Indian Anaesthetists Forum最新文献_第8页

Radiofrequency ablation of stellate ganglion for neuropathic pain due to brachial plexus neurofibroma in a patient with neurofibromatosis type 1 星状神经节射频消融治疗1型神经纤维瘤患者臂丛神经纤维瘤引起的神经性疼痛

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Indian Anaesthetists Forum Pub Date : 2021-07-01 DOI: 10.4103/TheIAForum.TheIAForum_45_21

M. Raghuraman, A. Murugesan, Vinod Krishnagopal

引用次数: 0

Airway management of a child with a large hemangio-lymphangioma of the face, neck, and upper airway in stridor 儿童面部、颈部及上呼吸道大血管淋巴管瘤的气道管理

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_168_20

S. Rajan, A. Subramanian, Pulak Tosh, Niranjan Kumar

引用次数: 1

Mending the after-effects of simulation-based cross-skill airway training during COVID-19 pandemic: The “real” plastic surgery COVID-19大流行期间基于模拟的跨技能气道训练的后遗症修复:“真正的”整形手术

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_1_21

Rashmi Syal, S. Chander, P. Kala, K. Suresh, S. Chhabra

引用次数: 0

Role of ultrasound-guided lumbar “Erector spinae plane block” and ultrasound-guided transmuscular “Quadratus lumborum block” for postoperative analgesia after hip surgeries: A randomized, controlled study 超声引导腰椎“竖脊平面阻滞”和超声引导跨血管“腰方阻滞”在髋关节手术后镇痛中的作用：一项随机对照研究

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_90_20

P. Tiwari, R. Bhatia, V. Asthana, R. Maheshwari

{"title":"Role of ultrasound-guided lumbar “Erector spinae plane block” and ultrasound-guided transmuscular “Quadratus lumborum block” for postoperative analgesia after hip surgeries: A randomized, controlled study","authors":"P. Tiwari, R. Bhatia, V. Asthana, R. Maheshwari","doi":"10.4103/TheIAForum.TheIAForum_90_20","DOIUrl":"https://doi.org/10.4103/TheIAForum.TheIAForum_90_20","url":null,"abstract":"Background and Aims: Our aim was to assess the postoperative analgesia after ultrasound-guided transmuscular “Quadratus lumborum block” (QLB) and lumbar “Erector spinae plane block” (ESPB) in hip surgeries postoperatively. Design: Double-blinded, randomized prospective study. Materials and Methods: Sixty-three patients who underwent hip surgeries were divided into three groups, with 21 patients each. Each group was given spinal anesthesia using 30 ml of 0.5% hyperbaric bupivacaine. After the completion of the surgery, Group I patients were given ipsilateral transmuscular QLB and Group II patients were given ipsilateral lumbar ESPB. No block was given in Group III. In the postanesthesia care unit (PACU), pain was assessed using the Numeric Rating Scale (NRS) scoring. The time of first analgesic requirement and the total postoperatively tramadol consumption in first 24 h was recorded. Results: No significant difference was seen between the three groups pertaining to patient's demographic data, type, and duration of surgery. Statistically significant lower NRS scores were present in QLB group and ESPB group than the control group in the first 24 h (P < 0.001). The total tramadol consumption was significantly more in the control group (346.67 ± 71.37) mg than QLB group (159.05 ± 39.74) mg and ESPB group (190.48 ± 33.83) mg with P < 0.001. Time duration of first analgesic requirement in PACU was 344.05 min, 267.86 min, and 105.24 min for QLB, ESPB, and control group, respectively. Conclusion: In conclusion, both QLB and ESPB provide good postoperative pain control in hip surgeries with QLB providing a better analgesic profile when compared to ESPB.","PeriodicalId":42359,"journal":{"name":"Indian Anaesthetists Forum","volume":"22 1","pages":"60 - 66"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45758651","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

Evaluation of knowledge and skills of MBBS interns in basic life support/advanced cardiovascular life support and their ability to retain MBBS实习生在基本生命支持/高级心血管生命支持方面的知识和技能及其保留能力的评估

