MedPulse International Journal of Anesthesiology最新文献_第6页

Dexmedetomidine infusion on subarachnoid block with bupivacaine in inguinal herniorrhaphies - A prospective study 右美托咪定输注布比卡因蛛网膜下腔阻滞治疗腹股沟疝的前瞻性研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10151931

Savala Chaitanya

{"title":"Dexmedetomidine infusion on subarachnoid block with bupivacaine in inguinal herniorrhaphies - A prospective study","authors":"Savala Chaitanya","doi":"10.26611/10151931","DOIUrl":"https://doi.org/10.26611/10151931","url":null,"abstract":"Background: Dexmedetomidine (D) is alpha-2 agonist that acts as an anaesthetic and analgesic substitute. The goal of this study was to see how intravenous (I.V.) dexmedetomidine affected the length of sensory and motor block, postoperative analgesia, sedation degree, and side effects. Aims: To assess the effect of Dexmedetomidine infusion on the duration of analgesia with spinal Bupivacaine for adult patients undergoing herniorrhaphy and to assess side effects. Materials and methods: Prospective study was done under the for a period of 11 months. In 80 adults aged 20 to 60 years scheduled for herniorrhaphies were allocated into two study groups, named B and BD using computer generated randomization. The enrolled patients were divided into 2 groups each 40 patients to receive either 0.5 µg/kg dexmedetomidine intravenous bolus over 10 min (Group BD) or saline infusion (Group B) prior to subarachnoid block with 0.5% hyperbaric bupivacaine 12.5 mg Results: Numerical pain rating scale scores were significantly lower in group BD. Total analgesic requirement was significantly less in group BD. Time to request for first analgesic dose was longer in group BD as compared to group B. The duration of analgesia was longest in patients received intravenous dexmedetomidine along with spinal bupivacaine. Hemodynamic parameters and incidence of side effects were similar in both the groups. Conclusion: Premedication with single dose of intravenous dexmedetomidine 0.5 µg/kg prior to subarachnoid blockade with 0.5% hyperbaric bupivacaine hastens the onset and increases duration of sensory and motor block, with maintenance of stable hemodynamics and arousable sedation in Inguinal Herniorrhaphies.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74553994","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

Comparison of butorphanol and clonidine for control of intraoperative shivering under spinal anaesthesia at a tertiary hospital 布托啡诺与可乐定对三甲医院脊柱麻醉术中寒战的控制效果比较

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/101517311

S. Nandkumar, Vijay Kumar Katla

{"title":"Comparison of butorphanol and clonidine for control of intraoperative shivering under spinal anaesthesia at a tertiary hospital","authors":"S. Nandkumar, Vijay Kumar Katla","doi":"10.26611/101517311","DOIUrl":"https://doi.org/10.26611/101517311","url":null,"abstract":"Background: Spinal anaesthesia is world-widely used as a safe anaesthetic technique elective as well as emergency surgeries. Spinal anesthesia is known to decrease the vasoconstriction and shivering thresholds leading to shivering. In present study we compared butorphanol and clonidine for control of intraoperative shivering after spinal anaesthesia at our tertiary hospital. Material and Methods: Present study was a comparative, clinical, interventional study conducted in patients aged between 18-68 years, of either sex, had American Society of Anaesthesiologists (ASA) physical status I/II, scheduled for elective lower abdominal surgeries under subarachnoid block. 60 patients were randomly allocated into group B (n= 30, received sintravenous bolus butorphanol) and group C (n= 30, received intravenous bolus of clonidine). Results: 60 patients were randomly allocated into group B (n= 30, received butorphanol) and group C (n= 30, received clonidine). We compared age (years), weight (Kg), BMI(Kg/m2), Gender (Male/Female) and ASA grade between both groups and no statistically significant difference was noted among them. We noted earlier onset of sensory as well as motor block and prolonged duration of sensory as well as motor block in butorphanol group as compared to clonidine group and difference was statistically significant. Incidence of shivering was more in clonidine group as compared to butorphanol group and difference was statistically significant. Also hypotension was more in clonidine group as compared to butorphanol group and difference was statistically significant. Similar incidence of bradycardia was noted in both groups. Conclusion: We noted that butorphanol is more effective than clonidine in the treatment of shivering because of its faster onset, lesser recurrence rate, and less complications reported.","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":"80584588","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

Standalone use of Laryngeal mask airway supreme for primary airway management in adults undergoing laparoscopic surgeries: A prospective observational study 在接受腹腔镜手术的成人初级气道管理中独立使用喉罩:一项前瞻性观察研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152011

