journal
https://read.qxmd.com/read/36620102/perioperative-challenges-in-the-management-of-rhino-orbital-cerebral-mucormycosis-an-observational-study-from-a-tertiary-care-hospital
#21
JOURNAL ARTICLE
Pradnya Milind Bhalerao, Shital Mahendra Kuttarmare, Shweta Joshi, Sanyogita Vijay Naik
BACKGROUND: Coronavirus disease 2019 (COVID-19) pandemic is the biggest threat of the century. Associated with this disease, are a number of rhino orbital cerebral mucormycosis cases seen as post COVID sequelae. Amphotericin B and surgical debridement are the treatment modalities. AIMS: This study aimed to describe the clinical characteristics and perioperative outcomes of patients with ROCM. SETTINGS AND DESIGN: This was a prospective, observational study...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36620101/to-compare-the-effectiveness-of-granisetron-versus-ondansetron-to-control-nausea-and-vomiting-during-lower-segment-cesarean-section-under-subarachnoid-block
#22
JOURNAL ARTICLE
Milan Vijaykant Mehta, Palak Anilkumar Chudasama, Tushar Baria
BACKGROUND: Nausea and vomiting (NV) seen during and after lower segment cesarean section (LSCS) are due to increased intragastric pressure, hypotension, stretching the peritoneum (exteriorization of the uterus), excessive surgical manipulation and visceral stimulation, using opioids, using uterotonic agents, and the patient's mental status. Ondansetron and granisetron intravenous (i.v.) are useful for avoiding bradycardia and hypotension. OBJECTIVES: The objective of this study is to study the effectiveness of granisetron versus ondansetron to control NV during LSCS under subarachnoid block...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36620100/ultrasonographic-changes-in-transorbital-measurement-of-optic-nerve-sheath-diameter-in-magnesium-sulfate-treated-severely-preeclamptic-patients-a-prospective-observational-study
#23
JOURNAL ARTICLE
Kanchan Rani, Payal Jain, Sushil D Bhogawar, Radhika S Bhogawar, Mukesh Kumar Prasad, Amit Kumar Choudhary
INTRODUCTION: Severe preeclampsia can lead to various complications including increased intracranial pressure (ICP) which can be catastrophic but difficult to detect because of variable nonspecific symptoms. Ultrasonography has been used as noninvasive measure to monitor optic nerve sheath diameter (ONSD) as a marker of raised ICP. Effect of MgSO4 on ICP can modify the management approach, need for additional monitoring, targeting hemodynamic goals, timing of delivery, and choice of anesthesia...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36620099/caudal-morphine-in-pediatric-patients-a-comparison-of-two-different-doses-in-children-undergoing-infraumbilical-surgery-a-prospective-randomized-double-blind-study
#24
JOURNAL ARTICLE
Sushree Das, Ranjita Acharya, Madhusmita Patro, Nupur Moda, Gunde Mounika
BACKGROUND: One of the most feared symptoms of any disease is PAIN. It is a complex phenomenal experience, especially in children. Various methods and medications have been administered through different routes. Regional anesthesia produces marvelous postoperative analgesia and cessation of stress response in infants and children. Caudal epidural analgesia is the most acceptable and popular method of providing intra- and postoperative analgesia for abdominal, perineal, and lower limb surgeries in children...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36620098/reduction-in-the-rate-of-mortality-of-moderate-to-severe-covid-19-infected-patients-with-the-use-of-remdesivir-a-tertiary-care-hospital-based-retrospective-observational-study
#25
JOURNAL ARTICLE
Mahima Lakhanpal, Debpriya Sarkar, Ritesh Kumar, Isha Yadav
BACKGROUND: As the waves of coronavirus disease 2019 (COVID-19) pandemic continues, the current treatment modalities emphasize the use of antiviral agents to save the human lives. Even though remdesivir is one of the current recommended modalities, data on the efficacy of remdesivir in reducing the rate of 28-day mortality are still not concurrent in all the reports. AIM: The present study aimed to determine the effectiveness of remdesivir in reducing the rate of mortality in a tertiary care hospital as retrospective comparative analysis...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447929/evaluation-of-the-efficacy-of-turmeric-based-lozenges-for-the-prevention-of-postoperative-sore-throat-in-surgeries-done-under-laryngeal-mask-airway-insertion
#26
JOURNAL ARTICLE
Shehla Naseem, Divya Gupta, Harish Koshyari
