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Anesthesia, Essays and Researches

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[This corrects the article on p. 83 in vol. 5, PMID: 25885306.].
October 2018: Anesthesia, Essays and Researches
(no author information available yet)
[This corrects the article on p. 680 in vol. 12, PMID: 30283175.].
October 2018: Anesthesia, Essays and Researches
Devika Bhatt, Ulpesh Shelke, Varsha Vyas, R P Gehdoo
Obstructive sleep apnea may be associated with numerous comorbidities and perioperative complications. Poor laryngeal anatomy visualization can be a cause of failed tracheal intubation after multiple attempts in patients with sleep-disordered breathing due to the underlying adenoid enlargement. We present a case of difficult endotracheal intubation in a 52-year-old menopausal female patient posted for tonsillectomy with adenoid resection with a history of snoring and difficulty in breathing while asleep. A thorough preoperative assessment focusing on history and investigating obstructive sleep apnea, and preparing and planning for difficult tracheal intubation in such patients can lead to successful endotracheal intubation inside the operation theater...
October 2018: Anesthesia, Essays and Researches
Mridul Panditrao, Minnu Panditrao
Hospital-acquired infections and their consequences are the main cause of morbidity/mortality in critically ill and immunocompromised patients. It becomes interesting when an unusual and uncommon microorganism is found to be the causative agent, rather than the known commensals and opportunists. We present such a case, when a multiparous female, in post lower uterine segment cesarean section period presented with fulminant septic shock, hepatic failure, coagulopathy, and ventilator-associated pneumonitis. The organism grown in the tracheal secretions turned out to be an uncommon, unusual Gram-negative Coccobacillus by the name of Pantoea dispersa , resistant to almost all the conventional antimicrobial agents...
October 2018: Anesthesia, Essays and Researches
Divya Gupta, Gurjeet Khurana, Parul Jindal, Pradeep Aggarwal
Context: Exposure to medications (prescribed or over-the-counter) or exposure to chemicals (unintentional or occupational) during pregnancy have always been of great scientific concerns. Aims: This study aims to ascertain whether the recently documented offspring sex ratio (OSR) skew in medical literature is reproducible among our respondent population and how our respondents' characteristics relate to the OSR skew (if any) in our respondent population. Settings and Design: A survey questionnaire uploaded on the SurveyMonkey® Online Portal...
October 2018: Anesthesia, Essays and Researches
Ranjita Acharya, Ranjita Baksi, Pratik Mohapatra
Background: Transversus abdominis plane (TAP) block in cesarean section is carried out by local anesthetics such as bupivacaine or ropivacaine with a limited duration of analgesia. The addition of adjuvants such as clonidine and dexmedetomidine has increased the duration of postoperative analgesia. Aims Settings and Design: The aim of this study was to compare the duration of postoperative analgesia between clonidine and levobupivacaine (0.25%) versus levobupivacaine (0...
October 2018: Anesthesia, Essays and Researches
N Gnanasekar, G Dilip Kumar, Pranjali Kurhekar, M S Raghuraman, T Krishna Prasad
Context: Dexamethasone as an adjunct to ropivacaine has shown promising results in prolonging the duration of analgesia in transverse abdominis plane (TAP) block. Only limited studies evaluated the effects of dexamethasone with ropivacaine in TAP block in specific population. Aims: The effects of adding dexamethasone to ropivacaine on the quality and duration of TAP block in lower abdominal surgeries in multiple specialties were studied. Settings and Design: This was a prospective, randomized, double-blinded study...
October 2018: Anesthesia, Essays and Researches
Hussein Y Abukhudair, Esam N Farhoud, Khalid M Abufarah, Abdullah T Obaid, Ola A Yousef, Aqel M Aloqoul
Background: Epidural analgesia is preferred in postoperative pain control, but dislodgment is a major factor for failure. Tunneling is well known to control displacement of catheters. In this study, we evaluated if we can depend on tunneling in preventing dislodgment of epidural catheters. Aims: The aim is to study if tunneling is effective and safe in reducing the rate of epidural catheters' dislodgment. Setting and Design: The study was carried out at a single tertiary cancer center...
