International Journal of Anesthesiology Sciences最新文献

An insight into mental health analysis in intensive care of Staff during COVID 19 COVID - 19期间重症监护人员心理健康分析洞察

International Journal of Anesthesiology Sciences Pub Date : 2023-01-01 DOI: 10.33545/26649268.2023.v5.i1a.18

Dr. Nitin Tarale

引用次数: 0

Patients undergoing general anaesthesia: A dosage comparison study of cisatracurium for intubation 全麻患者:顺阿曲库铵插管用量比较研究

International Journal of Anesthesiology Sciences Pub Date : 2023-01-01 DOI: 10.33545/26649268.2023.v5.i1a.17

Abdullaeva Ck, S. Mohapatra, A. Patel

引用次数: 0

Evaluation of the effect of intravenous dexmedetomidine on characteristics of spinal anaesthesia with hyperbaric bupivacaine 静脉注射右美托咪定对高压压布比卡因脊髓麻醉特点的影响

International Journal of Anesthesiology Sciences Pub Date : 2021-01-01 DOI: 10.33545/26649268.2021.v3.i1a.15

Rajabi Majid, Mukesh Somvanshi, A. Tripathi, Varalakshmi Karasala

{"title":"Evaluation of the effect of intravenous dexmedetomidine on characteristics of spinal anaesthesia with hyperbaric bupivacaine","authors":"Rajabi Majid, Mukesh Somvanshi, A. Tripathi, Varalakshmi Karasala","doi":"10.33545/26649268.2021.v3.i1a.15","DOIUrl":"https://doi.org/10.33545/26649268.2021.v3.i1a.15","url":null,"abstract":"Aims: A study was performed to evaluate the effect of intravenously administered dexmedetomidine just before spinal anaesthesia, on spinal block characteristics, postoperative analgesia, haemodynamics and sedation. Methods: Sixty patients, aged 18 - 50 years of either sex, ASA grade I & II, who were undergoing elective lower abdominal and lower limb surgeries under spinal anaesthesia with hyperbaric bupivacaine, were randomly allocated in to two equal groups of 30 patients each to recieve 20 ml of normal saline intravenously (group A) and intravenous dexmedetomidine 0.5 mcg/kg prepared in normal saline to a total volume of 20 ml (group D) over a 10 min period as a single dose just before spinal anaesthesia. Onset and duration of sensory blocks and motor blocks, highest sensory block level, time to 2 segment regression, duration of analgesia, perioperative haemodynamic parameters, VAS and sedation scores were assessed. Results: Both groups were comparable with regard to demographic data. The onset of sensory and motor block were significantly earlier in group D as compared to group A. Duration of motor block and analgesia were significantly longer in group D as compared to group A. Sedation score were significantly higher in group D. Though HR and NIBP were significantly decreased in group D, however all patients remained haemodynamically stable. Conclusion: Bolus dose of intravenous dexmedetomidine 0.5 µg/ kg administered just before spinal anaesthesia prolongs the duration of sensory – motor block and postoperative analgesia with arousable sedation.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129926126","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

Analysis of factors responsible for blood loss during scoliosis correction surgeries 脊柱侧凸矫正手术中导致失血的因素分析

International Journal of Anesthesiology Sciences Pub Date : 2021-01-01 DOI: 10.33545/26649268.2021.v3.i1a.16

