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Acute Pain Services during Covid-19: Challenges and solutions Covid-19期间的急性疼痛服务:挑战和解决方案
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8632
Samarjit Dey, Sunny Malik
{"title":"Acute Pain Services during Covid-19: Challenges and solutions","authors":"Samarjit Dey, Sunny Malik","doi":"10.4038/SLJA.V29I1.8632","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8632","url":null,"abstract":"","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"77"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41695812","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
Foot Drop following Neuraxial Anaesthesia: A Case Report 轴向麻醉后足下垂1例报告
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8652
N. Puthenveettil, J. Paul, S. Rajan, L. Kumar
{"title":"Foot Drop following Neuraxial Anaesthesia: A Case Report","authors":"N. Puthenveettil, J. Paul, S. Rajan, L. Kumar","doi":"10.4038/SLJA.V29I1.8652","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8652","url":null,"abstract":"Neurological complications during neuraxial anaesthesia are rare but if they occur, the consequences are disastrous. In most cases, it is difficult to identify the exact aetiology. For a good recovery, early diagnosis and intervention should be ensured. We report a case of foot drop following possible needle trauma in a patient who underwent total abdominal hysterectomy under combined spinal-epidural technique.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"62"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70153969","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
Airway obstruction due to mucus plug in patients with Organophosphorous poisoning – Atropine the culprit? A case series 因黏液堵塞气道梗阻的有机磷中毒患者——阿托品是罪魁祸首?案例系列
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8645
Sajjan Prashant Shivaraj, K. Sharashchandra
{"title":"Airway obstruction due to mucus plug in patients with Organophosphorous poisoning – Atropine the culprit? A case series","authors":"Sajjan Prashant Shivaraj, K. Sharashchandra","doi":"10.4038/SLJA.V29I1.8645","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8645","url":null,"abstract":"Organophoshorous poisoning is a common cause of death in developing countries. These compounds inhibit acetylcholinesterase leading to accumulation of acetylcholine, causing overstimulation of nicotinic and muscarinic receptors. Atropine and oximes are the mainstay of treatment. Atropine helps in countering muscarinic effects and decreasing secretions. It also makes the secretions thick, tenacious and may obstruct the airway. We observed five cases of organophosphorus poisoning being treated with atropine developing sudden respiratory distress attributed to mucus plug obstructing the airway which was confused with intermediate syndrome. After removal of the mucus plug these patients recovered uneventfully.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"55"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43455324","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
Continuing Enteral Nutrition in Prone Ventilation 俯卧通气中的持续肠道营养
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8702
S. Sabaretnam
{"title":"Continuing Enteral Nutrition in Prone Ventilation","authors":"S. Sabaretnam","doi":"10.4038/SLJA.V29I1.8702","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8702","url":null,"abstract":"Enteral nutrition (EN) is safe and essential to overall patient outcomes especially for the critically ill and therefore should be continued during ventilation in prone position as these patients by default tend to be the most critically ill. The incidence of vomiting, increased gastric residual volume (GRV) and ventilator associated pneumonia (VAP) are not increased when compared to feeding in supine position. It is important to keep the bed in inverse Trendelenburg position of 30 degrees while continuing enteral feed in prone position. Prokinetics are indicated for patients with high GRV. Naso-gastric (NG) feeding is not inferior to post pyloric feeding.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"3"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41436066","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
Comparison of Clonidine with Fentanyl as an Adjuvant to Isobaric Ropivacaine in Patients undergoing Vaginal Hysterectomy under Subarachnoid Block 克拉定与芬太尼辅助等重罗哌卡因在蛛网膜下腔阻滞下阴道子宫切除术中的比较
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8694
G. Choudhary, K. Chaudhary, R. Swami, Rakesh Karnawat
