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Sri Lankan Journal of Anaesthesiology最新文献

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Anaesthetists Seeing Through the Economic Crisis of Sri Lanka 麻醉师透视斯里兰卡经济危机
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.9105
N. Wijesuriya
{"title":"Anaesthetists Seeing Through the Economic Crisis of Sri Lanka","authors":"N. Wijesuriya","doi":"10.4038/slja.v30i2.9105","DOIUrl":"https://doi.org/10.4038/slja.v30i2.9105","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44652641","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
Delayed Right-Sided Hydrothorax after Right-Sided Subclavian Central Line Insertion 右侧锁骨下中心线插入后迟发性右侧胸水
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.9020
Harsha S. Dhondu, Arjun Talapatra, Nita Varghese
{"title":"Delayed Right-Sided Hydrothorax after Right-Sided Subclavian Central Line Insertion","authors":"Harsha S. Dhondu, Arjun Talapatra, Nita Varghese","doi":"10.4038/slja.v30i2.9020","DOIUrl":"https://doi.org/10.4038/slja.v30i2.9020","url":null,"abstract":"Complications associated with central venous catheters (CVC) can be early or delayed, and among them, hydrothorax is a rare one. Inappropriate initial positioning of the catheter, repeated changes in positioning and movement of the patient, and improper vigilance may be the causative factors. We describe a 47-year-old man with delayed right-sided hydrothorax after right-sided subclavian central line insertion. He was posted for anterior communicating artery aneurysmal clipping when the right-sided subclavian CVC was placed. His intraoperative and postoperative periods were uneventful. However, on postoperative day two, the patient developed labored breathing with desaturation to 76% of room air, with hypotension and tachycardia. An urgent chest x-ray was ordered and showed features suggestive of right-sided hydrothorax, which improved after right-sided intercostal drainage. This case report highlights the presentation of a rare complication of CVC and its recognition in patients with diminished consciousness. It also emphasizes the optimum site of positioning the CVC tip and the need for increased vigilance by healthcare providers in ordering routine chest x-rays, aspirating from all catheter ports prior to administering substances through them.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43445460","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
Anaesthetic Management of Total Thyroidectomy in a Patient with Spinal Cord Compression due to Metastatic Follicular Thyroid Carcinoma 转移性滤泡性甲状腺癌脊髓压迫患者甲状腺全切除术的麻醉处理
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.8871
A. Siriwardane, N. Wijesuriya
{"title":"Anaesthetic Management of Total Thyroidectomy in a Patient with Spinal Cord Compression due to Metastatic Follicular Thyroid Carcinoma","authors":"A. Siriwardane, N. Wijesuriya","doi":"10.4038/slja.v30i2.8871","DOIUrl":"https://doi.org/10.4038/slja.v30i2.8871","url":null,"abstract":"Vascular invasion is characteristic for follicular carcinoma of the thyroid and distant metastasis is common. Spinal cord compression due to metastases of differentiated thyroid carcinoma as the initial presentation is an extremely rare condition. We report a case of asymptomatic metastatic thyroid cancer which presented with spinal cord compression. This patient with metastasized follicular carcinoma of the thyroid to the spinal cord and narrowing of the airway posed many challenges to the anesthetist.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48906246","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
Excellent Trainees, Idle Authors: Time to Revitalize Sri Lankan Anaesthetic Authorship 优秀的学员，空闲的作者:是时候重振斯里兰卡麻醉学写作了
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.9005
B.M Munasinghe
{"title":"Excellent Trainees, Idle Authors: Time to Revitalize Sri Lankan Anaesthetic Authorship","authors":"B.M Munasinghe","doi":"10.4038/slja.v30i2.9005","DOIUrl":"https://doi.org/10.4038/slja.v30i2.9005","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47804844","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
Ketamine: Is It Pro-Epileptic or Anti-Epileptic? The Debate Continues. A Narrative Review with a Case Discussion 氯胺酮：它是抗癫痫药还是抗癫痫药？争论仍在继续。叙事评论与个案讨论
