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Indian Journal of Anaesthesia

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https://www.readbyqxmd.com/read/28970636/post-cardiac-transplant-recipient-implications-for-anaesthesia
#1
REVIEW
Minati Choudhury
The annual heart transplant rate is gradually increasing worldwide. A proportion of this patient population present for an elective or emergency surgery which may or may not be related to the transplanted heart. A MEDLINE search for heart transplant, anaesthesia, adult, paediatric and surgery was conducted to review anaesthetic management for heart transplant recipients. Anaesthesia and perioperative management are different in these cases. A thorough understanding of the physiology of denervated heart, post-transplant morbidities and pharmacology of immunosuppressants is essential for best perioperative management and improved post-operative outcome...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970635/basics-of-cardiopulmonary-bypass
#2
REVIEW
Manjula Sarkar, Vishal Prabhu
Cardiopulmonary bypass (CPB) provides a bloodless field for cardiac surgery. It incorporates an extracorporeal circuit to provide physiological support in which venous blood is drained to a reservoir, oxygenated and sent back to the body using a pump. Team effort between surgeon, perfusionist and anaesthesiologist is paramount for the successful use of CPB. However, it also has its share of complications and strategies to reduce these complications are the area of the current research.
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970634/severe-pulmonary-hypertension-and-right-ventricular-failure
#3
REVIEW
Ajay Kumar, Praveen Kumar Neema
Perioperative management of severe pulmonary hypertension (PH) is challenging. Anaesthesiologists come across perioperative management of such cases during incidental surgeries, surgery for various congenital heart diseases and valvular heart diseases and for caesarean section or painless labour in pregnant patient with Eisenmenger syndrome. Knowledge of pathophysiology of PH and novel drugs acting through different mechanisms is paramount in managing such patients. This review will help understanding pathophysiology of PH, anaesthetising patients with PH, use of novel drugs for PH and use of new mechanical devices for rescue of failing right ventricle...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970633/congenital-heart-diseases-and-anaesthesia
#4
REVIEW
Sandip Waman Junghare, Vinayak Desurkar
Patients with congenital heart diseases (CHDs) are at increased risk of developing complications during anaesthesia. Improvements in medical and surgical management in recent decades have resulted in significantly more children with CHD surviving to adulthood. The aim of this article is to focus on broad classification of CHD and to provide an updated review on the current perioperative anaesthetic management of CHD patients in different settings such as (a) interventional cardiac procedures that have dominated the field, (b) uncorrected patients for non-cardiac surgery and (c) corrected patients for non-cardiac surgery...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970632/anaesthetic-consideration-in-patients-with-cardiac-implantable-electronic-devices-scheduled-for-surgery
#5
REVIEW
Murali Chakravarthy, Dattatreya Prabhakumar, Antony George
With advances in cardiology and cardiothoracic surgery, several newer implantable cardiac devices have become common in the surgical population. Multichamber pacemakers, implanted cardiac defibrillators and ventricular assist devices are frequent in current day practice. Many of the newer implantable cardiac electronic devices are targeted at managing heart failure. While managing such patients for non-cardiac surgeries, specific issues related to equipment characteristics and troubleshooting should be a priority for the anaesthesiologists...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970631/cardiomyopathies-and-anaesthesia
#6
REVIEW
Rajiv Juneja, Prajeesh M Nambiar
Cardiomyopathy is considered as a heart muscle disease of multiple aetiologies, unlike other cardiac diseases related to a definitive pathophysiology. With more and more research and with the advent of genetic analysis pin pointing the disease causing mutations, causative factors have been defined and classifications and definitions have changed over time. Patients with these conditions present to anaesthesiologists in elective and emergency situations, placement of automated internal cardioverter defibrillator (AICD) devices or biventricular pacing but may also be diagnosed at anaesthetic pre-assessment...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970630/valvular-heart-disease-and-anaesthesia
#7
REVIEW
Abhijit Paul, Sucharita Das
Valvular heart disease presents as mixed spectrum lesion in healthcare settings in the third-world and developing countries. Rheumatic heart disease still forms the bulk of the aetiopathology of valve lesions. Mitral and aortic valve lesions top the list of valvular pathology. A thorough understanding of the pathophysiology of valvular heart disease is essential while planning anaesthesia and perioperative care for such patients. Meticulous use of optimal fluids, close monitoring of the changing haemodynamics and avoidance of situations that can cause major reduction of cardiac output and fluid shifts are mandatory to achieve good clinical outcome...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970629/cardiac-tachyarrhythmias-and-anaesthesia-general-principles-and-focus-on-atrial-fibrillation