Abhilasha D Motghare, Vinaya Ghanawat, Vivek Gupta, Rajendra D. Patel

{"title":"Analysis of factors responsible for blood loss during scoliosis correction surgeries","authors":"Abhilasha D Motghare, Vinaya Ghanawat, Vivek Gupta, Rajendra D. Patel","doi":"10.33545/26649268.2021.v3.i1a.16","DOIUrl":"https://doi.org/10.33545/26649268.2021.v3.i1a.16","url":null,"abstract":"The present analysis was conducted retrospectively to determine the importance of factors which can affect blood loss in scoliosis surgery. Data of the 30 patients who underwent surgery for correction of scoliosis by using various instrumentation and non-instrumentation techniques with bone grafting in period of one year was collected. The mean intraoperative blood loss was 424.66 ± 342.07ml which was 21.45 ± 13.37 percent of estimated blood volume. The mean total blood loss (intraoperative + drain output) was 488 ± 361.72 i.e 24.78 ± 14.22 percent of estimated blood volume. The mean total blood administration was 472.82 ± 302.96 ml. Introperative blood loss was significantly related with duration of surgery (r= 0.845, P< 0.001). When surgery lasted less than 6 hrs the mean intraoperative blood loss was 234.7 ± 171.39 ml and when the duration was more than 6hrs intraoperative blood loss was 673.07 ± 354.5 ml (P < 0.001). Number of fused vertebrae were related with intraoperative blood loss (r= 0.632, P<0.01) but more significantly related with total blood loss (r= 0.766, P <0.001). When less than seven vertebrae were fused the mean intraoperative blood loss and the mean total blood loss was 236.87 ± 217.36 ml and 277.81 ± 227.91 ml respectively. In case of more than seven vertebral fusion the mean intraopertive blood loss was 639.28±336.94 (P= 0.003) and total blood loss was 728.21 ±336.94 ml (P= 0.001). A poor correlation was obtained with the mean intraopertive blood loss and Cobb’s angle (r=0.468, P<0.02) but a better correlation was observed with the mean total blood loss (r= 0.541, P< 0.01). There was a significant correlation between the mean intraoperative blood loss (P< 0.005) and total blood loss (P<0.008) with the wake up test when it was performed. Mean arterial blood pressure was not related with intraoperative as well as total blood loss.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129707892","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

Evaluation of prophylactic ketamine gargle for the attenuation of postoperative sore throat following general anaesthesia with orotracheal intubation: A prospective randomized control study 评价预防性氯胺酮含漱剂对经气管插管全麻术后喉咙痛的减轻作用:一项前瞻性随机对照研究

International Journal of Anesthesiology Sciences Pub Date : 2020-01-01 DOI: 10.33545/26649268.2020.v2.i1a.9

Dr. Khemraj Meena, Dr. Lalaram, Dr. Santosh Choudhary, Dr. Sandeep Sharma, Dr. Jyoti Gaekwad, Dr. Indira Kumari

{"title":"Evaluation of prophylactic ketamine gargle for the attenuation of postoperative sore throat following general anaesthesia with orotracheal intubation: A prospective randomized control study","authors":"Dr. Khemraj Meena, Dr. Lalaram, Dr. Santosh Choudhary, Dr. Sandeep Sharma, Dr. Jyoti Gaekwad, Dr. Indira Kumari","doi":"10.33545/26649268.2020.v2.i1a.9","DOIUrl":"https://doi.org/10.33545/26649268.2020.v2.i1a.9","url":null,"abstract":"Background: Post-operative sore throat is well known complication of endotracheal intubation. Ketamine gargle is a newly proposed adjunct for reducing the incidence of POST in anesthesia so we planned a study to find out the effectiveness of ketamine gargle with normal saline for prevention of postoperative sore throat (POST) after orotracheal intubation and compared with normal saline. Material and Methods: Sixty patients aged between 18-60 years with American Society of Anaesthesiologists I and II, undergoing elective surgical procedures performed under general anaesthesia were randomly divided into two groups of 30 patients in each. Group S received 30 ml of normal saline and Group K received 40 mg of Ketamine in 30 ml of normal saline. All the patients were asked to gargle with the preparation for 30 sec after their arrival in the operation room 5 min before induction of anaesthesia. On arrival in the post-anaesthetic care unit ( 0 hr), at 2 hr, at 4 hr and at 24 hr thereafter, the patients were questioned by a blinded investigator whether he/she had experienced sore throat or any side-effect. Results: In Group S POST occurred more frequently as compared to Group K, at 0hr, 2hr, 4hr and 24 hr and signiﬁcantly more patients suffered severe POST in Group S at 4hr and 24 hr compared with Group K (P<0.05). Conclusion: Ketamine gargle significantly attenuated POST, with no drug-related side effects.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126672748","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

