Journal of Indian College of Anaesthesiologists最新文献_第3页

A case of left ventricular apical thrombus extending into left ventricular outflow tract and role of intraoperative transesophageal echocardiography 左心室心尖血栓延伸至左心室流出道1例及术中经食管超声心动图的作用

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_5_22

Guriqbal Singh, Ramesh Patel

引用次数: 0

Evaluation of the effect of saline flush on the time of onset and duration of action following bolus dose of rocuronium 评价生理盐水冲洗对罗库溴铵大剂量后起效时间和作用持续时间的影响

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_3_21

Vineet Manchanda, K. Saxena, B. Wadhwa

{"title":"Evaluation of the effect of saline flush on the time of onset and duration of action following bolus dose of rocuronium","authors":"Vineet Manchanda, K. Saxena, B. Wadhwa","doi":"10.4103/jica.jica_3_21","DOIUrl":"https://doi.org/10.4103/jica.jica_3_21","url":null,"abstract":"Background: Circulatory factors modify the onset time of neuromuscular-blocking drugs. Therefore, we hypothesized that a bolus of saline flush immediately after rocuronium administration would shorten the onset time without influencing the duration of the rocuronium effect. Methods: A total of 84 patients were randomly allocated to either the control or saline flush group. Anesthesia was induced with propofol and fentanyl and maintained with isoflurane <1% and all patients received 0.6 mg/kg rocuronium in 10 mL of normal saline. In the saline flush group, 20 mL normal saline was immediately infused after rocuronium administration. Neuromuscular blockade was assessed using TOF-WATCH device at the adductor pollicis muscle using stimulation of ulnar nerve. The neuromuscular indices recorded were latent onset time, onset time, and clinical duration of bolus dose of rocuronium. Results: The measured latent onset time and onset time were significantly shorter within the saline flush group than the control group (P < 0.001). In addition, the clinical duration was significantly prolonged within the saline flush group (P < 0.001). Conclusion: A 20-mL saline flush administered immediately after slow intravenous 0.6 mg/kg rocuronium shortens the onset time and prolongs the clinical duration of neuromuscular blockade.","PeriodicalId":361779,"journal":{"name":"Journal of Indian College of Anaesthesiologists","volume":"206 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":"133918321","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 perplexing event of propellant masquerading as anesthetic vapors 推进剂伪装成麻醉剂蒸汽的令人费解的事件

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_8_21

Anupama Nayar, H. Prashant, Sukhyanti Kerai, K. Saxena

引用次数: 0

Anesthetic considerations in COVID-19 patients undergoing tracheostomy: A case series COVID-19患者气管切开术麻醉注意事项:病例系列

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_4_21

R. Sarma, Kiran Mahendru, A. Pandit

引用次数: 0

Prophylactic intravenous dexamethasone versus dexmedetomidine for postspinal shivering during lower segment cesarean section: A prospective randomized, double-blind study 预防性静脉注射地塞米松与右美托咪定治疗下段剖宫产术中脊柱后寒战:一项前瞻性随机双盲研究

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_6_22

P. Shah, K. Ummu Habeeba

{"title":"Prophylactic intravenous dexamethasone versus dexmedetomidine for postspinal shivering during lower segment cesarean section: A prospective randomized, double-blind study","authors":"P. Shah, K. Ummu Habeeba","doi":"10.4103/jica.jica_6_22","DOIUrl":"https://doi.org/10.4103/jica.jica_6_22","url":null,"abstract":"Introduction: Shivering is one of the most common encountered little big problems with spinal anesthesia. There are only few published studies comparing intravenous (iv) dexamethasone and dexmedetomidine for the prevention of postspinal shivering (PSS). Aim: The aim of the study is to compare the effectiveness and safety of iv dexamethasone and iv dexmedetomidine in the prevention of PSS during lower segment cesarean section. Methods: Total 160 parturients were randomly allocated into 2 groups by a Sequentially Numbered Opaque Sealed Envelope technique, namely Group Dx and Dm (n = 80). Group Dx received iv dexamethasone 0.1 mg/kg whereas Group Dm received iv dexmedetomidine 1 μg/kg. Incidence of shivering and shivering score were the primary outcomes and the secondary outcomes were sedation score, level of blockade, duration of surgery, axillary temperature, adverse effects, Apgar score, and hemodynamic parameters. Results: Incidence of shivering was significantly low in dexmedetomidine compared to dexamethasone (13.75% vs. 31.25%; P = 0.00468). Group Dx also had comparatively higher shivering score. Overall incidence of sedation was higher in Group Dm compared to Group Dx (15% vs. 3.75%; P = 0.0022). Five parturients in Group Dm (6.25%) had bradycardia compared to none in Group Dx. Respiratory rate, oxygen saturation, and Apgar score were statistically comparable between the 2 Groups. Conclusion: iv dexmedetomidine is more effective in preventing PSS compared to dexamethasone. Additional sedation with dexmedetomidine aids more comfort to the parturients.","PeriodicalId":361779,"journal":{"name":"Journal of Indian College of Anaesthesiologists","volume":"2017 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":"127549758","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: 1