S. Desai

{"title":"Standalone use of Laryngeal mask airway supreme for primary airway management in adults undergoing laparoscopic surgeries: A prospective observational study","authors":"S. Desai","doi":"10.26611/10152011","DOIUrl":"https://doi.org/10.26611/10152011","url":null,"abstract":"Background: Laryngeal mask airway (LMA) does not provide definitive airway protection from pulmonary aspiration of potential regurgitated gastric contents. LMA supreme, a recent supraglottic (extraglottic) airway device, shows promising results. Thus, aim of study to evaluate the role of supreme laryngeal mask airway (SLMA) in airway management of patients operated with laparoscopic procedures under general Anaesthesia. Methods: The prospective observational study comprised of 274 patients of ASA grade 1 and 2 scheduled for short elective laparoscopic procedures (<1hr.30min) who provided consent. Patients were anaesthetised according to standard protocol, appropriate size of SLMA was chosen and inserted; and complications were noted. Post SLMA removal, recovery and trauma of throat were noted. Postoperative complications such as nausea, vomiting, and throat pain were noted. Binary logistic regression model and Chi-square test of association was performed to analyse data (P<0.05). Results: Most participants were female (n=260) with mean age of 31.42±7.24 years. Mean duration of surgery and recovery time was 37.3±5.84 min and 5.85±1.93 min respectively. SLMA size 3 was commonly used (n=245) and majority of insertions were successful in the first attempt (n=244). Post insertion, SLMA had adequate length (n=208) Throat pain (n=37) and vomiting (n=38) were common post-operative complications observed in the patients. A significant association was observed between operative procedure and complication (P=0.0004) and number of attempts (P=0.0004) with trauma being significant (P=0.0039). Trauma was associated with gender (P=0.08) and body weight (P=0.006). Conclusion: SLMA can be used as a standalone supraglottic (extraglottic) airway device for airway management in laparoscopic surgeries.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80909628","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 propofol and thiopentone for modified electroconvulsive therapy at a tertiary hospital 异丙酚与硫喷妥酮在某三级医院改良电休克治疗中的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152036

Mrudul Patil

引用次数: 1

A comparative study of clonidine versus dexmedetomidine in attenuation of stress response to laryngoscopy and intubation 可乐定与右美托咪定对喉镜和插管后应激反应衰减的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/101517312

Divya, Karthikeya Jampala, K. Radhika

{"title":"A comparative study of clonidine versus dexmedetomidine in attenuation of stress response to laryngoscopy and intubation","authors":"Divya, Karthikeya Jampala, K. Radhika","doi":"10.26611/101517312","DOIUrl":"https://doi.org/10.26611/101517312","url":null,"abstract":"Background: Endotracheal intubation produces various cardio vascular complications. Sometimes these complications lead to mortality. Various anaesthetic drugs are tried before intubation to reduce the haemodynamic changes. The present study aimed to evaluate the clonidine versus dexmedetomidine in attenuation of stress response to laryngoscopy and intubation. Materials and Methods: The study was done in Department of Anaesthesia , Sree Gokulam Medical College and Research Foundation, Trivandrum, Kerala. A total of 50 patients included in the study based on the inclusion and exclusion criteria and divided into two group each of 25. G-I received Clonidine (2mcg/kg) and G-II Dexmedetomidine (0.5mcg/kg). Drugs are given to respective groups 10 min before induction. Demographic data (age and gender) and clinical data (heart rate, SBP, DBP and MAP) was recorded. SPSS (20.0) version was used for analysis. Results: Group-I and II not showed any significant difference on comparison of demographic data. Comparison of mean heart rate between the group-I and II not showed any significant difference. SBP (PI, AL), DBP (PI) and MAP (PI) showed significant difference when compared between the group-I and II. Conclusion: Dexmedetomidine in the dose of 0.5µg/kg, given 10 minutes before laryngoscopy and intubation is better choice than clonidine in attenuating the haemodynamic responses to laryngoscopy and intubation.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91248742","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

The effect of perioperative esmolol infusion on the postoperative pain and nausea vomiting after middle ear surgeries 艾司洛尔围术期输液对中耳术后疼痛、恶心呕吐的影响

