Bali Journal of Anesthesiology最新文献_第10页

A comparative study on the efficacy of oral midazolam and oral triclofos sodium for conscious sedation in pediatric group of patients 口服咪达唑仑和口服三氯芬钠对儿童清醒镇静效果的比较研究

Bali Journal of Anesthesiology Pub Date : 2022-01-01 DOI: 10.4103/bjoa.bjoa_136_21

J. Prakash, Partha Ghosh, L. Tudu, P. Shrivastava, Anupa Prasad, S. Priye

{"title":"A comparative study on the efficacy of oral midazolam and oral triclofos sodium for conscious sedation in pediatric group of patients","authors":"J. Prakash, Partha Ghosh, L. Tudu, P. Shrivastava, Anupa Prasad, S. Priye","doi":"10.4103/bjoa.bjoa_136_21","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_136_21","url":null,"abstract":"Background: Behavioral management and carrying out surgical procedures for very young, uncooperative, anxious children can be challenging. It is usually encountered in children below the age of 6 years due to the following contributing factors such as immature reasoning, anxiety, fear, and inadequate coping skills. The goal of the study was to compare the efficacy of oral midazolam and oral triclofos sodium for conscious sedation in pediatric group of patients before elective surgeries. Materials and Methods: This prospective, single- blinded, randomized controlled, comparative study was conducted in 60 patients aged 2–8 years who were scheduled for elective surgery. The patients were randomly divided into two groups: M and T of 30 children each, where group M received 0.5 mg//kg midazolam and group T received 75 mg/kg triclofos sodium, orally, 60 min prior to anesthetic induction. The hemodynamics, acceptability of drugs, depth of sedation, and anxiety during separation from parents were assessed. Fisher’s exact test, chi-square test, and Student’s t test were applied to find significance. Results: The mean systolic and diastolic blood pressure, heart rate, respiration rate, and oxygen saturation at baseline to 60 min in groups M and T showed no significant difference between groups. Triclofos sodium has better acceptability over oral midazolam, whereas oral midazolam has better sedative properties over oral triclofos sodium. Conclusion: Oral midazolam was found to be more effective premedication and may be preferred over triclofos sodium due to the rapid and better sedative effect as well as good anxiolysis properties.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49449338","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

Dexmedetomidine and clonidine as adjuvants to ropivacaine in adductor canal block for postoperative analgesia in patients undergoing arthroscopic anterior cruciate ligament reconstruction: A prospective, randomized, double-blind study 右美托咪定和可乐定作为罗哌卡因内收肌管阻滞辅助关节镜下前交叉韧带重建患者术后镇痛的前瞻性、随机、双盲研究

Bali Journal of Anesthesiology Pub Date : 2022-01-01 DOI: 10.4103/bjoa.bjoa_88_21

Gajanan Fultambkar, Shirisha Kasetty, B. Vijayanand, Abhijit S. Nair

{"title":"Dexmedetomidine and clonidine as adjuvants to ropivacaine in adductor canal block for postoperative analgesia in patients undergoing arthroscopic anterior cruciate ligament reconstruction: A prospective, randomized, double-blind study","authors":"Gajanan Fultambkar, Shirisha Kasetty, B. Vijayanand, Abhijit S. Nair","doi":"10.4103/bjoa.bjoa_88_21","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_88_21","url":null,"abstract":"Background: Patients undergoing arthroscopic anterior cruciate ligament (ACL) reconstruction experience significant postoperative pain, which could lead to a delay in recovery and discharge from an ambulatory surgical setting. Adductor canal block (ACB) has been used to offer effective postoperative analgesia after ACL repair. We compared the analgesic efficacy of alpha-2 agonists clonidine and dexmedetomidine as adjuvants to local anesthetics in ACB. Patients and Methods: Sixty subjects scheduled for elective arthroscopic ACL reconstruction were randomized into two groups of 30 patients each. Group 1 patients received US-guided ACB with 20 mL of 0.5% ropivacaine with 1 μg/kg clonidine as an adjuvant; group 2 patients received ACB with 20 mL of 0.5% ropivacaine with 1 μg/kg dexmedetomidine as an adjuvant. Demographic data, pain scores, motor and sensory block, postoperative tramadol consumption, time to rescue analgesia, and adverse events were compared. Results: The demographic data were comparable between both groups. The patients in group 2 when compared with group 1 had increased time for request to rescue analgesic (488.83 ± 67.934 min compared with 975.07 ± 90.251 min, P < 0.001), reduced tramadol consumption (179.33 ± 44.095 mg compared with 179.33 ± 44.095 mg, P < 0.001), and better pain scores at 12 and 18 h. Postoperative nausea and vomiting was less in group 2 compared with group 1. Conclusion: Dexmedetomidine, when added as an adjuvant to 0.5% ropivacaine in ACB, leads to increased time to first request of tramadol, reduced postoperative tramadol requirement, and decreased NRS scores when compared with clonidine.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44778058","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