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.8946
A.A.S.P. Jayasinghe, Ashani Rathnayake
{"title":"Ketamine: Is It Pro-Epileptic or Anti-Epileptic? The Debate Continues. A Narrative Review with a Case Discussion","authors":"A.A.S.P. Jayasinghe, Ashani Rathnayake","doi":"10.4038/slja.v30i2.8946","DOIUrl":"https://doi.org/10.4038/slja.v30i2.8946","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42329603","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
Reversal of Neuromuscular Blockade Based on Train of Four Response: a Prospective Randomized Controlled Trial 基于四反应训练的神经肌肉阻滞逆转:一项前瞻性随机对照试验
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.8790
Spurti Kalburgi, H. M. Krishna, A. Pillai
{"title":"Reversal of Neuromuscular Blockade Based on Train of Four Response: a Prospective Randomized Controlled Trial","authors":"Spurti Kalburgi, H. M. Krishna, A. Pillai","doi":"10.4038/slja.v30i2.8790","DOIUrl":"https://doi.org/10.4038/slja.v30i2.8790","url":null,"abstract":"Background and aims : Use of neostigmine to reverse the non-depoloarizing neuromuscular block is a standard practice. Reversal with neostigmine based on body weight is still commonly followed. However, neostigmine may affect adversely if used empirically in the absence of residual blockade. This study compares the empirical technique of reversal based on body weight with reversal using neostigmine dose adjusted to train-of-four (TOF) response. Methods: This prospective, double-blinded, randomized controlled trial included 126 patients undergoing surgery under general anaesthesia, lasting for >1 hour. They were randomized into group control receiving weight-based reversal (0.05 mg/kg neostigmine) and group study receiving dose determined by TOF response. Signs of residual paralysis after extubation were observed. TOF ratios/count, reversal to extubation time, dose and side-effects of reversal agent were also noted. Results: Patient characteristics were comparable in both groups. Number of patients with signs of residual weakness was less in group study (26/63), but comparable to group control (40/63, p=0.094). Number of patients with TOF≥0.9 at reversal and extubation was significantly high in group study (40/63) than group control (22/63), and number of patients with TOF count <4 were significantly high in group control than group study (17/63 vs 8/63). Overall TOF ratio at reversal and extubation, reversal-extubation time, time taken to reach TOF 0.9 and side-effects were comparable. Conclusion : Reversal of neuromuscular block with neostigmine dose based on TOF ratio is comparable to weight-based reversal with respect to postoperative residual weakness, reversal-extubation time and side effects of reversal","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46689874","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 Hematological Parameters of Covid Positive Patients In ICU Requiring Oxygen With or Without Ventilatory Support 重症监护病房新冠肺炎阳性患者有与无呼吸支持输氧血液学参数的比较研究
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.8830
Sushmitha Salian, R. J. D’Cunha, Shannon F Fernandes, T. Gurumurthy
{"title":"Comparative Study of Hematological Parameters of Covid Positive Patients In ICU Requiring Oxygen With or Without Ventilatory Support","authors":"Sushmitha Salian, R. J. D’Cunha, Shannon F Fernandes, T. Gurumurthy","doi":"10.4038/slja.v30i2.8830","DOIUrl":"https://doi.org/10.4038/slja.v30i2.8830","url":null,"abstract":"Background and aims:The ongoing Covid pandemic has burdened the medical system, more so due to the limited availability of ventilators. Our study aims at identifying the role of hematological markers in the risk stratification and the need for ventilator support among ICU admitted COVID-19 patients. Method(s): A single centre prospective study was conducted on 100 Covid positive patients admitted in the ICU to determine association between the haematological markers such as Hb, Platelet count, Total and Differential leukocyte count, CRP, AST, ALT, LDH, Ferritin and D-Dimer with the need for oxygen therapy with or without invasive ventilatory support. Comparative analysis was performed between the 2 groups. Result(s): Neutrophilia, a mean of 76.7% among those ventilated and 71.6% among those