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10151933

Payal P Adhiya

{"title":"The effect of perioperative esmolol infusion on the postoperative pain and nausea vomiting after middle ear surgeries","authors":"Payal P Adhiya","doi":"10.26611/10151933","DOIUrl":"https://doi.org/10.26611/10151933","url":null,"abstract":"Background: Pain and postoperative nausea and vomiting are the most common postoperative complications in middle ear surgeries. Amongst the beta-blockers, esmolol is ultrashort acting cardio selective β1 receptor antagonist used for management of postoperative pain. It also contributes to the significant decrease in PONV and reduces patient distress and facilitates earlier discharge. Objective: To evaluate the effectiveness of perioperative esmolol infusion on postoperative pain relief and postoperative nausea vomiting after middle ear surgeries. Methods: After obtaining approval from Institution Ethics Committee, 70 patients of age 15 and 65 years of ASA I,II and III were allocated with randomization into two groups of 35 each. Group C: 30 ml normal saline loading dose and thereafter continuous infusion of 1ml/min and Group E:0.5mg/kg esmolol in 30ml NS loading dose and 30ug/kg/min as infusion. Results: Average duration of analgesia was about 535 min in group E as compared to 187 min in group C. For PONV requirement of inj. ondansetron in group E was after 145 min and in group C it was 20 min. Group E patients had significantly less variations in blood pressure and heart rate intraoperatively and the response to intubation was masked as compared to group C. Conclusion: Intraoperative esmolol infusion is a newer justified method to reduce postoperative pain and PONV with advantage of hemodynamic stability.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86263082","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 postoperative pain using an intraoperatively placed epidural catheter after major lumbar spine surgery 腰椎大手术后术中置入硬膜外导尿管治疗术后疼痛的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152038

Hiral Virani

引用次数: 0

Comparative analysis on efficacy of ropivacaine and bupivacaine for supraclavicular brachial plexus block: Randomized study 罗哌卡因与布比卡因治疗锁骨上臂丛神经阻滞的疗效比较:随机研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/101521312

Vishal Y. Joshi

引用次数: 0

Comparative study of hemodynamic effects, quality of extubation and emergence - agitation response of the patients with dexmedetomidine versus lignocaine during and following the endotracheal extubation 右美托咪定与利多卡因在气管内拔管期间及之后的血流动力学效应、拔管质量及急激反应的比较研究

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10151939

Manasi Panat

{"title":"Comparative study of hemodynamic effects, quality of extubation and emergence - agitation response of the patients with dexmedetomidine versus lignocaine during and following the endotracheal extubation","authors":"Manasi Panat","doi":"10.26611/10151939","DOIUrl":"https://doi.org/10.26611/10151939","url":null,"abstract":"Background: Endotracheal extubation is the translaryngeal removal of a tube from the trachea via the nose or mouth. It is associated with hemodynamic changes because of reflex sympathetic discharge caused by epipharyngeal and laryngopharyngeal stimulation. Various drugs and techniques have been tried to attenuate the airway and stress responses during tracheal extubation. In present study, we have compared the effects of dexmedetomidine and intravenous lignocaine on the hemodynamic and recovery profiles during endotracheal extubation. Material and Methods: Present study was prospective randomised comparative study, conducted in patients from age group of 18-45 years, ASA grade I/II, scheduled for elective abdominal surgeries. The patients were categorised into two different groups using the sealed envelope method as Group D and group L. Results: In present study, patients were divided in following 2 groups with 50 patients in each group as group D (Dexmedetomidine) and group L (Lignocaine). Age, gender, mean BMI were comparable in both groups and difference was not significant statistically. The difference between mean heart rate, systolic BP, diastolic BP and mean arterial BP during extubation, after extubation at 1, 3, 5, 10, 15, 20, 25, 30 minutes in dexmedetomidine group and lignocaine group was statistically significant. In Dexmedetomidine group, 12% of the patients had no cough during extubation, 72% of the patients had smooth extubation with minimal cough while in Lignocaine group, 22% of the patients had smooth extubation with minimal cough, 74 % of the patients had moderate cough during extubation. Statistical analysis of the Emergence agitation score shows better results in group D. Conclusion: Administration of Dexmedetomidine before tracheal extubation was more effective in maintaining the hemodynamic stability, facilitated smooth tracheal extubation and had a better quality of recovery as compared to Lignocaine.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88333222","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

Comparison of intravenous ondansetron and intrathecal fentanyl for intraoperative vomiting and nausea prevention during caesarean delivery under spinal anaesthesia 脊髓麻醉剖宫产术中静脉注射昂丹西琼与鞘内芬太尼预防术中呕吐和恶心的比较

MedPulse International Journal of Anesthesiology Pub Date : 2021-01-01 DOI: 10.26611/10152115

U. B

引用次数: 0