Introduction of direct observation of procedural skills as workplace-based assessment tool in department of anesthesiology: Evaluation of students’ and teachers’ perceptions 麻醉科引入程序技能直接观察作为工作场所评估工具:对学生和教师认知的评估

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_59_21

P. Mathur

{"title":"Introduction of direct observation of procedural skills as workplace-based assessment tool in department of anesthesiology: Evaluation of students’ and teachers’ perceptions","authors":"P. Mathur","doi":"10.4103/bjoa.bjoa_59_21","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_59_21","url":null,"abstract":"Background: The direct observation of procedural skills (DOPS) was introduced for the workplace-based assessment of procedural skills. It offers an opportunity to provide feedback to trainees. This makes DOPS an authentic measure of clinical competence in anesthesiology training. The goal of this study was to assess the perceptions of both trainees and consultants regarding the use of DOPS and to evaluate the performance of anesthesia postgraduate (PG) trainees over consecutive assessments. Materials and Methods: After approval from the ethical committee and sensitization workshop, two exposures of DOPS per trainee were given for three common anesthesia skills as per their years in training. Thereafter anonymous feedback was collected from faculty and trainees to gather their perception regarding DOPS. Consecutive DOPS scores for trainees were analyzed. Data were presented in terms of percentages, mean, and standard deviation. A P value of <0.05 was considered significant. Results: More than 50% of participants were satisfied with the way DOPS was conducted and thought it was feasible for formative assessment. About 80% of participants were of the view that DOPS is helpful for anesthesia training and improving anesthesia procedural skills. Yet only 40%–50% favored the addition of DOPS to the departmental assessment plan. Significant improvement was observed in DOPS scores of PG trainees. Mean DOPS scores of postgraduate trainee year 1, 2, and 3 (JR 1, JR 2, and JR 3) increased from 2.6 to 4.8, 4 to 5.7, and 5.6 to 7, respectively (P < 0.05). Conclusions: DOPS may be considered as a useful tool for workplace-based assessment for anesthesia PG training.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41677889","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 patients undergoing one-step surgical tracheoesophageal fistula: Case series 一期气管食管瘘手术患者的麻醉处理:病例系列

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_84_21

Desy Permatasari, Putu Kurniyanta, T. Senapathi

{"title":"Anesthetic management of patients undergoing one-step surgical tracheoesophageal fistula: Case series","authors":"Desy Permatasari, Putu Kurniyanta, T. Senapathi","doi":"10.4103/bjoa.bjoa_84_21","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_84_21","url":null,"abstract":"The anesthetic management of newborns with tracheoesophageal fistula (TEF) and esophageal atresia (EA) can be challenging due to fistula between the airway and esophagus leading to difficulty in perioperative airway management. Maintaining the endotracheal tube (ETT) position during surgical manipulation and adequate ventilation without gastric distention complications is crucial. This study presents two cases of full-term and normal-birthweight newborns with Type C TEF/EA. Both of the patients underwent one-step surgical repair without gastrostomy insertion. Instead of using gastrostomy, correct placement of ETT might be checked by physical examination. Induction of anesthesia was done using volatile inhalational agents and fentanyl as analgetic. For intubation facilitation, spontaneous breath and ventilation were maintained to prevent gastric distention. This report showed that good intubation conditions could be achieved with deep volatile agents and without muscle relaxants. Patients were ventilated with an assisted-controlled technique following their spontaneous breath until the defect was ligated. Hemodynamic was maintained stably in both patients during the operation. Full-term babies with normal birthweight and no other congenital anomalies are generally associated with a better prognosis.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46520298","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