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_70_20

Tushar D. Bhavar, A. Shetti, Priyanka B Gulve, P. Yenurkar

{"title":"Evaluation of knowledge and skills of MBBS interns in basic life support/advanced cardiovascular life support and their ability to retain","authors":"Tushar D. Bhavar, A. Shetti, Priyanka B Gulve, P. Yenurkar","doi":"10.4103/TheIAForum.TheIAForum_70_20","DOIUrl":"https://doi.org/10.4103/TheIAForum.TheIAForum_70_20","url":null,"abstract":"Objectives: Cardiac arrest is a substantial public health problem. The American Heart Association recommends that those whose daily work requires knowledge and skills in advanced cardiovascular life support (ACLS) should not only be trained in ACLS but also be given a refresher course at least every 2 years. We conducted a study to find out how much knowledge and skill was improved in the participants following the workshop and also how much of it they retain after 6 months. Materials and Methods: The study, a prospective repeated measures quasi-experimental design, was done to test the knowledge and skill about basic life support (BLS) and ACLS among MBBS Interns at the entry to internship before training, posttraining and 6 months after training. This was done using a structured questionnaire containing 25 knowledge and practice questions and a checklist containing 15 points was used to assess the skills was also assessed using the Laerdal CPRQ Manikin with skill guide using parameters compression score, ventilation score, and compression fraction. Results: Knowledge mean total score for pretest, immediate posttest, and 6 months posttest was 10.9, 23.54, and 15.77, respectively, and skill mean score for pretest, immediate posttest, and 6 months posttest was 3.55, 12.99, and 9.06, respectively. Knowledge and skill assessed for immediate posttest was significantly higher than the pretest score. Six months posttest total score was significantly higher than the pretest total score but was significantly lower than posttest score in regard to both knowledge and skills. Conclusion: We found that there is gross lack of knowledge and skills among interns, which needs to be looked at with proper BLS and ACLS training and periodic reinforcement of the same with trainings as there is a significant decrease in both knowledge and skills at 6 months. The skill guide can be considered for skill assessment.","PeriodicalId":42359,"journal":{"name":"Indian Anaesthetists Forum","volume":"22 1","pages":"86 - 90"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42637008","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

Effect of low dose ketamine on perioperative analgesia in patients undergoing open abdominal hysterectomy - A double-blind, randomized, placebo-controlled trial 低剂量氯胺酮对剖腹式子宫切除术患者围手术期镇痛的影响——一项双盲、随机、安慰剂对照试验

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_80_20

R. Mariappan, V. Cherian, M. Joy, KG Selvaraj

{"title":"Effect of low dose ketamine on perioperative analgesia in patients undergoing open abdominal hysterectomy - A double-blind, randomized, placebo-controlled trial","authors":"R. Mariappan, V. Cherian, M. Joy, KG Selvaraj","doi":"10.4103/TheIAForum.TheIAForum_80_20","DOIUrl":"https://doi.org/10.4103/TheIAForum.TheIAForum_80_20","url":null,"abstract":"Background: Low-dose ketamine can provide effective perioperative analgesia while reducing its side effects. This study aims to estimate the effect of a low dose of ketamine administered preemptively and during the surgery on postoperative opioid requirement and the incidence of side effects of ketamine. Methods: This prospective, double-blind, randomized control trial enrolled 60 adult women (>18 years) scheduled for open abdominal hysterectomy. All patients received general anesthesia using a standard protocol. Patients were randomized to receive 0.2 mg/kg of ketamine as bolus before induction of anesthesia, followed by an infusion of 0.002 mg/kg/min for the duration of surgery (Group K) or an equivalent volume of 0.9% saline (Group C). The primary outcome was to compare the morphine requirement over the 24 h postoperatively between the two groups. The secondary outcomes were to compare the intraoperative morphine requirement, and the incidence of side effects of ketamine. Results: The intraoperative morphine requirement was significantly less (P = 0.006) in those who received ketamine (6.5 ± 1.5 mg) compared to the placebo (7.67 ± 1.7 mg). The 24-hour morphine requirement was less in the Group K (7.87 ± 4.7 mg) compared to Group C (9.2 ± 4.5 mg), but was not statistically significant. The incidence of hallucination and nystagmus was significantly higher in the ketamine group, but it lasted <2 h. Conclusion: The preemptive and the intraoperative infusion of low-dose ketamine decreases the morphine requirement intraoperatively but not during the postoperative period.","PeriodicalId":42359,"journal":{"name":"Indian Anaesthetists Forum","volume":"22 1","pages":"67 - 72"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44692090","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