{"title":"Comparison of Clonidine with Fentanyl as an Adjuvant to Isobaric Ropivacaine in Patients undergoing Vaginal Hysterectomy under Subarachnoid Block","authors":"G. Choudhary, K. Chaudhary, R. Swami, Rakesh Karnawat","doi":"10.4038/SLJA.V29I1.8694","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8694","url":null,"abstract":"Background: Use of adjuncts to local anaesthetics improves the quality of subarachnoid block (SAB). We compared intrathecal clonidine-ropivacaine combination and fentanyl-ropivacaine combination for the quality and duration of sensory and motor block and associated side effects. \u0000Subjects and methods: 80 patients undergoing elective vaginal hysterectomy under SAB were enrolled for this hospital-based, prospective, randomized, double-blind study and divided into two groups of 40 each. As an adjuvant to 0.75% isobaric ropivacaine Group C received 75 μg intrathecal clonidine (0.5 ml) while Group F was given 25 μg intrathecal fentanyl (0.5 ml). Sensory and motor block characteristics, duration of analgesia, intraoperative and postoperative Campbell sedation score, haemodynamic profile and any adverse event were recorded and analysed. Fischer exact or Chi-square test was used for the comparison of categorical data and unpaired t-test to compare the quantitative data using Statistical Packages for Social Sciences (SPSS) version 21. P value of <0.05 was considered statistically significant. \u0000Results: Sensory and motor block duration, duration of analgesia, intraoperative and postoperative sedation score was significantly higher in Group C (P < 0.05). Systolic blood pressure, diastolic blood pressure and mean blood pressure were significantly lower in Group C as compared to Group F at various time points with a similar overall incidence of hypotension from the baseline value. \u0000Conclusion: Clonidine-ropivacaine combination in SAB provides a prolonged duration of sensory as well as motor block and enhances postoperative analgesia in comparison to fentanyl-ropivacaine combination with a higher degree of sedation.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42430150","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
Change in Mallampati Score during Pregnancy, Labour and Post Labour: An Observational Study Mallampati评分在妊娠、分娩和产后的变化：一项观察研究
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8653
A. Shivashankar, G. Rajappa, Prapti Rath, K. S. Deepak
{"title":"Change in Mallampati Score during Pregnancy, Labour and Post Labour: An Observational Study","authors":"A. Shivashankar, G. Rajappa, Prapti Rath, K. S. Deepak","doi":"10.4038/SLJA.V29I1.8653","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8653","url":null,"abstract":"Background Mallampati (MP) score is used to predict the ease of endotracheal intubation. Pregnancy is often associated with failed intubation during anaesthesia for caesarean delivery and contributes majorly to maternal complications that are related to anaesthesia. This study aimed to determine the change in MP grade over the course of pregnancy (first trimester, during labour and post-delivery). Methods The study was conducted on 389 pregnant women in the first trimester. Demographic data, airway characteristics and MP score of the patients were recorded at different stages of pregnancy. Change in MP grade was assessed for those patients, who have delivered vaginally. Results The mean age of the study subjects was 25.77±3.64 years. There was a significant association of MP score with weight gain (P Conclusion There was a significant increase in the MP score over the course of pregnancy that may be attributed to gestational weight gain along with variations in the neck circumference in pregnant women. Hence, assessment of MP score is important for proper management of difficult intubation, especially in parturient.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"13"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49000358","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: 2
Sublingual Haematoma – A Rare Complication associated with Cleft Palate Surgery 舌下血肿——一种罕见的腭裂手术并发症
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8578
R. Roy, A. Malhotra, Anuj Mahajan
{"title":"Sublingual Haematoma – A Rare Complication associated with Cleft Palate Surgery","authors":"R. Roy, A. Malhotra, Anuj Mahajan","doi":"10.4038/SLJA.V29I1.8578","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8578","url":null,"abstract":"A 1yr old boy weighing 10 kg underwent cleft palate surgery. Post extubation, a swelling was noticed beneath the tongue which progressed gradually and obstructed the airway. Small sized endotracheal tube (ETT) was used as a nasal airway and advanced till it relieved the obstruction and child started maintaining SpO2 >95%. Haemodynamic parameters were stable and child was shifted from OT to PACU where he was observed vigilantly for any airway obstruction. Swelling regressed over the next 2 days and the child accepted oral feeding eventually.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"42"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48611427","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 Challenges of a Patient Undergoing Left Cardiac Sympathetic Denervation in Therapy of Long QT Syndrome 一名左心交感神经去支配治疗长QT综合征患者的麻醉挑战
