N. Puthenveettil, Asif Hassan, S. Rajan, Dilesh Kadapamannil, J. Paul, S. Vijayaraghavan
{"title":"Effectiveness of Erector Spinae Plane Block for Post-Operative Analgesia in Breast Surgeries-A Randomized Control Study.","authors":"N. Puthenveettil, Asif Hassan, S. Rajan, Dilesh Kadapamannil, J. Paul, S. Vijayaraghavan","doi":"10.4038/slja.v30i1.8853","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8853","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47442223","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":"Bilateral brachial plexus block and avoiding its complications : A case report","authors":"Minura Hapugoda, Lewan Priyanjith Kariyawasam","doi":"10.4038/slja.v30i1.8850","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8850","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46617231","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}
Mohd. Mustahsin, S. Podder, L. Yaddanapudi, I. Bala
{"title":"Bevel Position and Its Effect on Success of Intubation Through Intubating Laryngeal Mask Airway","authors":"Mohd. Mustahsin, S. Podder, L. Yaddanapudi, I. Bala","doi":"10.4038/slja.v30i1.8781","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8781","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42430156","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}
W. Priyankara, E. M. Manoj, W. Samaranayake, A. Ranaweera
{"title":"Out of Intensive Care and Operating Theatre Intubations: Prospective Observational Study","authors":"W. Priyankara, E. M. Manoj, W. Samaranayake, A. Ranaweera","doi":"10.4038/slja.v30i1.8725","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8725","url":null,"abstract":"Tracheal intubations are not infrequent out of ICUs and operating theatres and carry a substantial risk of adverse events. Our objective was t o study the current practices of tracheal intubations in medical wards of the national hospital of Sri Lanka (NHSL). A prospective observational study was performed among all adult patients who had an endotracheal intubation in a medical ward of NHSL over a 6-month period. There were 47 intubations. Majority, 29 (61.7%) of intubations occurred during out of hours (after 4pm) and 23 (48.9%) of them were emergency intubations. Most common reason for intubation was respiratory distress 26 (55.3%). Other indications were cardiac arrest 11 (23.4%), Low GCS 7 (14.9%) and shock 2 (4.3%). Capnography and 2 laryngoscopes were not available during any of the intubations. Bougie was available only in 23 (48.9%) cases and alternative airway equipment were available only in 9 (19.1) cases. Midazolam was the most common induction agent 34 (72.3%). Majority 27(57.4%) of the intubators had less than 6 months of experience in anaesthesia. Most of the intubations 32 (68.1%) were done by a registrar and 6 (12.8%) were done by an intern medical officer. There were 39 adverse events during all intubations and hypotension 14(29.8%) was the most frequent adverse event. Therefore, we conclude that intubations in medical wards are done by less experienced doctors with lack of facilities and has high incidence of adverse","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44864092","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":"Pectoral Nerve I and II Blocks, Single Versus Double Path, as an Effective Pain Management Strategy in Female Breast Cancer Surgery","authors":"Hoda Shokri, Heba F. Abd El Aziz","doi":"10.4038/slja.v30i1.8877","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8877","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70154144","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":"Lost Airway in Airway","authors":"T. Anandaswamy, Sahana Patil, P. P. Thammanna","doi":"10.4038/slja.v30i1.8856","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8856","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42813276","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":"Comparison of Subarachnoid Block Characteristics with Levobupivacaine at 240C and 370C for Infra-Umbilical Surgeries - a Randomized Controlled Trial","authors":"K. Nag, A. Charles, B. S., Anwar S. Basha","doi":"10.4038/slja.v30i1.8770","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8770","url":null,"abstract":"Background & Aim : The temperature of a local anaesthetic solution influences its pKa and molecular kinetic activity, thereby affecting baricity. We evaluated the effects of 0.5% Levobupivacaine preheated at 37ºC on sensory and motor block characteristics and haemodynamic in patients undergoing infra-umbilical surgeries. Methods : This was a prospective, randomised, double blinded study, in which 70 patients were allocated into two groups [Group A (n=35) and Group B (n=35)]. In Group A, patients were administered 3 mL of levobupivacaine 0.5% solution at room temperature (24 -28ºC) and patients in Group B were administered with 3 mL of levobupivacaine 0.5% solution at 37°C (Thermostatically controlled digitalized hot bath machine) into the subarachnoid space. Our primary objective was to determine the time of onset of sensory blockade at T10. Time of onset and duration of motor blockade, duration of analgesia, time to two segment regression and other adverse events after spinal anaesthesia were secondary objectives. Results: The time to reach a sensory block of T10 was significantly shorter in group B (Mean ±SD 2.7±2.9 min, P 0.005) compared to that in group A (Mean ±SD 4.8±4.5 min). The mean duration of sensory block was longer in group B (Mean ±SD 155.5±25.9 min, P 0.048). Time to onset of motor block, duration of motor block and time to regression of two dermatomal level were not found statistically significant among the two groups. Conclusion : Spinal anaesthesia with 0.5% levobupivacaine heated to 37ºC shortens sensory block onset time and provides longer block duration.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44102368","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}
Prashant Lomate, Ganesh Mallappa Kumbhar, J. Paranjpe
{"title":"Evaluation of the Efficacy of Propofol-Magnesium Sulfate Combination for Sedation in Paediatric Magnetic Resonance Imaging of Brain.- a Randomized Controlled Trial","authors":"Prashant Lomate, Ganesh Mallappa Kumbhar, J. Paranjpe","doi":"10.4038/slja.v30i1.8873","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8873","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43012326","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":"Pre-operative Fasting in Elective Adult Surgical Patients at a Tertiary Care Hospital in Sri Lanka","authors":"Minura Hapugoda, Lakmini Perera, Ambalandoowa Kankanamge Darshika Nishadi","doi":"10.4038/slja.v30i1.8839","DOIUrl":"https://doi.org/10.4038/slja.v30i1.8839","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44734492","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}