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Indian Journal of Anaesthesia

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https://www.readbyqxmd.com/read/30237599/critical-care-in-obstetrics
#1
REVIEW
Sunil T Pandya, Kiran Mangalampally
Pregnancy is a normal physiologic process with the potential for pathologic states. Pregnancy has several unique characteristics including an utero-placental interface, a physiologic stress that can cause pathologic states to develop, and a maternal-foetal interface that can affect two lives simultaneously or in isolation. Critical illness in pregnant women may result from deteriorating preexisting conditions, diseases that are co-incidental to pregnancy, or pregnancy-specific conditions. Successful maternal and neonatal outcomes for parturients admitted to a maternal critical care facility are largely dependent on a multidisciplinary input to medical or surgical condition from critical care physicians, obstetric anaesthesiologists, obstetricians, obstetric physicians, foetal medicine specialists, neonatologists, and concerned specialists...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237598/foetal-surgery-anaesthetic-implications-and-strategic-management
#2
REVIEW
Bhavani Shankar Kodali, Shobana Bharadwaj
Intrauterine surgery is being performed with increasing frequency. Correction of foetal anomalies in utero can result in normal growth of foetus and a healthier baby at delivery. Intrauterine surgery can also improve the survival of babies who would have otherwise died at delivery, or in the neonatal period. There are three commonly used approaches to correct foetal anomalies: open surgery, where the foetus is exposed through hysterotomy; percutaneous approach, where needle or foetoscope is inserted through the abdominal wall and the uterine wall; finally, ex utero intrapartum treatment (EXIT) surgery, where the intervention is performed on the baby before terminating the maternal umbilical support to the baby...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237597/anaesthesia-for-non-obstetric-surgery-in-obstetric-patients
#3
REVIEW
G L Ravindra, Abhinava S Madamangalam, Shwetha Seetharamaiah
Anaesthesia for pregnant patients presenting for non-obstetric surgery needs a thorough understanding of the physiological changes and altered pharmacokinetics of pregnancy. Considering the effects of surgery and anaesthesia on the foetus, only essential and emergency surgeries are performed during pregnancy. Surgical procedures in second trimester have the advantage of better foetal outcome. The primary concerns of maternal and foetal safety are achieved by a focused multidisciplinary team-based approach with respect to the surgical condition...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237596/anaesthetic-management-of-obstetric-emergencies
#4
REVIEW
Pradeep A Dongare, Madagondapalli S Nataraj
Obstetric emergencies are a challenge both for the obstetrician and the anaesthesiologist. The incidence of caesarean sections as per the National Family Health Survey published in 2015-16 was 17.2%. In 7.6% of cases, the decision to conduct a caesarean section was taken after the onset of labour pains. Caesarean sections are classified depending on the urgency into four categories. The target decision to delivery interval for category 1 caesarean section is less than 30 min. This is used as an audit tool for the efficiency of an obstetric service...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237595/management-of-major-obstetric-haemorrhage
#5
REVIEW
Anjan Trikha, Preet Mohinder Singh
One of the most important causes of maternal mortality is major obstetric haemorrhage. Major haemorrhage can occur in parturients either during the antepartum period, during delivery, or in the postpartum period. Early recognition and a multidisciplinary team approach in the management are the cornerstones of improving the outcome of such cases. The management consists of fluid resuscitation, administration of blood and blood products, conservative measures such as uterine cavity tamponade and sutures, and finally hysterectomy...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237594/approach-to-failed-spinal-anaesthesia-for-caesarean-section
#6
REVIEW
Ketan S Parikh, Shwetha Seetharamaiah
Failure of spinal anaesthesia for caesarean section may have deleterious consequences for the mother as well as the newborn baby. In this article, we discuss the mechanisms of failure of spinal anaesthesia as well as the approach to a failed block. We performed a literature search in Google Scholar, PubMed, and Cochrane databases for original and review articles concerning failed spinal anaesthesia and caesarean section. Strategies for a failed spinal anaesthetic include manoeuvers to salvage the block, repeating the block, epidural anaesthesia or a combined spinal-epidural (CSE) technique, or resorting to general anaesthesia...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237593/neuraxial-anaesthesia-in-parturient-with-cardiac-disease
#7
REVIEW
Minati Choudhury
Parturient with corrected or uncorrected cardiac problem may undergo neuraxial anaesthesia for several reasons and in different trimesters. The altered physiological state in a parturient is further deranged in the presence of a cardiovascular lesion, producing the added risk to the parturient undergoing a neuraxial block. A detailed evaluation, knowledge regarding cardiovascular disease state, more vigilant monitoring, and a team approach can lead to a successful outcome.
