patients aged 18 to 60 years belonging to ASA physical status I-II, scheduled for various elective ambulatory surgeries under spinal anesthesia were randomized into two groups. Group A patients received 3ml of 0.5% Levobupivacaine and Group B received 4ml of 1% chlorprocaine. The time of onset, duration of sensory and motor block, hemodynamic changes and adverse effects were studied. Results: The time of onset of sensory block and motor block was significantly shorter (p<0.001) in Group B compared to Group A. Similarly, the duration of sensory and motor block in Group B was shorter (p<0.001). Intraoperative hemodynamic parameters including heart rate, systolic blood pressure and diastolic blood pressure were comparable in both groups. Conclusion: Intrathecal isobaric 1% 2- chloroprocaine has a shorter onset and duration of both Sensory and motor blockade compared to Isobaric 0.5% Levobupivacaine thereby, enabling early recovery and ambulation","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77992503","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