Anaesthesia, Pain & Intensive Care最新文献

{"title":"Brig Professor Zafar Ahmed Malik","authors":"Brigadier M Salim","doi":"10.35975/apic.v24i6.1418","DOIUrl":"https://doi.org/10.35975/apic.v24i6.1418","url":null,"abstract":"Zafar Ahmed Malik was born on 20th March, 1937, he spent his early years in Talagang, a small town near Rawalpindi. He completed his matriculation from Talagang High School and the interesting aspect was that all of his teachers were matric fail with the exception of one. He completed his MBBS from the University of Peshawar in 1962, and joined the army service. He qualified MCPS on 16th February 1968, and FCPS (Anesthesiology) on 9th February 1974. He then went to Ireland where he did his FFARCS(I)  in 1976 from the Royal College of Surgeons. During his Army service he participated in the 1965 and 1971 wars with India; and was awarded with Tamgha-i-Jand and Sitara-i-Harb for his selfless and fearless services.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44751961","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}

{"title":"Ischemic heart disease","authors":"P. Sehrawat, P. Bansal","doi":"10.35975/apic.v24i6.1417","DOIUrl":"https://doi.org/10.35975/apic.v24i6.1417","url":null,"abstract":"With a growing population of old people and the changes in the life style have increased the frequency of the anesthesiologist’s encounters with surgical patients who have ischemic heart disease as a comorbid condition. Here are some questions related to ischemic heart disease.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43452910","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}

{"title":"Professor Jawaid-ur-Rehman","authors":"Majidi Ali","doi":"10.35975/apic.v24i6.1419","DOIUrl":"https://doi.org/10.35975/apic.v24i6.1419","url":null,"abstract":"Born on March, 31st 1957 in Attock to Capt. Abdur Rehman Shaheed and Mubarka Jamila Akthar. His father was martyred in the line of duty when he was three years old. As a young man, he joined Cadet College Petaro as a student at the age of twelve, where he learned to be a valuable member of his community and an asset for his country. His love for, and commitment to, help and serve his fellow man drove him to choose medicine as his profession. To pursue his dreams of a career in medicine, he joined Army Medical College (AMC) in 1978. He was part of the second intake batch of this prestigious institution. After two years in AMC, he transferred to Punjab Medical College (PMC), Faisalabad, where he completed his MBBS. He built on his skills by completing his house job training at Rawalpindi General Hospital.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44770774","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}

{"title":"A promising therapy of tocilizumab and helmet CPAP to prevent intubation for COVID-19 induced severe ARDS: a case report","authors":"S. Permana, A. Sugiarto, M. Thamrin, Arifin, Harsini","doi":"10.35975/apic.v24i6.1416","DOIUrl":"https://doi.org/10.35975/apic.v24i6.1416","url":null,"abstract":"A 59 yrs old male with severe ARDS due to COVID-19 infection was in life threatening ‘cytokine storm’. He had also co-morbids including diabetes mellitus and hypertension. He had come from Grobogan, a red area for COVID-19. Clinical finding indicted systemic inflammatory response syndrome (SIRS) with dyspnea, tachycardia, and high fever. Laboratory tests showed raised leukocyte count, CRP, SGOT/SGPT, blood sugar, PCT, low PaO2/FiO2 ratio. RT PCR showed he was infected by COVID-19. Sputum culture showed Klebsiella infection and CXR showed bilateral pneumonia. \u0000Patient was treated with standard therapy and a combination of tocilizumab for cytokine-storm and helmet CPAP for severe ARDS. \u0000Helmet CPAP has become the first modality for COVID-19 ARDS in some countries but not in Indonesia. We chose helmet CPAP because of the cost efficient, comfortable, and easy operation compared to other modality. We chose tocilizumab because it uses a single dose. Although it is expensive, only one dose is enough and it is effective in blocking the cytokine storm. We found that helmet CPAP and tocilizumab combination in COVID-19 lead severe ARDS could be promising to prevent intubation for patients. \u0000Key words: Helmet CPAP; ARDS; COVID-19; Tocilizumab; Cytokine storm \u0000Citation: Permana SA, Sugiarto A, Thamrin MH, Arifin, Harsini. A promising therapy of tocilizumab and helmet CPAP to prevent intubation for COVID-19 induced severe ARDS: a case report. Anaesth. pain intensive care 2020;24(6):659-663; DOI: 10.35975/apic.v24i6.1409 \u0000Received - 17 September 2020, Reviewed – 01 October 2020, Accepted – 6 November 2020","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47300001","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}

{"title":"The need for extreme caution while stopping short term dexamethasone therapy in SARS-CoV-2 infection: An experience","authors":"Monjuri Borkotokey, K. Dutta","doi":"10.35975/APIC.V24I6.1381","DOIUrl":"https://doi.org/10.35975/APIC.V24I6.1381","url":null,"abstract":"The mental and physical impact of the SARS-CoV-2 pandemic has led to the indiscriminate and desperate use of medications with the intention of saving lives. Dexamethasone has come across as a key player in the treatment of the infection. Short term therapy of dexamethasone, up to 10 days does not usually require tapering while discontinuing the therapy. However, the dose and duration of steroid required to suppress the Hypothalamic-Pituitary-Adrenal Axis (HPAA) is unpredictable. Hence, extreme caution should be taken while stopping dexamethasone therapy irrespective of the duration or the dose of the drug.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48126833","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}