non ventilated (p value 0.002;highly significant) and Lymphocytopenia (p value 0.004) with a mean of 14% and 18.6% respectively was noted. Hemoglobin levels were lower in ventilated (mean 11.6g/dl) as against those non ventilated (mean 12.58%) p value 0.046 which was significant. D-dimer was increased in COVID-19 patients;mean 5380 ng/ml in ventilated patients and mean 949ng/ml in those non ventilated (P < 0.001 highly significant). Elevated D-dimer and presence of diabetes correlated with increased chances of mechanical ventilation, while higher hemoglobin levels and associated COPD have a negative association with the need of mechanical ventilation. Conclusion(s): Hypercoagulability along with neutrophilia and lymphocytopenia can be used as positive associations for the need for invasive mechanical ventilation. Copyright © 2022, College of Anaesthesiologists of Sri Lanka. All rights reserved.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47616031","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
“Frailty and Intensive Care”, Emerging Topic Amidst Economic Crisis in Sri Lanka 斯里兰卡经济危机中的新兴话题“脆弱和重症监护”
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.9111
A.A.S.P. Jayasinghe, V. Pinto
{"title":"“Frailty and Intensive Care”, Emerging Topic Amidst Economic Crisis in Sri Lanka","authors":"A.A.S.P. Jayasinghe, V. Pinto","doi":"10.4038/slja.v30i2.9111","DOIUrl":"https://doi.org/10.4038/slja.v30i2.9111","url":null,"abstract":"With the increase in the aging population, the ICU requirement for frail patients is increasing. These patients have a lesser ability to recover from a stressor and there’s increased vulnerability for further complications such as delirium, hospitalacquired infections, delay in weaning, and early organ dysfunction. Hence, they will have a prolonged length of ICU stay, higher morbidity and mortality and also increased disability and poor quality of life even after discharge. Even though frailty demands more intensive care facility and resource utilization, the outcome is poorer compared to the non-frail population. Hence, it is of utmost importance to consider frailty in offering intensive care treatment. However, the ICU prognostic markers such as APACHE, and SOFA are based on medical and biochemical values rather than functional status. It is important to understand that the recovery from a critical illness not only depends on the severity of the acute disease but also on the functional capacity of the patient and frailty is described in such terms.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41504199","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
Intraoperative Endotracheal Tube Cuff Deflation - Stitch in Time Saves Nine! 术中气管插管袖套放气-及时缝合可节省9个！
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.8866
A. Pahade, Ashita Mowar, V. Singh
{"title":"Intraoperative Endotracheal Tube Cuff Deflation - Stitch in Time Saves Nine!","authors":"A. Pahade, Ashita Mowar, V. Singh","doi":"10.4038/slja.v30i2.8866","DOIUrl":"https://doi.org/10.4038/slja.v30i2.8866","url":null,"abstract":"An endotracheal tube is an integral part of general anaesthesia especially in long duration head and neck surgeries. Often, in such surgeries, the airway is shared by the surgeon and the anaesthetist. Any damage to the Endotracheal tube cuff may cause improper ventilation and airway contamination. We propose an algorithm through this case to prevent such complications and correct them if they happen.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44890919","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
Low Dose Ketamine Infusion Versus Thoracic Epidural Infusion for Post Thoracotomy Analgesia 小剂量氯胺酮输注与胸外硬膜外输注用于开胸术后镇痛
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2022-10-05 DOI: 10.4038/slja.v30i2.8775
Murugesh Wali, U. D. Kumar, S. P. Shetty, K. Sujay
{"title":"Low Dose Ketamine Infusion Versus Thoracic Epidural Infusion for Post Thoracotomy Analgesia","authors":"Murugesh Wali, U. D. Kumar, S. P. Shetty, K. Sujay","doi":"10.4038/slja.v30i2.8775","DOIUrl":"https://doi.org/10.4038/slja.v30i2.8775","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46692126","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
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