October 2018: Anesthesia, Essays and Researches
Daisy Karan, Swastika Swaro, Pratik Ranjan Mahapatra, Anwesha Banerjee
Background: Bulk of published data support the efficacy of dexmedetomidine for prolongation of peripheral nerve block; but most of the studies are in adults. Ample data regarding use of dexmedetomidine in setting of paediatric peripheral nerve blocks is scarce. Aim and Objective: To determine whether adding dexmedetomidine to ropivacaine in ilioinguinal-iliohypogastric nerve block prolongs postoperative analgesia in children undergoing inguinal hernia repair. Material and Methods: Sixty children of American Society of Anesthesiologist (ASA) grade I - II aged between 2-11 years scheduled for elective hernitomy were randomly allocated to receive an ultrasound guided ilioinguinal-iliohypogastric nerve block (IINB) with 0...
October 2018: Anesthesia, Essays and Researches
G Dilip Kumar, N Gnanasekar, Pranjali Kurhekar, T Krishna Prasad
Context: Traditional truncal blocks are devoid of visceral analgesia. Quadratus lumborum (QL) block has shown greater efficacy in providing the same. Aims: This study was done to compare the efficacy of transversus abdominal plane (TAP) block versus QL block in providing postoperative analgesia for lower abdominal surgeries. Settings and Design: This was a prospective, randomized, double-blinded study. Subjects and Methods: Seventy adult patients were randomly allocated into two groups, where Group A received TAP block with 20 ml of 0...
October 2018: Anesthesia, Essays and Researches
Ayman Anis Metry, Manal M Kamal, Milad Z Ragaei, George M Nakhla, Rami M Wahba
Background: This study was established to compare the analgesic and side effects between transdermal ketoprofen patch 30 mg and eutectic mixture of local anesthetic (EMLA) cream applied to the peripheral venous cannulation site and lidocaine injection before cannulation. Patients and Methods: One hundred and five adult patients who had been scheduled for elective general surgery with patients' physical status American Society of Anesthesiologists classes I and II were randomly divided into three groups: Group I (EMLA group) received EMLA cream, Group II (lidocaine group) received subcutaneous infiltration of 1 ml of 2% lidocaine HCl 10 min before cannulation, and Group III (ketoprofen group) received a transdermal ketoprofen patch 30 mg...
October 2018: Anesthesia, Essays and Researches
Mayank Kumar, Mamta Sinha, Habib Md Reazaul Karim, Chinmaya Kumar Panda, Subrata Kumar Singha
Background: Fresh gas flow (FGF) during volatile inhalational agent-based anesthesia is a concern for many reasons. Advancement in anesthesia workstation (WS) and monitoring of anesthesia gas concentrations has led to the feasibility of lower flow safely. However, the practice pattern is not yet well known. The information can help us in better protocol formation. Aim: The survey was aimed to know the prevailing practice pattern of FGF and volatile agent choices and compare them among anesthesiologists of different working setups and experiences...
October 2018: Anesthesia, Essays and Researches
A V Gurava Reddy, Chiranjeevi Thayi, Nandkumar Natarajan, Sukesh Rao Sankineani, Deepesh Daultani, Vishesh Khanna, Krishna Kiran Eachempati
Background: Pain control after total knee arthroplasty (TKA) through local analgesic cocktail preparation has gained widespread popularity in recent times. Local steroids have potent anti-inflammatory effect leading to reduced postoperative swelling and pain which might increase the efficacy and duration of local infiltration analgesia. Aim: The aim is to evaluate whether the addition of local steroid to an injectable analgesic cocktail for periarticular infiltration leads to better pain control and knee range of motion (ROM) in the immediate postoperative period compared to patients who do not receive steroid in their cocktail...