#8
REVIEW
Satyen Parida, Chitra Rajeswari Thangaswamy
Cardiac tachyarrhythmias are encountered commonly during the perioperative period and need to be promptly identified and appropriately managed by the anaesthesiologist. This review intends to highlight important aspects of these tachyarrhythmias and explore a temporal relationship between common medications employed in the perioperative period and their causation. Mechanisms of initiation of tachyarrhythmias, drugs that can trigger those, as well as their diagnosis and management, are also parts of the current review...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970628/the-patient-with-ischaemic-heart-disease-undergoing-non-cardiac-surgery
#9
REVIEW
Jagadish Hedge, P R Balajibabu, Thirunavukkarasu Sivaraman
The incidence of ischaemic heart disease (IHD) is increasing. The patients with IHD with or without interventions coming for non-cardiac surgical procedures are also increasing. These patients have increased risk of myocardial ischaemia, myocardial infarction (MI), conduction disturbances, morbidity and mortality during the peri-operative period. The risks of these events are even higher in patients with recent MI. An anaesthesiologist should be aware of the pathophysiology and the need to thoroughly evaluate the patient for peri-operative management...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970627/systemic-hypertension-and-non-cardiac-surgery
#10
REVIEW
Satyajeet Misra
Primary systemic hypertension affects 10%-25% of individuals presenting for surgery and anaesthesia and constitutes an important cause of cancellation of elective surgeries. Much of the fear stems from the fact that hypertension may lead to adverse perioperative outcomes. Although long-standing hypertension increases the risk of stroke, renal dysfunction or major adverse cardiovascular events, the same is usually not seen in the perioperative period if blood pressure is <180/110 mmHg and this has been the overriding theme in the recent guidelines on perioperative blood pressure management...
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28970626/the-post-graduate-issue-on-cardiovascular-diseases-and-anaesthesia
#11
EDITORIAL
R Gopinath, Jigeeshu V Divatia
No abstract text is available yet for this article.
September 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890572/capnography-in-the-endoscopy-suite-a-necessity-not-a-luxury
#12
Jeson Rajan Doctor, Reshma Ambulkar, Rohit Patnaik, Jigeeshu V Divatia
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890571/a-novel-position-for-d2-kyphoplasty-swimmer-s-position
#13
Shagun Bhatia Shah, Ajay Kumar Bhargava, Ramandeep Singh Jaggi
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890570/encountering-caudal-cyst-on-ultrasound-what-do-we-do
#14
Vrushali Chandrashekhar Ponde, Vinit Vinod Bedekar
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890569/yet-another-cause-for-difficult-extubation-of-nasotracheal-tube
#15
Sheeba J Annie, R Sripriya, Areti Archana, T Sivashanmugam
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890568/transdermal-fentanyl-patch-in-post-operative-patients-is-it-justified
#16
Abhijit S Nair
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890567/novel-use-of-transoesophageal-echocardiography-in-a-pregnant-patient-undergoing-neurosurgery
#17
Keshav Goyal, Kunal Singh, Ranadhir Mitra, Gaurav Singh Tomar
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890566/airway-management-with-a-rigid-external-distractor-in-place
#18
Masanori Tsukamoto, Jun Hitokawa, Takeshi Yokoyama
No abstract text is available yet for this article.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890565/anaesthetic-management-of-infants-posted-for-repair-of-anomalous-origin-of-left-coronary-artery-from-pulmonary-artery
#19
Chitralekha Patra, Naveen G Singh, N Manjunatha, Anand Bhatt
First described in 1908, anomalous origin of left coronary artery from pulmonary artery is a very rare congenital anomaly. Here, the right coronary artery is usually enlarged and has a normal origin from aorta. Numerous collaterals connect the two coronary arteries over right ventricular outflow tract or interventricular septum. It is one of the most common causes of myocardial ischaemia and infarction in children.
August 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28890564/laryngeal-mask-airway-protector%C3%A2-advanced-uses-for-laparoscopic-cholecystectomies
#20
Leng Zoo Tan, Daryl Jian'An Tan, Edwin Seet
The laryngeal mask airway (LMA) Protector™ is a second-generation perilaryngeal sealer type supraglottic airway device recently introduced into clinical practice. We describe our initial experiences with the use of the LMA Protector™ in three patients undergoing laparoscopic cholecystectomies. In all patients, we found the LMA Protector™ to have acceptable placements on the first attempt, adequate oropharyngeal leak pressures and ventilation adequacy.
August 2017: Indian Journal of Anaesthesia
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