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Challenges in the Management of Common Tropical Diseases during COVID 19 Pandemic COVID - 19大流行期间常见热带病管理面临的挑战
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8935
V. Pinto, A.A.S.P. Jayasinghe
{"title":"Challenges in the Management of Common Tropical Diseases during COVID 19 Pandemic","authors":"V. Pinto, A.A.S.P. Jayasinghe","doi":"10.4038/slja.v29i2.8935","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8935","url":null,"abstract":"In the tropical and subtropical regions of the world, some tropical diseases, such as Dengue, leptospirosis, malaria, seasonal influenza (H1N1), chikungunya, tuberculosis, scrub typhus, are already endemic to the population. Conscientiousness and persistence of care is necessary not to neglect other endemic tropical diseases during the current pandemic. Amid the current pandemic, there can be two occurrences: co-infection and co-occurrence.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46634408","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
What's HITECH About CRS-HIPEC? 什么是HITECH关于CRS-HIPEC？
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8698
Sweekar Kudpi Shenoy, M. Eeshwar, Ramya Kamlekar, M. Prabhu, S. Adhikari, S. Sinha, Yogesh K. Gaude
{"title":"What's HITECH About CRS-HIPEC?","authors":"Sweekar Kudpi Shenoy, M. Eeshwar, Ramya Kamlekar, M. Prabhu, S. Adhikari, S. Sinha, Yogesh K. Gaude","doi":"10.4038/slja.v29i2.8698","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8698","url":null,"abstract":"Hyperthermic intraperitoneal chemotherapy (HIPEC) is a technique, which delivers heated chemotherapeutic agents into the peritoneal cavity. It has been shown to improve prognosis and survival rate in patients of colorectal, ovarian and gastric cancers with peritoneal metastasis. A 57-year-old man diagnosed with primary colorectal carcinoma and pseudomyxoma peritonei was posted for HIPEC surgery. General anaesthesia with epidural analgesia (pain management) and invasive lines (arterial, central) for managing fluid shifts were used. Stroke volume variation was measured throughout the 19-hour procedure for goal directed fluid therapy (GDT) and to maintain urine output. Temperature monitoring with deliberate cooling measures were used during the period of HIPEC along with serial arterial blood gas analysis (ABG).","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44356267","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
Comments on: “Phrenic Nerve Block, the Rescue Management for Pneumothorax after Retrolaminar Block” 点评:“膈神经阻滞，椎板后阻滞后气胸的抢救管理”
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8735
Kartik Sonawane, Elayavendhan Kuppusamy, Tuhin Mistry, J. Poonuraparampil
{"title":"Comments on: “Phrenic Nerve Block, the Rescue Management for Pneumothorax after Retrolaminar Block”","authors":"Kartik Sonawane, Elayavendhan Kuppusamy, Tuhin Mistry, J. Poonuraparampil","doi":"10.4038/slja.v29i2.8735","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8735","url":null,"abstract":"1. Intraoperative development of pneumothorax during robotic laparoscopic nephrectomy could result from single or multiple causes, as mentioned by authors. In the reported scenario, spontaneous rupture of pulmonary bulla probably caused the pneumothorax. Iatrogenic puncture of pleura during Retrolaminar block (RLB) is a rare possibility, as the pleura lies more anterior and lateral to the site of injection.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45599740","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
Determination of Association of Hyperchloremia with Rise in Inflammatory Markers, Serum Creatinine and Anaemia in COVID-19 Patients in Intensive Care Unit – A Prospective Follow-up Study 高氯血症与重症监护室COVID-19患者炎症标志物、血清肌酐和贫血升高的相关性测定——一项前瞻性随访研究
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8882
V. Amara, Souvik Chaudhuri, N. Arjun, Shwethapriya Rao, P. Vishwas