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237592/hypertensive-disorders-in-pregnancy
#8
REVIEW
Madhusudan Upadya, Sumesh T Rao
Hypertensive disorders of pregnancy (HDP) remain among the most significant and intriguing unsolved problems in obstetrics. In India, the prevalence of HDP was 7.8% with pre-eclampsia in 5.4% of the study population. The anaesthetic problems in HDP may be due to the effects on the cardiovascular, respiratory, neurologic, renal, haematologic, hepatic and uteroplacental systems. The basic management objectives should be facilitating the birth of an infant who subsequently thrives and completes restoration of health to the mother, or the termination of pregnancy with the least possible trauma to mother and foetus in severe pre-eclampsia...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237591/management-of-anaesthesia-for-elective-low-risk-category-4-caesarean-section
#9
REVIEW
Komal Anil Gandhi, Kajal Jain
An increasing number of caesarean sections are being performed for both elective as well as emergency cases. Category 4 caesarean section refers to a planned elective surgery after 39 weeks of gestation at a time suitable to the mother and the maternity team. For a safe conduct of anaesthesia, the updated obstetric anaesthesia guidelines recommend administration of neuraxial anaesthesia, whenever feasible. The management should include adequate postoperative pain relief, early ambulation, and thromboprophylaxis to ensure early recovery...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237590/neuraxial-techniques-of-labour-analgesia
#10
REVIEW
Sunanda Gupta, Seema Partani
In recent years, many neuraxial techniques have been introduced to initiate and maintain labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have improved the quality of analgesia and made it safer for both mother and neonate. An independent search of the databases of PubMed, Medline, and Cochrane controlled trial data was conducted by two researchers, and randomized controlled trials that compared different methods of neuraxial analgesia and the different techniques of maintaining labor analgesia were retrieved and analyzed...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30237589/physiological-and-anatomical-changes-of-pregnancy-implications-for-anaesthesia
#11
REVIEW
Pradeep Bhatia, Swati Chhabra
During pregnancy, the body goes through various anatomical and physiological changes to provide suitable environment for foetal development, to cater to the increased metabolic demands and to prepare for the childbirth. These changes have notable anaesthetic implications in determining the optimal anaesthetic technique, while also keeping in mind the gestational age, type of procedure and any coexisting medical condition. It is important to note that these changes revert to baseline (pre-pregnancy) levels at different time intervals during the postpartum period which is important while managing postpartum patients...
September 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166669/response-to-comments-quadratus-lumborum-block-failure-a-must-know-complication
#12
COMMENT
Gaurav Sindwani, Aditi Suri, Sandeep Sahu
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166668/in-response-to-quadratus-lumborum-block-failure-a-must-know-complication
#13
Ashok Jadon, Mohammad Amir
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166667/persistent-cerebral-desaturation-on-near-infrared-spectroscopy-without-neurological-insult
#14
Pooja Natarajan, Rahul GuhaBiswas, Atanu Saha, Pradeep Narayan
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166666/wolff-parkinson-white-syndrome-in-a-parturient-with-rheumatic-heart-disease-for-caesarean-section-anaesthesia-management
#15
Rachana Chhabria, Prajwala S Kaushik
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166665/anaesthetic-management-in-a-patient-with-progressive-supranuclear-palsy
#16
Antoine Abi Lutfallah, Christine Dagher, Nicole Naccache, Patricia Yazbeck
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166664/continuous-ultrasound-guidederector-spinae-plane-block-for-post-operative-pain-management-in-lumbar-spine-surgery-a-case-series
#17
Neeeraj Kumar Chaudhary, Swati Singh
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166663/anaesthetic-management-of-a-child-with-adrenoleukodystrophy-a-case-report
#18
Sachinkumar Wagh, P S Garcha, Sachin Hiradeve
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166662/mobile-phone-holder-as-an-ultrasound-transducer-stabilisation-device-a-novel-technique
#19
Ashutosh Kaushal, Ashish Bindra, Shalendra Singh
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/30166661/opioid-free-mastectomy-in-combination-with-ultrasound-guided-erector-spinae-block-a-series-of-five-cases
#20
Abhijit S Nair, Suresh Seelam, Vibhavari Naik, Basanth K Rayani
No abstract text is available yet for this article.
August 2018: Indian Journal of Anaesthesia
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