CONTEXT: Sore throat is a common complaint to both laryngeal mask airway (LMA) insertion and endotracheal tube intubation. Its incidence in LMA has been found to vary between 5.8% and 34%. Administration of medicated lozenges in the preoperative period is also a route available for the prevention of postoperative sore throat (POST). AIM: The aim of this double-blinded randomized controlled study was to evaluate the efficacy of turmeric-based lozenges given preoperatively in patients undergoing general anesthesia (GA) under LMA insertion for the prevention of POST...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447928/clinical-evaluation-of-two-different-doses-of-clonidine-as-an-adjuvant-to-bupivacaine-in-ultrasound-guided-supraclavicular-brachial-plexus-block-for-pediatric-upper-limb-surgeries-a-randomized-trial
#27
JOURNAL ARTICLE
Rohan Sharma, Geeta Kamal, Shilpa Agarwal, Anju Gupta, Aikta Gupta, Bhumika Kalra
BACKGROUND: Clonidine as an adjuvant to local anesthetic for regional anesthesia in upper limb surgeries has been extensively studied in adults, but there is a paucity of data regarding the dose of clonidine which is effective and safe as an adjuvant in children. AIMS: To find the dose of clonidine that prolongs the duration of analgesia without prolonging the side effects. SETTINGS AND DESIGN: Prospective, randomized, double-blind study. MATERIALS AND METHODS: After taking informed consent from the parents/guardian, 42 children aged 3-12 years who were scheduled to undergo unilateral upper limb surgeries below the elbow were randomized into two groups of 21 each...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447927/an-observational-crossover-study-of-n95-respirator-with-surgical-mask-and-visor-in-various-combinations-on-healthy-volunteers-and-their-impact-on-physiological-variables
#28
JOURNAL ARTICLE
Ananya Nanda, Kalyani Sdl Sangineni, Vandana Pakhare, Gopinath Ramachandran, Chandra Sekhar Naga Chellaboyina
BACKGROUND AND AIM: The COVID pandemic necessitated the use of masks to reduce the propagation of coronavirus by airborne transmission. This research was conducted in healthy volunteers to assess the changes in noninvasive measurable physiological variables over 45 min at rest. METHODS: This was a prospective randomized controlled crossover trial. Twenty-one healthy volunteers were monitored for pulse rate (PR), peripheral oxygen saturation (SpO2 ), systolic blood pressure (SBP), diastolic blood pressure (DBP), respiratory rate (RR), inspired carbon dioxide and expired carbon dioxide (ECO2 ), inspired (FiO2 ) and expired oxygen (FeO2 ), every 15 min for 45 minute (min) with N95 respirator, N95 respirator with surgical mask (SM), N95 with SM and visor (V), SM with N95, and N95 respirator with visor...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447926/incidence-and-severity-of-postoperative-complications-in-patients-undergoing-surgery-following-covid-19-infection-at-a-tertiary-care-center-in-south-india
#29
JOURNAL ARTICLE
Annu Susan Abraham, Niranjan Kumar Sasikumar, Sunil Rajan, Reema Abubaker, Kruthika Sree Manoharan, Lakshmi Kumar
BACKGROUND: The occurrence of postoperative pulmonary complications (PPCs) and other sequelae of COVID-19 infections like thromboembolic events in patients coming for surgery following COVID-19 infection in the Indian population had not been adequately studied. AIM OF THE STUDY: We evaluated the incidence of PPCs, acute kidney injury, and thromboembolic complications such as pulmonary embolism, deep-vein thrombosis, myocardial infarction, stroke, and 30-day mortality rate in post-COVID-19 patients undergoing surgery compared to those without a history of COVID-19 infection...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447925/effect-of-spiritual-music-on-old-age-patients-undergoing-lower-limb-surgery-under-spinal-anesthesia
#30
JOURNAL ARTICLE
Premraj Singh, Ashiquee Arya, Manish Kumar Singh, Ravi Prakash, Mohammad Parvez Khan
CONTEXT: Music is ubiquitous and found in all cultures; it elicits both physiological and psychological responses in its listener. It has been proven that music reduces perception of pain and dosages of anesthetics and sedatives used during surgery. AIMS: To study the effect spiritual music on perioperative anxiety and hemodynamic parameters in elderly patients undergoing procedures under spinal anesthesia. SETTINGS AND DESIGN: A prospective, randomized controlled study...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447924/the-lead-of-direct-adjuvant-intraoperative-foraminal-steroids-infiltration
