Journal of Anaesthesiology Clinical Pharmacology最新文献_第5页

Ultrasound-based assessment of tongue thickness for prediction of difficult laryngoscopy and intubation 通过超声波评估舌苔厚度，预测困难喉镜检查和插管情况

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-04-08 DOI: 10.4103/joacp.joacp_395_22

Jhanvi Sunil Furia, M. Nadkarni

{"title":"Ultrasound-based assessment of tongue thickness for prediction of difficult laryngoscopy and intubation","authors":"Jhanvi Sunil Furia, M. Nadkarni","doi":"10.4103/joacp.joacp_395_22","DOIUrl":"https://doi.org/10.4103/joacp.joacp_395_22","url":null,"abstract":"\u0000 \u0000 \u0000 Predicting difficult airway and preparedness for the same can help prevent catastrophic situations while handling the airway. With the increasing familiarity of anaesthesiologists to the use of ultrasound machine and its easy availability and non-invasiveness, we sought to study its utility in airway assessment, by measuring the thickness of tongue, to predict difficult laryngoscopy and intubation.\u0000 \u0000 \u0000 \u0000 A total of 85 patients undergoing elective surgeries under general anaesthesia with endotracheal intubation were examined preoperatively. Tongue thickness was measured using submental ultrasonography in the median sagittal plane along with other tests of airway assessment. Cormack Lehane grade on laryngoscopy and Intubation Difficulty Scale Score was recorded. The sensitivity, specificity, positive and negative predictive value, and accuracy was calculated for tongue thickness for predicting difficult intubation.\u0000 \u0000 \u0000 \u0000 The tongue thickness in those with difficult intubation (4.83 ± 0.62) was significantly higher than those without difficult intubation (4.38 ± 0.65). The ratio of tongue thickness to thyromental distance was also significantly higher in difficult intubation group. The area under the receiver operating characteristic curve for predicting difficult laryngoscopy and intubation was higher for tongue thickness as compared to other clinical parameters. The sensitivity and specificity of tongue thickness to predict difficult laryngoscopy was 100% and 83%, respectively, and to predict difficult intubation was 72% and 59%, respectively, with an accuracy of 72%.\u0000 \u0000 \u0000 \u0000 Ultrasound based assessment of tongue thickness can be a useful predictor of difficult airway along with clinical assessment of the airway.\u0000","PeriodicalId":508221,"journal":{"name":"Journal of Anaesthesiology Clinical Pharmacology","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732233","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}

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Anti-oxidant therapy in management of acute naphthalene ball poisoning 治疗急性萘丸中毒的抗氧化疗法

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-04-08 DOI: 10.4103/joacp.joacp_122_22

Amit Goel

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Airway management in a pediatric patient with glottic web: An anesthetic challenge in non-operating room anesthesia 患有声门网的儿科患者的气道管理：非手术室麻醉中的麻醉挑战

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-04-08 DOI: 10.4103/joacp.joacp_411_22

Priyanka Sethi, Balakrishnan Narayanan, Deepanshu Dang, Kamlesh Kumari

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High thoracic erector spinae plane block for forequarter amputation: A new perspective 用于前肢截肢的高位胸椎竖脊平面阻滞：新视角

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-04-08 DOI: 10.4103/joacp.joacp_394_22

Priyanka Sethi, Manbir Kaur, Deepanshu Dang, P. Bhatia

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An interesting case of opioid-induced hyperalgesia and acute abdomen in the postoperative period 一例有趣的阿片类药物诱发的术后痛觉减退和急腹症病例

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-04-08 DOI: 10.4103/joacp.joacp_393_22

S. Bakshi, Nayana Amin, S. Bhosale, Sajid S. Qureshi

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Difficult airway due to inaccessible face in a child- Challenge to anesthesiologist 儿童面部无法接近导致气道困难--麻醉师面临的挑战

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-04-08 DOI: 10.4103/joacp.joacp_293_22

Teena Bansal, Sudha Puhal, S. Taxak, Suresh Singhal

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A Randomized clinical trial comparing the efficacy of ultrasound-guided erector spinae block and paravertebral block in preventing postherpetic neuralgia in patients with zoster-associated pain 比较超声引导下竖脊肌阻滞和椎旁阻滞对带状疱疹相关疼痛患者预防带状疱疹后遗神经痛疗效的随机临床试验

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-03-28 DOI: 10.4103/joacp.joacp_82_23

Akkamahadevi Patil, S. Vyshnavi, Thanigai Raja, V. Shastry, Srinivas H. Thammaiah, KN Archana