Perioperative anticoagulation: An anaesthetic dilemma 围手术期抗凝:麻醉困境

International Journal of Anesthesiology Sciences Pub Date : 2020-01-01 DOI: 10.33545/26649268.2020.v2.i1a.12

Haramritpal Kaur, Gurpreet Singh, Amandeep Singh, Jaipreet Singh Sidhu, C. Maheshwari

引用次数: 0

Comparative evaluation of the effect of rocuronium and cisatracurium on intubating conditions 罗库溴铵与顺阿曲库铵对插管条件影响的比较评价

International Journal of Anesthesiology Sciences Pub Date : 2020-01-01 DOI: 10.33545/26649268.2020.v2.i1a.13

Mohd. Khalid Khan, Mukesh Somvanshi, A. Tripathi

引用次数: 0

Prediction of difficult intubation in apparently normal patients by combining modified mallampati test and thyromental distance: A prospective observational study 结合改良mallampati试验和甲状腺距离预测正常患者插管困难:一项前瞻性观察研究

International Journal of Anesthesiology Sciences Pub Date : 2020-01-01 DOI: 10.33545/26649268.2020.v2.i1a.10

L. Pathak, Prem Kumar Sah

{"title":"Prediction of difficult intubation in apparently normal patients by combining modified mallampati test and thyromental distance: A prospective observational study","authors":"L. Pathak, Prem Kumar Sah","doi":"10.33545/26649268.2020.v2.i1a.10","DOIUrl":"https://doi.org/10.33545/26649268.2020.v2.i1a.10","url":null,"abstract":"Introduction: Difficult intubation, often unexpected, remains a primary concern for the anesthesiologist. None of the bedside airway assessment tests have proven to be efficacious and highly predictive. This study was done to determine the sensitivity and specificity of Modified Mallampati test alone, Thyromental distance alone and in combination of both for predicting difficult intubation. Material and Methods: A prospective observational study was conducted in Universal College of Medical Sciences Teaching Hospital (UCMSTH), which involved 80 American Society of Anesthesiologist Physical Status (ASA PS) I patients undergoing elective surgeries under general anesthesia with endotracheal intubation. All patients were included for preoperative assessment by Modified Mallampati test alone and Thyromental distance measurement. The correlation between these tests and Cormack and Lehane laryngoscopic grading was done to find out the result. Results: Prediction of difficult intubation among 80 patients by Modified Mallampati test alone showed sensitivity of 72.7% and specificity of 98.6% whereas with Thyromental distance alone, showed sensitivity of 36.4% and specificity of 100%. When both predictors were combined, result showed sensitivity of 72.7% and specificity of 98.6% which was similar to that of Modified Mallampati test alone. Conclusion: This study concluded that sensitivity to predict difficult intubation was higher with Modified Mallampati test alone or in combination with Thyromental distance test whereas specificity was highest with Thyromental distance test alone.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115702182","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

Anesthesia management of a parturient with severe pre eclampsia and history of cerebral venous thrombosis 1例重度子痫前期伴脑静脉血栓形成的产妇的麻醉处理

International Journal of Anesthesiology Sciences Pub Date : 2020-01-01 DOI: 10.33545/26649268.2020.v2.i1a.11

Abhilasha D Motghare, Pravin Yerme, Y. Patil, I. Chincholi

引用次数: 0

An evaluation of impact of anaesthesiologist’s experience on prediction of difficult airway 麻醉医师经验对预测气道困难的影响评价

International Journal of Anesthesiology Sciences Pub Date : 2020-01-01 DOI: 10.33545/26649268.2020.v2.i1a.6

Vikram Bedi, Sandeep Kumar, Sandeep Sharma, Monika Gupta, J. Gaikwad

引用次数: 0