#31
REVIEW
Allouzi Rakan, Renad Aldurgham, Anas Al Abdallat, Sa'ed Haddad, Jraisat Ibrahim, Rami Yousef Alqroom, Hussam Abu Nowar, Amro Odeh
Low back pain generally involves lumbosacral radicular syndrome, nerve root pain, and nerve root entrapment/irritation. Management options for patients are variable and diverging. To the highlight the efficacy of combined early decompressive surgery plus intraoperative steroid injections in terms of postoperative back pain in patients managed by our combined team. A prospective study conducted by reviewing all consecutive patients managed, over a 1-year period (2018-2019). This study showed that adjunct use of intraoperative foraminal and epidural steroids injections to treat back pain in patients with degenerative spine disease could significantly improve the pain score which leads to significant decrease in working days off and the need for pain killer medications or even obviating the usage rate...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447923/anesthetic-concerns-in-resection-of-liver-case-series
#32
JOURNAL ARTICLE
Vinaya Rahul Kulkarni
Liver resection is a major abdominal surgical procedure with its associated complications. A multidisciplinary team approach with appropriate preoperative planning is of utmost importance. The four cases managed successfully under general anaesthesia in a tertiary government hospital put forth a protocol based management for better outcome. The case series help to find out the perioperative anaesthetic challenges in management of liver resection. A 27-years old female and 40-years old male patients were admitted to a tertiary government hospital with diagnosis of hepatocellular malignancy and a 56-years old male and 52-years old female patients with gall bladder malignancy with liver metastases were admitted in the hospital for definitive cure...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447922/efficacy-of-clonidine-as-an-adjuvant-to-ropivacaine-in-transversus-abdominis-plane-block-in-adult-renal-transplant-recipients-a-double-blinded-randomized-controlled-trial
#33
JOURNAL ARTICLE
Sayan Nath, Mahesh Kumar Arora, Anjolie Chhabra, Dalim Kumar Baidya, Rajeshwari Subramaniam, Ganga Prasad
BACKGROUND AND AIMS: Transversus abdominis plane (TAP) block has been used to provide analgesia in renal transplant surgery with varying results. This study was designed to assess if the addition of clonidine in TAP block would decrease 24-h postoperative morphine consumption in adult renal transplant recipients. MATERIALS AND METHODS: Forty adult patients undergoing renal transplantation under general anesthesia in a tertiary care hospital were randomized into either group RC (TAP block with 20 mL of 0...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447921/correlation-of-the-changing-trends-of-scvo-2-serum-lactate-standard-base-excess-and-anion-gap-in-patients-with-severe-sepsis-and-septic-shock-managed-by-early-goal-directed-therapy-egdt-a-prospective-observational-study
#34
JOURNAL ARTICLE
Kumari Sneha, Vanita Ramesh Mhaske, Kalyan Kumar Saha, Bikram Kumar Gupta, Dinesh Kumar Singh
BACKGROUND: To observe the correlation of central venous oxygen saturation (ScvO2 ), serum lactate, standard base excess (SBE), and anion gap (AG) in septic and septic shock patients resuscitated with early goal-directed therapy (EGDT). MATERIALS AND METHODS: A review was made of 130 severe septic shock patients (15-65 years) according to the consensus conference criteria admitted in intensive care unit. Blood samples were obtained from arterial and central venous line for ScvO2, serum lactate, SBE, and AG on admission and after achieving all aims of EGDT i...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447920/spinal-epidural-and-general-anesthesia-for-knee-joint-arthroscopy-diversity-equity-and-inclusion-comparison-study
#35
REVIEW
Khresat Wesam, Ibrahim Jraisat, Hend Harahsheh, Jamilah Al Sarairah, Rawan Hiyari, Rafeed Al Drous, Firas Sha'ban, Anas Abdallat, Rami Alqroom