Confirmation of double-lumen tube position with ultrasound during COVID-19: Need of the hour! COVID-19期间超声确认双腔管位置:需要时间!

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_159_20

S. Agarwal, N. Gupta, Vinod Kumar, S. Bharti

引用次数: 0

Ureteral guidewire, an adjunct for the paediatric difficult airway management 输尿管导丝，儿科困难气道管理的辅助工具

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_117_20

P. Sethi, Rakesh Kumar, S. Gupta, Ankur Sharma

引用次数: 0

Premedication with clonidine and dexmedetomidine as multimodal analgesia for overnight stay laparoscopic cholecystectomy: A randomized comparative study 可乐定和右美托咪定作为过夜腹腔镜胆囊切除术多模式镇痛的用药前随机对照研究

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_61_20

Navneeta Bisht, T. Muniraju, A. Hasan, Vivek Kumar, D. Bhaumik

{"title":"Premedication with clonidine and dexmedetomidine as multimodal analgesia for overnight stay laparoscopic cholecystectomy: A randomized comparative study","authors":"Navneeta Bisht, T. Muniraju, A. Hasan, Vivek Kumar, D. Bhaumik","doi":"10.4103/TheIAForum.TheIAForum_61_20","DOIUrl":"https://doi.org/10.4103/TheIAForum.TheIAForum_61_20","url":null,"abstract":"Background: Pain due to pneumoperitoneum after laparoscopic cholecystectomy (LC) may contribute to prolong hospital stay, patient discomfort, and failure of the surgery as an ambulatory procedure. A balanced multimodal analgesia regimen consisting of premedication with selective alpha-2 agonists is gaining popularity for postoperative pain relief for multiple surgeries. Although both clonidine (CLO) and dexmedetomidine (DEX) belong to this group, DEX is seen to have more selective α2 action and better sympatholytic properties. The present study aims to assess the coanalgesic effect of premedication with CLO and DEX for LC, done as an overnight stay procedure, and to compare their efficacy. Methodology: This was a prospective, randomized, single-blinded comparative study, conducted between July 2015 and July 2016. A total of 80 patients undergoing LC were randomly assigned to either CLO or DEX groups (n = 40). The patients were premedicated with low-dose (1 μg/kg) bolus intravenous drugs before induction according to the allotted group. Effect of individual drugs on the postoperative visual analog scale (VAS) score was noted, hemodynamic status was monitored, and analgesic-sparing effect to a multimodal analgesic regimen comprising intraoperative fentanyl and postoperative tramadol was noted. Results: VAS scores at 15 min postextubation, the number of patients required rescue analgesia, and the number of injections required were all found significantly low with DEX. Systolic as well as diastolic blood pressure was significantly lower in the DEX group. Conclusions: Although both the drugs were effective for short hospital stay LC, early pain relief and better hemodynamic stability were seen with DEX. Thus, routine premedication with DEX for ambulatory LC may be recommended.","PeriodicalId":42359,"journal":{"name":"Indian Anaesthetists Forum","volume":"22 1","pages":"79 - 85"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49364535","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

Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario 产后出血的预防性介入放射治疗:现状

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Indian Anaesthetists Forum Pub Date : 2021-01-01 DOI: 10.4103/TheIAForum.TheIAForum_76_20

S. Choudhary, Sunanda Gupta

引用次数: 0