{"title":"A Randomized clinical trial comparing the efficacy of ultrasound-guided erector spinae block and paravertebral block in preventing postherpetic neuralgia in patients with zoster-associated pain","authors":"Akkamahadevi Patil, S. Vyshnavi, Thanigai Raja, V. Shastry, Srinivas H. Thammaiah, KN Archana","doi":"10.4103/joacp.joacp_82_23","DOIUrl":"https://doi.org/10.4103/joacp.joacp_82_23","url":null,"abstract":"\u0000 \u0000 \u0000 The treatment for postherpetic neuralgia (PHN) continues to be challenging in clinical pain management. Paravertebral block (PVB) and erector-spinae block (ESPB) are two novel techniques for treating this distressing condition. We aimed to assess the effectiveness of PVB and ESPB in preventing the progression to PHN in patients with acute herpes zoster (AHZ).\u0000 \u0000 \u0000 \u0000 Sixty patients in pain due to AHZ were selected for a prospective randomized control study after approval from Institutional Ethical Committee. Written informed consent was taken. Patients were randomized and allotted into Control-group: standard treatment (oral antivirals, analgesics, neuropathic medicines); PVB-Group: standard treatment with PVB and ESPB- Group: standard treatment with ESPB. Under ultrasound guidance, both blocks were administered with 20 ml of 0.25% bupivacaine + dexamethasone 8 mg. Efficacy was evaluated on the 15th, 30th, and 60th day post treatment. The primary endpoint was the proportion of patients with adequate relief from pain and allodynia post study.\u0000 \u0000 \u0000 \u0000 The incidence of PHN post study was 45% in the ESPB group and 40% in the PVB group and 80% in the control group (p = 0.022). The proportion of patients with pain relief was higher among the PVB group compared to the ESPB group but not statistically significant (p 0.749). On day 60, the mean pain score was 2.45 (±3.05) and 2.15 (±2.7) in ESPB and PVB groups, respectively, and 4.3 (±2.27) in the control group (p 0.003).\u0000 \u0000 \u0000 \u0000 PVB and ESPB are effective approaches in treating patients suffering from pain due to acute zoster and help in preventing its progression to PHN.\u0000","PeriodicalId":508221,"journal":{"name":"Journal of Anaesthesiology Clinical Pharmacology","volume":"52 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373336","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}

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Incidental finding of internal jugular vein clot during the perioperative period: An anesthesiologist’s nightmare 围手术期意外发现颈内静脉血栓：麻醉师的噩梦

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-03-28 DOI: 10.4103/joacp.joacp_77_23

Lalit Jha, Amarjeet Kumar, George Paul, Sanjeev Kumar

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A palatal fracture can be a harbinger of endotracheal tube cuff leak catastrophe during nasotracheal intubation 腭裂可能是鼻气管插管时发生气管导管袖带泄漏灾难的先兆

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-03-28 DOI: 10.4103/joacp.joacp_99_23

Ajitesh Sahu, C. Mohanty, S. H. Behera, Kiran Boyina

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Influence of intra-abdominal pressure on ventilatory mechanical power delivery and respiratory driving pressure during laparoscopic cholecystectomy: A prospective cohort study 腹腔镜胆囊切除术中腹腔内压力对通气机械动力和呼吸驱动压力的影响：前瞻性队列研究

Journal of Anaesthesiology Clinical Pharmacology Pub Date : 2024-03-28 DOI: 10.4103/joacp.joacp_45_23

Unnikannan Shaji, Gaurav Jain, D. Tripathy, Navin Kumar, Nilotpal Chowdhury

{"title":"Influence of intra-abdominal pressure on ventilatory mechanical power delivery and respiratory driving pressure during laparoscopic cholecystectomy: A prospective cohort study","authors":"Unnikannan Shaji, Gaurav Jain, D. Tripathy, Navin Kumar, Nilotpal Chowdhury","doi":"10.4103/joacp.joacp_45_23","DOIUrl":"https://doi.org/10.4103/joacp.joacp_45_23","url":null,"abstract":"\u0000 \u0000 \u0000 Pneumoperitoneum creation for laparoscopic surgery increases the intraabdominal pressure and causes alveolar atelectasis. We investigated the influence of an increase in intra-abdominal pressure (IAP) on ventilatory mechanical power (MP) delivery during pneumoperitoneum creation for laparoscopic cholecystectomy.\u0000 \u0000 \u0000 \u0000 In a prospective cohort design, we enrolled 42 patients undergoing laparoscopic cholecystectomy. During pneumoperitoneum creation, the IAP was sequentially raised to three predefined IAP levels (8, 11 and 14 mmHg), keeping identical ventilatory settings (timepoints T1, T2, and T3). After that, positive end-expiratory pressure (PEEP) was sequentially raised from 5 to 8 to 11 cmH2O (timepoint T4 and T5). The primary outcome included ventilatory MP delivery at each timepoint. Other variables included respiratory driving pressure (DP), airway resistance (AR), and respiratory compliance (RC).\u0000 \u0000 \u0000 \u0000 The MP increased linearly with a rise in IAP from T1 to T3 (r = 0.71, P < 0.001); the MP increased by 0.19 per unit rise in IAP (effect size 0.90, P < 0.001). A similar positive correlation was also observed between DP and IAP from T1 to T3 (r = 0.73, P < 0.001); the DP increased by 0.72 per unit rise in IAP (effect size 0.89, P < 0.001). The MP increased significantly on increasing PEEP from T3 to T5, while the DP decreased concomitantly (P < 0.001). The AR increased significantly from T1 to T3, while RC decreased concomitantly; vice-versa was observed at T4 and T5 (P < 0.001).\u0000 \u0000 \u0000 \u0000 The ventilatory MP delivery rises linearly with an increase in IAP. Targeting an IAP-guided MP level could be an attractive approach to minimize lung injury.\u0000","PeriodicalId":508221,"journal":{"name":"Journal of Anaesthesiology Clinical Pharmacology","volume":"140 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369245","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}

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