Shivani Gajpal, Sandeep Savitaprakash Sharma, S. ., L. Raiger
{"title":"Comparative evaluation of conventional to left molar and right molar laryngoscopy and endotracheal intubation","authors":"Shivani Gajpal, Sandeep Savitaprakash Sharma, S. ., L. Raiger","doi":"10.33545/26649268.2020.v2.i1a.8","DOIUrl":"https://doi.org/10.33545/26649268.2020.v2.i1a.8","url":null,"abstract":"Background : Difficulty in visualizing the glottis may cause difficulty, even failure in endotracheal intubation leading to catastrophes. Difficult laryngoscopy is frequently overcome by using molar approach for laryngoscopy combined with optimal external laryngeal manipulation (OELM). The present study was planned to compare conventional midline approach of laryngoscopy to left molar and right molar approach of laryngoccopy (using Macintosh blade) for endotracheal intubation Material and Methods : This prospective randomized double blind controlled study was conducted on 120 patients of 18-60 years age, belonging to ASA grade I and II of either sex, posted for elective surgery under general endotracheal anaesthesia. Depending on the approach of laryngoscopy used, the patients were randomly divided into three groups of 40 each into Group M (midline approach), Group L (left molar approach) and Group R (right molar approach). Predictors of difficult intubation (Modified Mallampati grading, Thyromental distance, abnormal Dentition) and their association with unsuccessful intubation, Cormack Lehane grading, attempts of intubation, duration of intubation, success rate of intubation, adjuvant measures needed (stylet, retraction of mouth","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"71 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":"129517558","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}
Diana P Pérez Moreno, Mauricio Forero Mantilla, Viviana P Castillo Rosado, Carlos E Restrepo Garces
{"title":"Erector spinae plane (ESP) block for pain management caused by acute herpes zoster during pregnancy: A case report","authors":"Diana P Pérez Moreno, Mauricio Forero Mantilla, Viviana P Castillo Rosado, Carlos E Restrepo Garces","doi":"10.33545/26649268.2020.v2.i1a.14","DOIUrl":"https://doi.org/10.33545/26649268.2020.v2.i1a.14","url":null,"abstract":"","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"36 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":"131933791","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}
Aarushi Jain, S. Kaur, G. ., N. Saini, Rajvir Kaur
{"title":"Uncorrected tetralogy of Fallot for drainage of fronto-parietal brain abscess: Anaesthetic management","authors":"Aarushi Jain, S. Kaur, G. ., N. Saini, Rajvir Kaur","doi":"10.33545/26649268.2019.v1.i1a.5","DOIUrl":"https://doi.org/10.33545/26649268.2019.v1.i1a.5","url":null,"abstract":"Tetralogy of fallot is the most common congenital heart disease with right to left shunt. Incidence is about 10% of all congenital heart diseases and has a dilated aorta which overrides the ventricular septal defect, right ventricular tract obstruction and right ventricular hypertrophy. Brain abscess is associated with 13-70% cases of tetralogy of fallot. We hereby present a case of 8 year boy presented to emergency with complaints of headache, vomiting, fever since 5 days and history of dyspnea on exertion (NYHA III). Patient was taken up for emergency surgery under general anaesthesia on double ionotroic support (dopamine and dobutamine @ 10ug/kg/min). Patient was Shited to paediatric ICU with ionotropic and ventilatory support.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124807075","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}
Dr. Mubashir Ahmad, Dr. Akshaya N Shetti, Dr. Bhavika Singla
{"title":"An undiagnosed eventration of diaphragm in a pregnant lady–out of the blue problem","authors":"Dr. Mubashir Ahmad, Dr. Akshaya N Shetti, Dr. Bhavika Singla","doi":"10.33545/26649268.2019.v1.i1a.1","DOIUrl":"https://doi.org/10.33545/26649268.2019.v1.i1a.1","url":null,"abstract":"We report a rare case of 34-year-old female with left diaphragmatic eventration presenting during adulthood. The primigravida patient came for emergency cesarean section who presented with breathlessness during perioperative period. Patient had no previous history of similar complaints, or any history of trauma. Physical examination showed normal findings in the patient during preanesthesia checkup. With best of our knowledge this is the first in pregnant patient in Maharashtra in whom this problem was identified.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127155858","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}