{"title":"Determination of Association of Hyperchloremia with Rise in Inflammatory Markers, Serum Creatinine and Anaemia in COVID-19 Patients in Intensive Care Unit – A Prospective Follow-up Study","authors":"V. Amara, Souvik Chaudhuri, N. Arjun, Shwethapriya Rao, P. Vishwas","doi":"10.4038/slja.v29i2.8882","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8882","url":null,"abstract":"Hyperchloremia leads to adverse effects like increase in pro-inflammatory mediators, anaemia and renal dysfunction. Aim of this study is to determine the association of hyperchloremia with rise in C-reactive protein (CRP), serum ferritin, lactate dehydrogenase (LDH), serum creatinine and anaemia in COVID-19 patients in intensive care unit (ICU). It was a single-centre study, 62 COVID-19 patients participated. Change in CRP, serum ferritin, LDH, serum creatinine, haemoglobin between day one and day three of ICU admission were noted. Outcome in terms of in-hospital mortality was noted. Hyperchloremia (>106mmol/L) or rise in chloride by > 5mmol/L was seen in 13/62 (20.96%) patients. It was not associated with a rise in CRP, ferritin, LDH, creatinine, drop in hemoglobin within 72 hours or in-hospital mortality. 44/62 (71%) patients survived and were discharged from hospital. Multivariate logistic regression showed that if age and gender are also considered, there is a 25 times higher chance of having had a significant ferritin rise (> 95 ng/mL) in 72 hours of ICU admission among those who died. (p=0.01). Hyperchloremia (>106mmol/L) or a rise in chloride by > 5mmol/L in 72 hours of ICU admission was not associated with a significant increase in CRP, LDH, ferritin, serum creatinine within 72 hours of ICU admission or mortality in moderate-severe COVID-19 patients. If age and gender are taken into consideration, there is a 25 times higher chance of having had a significant ferritin rise (> 95 ng/mL) in 72 hours of ICU admission among those who died.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42123528","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
Case Report: Can Steroids Help in a Case of Allodynia Following Spinal Anaesthesia for a Caesarean Section? 病例报告:类固醇对剖宫产脊柱麻醉后的异常性疼痛有帮助吗?
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8703
Reham Mahrous, Doaa Alaa El dien Abd El Fattah, A. Hasanin, M. A. Ibrahim, Amr K. Abdelhakeem
{"title":"Case Report: Can Steroids Help in a Case of Allodynia Following Spinal Anaesthesia for a Caesarean Section?","authors":"Reham Mahrous, Doaa Alaa El dien Abd El Fattah, A. Hasanin, M. A. Ibrahim, Amr K. Abdelhakeem","doi":"10.4038/slja.v29i2.8703","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8703","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41313261","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
Rush Rodding of Femur in a Child with Osteogenesis Imperfecta Under Caudal Anaesthesia and Sedation: A Case Report 尾部麻醉和镇静下儿童成骨不全的股骨Rush Rodding 1例
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8749
Shiyad Muhamed, Ajith Kumar Pillai, Shaji Mathew
{"title":"Rush Rodding of Femur in a Child with Osteogenesis Imperfecta Under Caudal Anaesthesia and Sedation: A Case Report","authors":"Shiyad Muhamed, Ajith Kumar Pillai, Shaji Mathew","doi":"10.4038/slja.v29i2.8749","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8749","url":null,"abstract":"In view of the possible instability of cervical spine, we decided to do the case under caudal anaesthesia and sedation using dexmedetomidine and ketamine. After noting down the baseline vitals, intravenous ketamine 1mg was given. The child was carefully positioned, and caudal anaesthesia was performed using 3ml of 2% lignocaine with adrenaline and 7 ml of 0.25% bupivacaine. The child was positioned supine carefully with adequate padding and was sedated using dexmedetomidine infusion with a loading dose of 10 microgram over 15 minutes and maintenance dose of 5 microgram per hour. The surgery lasted for two hours. The child remained haemodynamically stable throughout the procedure.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46278162","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
Placement of a Double Lumen Endotracheal Tube in Lateral Position for a Video-Assisted Thoracoscopic Surgery- A Case Report 电视胸腔镜下双腔气管内管侧位放置一例报告
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8741
B.M Munasinghe, N. Subramaniam, N. Srisothinathan, Mario Anandappa
{"title":"Placement of a Double Lumen Endotracheal Tube in Lateral Position for a Video-Assisted Thoracoscopic Surgery- A Case Report","authors":"B.M Munasinghe, N. Subramaniam, N. Srisothinathan, Mario Anandappa","doi":"10.4038/slja.v29i2.8741","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8741","url":null,"abstract":"Removal of foreign objects from the thoracic cavity could be performed by open or video-assisted surgeries. Anaesthesia for such cases could be demanding which would require one lung ventilation and intubation in unfamiliar positions. Depending on the extent of underlying injuries, sudden haemodynamic collapse should be anticipated, and precautions should be taken to manage such occurrences. We present a unique case of a safely conducted anaesthesia and surgery for a thoracoscopic removal of a long-bladed knife. One lung ventilation with a double lumen endotracheal tube placed at right lateral position in the absence of a fiber–optic bronchoscopy with improvisation using available equipment is described. According to our knowledge, the former has not been reported elsewhere in the literature.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43538650","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