BACKGROUND: Knee arthroscopic surgery is a commonly performed procedure for diagnosing and treating knee joint problems. This procedure can be achieved under various types of anesthesia, general; or by applying regional anesthesia or even local. Epidural anesthesia and peripheral nerve blockage have been utilized in short procedures and provided a shorter length of hospital stay than general anesthesia in many former articles; however, spinal anesthesia including bupivacaine infusion has also offered a shorter length of hospital stay compared to general anesthesia...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447919/comparative-study-between-intrathecal-0-5-isobaric-levobupivacaine-0-5-isobaric-ropivacaine-and-0-5-hyperbaric-bupivacaine-in-elective-lower-segment-cesarean-section-a-randomized-clinical-study
#36
JOURNAL ARTICLE
Priyanka Oraon, Boniface Hembrom, Mukesh Kumar, Barun Ram, Ladhu Lakra
BACKGROUND: Neuraxial anesthesia in obstetrics began with the spinal block by Oskar Kreis in 1900. The technique of subarachnoid blockade has been refined since then and various drugs have been used to provide analgesia and anesthesia for infraumbilical surgeries. MATERIALS AND METHODS: This study was conducted because of newer options available, such as an intrathecal drug with appropriate sensory and motor blockade and minimal haemodynamic changes that can be used in the lower segment cesarean section safely...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447918/analgesic-efficacy-of-addition-of-magnesium-sulfate-to-bupivacaine-in-wound-infiltration-technique-in-perianal-surgeries
#37
JOURNAL ARTICLE
Smitul Dave, Kuppusamy Gopalakrishnan, Sanmugapiriya Krishnan, Nagalingam Natarajan
BACKGROUND: In peripheral nerve blocks, magnesium sulfate is an excellent adjuvant to local anesthetics. The use of magnesium sulfate as an adjuvant in wound infiltration for postoperative analgesia needs to be investigated. AIMS: This study was conducted to evaluate the analgesic efficacy of magnesium sulfate as an adjuvant when added to bupivacaine in wound infiltration technique in perianal surgeries. SETTINGS AND DESIGN: This was a prospective, randomized, double-blind study...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447917/comparison-of-the-efficacy-of-intraperitoneal-instillation-of-butorphanol-versus-nalbuphine-as-adjuvants-to-ropivacaine-for-postoperative-pain-relief-in-patients-undergoing-laparoscopic-cholecystectomy-under-general-anesthesia-a-randomized-double-blind-placebo
#38
JOURNAL ARTICLE
Lakshmi Mahajan, Arvinder Pal Singh, Suzen Sumeet Kaur, Anita Kumari
BACKGROUND AND AIMS: Postoperative pain after laparoscopic cholecystectomy is very common complication hindering the early return of routine activity. Since agonist opioids are not easily available, the most common drug used for intraoperative analgesia is intravenous butorphanol in our institute. The purpose of our study is to compare the analgesic effect of intraperitoneal butorphanol and nalbuphine as additives with ropivacaine in laparoscopic cholecystectomy for postoperative pain...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447916/efficacy-of-intravenous-clonidine-premedication-in-the-prevention-of-adverse-hemodynamic-changes-during-intubation-in-patients-undergoing-laparoscopic-surgery-in-comparison-with-placebo
#39
JOURNAL ARTICLE
Sudhir S Rao, K N Vikas, K Rooparani, R Vinay
CONTEXT: Laparoscopic surgeries involve the creation of pneumoperitoneum, which produces significant hemodynamic changes. Alpha-2 adrenergic receptor agonists like clonidine are used as adjuvants during aesthesia for analgesic, sedative, sympatholytic and cardiovascular stabilizing effects. AIMS: This study aims to assess the efficacy of intravenous (i.v.) clonidine premedication in the prevention of adverse hemodynamic changes during intubation in a patient undergoing laparoscopic surgery in comparison with (normal saline) placebo...
2022: Anesthesia, Essays and Researches
https://read.qxmd.com/read/36447915/comparison-of-prophylactic-phenylephrine-infusion-versus-intravenous-ondansetron-on-hypotension-during-spinal-anesthesia-for-cesarean-section
#40
JOURNAL ARTICLE
Hani Gharib Ali, Naglaa Abd ELatief
BACKGROUND: Multiple methods have been proposed to prevent the incidence of hypotension in women undergoing cesarean section under spinal anesthesia. This study was conducted to compare the efficacy of phenylephrine (50 μg.min-1 ) versus ondansetron (8 mg) in the prevention of such complications. PATIENTS AND METHODS: We included a total of 184 full-term pregnant women who were randomly divided into two groups: Group P included 92 cases who were commenced on phenylephrine infusion (50 μg...
2022: Anesthesia, Essays and Researches
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