Dr. Anil Verma, D. Mahajan, Dr. Sangeeta Arya, Dr. Arihant Jain
{"title":"Laminectomy under bilateral paravertebral block in a patient with multiple Co-Morbidities","authors":"Dr. Anil Verma, D. Mahajan, Dr. Sangeeta Arya, Dr. Arihant Jain","doi":"10.33545/26649268.2019.v1.i1a.2","DOIUrl":"https://doi.org/10.33545/26649268.2019.v1.i1a.2","url":null,"abstract":"We report a case of 81 yr old male patient, diagnosed with spinal canal stenosis with bilateral lower limb pain, posted for Laminectomy. Patient had multiple co-morbidities including Hypertension, Diabetes mellitus type 2, obesity, sarcoidosis and COPD. Laminectomy was performed under bilateral paravertebral block using 0.25% Bupivacaine. Regional anaesthesia techniques have played a pivotal role in decreasing morbidity and mortality in high risk cases by providing both intraoperative anaesthesia and postoperative analgesia, without any major side effects. In this case, paravertebral block was helpful, not only in conducting surgery successfully, but also helps in providing post-operative analgesia without using any sedative drugs or NSAIDS which may exacerbate symptoms related to any of above co-morbidities.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115827707","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}
{"title":"Comparision of ropivacaine alone and with dexmedetomidine in bilateral superficial cervical plexus block (BSCPB) for postoperative analgesia in thyroid surgeries: A prospective double blind study","authors":"L. Raiger, A. Aseri, R. K. Gehlot, Tanuj Dave","doi":"10.33545/26649268.2019.v1.i1a.3","DOIUrl":"https://doi.org/10.33545/26649268.2019.v1.i1a.3","url":null,"abstract":"Introduction: Superficial cervical plexus block is a mode of regional anaesthesia that is being used to provide intraoperative and postoperative analgesia for operations involving the neck including thyroid surgery. This study was done to assess the analgesic efficacy of ropivacaine (0.2%) with or without dexmedetomidine (1µg/kg) in bilateral superficial cervical plexus block (BSCPB) after completion of thyroid surgery. Methods : This prospective study was conducted on 60 patients of ASA I-II, both sex, aged 18 to 60 yrs, who underwent thyroid surgeries under general anaesthesia. After completion of surgery they received BSCPB, by randomly divided into 2 groups (30 patients each): Group R – BSCPB using 0.2% ropivacaine (19ml) + 1 ml NS. Group RD – BSCPB using 0.2% ropivacaine (19ml) +dexmedetomidine (1µg/kg) +NS to make 20 ml solution, 10 ml were injected on each injection site. Vital Parameters, the cumulative consumption of rescue analgesic and VAS score were recorded on rest (R) at 0, 4, 8, 12, 24 hours postoperatively. Results : Pain intensity using VAS score was significantly low in Group RD (at 0, 4 and 6 postoperatively) hrs as compared to Group R (P=0.013). The total rescue analgesic consumption was more in Group R(413.33±62.88mg) as compared to Group RD (370.00±53.50mg), (p<0.001). Mean Ramsay Sedation Score was significantly higher in Group RD as compared to Group R (P=0.015). Conclusion: We conclude that dexmedetomidine in dose of 1 µg/kg may be used as an adjuvant to 0.2% ropivacaine for bilateral superficial cervical plexus block for thyroid surgeries, so as to prolong postoperative analgesia without added problems apart from low grade sedation.","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129486601","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}
Deepak Kumar Sharma, Dr. Sukhreet Kaur, Dr. Parnendu Deo
{"title":"Critical evaluation of multiple factors for post Dural puncture headache while contemplating subarachnoid block in obstetric patients","authors":"Deepak Kumar Sharma, Dr. Sukhreet Kaur, Dr. Parnendu Deo","doi":"10.33545/26649268.2019.v1.i1a.4","DOIUrl":"https://doi.org/10.33545/26649268.2019.v1.i1a.4","url":null,"abstract":"","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114240773","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}
{"title":"Aicardi syndrome: What the anaesthesiologist should know anesthesia management of a child with aicardi syndrome","authors":"Dr. Sonal T Shah, Dr. Abhilasha D Motghare","doi":"10.33545/26649268.2019.v1.i1a.7","DOIUrl":"https://doi.org/10.33545/26649268.2019.v1.i1a.7","url":null,"abstract":"","PeriodicalId":322811,"journal":{"name":"International Journal of Anesthesiology Sciences","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115145501","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}