Journal of Indian College of Anaesthesiologists最新文献_第2页

Spinal medulloblastoma in pregnancy: A pandora of challenges for the anesthesiologist 妊娠期脊髓髓母细胞瘤:麻醉师面临的挑战

Journal of Indian College of Anaesthesiologists Pub Date : 2022-07-01 DOI: 10.4103/jica.jica_28_22

Sharmishtha Pathak, S. Agrawal, Konish Biswas

{"title":"Spinal medulloblastoma in pregnancy: A pandora of challenges for the anesthesiologist","authors":"Sharmishtha Pathak, S. Agrawal, Konish Biswas","doi":"10.4103/jica.jica_28_22","DOIUrl":"https://doi.org/10.4103/jica.jica_28_22","url":null,"abstract":"Tumors of the spinal column, meninges, nerve roots, or the cord parenchyma itself may compress and damage the spinal cord resulting in neural deficits. The presence of spinal cord tumor itself in pregnancy is a rare occurrence. Rapidly progressive neurological involvement due to compression should be considered for immediate decompression. The specific positioning for surgery and inaccessibility to the airway during surgery makes all spinal surgeries technically challenging for the anesthesiologist. The presence of pregnancy along with this disease further complicates patient management. We present the case of a 24-week-old pregnant female who reported to emergency with decreased sensation in her lower limbs and urinary retention. She was operated previously for cranial medulloblastoma and was on regular follow-up. Magnetic resonance imaging spine revealed multiple intradural extramedullary masses at the D3-4, D8-9, and D10-D11 vertebral levels. Considering her pregnancy and increased risk of surgery during this condition, only the mass causing her symptoms was decided to be operated upon (D10-11). The surgery was done in the prone position, during which, fetal well-being was insured by the obstetric team using transabdominal ultrasonography. Careful padding of pressure points was done; frames on the Allen table were placed in a manner to avoid any pressure on the abdomen during the surgery. The surgery was uneventful, and the patient was successfully reversed and extubated. Fetal heart rate was monitored perioperatively at regular intervals, and ultrasonographic assessment was done by the obstetric team once the patient was extubated. This case highlights the requirement of training the professionals for tackling nonobstetric surgery in a pregnant patient. The increased awareness and education in society regarding perioperative care issues will bring forth new challenges and thus we need to be more prepared for handling such cases.","PeriodicalId":361779,"journal":{"name":"Journal of Indian College of Anaesthesiologists","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130093624","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

Incessant menace of airway obstruction with flexometallic endotracheal tube 柔性金属气管插管对气道阻塞的持续威胁

Journal of Indian College of Anaesthesiologists Pub Date : 2022-07-01 DOI: 10.4103/jica.jica_25_22

Sukhyanti Kerai, Upasana Singh, Vineet Manchanda, K. Saxena

引用次数: 0

Anesthetic management of carotid artery pseudoaneurysm repair in a healthy weight lifter: A rare case report 健康举重运动员颈动脉假性动脉瘤修复术的麻醉处理:一例罕见病例报告

Journal of Indian College of Anaesthesiologists Pub Date : 2022-07-01 DOI: 10.4103/jica.jica_27_22

S. Garg, Lekshmi V. Nair, Jasveer Singh, K. Indumathi

引用次数: 0

A challenging case of placenta accreta spectrum with known seizure disorder planned for cesarean hysterectomy 一个具有挑战性的情况下，胎盘增生频谱已知癫痫障碍计划剖宫产子宫切除术

Journal of Indian College of Anaesthesiologists Pub Date : 2022-07-01 DOI: 10.4103/jica.jica_32_22

Rashmi Kuntia, Michell Gulabani, Swati Bharti, M. Mohta

引用次数: 0

A rare case of congenital methemoglobinemia with severe mitral stenosis: An anesthetic and surgical challenge 一例罕见的先天性高铁血红蛋白血症伴严重二尖瓣狭窄:麻醉和手术的挑战

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_6_21

Mahima Lakhanpal, Ritesh Kumar, Debpriya Sarkar, Vasundhera Tyagi

引用次数: 0

Early extubation to preventive noninvasive ventilation in coronavirus disease-2019 patient: A promising approach! 冠状病毒病-2019患者早期拔管进行预防性无创通气:一种有前途的方法!

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_3_22

J. Agarwal, P. Panjiar, Samiksha Khanuja, S. Hussain

引用次数: 0

Impact of the COVID-19 pandemic on general surgical practice – An observational cross-sectional study COVID-19大流行对普通外科实践的影响-一项观察性横断面研究

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_2_22

S. Suresh, B. Gupta, Ajit Kumar, Jharana Mohanta, Ruby Perween, Ashutosh Kumar Singh

{"title":"Impact of the COVID-19 pandemic on general surgical practice – An observational cross-sectional study","authors":"S. Suresh, B. Gupta, Ajit Kumar, Jharana Mohanta, Ruby Perween, Ashutosh Kumar Singh","doi":"10.4103/jica.jica_2_22","DOIUrl":"https://doi.org/10.4103/jica.jica_2_22","url":null,"abstract":"Introduction: The study aimed to study the impact of the COVID-19 pandemic on surgical practice in a tertiary care setup in India and the future implications of the pandemic. Methodology: This observational cross-sectional study was conducted at a tertiary-care hospital. The case series consisted of a snapshot search of all operating theatre activity at AIIMS, Rishikesh between the 1st of March 2020, and 31st August 2020. Observations: A total of 790 patients were operated on in the first 6 months of the covid era while 5308 patients had undergone surgery in the 6 months preceding the onset of covid-19. In the precovid era, 73.71% of the cases were performed under General Anaesthesia while 62.6% of the cases were performed under general anaesthesia in the covid era. 18.83% of the cases in precovid era were performed under spinal anaesthesia and 3.5% under combined spinal and epidural anaesthesia in the precovid era. Conclusion: This study has shown the extent to which general surgical practice was affected during the covid pandemic. With the lessons learnt during this period, we can implement a more robust plan in the eventuality of another pandemic and be more thoroughly prepared the next time around.","PeriodicalId":361779,"journal":{"name":"Journal of Indian College of Anaesthesiologists","volume":"553 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117062986","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

Anesthetic challenges in an infant with multiple structural airway anomalies 多处结构性气道异常婴儿的麻醉挑战

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_4_22

P. Varshney, M. Pandey, G. Daga

引用次数: 0

An uncommon site of breathing circuit leak: Crack-ing the code!! 一个不常见的呼吸电路泄漏地点:破解密码!!

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_2_21

A. Pahade, Ashita Mowar, Vishwadeepak Singh, Geeta Karki

引用次数: 0

Opsoclonus-myoclonus syndrome in a COVID-19-positive pregnant patient – A rare case report 1例covid -19阳性妊娠患者眼阵挛-肌阵挛综合征罕见病例报告

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_1_22

Priyankar Singh, A. Kakkar, M. Kaur, Ajay Kumar

引用次数: 0