{"title":"Modified thoracolumbar interfascial plane block versus epidural analgesia at closure for lumbar discectomy: a randomized prospective study","authors":"E. Çelik, Mürsel Ekinci, A. Yayik, A. Ahıskalıoğlu, Muhammed Enes Aydi, N. C. Karaavci","doi":"10.35975/apic.v24i6.1396","DOIUrl":"https://doi.org/10.35975/apic.v24i6.1396","url":null,"abstract":"Background & objective: The postoperative period of lumbar discectomy surgery usually involves a period of moderate to severe pain if adequate pain management is not practiced. Various pain controlling methods have been used other than oral and/or parenteral analgesic administration. We aimed to examine the effect of epidural analgesia at closure (EAC) versus modified thoracolumbar interfascial plane (mTLIP) block on postoperative opioid consumption in patients undergoing lumbar discectomy. \u0000Methodology: It was a randomized, prospective study involving sixty adult patients undergoing single-level lumbar discectomy. Patients were randomly assigned to two groups. mTLIP group (n=30) received ultrasound-guided bilateral mTLIP block with 20 ml of 0.25% bupivacaine. EAC group (n=30) received 20 ml of 0.25% bupivacaine to the epidural space by the surgical team at the closure stage of surgery. Postoperatively, analgesia was performed with intravenous tramadol with a patient-controlled analgesia (PCA) pump. Visual analog scale (VAS) scores, opioid consumption, rescue analgesia and side effects were recorded. \u0000Results: Groups had similar demographic measures. There was statistically no difference in terms of opioid consumption from zero to 4th hr and VAS scores in the 1-2 hrs postoperatively (p > 0.05) between groups. At 4-12 hrs and 12-24 postoperatively hrs intervals, total opioid consumption was significantly lower in Group mTLIP compared to Group EAC (p < 0.05). At the 4th, 8th, 12th, and 24th hrs VAS scores were lower in Group mTLIP compared to Group EAC (p < 0.05). Rescue analgesia usage was significantly higher in the Group EAC than in the Group mTLIP, e.g. 11/30 vs. 3/30 respectively (p = 0.015). \u0000Conclusion: Preoperative bilateral, ultrasound-guided modified thoracolumbar interfascial plane block offers more effective postoperative analgesia, thus reducing tramadol consumption as compared to epidural analgesia at closure after lumbar discectomy surgery. \u0000Key words: Thoracolumbar interfascial plane block; Epidural analgesia’; Lumbar discectomy; Postoperative pain; Ultrasound guidance \u0000Citation: Çelik EC, Ekinci M, Yayik AM, Ahiskalioglu A, Aydi ME, Karaavci NC. Modified thoracolumbar interfascial plane block versus epidural analgesia at closure for lumbar discectomy: a randomized prospective study. Anaesth. pain intensive care 2020;24(6):__ \u0000Abbreviations: EAC – Epidural analgesia at closure; TLIP – thoracolumbar interfascial plane; mTLIP – modified thoracolumbar interfascial plane","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":"125 ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41315616","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}

{"title":"Management of burns","authors":"P. Sehrawat, I. Yousuf, P. Bansal","doi":"10.35975/apic.v24i5.1373","DOIUrl":"https://doi.org/10.35975/apic.v24i5.1373","url":null,"abstract":"Anesthetists have dual responsibilities when encountered with burns patients; they are often called to share the initial management in Emergency Department in view of their expertise in IV access and airway management, in the ICU for further management including ventilation, and in OR as patients with burns are regular visitors there.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42567718","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}

{"title":"COVID-19 induced mental suffering is more painful than physical suffering: an experience-based perspective","authors":"Habib Md Reazaul Karim","doi":"10.35975/apic.v24i5.1354","DOIUrl":"https://doi.org/10.35975/apic.v24i5.1354","url":null,"abstract":"COVID-19 pandemic has affected the lives of billions of human beings, either directly or indirectly. The physical presentation of the disease and its course to cure, permanent residual structural damage or death has been well documented. Few aspects that have recently been emphasized are the COVID fatigue and the mental suffering, not only by the general population, the COVID patients but also the healthcare professionals who are deputed to look after these patients. This manuscript throws some light on this very important aspect with long lasting impact. \u0000Keywords: COVID-19; Healthcare worker; Mental health; Stress \u0000Citation: Karim HMR.COVID-19 induced mental suffering is more painful than physical suffering: an experience-based perspective (Perspective). Anaesth. pain intensive care 2020;24(5):","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48907084","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}

{"title":"Geriatric Anesthesia","authors":"I. Yousuf, P. Bansal","doi":"10.35975/apic.v24i4.1326","DOIUrl":"https://doi.org/10.35975/apic.v24i4.1326","url":null,"abstract":"it is a quiz.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46031230","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}

{"title":"Three difficult airway management strategies in the same patient at three different times","authors":"E. Erkılıç, Handan Güleç, Z. Kónya, Selvinaz Hocuk, E. U. Aydın, M. Sahap","doi":"10.35975/apic.v24i4.1318","DOIUrl":"https://doi.org/10.35975/apic.v24i4.1318","url":null,"abstract":"Unpredictable difficult intubation is a commonly faced clinical issue and one of the most important reasons of morbidity related to anesthesia. We present a case of a 50 y old, 100 kg, 1.8 m tall (BMI=37) male patient, taken to OR (transoral robotic) for a planned biopsy because of a mass in his larynx. Videolaryngoscope was used two times but still intubation was unsuccessful.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48173379","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}