The invisible frontrunner: Anesthesiologist 5.0 隐形领跑者:麻醉师5.0

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_27_21

B. Tutuko, Marilaeta Cindryani

引用次数: 0

Knowledge, attitude, and practices of Indian anesthesiologists regarding the comprehensive preanesthetic assessment of geriatric patients: A cross-sectional survey 印度麻醉师对老年患者进行全面麻醉前评估的知识、态度和实践：一项横断面调查

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_26_21

P. Ahluwalia, B. Gupta

{"title":"Knowledge, attitude, and practices of Indian anesthesiologists regarding the comprehensive preanesthetic assessment of geriatric patients: A cross-sectional survey","authors":"P. Ahluwalia, B. Gupta","doi":"10.4103/bjoa.bjoa_26_21","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_26_21","url":null,"abstract":"Background: Comprehensive preoperative geriatric evaluations, including frailty, diet, mobility aid use, physical activity, cognitive testing, and mood state assessment, help predict perioperative outcomes in elderly patients. Material and Methods: An online questionnaire-based Google survey was prepared to assess preanesthetic checkup (PAC) in elderly patients by practicing anesthesiologists over 3 months. Data about respondent demographics, knowledge about preoperative investigations, and utilization of validated tools for risk assessment in geriatric patients were collected and analyzed descriptively using different percentages and frequencies. Results: The invitation was sent to 500 anesthesiologists. One hundred and fifty-six recipients responded to the e-mail invitation producing an overall response rate of 31.2%. About 47.4% and 42.4% of anesthesiologists had an equal preference for regional/general anesthesia in conducting elderly elective cases for surgeries, the choice of anesthesia was mainly regional anesthesia in cognitively impaired elderly patients. Nearly 88.5% and 78.2% of practicing anesthesiologists were well aware and conducted the functional assessment and mini—mental state examination in geriatric patients, but only 48.7% were aware of frailty scoring, 30.8% were aware of Charlson comorbidity scoring index, and 24.4% were about Elderly Mobility Scale (EMS). Conclusion: Surgical results are strongly influenced by the general health, work, and life expectancy of patients. A comprehensive preoperative geriatric evaluation of patients must be extended beyond an organ-based or disease-based evaluation. We support the inclusion in the PAC of geriatric patients of validated score systems, including frailty score, Charlson comorbidity score index, EMS, functional assessment, and mini—mental state assessment.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42046129","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

Emergency management of cyanotic spell in a COVID-19 suspect tetralogy of Fallot child 疑似COVID-19法洛四联症患儿紫绀期的应急处理

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_44_21

R. Magoon, Iti Shri, Jasvinder K Kohli, R. Kashav

引用次数: 0

Target and goal mismatch during mechanical ventilation in COVID-19 patients 新冠肺炎患者机械通气过程中的目标和目标不匹配

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_22_21

Amarjeet Kumar, Neeraj Kumar

引用次数: 0

Non-traumatic “saline flush stylet” technique as an alternative rescue approach in difficult peripheral arterial catheter insertion 非创伤性“生理盐水冲针”技术作为外周动脉导管置入困难的另一种抢救方法

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_58_21

M. Dhar

引用次数: 0

Role of telemedicine in anesthesia: Are we ready yet? 远程医疗在麻醉中的作用：我们准备好了吗？

Bali Journal of Anesthesiology Pub Date : 2021-10-01 DOI: 10.4103/bjoa.bjoa_51_21

Seema Mishra, Raghav Gupta, Swagata Biswas

引用次数: 2