A Rare Case of Ball Valve Effect of Vocal Cord Papillomas in a Child: An Anaesthetic Challenge 一例罕见的儿童声带乳头状瘤球阀效应:一种麻醉挑战
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-16 DOI: 10.4038/slja.v29i2.8885
Reema Aggarwal, Gurpreet Singh
{"title":"A Rare Case of Ball Valve Effect of Vocal Cord Papillomas in a Child: An Anaesthetic Challenge","authors":"Reema Aggarwal, Gurpreet Singh","doi":"10.4038/slja.v29i2.8885","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8885","url":null,"abstract":"Vocal cord papillomas are rare growths of viral etiology caused by human papillomavirus (HPV). Large polyps are known to obstruct glottic opening and can cause acute airway obstruction. We report a case of 4-year-old male child with progressive hoarseness of voice and stridor posted for excision of vocal cord papillomas. Paediatric age of the patient and the position of the growth obstructing the glottic opening at vocal cords provided an extremely challenging environment for induction of anaesthesia.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45613424","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 Pragmatic Approach to Prevent Premature Failure of Ultrasonically Guided Catheter (Cannula) 预防超声引导导管（套管）过早失效的实用方法
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-11-15 DOI: 10.4038/slja.v29i2.8893
B.M Munasinghe, U. Fernando
{"title":"A Pragmatic Approach to Prevent Premature Failure of Ultrasonically Guided Catheter (Cannula)","authors":"B.M Munasinghe, U. Fernando","doi":"10.4038/slja.v29i2.8893","DOIUrl":"https://doi.org/10.4038/slja.v29i2.8893","url":null,"abstract":"Infiltration occurs when infused drugs and fluids accumulate in surrounding tissue. The size and depth of the veins relative to the size of the cannula, in-situ thrombi, length of the catheter inside the lumen of the vein and the use of hyperosmolar solutions are implicated. Smaller the size of the vein, higher the risk of infiltration. It is recommended to choose veins with an antero-posterior diameter of at least 4 mm in some studies, although much smaller veins could be cannulated with appropriately sized catheter. The ratio between the external diameter of cannula to antero-posterior diameter of vein comes to play in minimizing infiltration, as essentially a ratio of < 0.3 or catheter occupying less than one-third of the area of the venous lumen is associated with reduced incidence of infiltration. Similarly, increased length of the catheter inside the lumen, lessen the risk of infiltration. Ultra-long or midline catheters and use of superficial veins have been proposed in view of increasing the in-situ length. The plane of ultrasonic view, either long-axis or short-axis, was not found to be superior to one another in averting infiltration. The figure 1 illustrates an ultrasonically placed peripheral cannula without PCF.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49614467","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
Intervention for the sake of intervention? 为了干预而干预？
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8687
D. L. Hamilton
{"title":"Intervention for the sake of intervention?","authors":"D. L. Hamilton","doi":"10.4038/SLJA.V29I1.8687","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8687","url":null,"abstract":"In a recent case report in this journal Mishra et al (2020) describe the use of phrenic nerve block (PhNB) for the management of pneumothorax. I would like to challenge the view that the pneumothorax was unequivocally caused by the conduct of a retrolaminar block (RLB) as the title of the article suggests. The authors discuss various potential causes of the pneumothorax any one of which could have been equally responsible.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"82"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49308810","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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