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Indian Journal of Anaesthesia

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https://www.readbyqxmd.com/read/28405051/nasal-septal-perforation-diagnosed-intraoperatively-by-course-of-nasotracheal-tube-from-left-nostril-to-right-nostril
#1
Sohan Lal Solanki, Jeson R Doctor, Shreyans Shah
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405050/another-approach-for-prone-positioning-under-general-anaesthesia
#2
Dileep Kumar, Mohammad Hamid, Kelash Kumar
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405049/use-of-malfunctioning-fibre-optic-bronchoscope-as-a-rescue-bougie
#3
Abinash Patro, Vansh Priya, Rafat Shamim, Prabhat Kumar Singh
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405048/congenital-factor-vii-deficiency-multidisciplinary-approach-is-the-key-to-successful-perioperative-outcome
#4
Sushama Raghunath Tandale, Sunita M Khedkar, Aparna Hemraj Yadav, Shivankar Ajatshatru
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405047/a-fatal-case-of-pulmonary-embolism-after-lumbar-spine-surgery
#5
Gaurav Singh Tomar, Sujoy Banik, Ranadhir Mitra, Rajendra Singh Chouhan
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405046/is-our-suction-apparatus-rightly-calibrated
#6
Shweta Panse, Sheetal Chiplonkar, Tista Ganguly
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405045/alternative-use-of-the-ophthalmic-drape-for-anaesthesia-procedures
#7
Nitin Bhorkar, Tasneem Dhansura, Urmila Tarawade, Sanchita Mahajan
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405044/salami-publishing-and-ethical-dilemmas-facing-editors
#8
Satyen Parida
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405043/anaesthetic-management-of-a-child-with-stone-man-syndrome-look-before-you-leap
#9
Geeta Kamal, Anju Gupta, Sapna Batla, Nishkarsh Gupta
Stone Man syndrome or fibrodysplasia ossificans progressiva (FOP) is an extremely rare (1 in 2 million) genetic disorder characterised by ectopic ossification of the skeletal and connective tissues leading to progressive fusion of axial and appendicular skeleton. Surgery and anaesthesia-induced trauma can lead to disease flare-up if due precautions are not taken and disable the patient further. However, rarity of the disease may lead to its common misdiagnosis and anaesthesiologist may be caught unaware. There is relative paucity of literature regarding anaesthetic management of children with FOP...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405042/ultrasonographic-measurement-of-optic-nerve-sheath-diameter-a-point-of-care-test-helps-in-prognostication-of-intensive-care-unit-patients
#10
Arnab Banerjee, Renu Bala, Savita Saini
Early identification of elevated intracranial pressure (ICP) is critical to ensuring timely and appropriate management to improve patient outcome. Measurement of the optic nerve sheath diameter by ultrasound is a well studied modality for noninvasive assessment of ICP. Recent studies have shown it to correlate with invasively measured ICP. We utilized this technique in our ICU and found it to be of great help in guiding patient management and predicting the prognosis. A case series of four patients is reported illustrating its utility in ICU patients...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405041/supraclavicular-brachial-plexus-block-comparison-of-varying-doses-of-dexmedetomidine-combined-with-levobupivacaine-a-double-blind-randomised-trial
#11
Srinivasa Rao Nallam, Sunil Chiruvella, Swetha Karanam
BACKGROUND AND AIMS: The ideal dose of dexmedetomidine for brachial plexus block is a matter of debate. This study was carried out to evaluate 50 μg or 100 μg of dexmedetomidine added to 0.5% levobupivacaine, with regard to the duration of analgesia. Our study also sought to assess the onset and duration of sensorimotor blockade, haemodynamic effects, sedation and adverse effects. METHODS: One hundred adult patients undergoing upper limb surgeries under supraclavicular brachial plexus block were randomly allocated into two groups...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405040/a-dose-finding-randomised-controlled-trial-of-magnesium-sulphate-as-an-adjuvant-in-ultrasound-guided-supraclavicular-brachial-plexus-block
#12
Versha Verma, Shelly Rana, Sudarshan Kumar Chaudhary, Jai Singh, Ravinder Kumar Verma, Saloni Sood
BACKGROUND AND AIM: Magnesium sulphate (MgSO4) has been used as an adjuvant in brachial plexus block with encouraging results; however, there is no consensus regarding its optimal dose. Thereby, we compared the efficacy of two doses of MgSO4 as an adjuvant in ultrasound (USG) guided supraclavicular brachial plexus block. METHODS: Ninety patients, aged 20-60 years, belonging to American Society of Anesthesiologists physical status 1 or 2, were given USG-guided supraclavicular block...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405039/disinfection-of-laryngoscopes-a-survey-of-practice
#13
Vaishali Prabhakar Chaskar, Nandini Malay Dave, Raylene Dias, Priyanka Karnik
BACKGROUND AND AIMS: The laryngoscope is a common piece of equipment used by anaesthesiologists. It has been identified as a potential source of cross infection. Although guidelines exist regarding appropriate disinfection practices, recent reviews suggest ineffectiveness of current methods of disinfection and poor compliance with the established protocols. We conducted a questionnaire-based survey to study the current disinfection practices being followed by a cross section of anaesthesiologists...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405038/incidence-of-posterior-wall-penetration-during-internal-jugular-vein-cannulation-a-comparison-of-two-techniques-using-real-time-ultrasound
#14
Shrikanth Srinivasan, Deepak Govil, Sachin Gupta, Sweta Patel, K N Jagadeesh, Deeksha Singh Tomar