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8548
Asoka Sameera Bandara Wasala, Anura Abeysundara, K. Galketiya, Manura Lekamwattage, Yelaruwan Kumara Amarasinghe, Theja Thilakshani Amarasiri
{"title":"Anaesthetic Challenges of a Patient Undergoing Left Cardiac Sympathetic Denervation in Therapy of Long QT Syndrome","authors":"Asoka Sameera Bandara Wasala, Anura Abeysundara, K. Galketiya, Manura Lekamwattage, Yelaruwan Kumara Amarasinghe, Theja Thilakshani Amarasiri","doi":"10.4038/SLJA.V29I1.8548","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8548","url":null,"abstract":"Introduction PQTS is a disorder of myocardial ion channel conduction that results in impaired ventricular repolarization. Beta blockers remain the mainstay of treatment for patients with PQTS syndrome. However, left cardiac sympathectomy is being increasingly advocated as an effective treatment for patients who are refractory to medical therapy. Patients with PQTS are at risk of developing polymorphic ventricular tachycardia or “Torsades de Pointes”. With careful preoperative preparation and by avoidance of factors that precipitate cardiac dysrhythmias during the peri operative period, patients can be safely anaesthetised for thoracic sympathectomy","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"39"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48639164","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
Laparoscopic Cholecystectomy in a Patient with Empty Sella Turcica 腹腔镜胆囊切除术治疗一例Sella Turcica空洞
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8619
Jyoti Pathania, A. Pathania, Vishal Thakur
{"title":"Laparoscopic Cholecystectomy in a Patient with Empty Sella Turcica","authors":"Jyoti Pathania, A. Pathania, Vishal Thakur","doi":"10.4038/SLJA.V29I1.8619","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8619","url":null,"abstract":"Empty sella turcica is a condition in which the pituitary gland is absent completely or partially from the sella turcica or pituitary fossa. The patient may be asymptomatic with empty sella turcica as an incidental finding, or may have symptoms of pituitary hormones deficiency. Perioperative management of these patients depends on the symptoms and signs of hormonal deficiencies and the hormonal replacement treatment.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43347086","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
Myasthenia Gravis Misdiagnosed as Post-Thyroidectomy Recurrent Laryngeal Nerve Palsy: A Case Report 重症肌无力误诊为甲状腺切除术后喉返神经麻痹1例
IF 0.2
Sri Lankan Journal of Anaesthesiology Pub Date : 2021-04-28 DOI: 10.4038/SLJA.V29I1.8680
R. Sripriya, Reesha Joshi, T. Sivashanmugam, M. Ravishankar
{"title":"Myasthenia Gravis Misdiagnosed as Post-Thyroidectomy Recurrent Laryngeal Nerve Palsy: A Case Report","authors":"R. Sripriya, Reesha Joshi, T. Sivashanmugam, M. Ravishankar","doi":"10.4038/SLJA.V29I1.8680","DOIUrl":"https://doi.org/10.4038/SLJA.V29I1.8680","url":null,"abstract":"About 85% of patients with myasthenia gravis present with ptosis and generalised muscle weakness, but 15% may present with pure bulbar symptoms which can be misdiagnosed. We describe a 60-year old female patient with multinodular goitre who had symptom of dysphagia and was subjected to total thyroidectomy. Post-operatively she developed respiratory distress and had difficulty in phonation. Bilateral vocal cord palsy was identified and emergency tracheostomy was done. Review of the patient revealed a mass in the anterior mediastinum and the patient showed improvement with pyridostigmine. Thymoma was confirmed in the computed tomography scan. This case highlights the unanticipated problems faced due to an undiagnosed myasthenia gravis and the importance of having a high index of suspicion of myasthenia gravis in patients with subtle bulbar symptoms.","PeriodicalId":41531,"journal":{"name":"Sri Lankan Journal of Anaesthesiology","volume":"29 1","pages":"68"},"PeriodicalIF":0.2,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46543804","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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