Journal of Anaesthesiology Clinical Pharmacology最新文献

PONV, beyond “Apfel” score 超过 "阿普费尔 "评分的 PONV

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_268_23

R. Magoon, Varun Suresh

引用次数: 0

Effect of table height on supraglottic airway insertion (I-gel): A randomized control trial 手术台高度对插入声门上气道（I-gel）的影响：随机对照试验

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_140_23

P. Kumari, Amarjeet Kumar, C. Sinha, Ajeet Kumar

{"title":"Effect of table height on supraglottic airway insertion (I-gel): A randomized control trial","authors":"P. Kumari, Amarjeet Kumar, C. Sinha, Ajeet Kumar","doi":"10.4103/joacp.joacp_140_23","DOIUrl":"https://doi.org/10.4103/joacp.joacp_140_23","url":null,"abstract":"\u0000 \u0000 \u0000 Both operating table height and patient level in relation to the anesthesiologist influence supraglottic airway device (SAD) insertion and task performance in terms of physical and mental workload. The aim of the study was to find out the appropriate table height during SAD insertion in terms of time taken for insertion, success rate, ease of insertion, and anesthesiologist comfort.\u0000 \u0000 \u0000 \u0000 In this randomized controlled trial, 90 American Society of Anesthesiologists physical status I and II patients, aged between 18 and 60 years, scheduled for elective surgery were recruited. Patients were divided into three groups of 30 each. During SAD insertion, the table height was adjusted so that the patient’s forehead was at the level of 5 cm above the xiphoid process in group I, at the level of the xiphoid process in group II, and at the level of 5 cm below the xiphoid process in group III of the anesthesiologist. We measured SAD insertion time, first attempt success rate, ease of insertion, and anesthesiologist comfort during the procedure.\u0000 \u0000 \u0000 \u0000 The SAD insertion time (in seconds) was lower in group III than in groups I and II, and a significant difference was found between the groups (P < 0.05). The mean ease of insertion score, anesthesiologist comfort, and the first-attempt success rate of SAD insertion were higher in group III than in groups I and II, and the difference among the groups was statistically significant (P < 0.05).\u0000 \u0000 \u0000 \u0000 We conclude that the lower table height with the patient’s forehead at the level of 5 cm below the xiphoid process of the anesthesiologist is ergonomically more efficient during SAD (I-gel) insertion. This table height is also more comfortable for the anesthesiologist during SAD placement.\u0000","PeriodicalId":508221,"journal":{"name":"Journal of Anaesthesiology Clinical Pharmacology","volume":"117 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141822175","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

Virtual bronchoscopy-guided airway management in a case of a massive thoracic mass causing a mediastinal shift in an infant 虚拟支气管镜引导下的气道管理在一例巨大胸部肿块导致纵隔移位的婴儿病例中的应用

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_213_23

Bhavna Gupta, Debendra Tripathy, Kajal Shrestha, Rekha Kumari, Anish Gupta

引用次数: 0

Endotracheal tube exchange over bougie through submental route in a patient with panfacial trauma 在一名全颌面外伤患者身上通过下颌途径更换气管套管

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_211_23

Sunil Rajan, V. Ravindran, Arjun Krishnadas, Surya Karthikeyan

引用次数: 0

Pulsed radiofrequency of sural nerve with the aid of ultrasound may result in resolution of chronic foot pain: A case report and review of literature 借助超声波对韧带神经进行脉冲射频治疗可缓解慢性足痛：病例报告和文献综述

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_182_23

Heena Garg, J. Punj

引用次数: 0

Clinical experience with stellate ganglion block in a neonate 新生儿星状神经节阻滞的临床经验

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_31_24

Richa Kewalramani, Manbir Kaur, B. Paliwal, Rhythm Mathur, Sushil Choudhary, P. Bhatia

引用次数: 0

Analgesic efficacy of ultrasound-guided retrolaminar block in truncal surgeries: A narrative review 在截肢手术中超声引导下的椎后神经阻滞的镇痛效果：综述