Birth of a new journal in anesthesiology 麻醉学新期刊诞生

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_10_22

K. Saxena, Sukhyanti Kerai

引用次数: 0

Dexmedetomidine and emergency front of neck access for acute stridor in advanced laryngeal carcinoma: Anesthetic challenges 右美托咪定和紧急颈前通路治疗晚期喉癌急性喘鸣:麻醉挑战

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_9_22

Neelakshi Koul, U. Hariharan, Amit Kumar, N. Yadav, V. Nagpal

引用次数: 0

Subarachnoid block in a parturient with ventriculoperitoneal shunt in situ: A case report and review 脑室-腹膜原位分流的产妇蛛网膜下腔阻滞1例报告与回顾

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_12_22

B. Wadhwa, Gurleen Oberoi, M. Saha, K. Saxena

引用次数: 1

An unusual case report of trepopnea in a patient with unilateral diaphragmatic palsy 单侧横膈膜麻痹患者不寻常的梅毒病例报告

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_11_22

D. Gupta, Sukhyanti Kerai

引用次数: 0

Compliance of hand hygiene practices in operating rooms by care workers: A preliminary observational study 护理人员对手术室手部卫生习惯的依从性:一项初步观察研究

Journal of Indian College of Anaesthesiologists Pub Date : 2022-01-01 DOI: 10.4103/jica.jica_5_21

Mahima Lakhanpal, Ritesh Kumar, R. Chawla, Debpriya Sarkar, Ishan Yadav

{"title":"Compliance of hand hygiene practices in operating rooms by care workers: A preliminary observational study","authors":"Mahima Lakhanpal, Ritesh Kumar, R. Chawla, Debpriya Sarkar, Ishan Yadav","doi":"10.4103/jica.jica_5_21","DOIUrl":"https://doi.org/10.4103/jica.jica_5_21","url":null,"abstract":"Context: Hand hygiene is the most important measure to prevent healthcare-associated infections. As part of a major global effort to improve hand hygiene in health care, the SAVE LIVES: Clean Your Hands annual global campaign was launched by the World Health Organization (WHO) in 2009. The “My 5 Moments for Hand Hygiene” approach by the WHO defines the key moments when health-care workers should perform hand hygiene. Aims: This is a preliminary observational study to monitor the level of adherence to hand hygiene practice by health-care workers (HCWs) in an operating room. Materials and Methods: This study was conducted in the surgery operation theater (OT) of our hospital. Direct observation of various personnel working in the OT was done by a single-trained observer. The time of observation was taken from the transfer of the patient on the OT table to the draping of the patient by the surgeon. The hand hygiene opportunities (HHO) as stated by WHO My 5 moments of hand hygiene were noted. Results and Conclusion: A total of 524 HHO were observed among health-care workers, among which 301 were missed and 223 were utilized. Out of the opportunities used were moments 3 and 4, which are primarily for the personal protection of Healthcare workers. Overall compliance of hand hygiene is very low among health-care professionals in the OT. There is an urgent need to educate the health-care personnel about “5 moments of hand hygiene” and ensure strict compliance to ensure patient's safety.","PeriodicalId":361779,"journal":{"name":"Journal of Indian College of Anaesthesiologists","volume":"221 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":"132055414","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