October 2018: Anesthesia, Essays and Researches
Ravi Kumar Keshri, Mukesh Kumar Prasad, Amit Kumar Choudhary, Gurdeep Singh Jheetay, Yashowardhan Singh, Kali Kapoor
Background: Dexmedetomidine, a selective alpha 2 (α2 )-adrenergic receptor agonist, has been used to blunt the hemodynamic response associated with laryngoscopy and tracheal intubation, which is a common concern for the anesthesiologist, especially in high-risk patients and geriatric age group. Aim and Objectives: The current study is to evaluate and compare the effects of different doses of dexmedetomidine in controlling hemodynamic response during tracheal intubation in geriatric patients...
October 2018: Anesthesia, Essays and Researches
Choro Athiphro Kayina, Rashmi Salhotra, Ashok K Sethi, Medha Mohta, Arun K Sharma
Background: Postintubation sequels (PIS) are a cause of serious concern in the postoperative period. Aim: The aim of this study is to find the influence of preoperative inhaled steroid and technique of muscle relaxation on PIS. Settings and Design: This prospective, exploratory pilot study was conducted on 120 adult American Society of Anesthesiologist physical status Class I and II patients undergoing general anesthesia (GA) with muscle relaxation and cuffed endotracheal tube (ETT) insertion...
October 2018: Anesthesia, Essays and Researches
Sivakumar Segaran, Arish T Bacthavasalame, Ranjan R Venkatesh, Mamie Zachariah, Sagiev Koshy George, Ravichandran Kandasamy
Background: Postoperative sore throat (POST) is a known complication following general anesthesia requiring endotracheal intubation. Its incidence ranges from 21% to 65% and remains the eighth most undesirable postoperative event. Various measures have been tried to decrease the incidence of sore throat with various success rates. Aim: This study aimed at reducing the incidence of POST with ketamine and magnesium sulfate nebulization. Settings and Design: This study is a prospective randomized, double-blinded study...
October 2018: Anesthesia, Essays and Researches
Ayça T Dumanlı Özcan, Elvin Kesimci, Cemile Altın Balcı, Orhan Kanbak, Hülya Kaşıkara, Abdulkadir But
Background: Bone cement implantation syndrome (BCIS) is characterized by hypoxia hypotension cardiac arrest. There is not any research that investigated the hemodynamic effects of colloid use during and before cement implantation regarding BCIS development. Aims: We aimed to compare the effects of colloid preloading before or coloading simultaneously at cement implantation on BCIS development and hemodynamic parameters in patients who underwent total knee arthroplasty...
October 2018: Anesthesia, Essays and Researches
Maged Labib Boules
Background: Vascular access is a top priority in the critically ill patients. Cannulation - venous and/or arterial - is the first step in any emergency situation. Ultrasound (US)-guided vascular cannulation was found to have a higher success rate and a decreased incidence of mechanical complications as compared with the landmark one. Aim: This study aims to compare subclavian vein (SCV) access through supraclavicular (SC) approach by endocavitary (EC) probe technique versus linear array high-frequency probe technique...
October 2018: Anesthesia, Essays and Researches
Kamal Kajal, Amarjyoti Hazarika, Seran Reddy, Kajal Jain, Shyam Charan Meena
Context: Although international guidelines have been developed for emergency tracheal intubation (ETI), there is little evidence of their applicability in developing countries. Aims: The aim of this study was done to evaluate the different methods of ETI that are practiced among anesthetist and anesthesia trainees in India outside operating room (OR)/intensive care unit (ICU) settings. Settings and Design: This was prospective observational audit did among anesthesia personals managing ETI outside OR and ICU...
October 2018: Anesthesia, Essays and Researches
S Suresh Kumar, Vandana Talwar, Poonam Gupta, Anoop Raj Gogia
Background: The primary goal of ambulatory anesthesia is a rapid recovery with minimal side effects. Ropivacaine, due to its property of sensory-motor dissociation, maybe a useful agent when equivalent spinal anesthesia and quicker recovery of motor function is desirable. Aim: The aim of this study is to compare the efficacy of intrathecal isobaric ropivacaine with bupivacaine and to assess their postoperative recovery profile in patients undergoing arthroscopic knee surgery...
October 2018: Anesthesia, Essays and Researches
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