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_137_23

P. Kumari, Amarjeet Kumar, C. Sinha, Ajeet Kumar, Kunal Singh

{"title":"Analgesic efficacy of ultrasound-guided retrolaminar block in truncal surgeries: A narrative review","authors":"P. Kumari, Amarjeet Kumar, C. Sinha, Ajeet Kumar, Kunal Singh","doi":"10.4103/joacp.joacp_137_23","DOIUrl":"https://doi.org/10.4103/joacp.joacp_137_23","url":null,"abstract":"\u0000 Postoperative pain management in patients undergoing thoracoabdominal surgery always remains challenging for the anesthesiologist. As a method of pain management, multimodal analgesia is commonly used. In recent years, interfascial plane blocks like erector spine plane block (ESPB), retrolaminar block (RLB), transverse thoracic plane block, and pectointercostal plane block have been increasingly utilized as important components of acute postoperative pain management in truncal surgeries. Here, we reviewed the analgesic efficacy of ultrasound (US)-guided retrolaminar block in patients undergoing truncal surgeries. The primary objective of this review was total opioid consumption within 24 hours of the postoperative period. The secondary objectives were postoperative pain score, time to first analgesic requirement, and adverse effects. All articles relevant to the retrolaminar block were searched in six major databases (PubMed, Embase, Medline, Ovid, PMC, and Google Scholar). A total of 706 records were identified, out of which only 11 kinds of literature were included in this review article, based on our inclusion criteria. The published literature suggests that retrolaminar (RLB) provides more effective analgesia in comparison to the erector spinae block (ESP), is associated with reduced opioid consumption and numeric rating scale (NRS) score, and is not inferior to paravertebral (PVB). There is an evidence that a retrolaminar block can effectively relieve pain during truncal surgery. RLB had a lower rate of complications, was simpler to perform, and required shorter hospital stays.","PeriodicalId":508221,"journal":{"name":"Journal of Anaesthesiology Clinical Pharmacology","volume":"103 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820754","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 case of lost endotracheal tube 一个气管导管丢失的病例

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_220_23

Mamta Sharma, Samridhi Nanda, R. P. Gaurav, D. Sabarish

引用次数: 0

Efficacy of ultrasound-guided suprazygomatic maxillary nerve block on emergence agitation and postoperative analgesia after septorhinoplasty: A prospective randomized trial 超声引导下的颧上颌神经阻滞对鼻中隔成形术后出现躁动和术后镇痛的效果：前瞻性随机试验

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_256_23

M. Afandy, Mohamed S. Abd Elghafar, Tarek G. Shoukr, M. E. El Mourad

{"title":"Efficacy of ultrasound-guided suprazygomatic maxillary nerve block on emergence agitation and postoperative analgesia after septorhinoplasty: A prospective randomized trial","authors":"M. Afandy, Mohamed S. Abd Elghafar, Tarek G. Shoukr, M. E. El Mourad","doi":"10.4103/joacp.joacp_256_23","DOIUrl":"https://doi.org/10.4103/joacp.joacp_256_23","url":null,"abstract":"\u0000 \u0000 \u0000 Emergence agitation (EA) is frequently encountered following nasal surgeries, and postoperative pain is a significant contributing element. We aimed to assess the role of suprazygomatic maxillary nerve (MN) block (SMB) guided by ultrasound (US) in lowering EA incidence and enhancing analgesia quality in septorhinoplasty cases.\u0000 \u0000 \u0000 \u0000 Sixty cases aged 18–60 years, of both genders, categorized by the American Society of Anesthesiologists (ASA) I–II and listed for septorhinoplasty, were randomized to receive general anesthesia (GA) with either no block (the control group) or combined with bilateral US-guided SMB (the SMB group). The incidence of EA, postoperative pain scores, total rescue 24-hour analgesic consumption, and incidence of adverse events were all noted.\u0000 \u0000 \u0000 \u0000 EA incidence was significantly reduced in the SMB group than in the control group (five patients (16.7%) vs 14 patients (46.6%), respectively; P = 0.026). Pain scores at 30 minutes and 1, 2, 4, and 6 hours postoperative were significantly decreased in the SMB group (P = 0.024, 0.000, 0.000, 0.009, and 0.038, respectively), with significantly less morphine consumption at 24 hours postoperative in the SMB group compared with the control group (P = 0.000). No serious adverse events were noted.\u0000 \u0000 \u0000 \u0000 Preemptive application of US-guided SMB was effective in lowering EA incidence. Furthermore, it enhanced the analgesic quality and reduced the requirement for rescue analgesics in patients undergoing septorhinoplasty.\u0000","PeriodicalId":508221,"journal":{"name":"Journal of Anaesthesiology Clinical Pharmacology","volume":" 967","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141823284","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

Anesthetic management of a parturient with oculo-dento-digital (ODD) syndrome for emergency cesarean section 对一名患有眼-耳-数（ODD）综合征的产妇进行紧急剖腹产的麻醉管理

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-07-19 DOI: 10.4103/joacp.joacp_178_23

Emayah Tenzing, Santhosh Arulprakasam, Virinchi Sanapala, Satyen Parida

引用次数: 0