BACKGROUND AND AIMS: The true incidence of penetration of the posterior wall (through-and-through puncture) of the internal jugular vein (IJV) during cannulation is unknown. This may have implications if there is hematoma formation, penetration and/or inadvertent cannulation of an underlying carotid artery. This study compared the incidence of posterior wall puncture during IJV cannulation using ultrasound guidance versus traditional landmarks-guided technique. METHODS: One hundred and seventy adult patients admitted to a gastro-liver Intensive Care Unit who required central venous lines were randomly divided into Group A: IJV cannulation using anatomical landmark-guided technique and Group B: IJV cannulation using real-time ultrasound guidance...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405037/the-effect-of-different-dose-regimens-of-tranexamic-acid-in-reducing-blood-loss-during-hip-surgery
#15
Anil Kumar Thipparampall, Indira Gurajala, R Gopinath
BACKGROUND AND AIMS: Antifibrinolytics may help bleeding in orthopaedic surgeries. The present study was undertaken to compare two dose regimens of tranexamic acid (TA) on perioperative blood loss in patients undergoing hip surgeries. METHODS: In a prospective, randomised, controlled study, 59 patients scheduled for hip surgery were divided into Group C: receiving normal saline (n - 20), Group B: receiving single dose of TA (10 mg/kg) (n - 21), and Group I: receiving a bolus (10 mg/kg) plus infusion (1 mg/kg/h) of TA up to 4 h postoperatively (n - 18)...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405036/rapidity-and-efficacy-of-ultrasonographic-sliding-lung-sign-and-auscultation-in-confirming-endotracheal-intubation-in-overweight-and-obese-patients
#16
Sunil Rajan, Jayasankar Surendran, Jerry Paul, Lakshmi Kumar
BACKGROUND AND AIMS: Obese individuals are predisposed to difficult airway and intubation. They usually yield confusing or misleading auscultatory findings. We aimed to assess the rapidity and efficacy of ultrasonographic (USG) sliding lung sign for confirming endotracheal intubation in normal as well as overweight and obese surgical patients. METHODS: This prospective, observational study was performed in forty surgical patients. Twenty patients with body mass index (BMI) <25 were recruited to Group A, whereas twenty patients with BMI ≥25 constituted Group B...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405035/safety-and-efficacy-of-transdermal-buprenorphine-versus-oral-tramadol-for-the-treatment-of-post-operative-pain-following-surgery-for-fracture-neck-of-femur-a-prospective-randomised-clinical-study
#17
Sameer N Desai, Santhoshi V Badiger, Shreesha B Tokur, Prashanth A Naik
BACKGROUND: Transdermal buprenorphine, which is used in chronic pain management, has rarely been studied for use in acute pain management. The aim of this study was to compare the safety and efficacy of transdermal buprenorphine patch to oral tramadol for post-operative analgesia, following proximal femur surgeries. METHODOLOGY: Fifty adult patients undergoing surgery for hip fracture under spinal anaesthesia were included in this study. One group (Group TDB) received transdermal buprenorphine 10 mcg/h patch applied a day before the surgery and other group received oral tramadol 50 mg three times a day for analgesia (Group OT)...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405034/a-multicentre-survey-of-the-current-acute-post-operative-pain-management-practices-in-tertiary-care-teaching-hospitals-in-maharashtra
#18
Samina Khaliloddin Khatib, Syed Shamim Razvi, Sadhana Sudhir Kulkarni, Swapnil Parab
BACKGROUND AND AIMS: Undertreated pain can have negative consequences on patients' health as well as the health-care system. The present study was aimed at identifying the current trends in post-operative pain management and availability of acute pain services (APS). In addition, it is also an attempt to assess the availability of analgesia for non-surgical cases, and the attitudes, beliefs, and perceptions of clinicians regarding acute pain management in the tertiary hospitals in the state of Maharashtra (India)...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405033/post-caesarean-analgesia-what-is-new
#19
REVIEW
Sukhyanti Kerai, Kirti Nath Saxena, Bharti Taneja
Adequate post-operative analgesia after caesarean section (CS) is vital as it impacts the distinct surgical recovery requirements of the parturient. Although newer analgesic modalities and drugs for post-caesarean analgesia have been introduced over the recent years, review of the literature suggests suggests that we are far from achieving the goals of optimum post-operative analgesia. We conducted a systematic review of recent advances in modalities for post-caesarean analgesia. After systematic search and quality assessment of studies, we included a total of 51 randomised controlled trials that evaluated the role of opioids, transversus abdominis plane (TAP) block, wound infiltration/infusion, ketamine, gabapentin and ilioinguinal-iliohypogastric nerve block (II-IH NB) for post-caesarean analgesia...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28405032/regulatory-requirements-for-clinical-trials-in-india-what-academicians-need-to-know
#20
Nithya J Gogtay, Renju Ravi, Urmila M Thatte
The academician forms the backbone of any medical college, hospital or university and shoulders the quadruple responsibilities of patient care, teaching, administration and research. Of these, research, though long and difficult, is extremely fulfilling. Academicians often carry out research that is based on observations in practice or in response to their patient's needs. These are called as "Investigator- initiated studies" and these may not have the funding support of the pharmaceutical industry. Hence, the investigator must make sure that he/she complies with the country's regulatory requirements...
March 2017: Indian Journal of Anaesthesia
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