Κυριακή, 7 Απριλίου 2019

Anesthesia

Intra‐operative analgesia with remifentanil vs. dexmedetomidine: a systematic review and meta‐analysis with trial sequential analysis
SummaryIntra‐operative remifentanil is associated with increased postoperative analgesic requirements and opioid consumption. Dexmedetomidine has characteristics suggesting it may substitute for intra‐operative remifentanil during general anaesthesia, but existing literature has reported conflicting results. We undertook this meta‐analysis to investigate whether general anaesthesia including dexmedetomidine would result in less postoperative pain than general anaesthesia including remifentanil....
Anaesthesia
Fri Apr 05, 2019 14:45
Managing obstetric haemorrhage: is it time for a more personalised approach?
Anaesthesia
Fri Apr 05, 2019 14:38
Four years' experience of a ROTEM®‐guided algorithm for treatment of coagulopathy in obstetric haemorrhage
SummaryWe report four years of observational data from a large UK hospital and tertiary referral unit, following the introduction of a rotational thromboelastometry‐guided algorithm for treatment of coagulopathy in major obstetric haemorrhage. Fibrinogen concentrate was used to treat acquired hypofibrinogenaemia as defined by a FibTEM A5 value of < 7 mm, or 7–12 mm with ongoing or high risk of haemorrhage. Of 32,647 deliveries over 4 years, 893 (2.7%) women had an estimated blood loss...
Anaesthesia
Fri Apr 05, 2019 14:34
Cardioprotective effect of remote ischemic preconditioning with postconditioning on donor hearts in patients undergoing heart transplantation: a single-center, double-blind, randomized controlled trial
The cardioprotective effect of remote ischemic preconditioning (RIPC) in cardiovascular surgery is controversial. This study investigated whether RIPC combined with remote ischemic postconditioning (RIPostC) r...
BMC Anesthesiology - Latest Articles
Sat Apr 06, 2019 03:00
Outcomes in video laryngoscopy studies from 2007 to 2017: systematic review and analysis of primary and secondary endpoints for a core set of outcomes in video laryngoscopy research
Airway management is crucial and, probably, even the most important key competence in anaesthesiology, which directly influences patient safety and outcome. However, high-quality research is rarely published a...
BMC Anesthesiology - Latest Articles
Thu Apr 04, 2019 03:00
Labour epidural analgesia in Hypertrophic Obstructive Cardiomyopathy
Ranjith K Sivakumar, Sakthirajan Panneerselvam, Subashree Das, Priya RudingwaIndian Journal of Anaesthesia 2019 63(4):321-323
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Radiological evaluation of airway – What an anaesthesiologist needs to know!
Kinshuki Jain, Nishkarsh Gupta, Mukesh Yadav, Sanjay Thulkar, Sushma BhatnagarIndian Journal of Anaesthesia 2019 63(4):257-264 Airway management forms the foundation of any anaesthetic management. However, unanticipated difficult airway (DA) and its sequelae continue to dread any anaesthesiologist. In spite of development of various clinical parameters to judge DA, no single parameter has proved to be accurate in predicting it. Radiological evaluation may help assess the aspects of patient's airway...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Anaesthetic management of an infant with tracheomalacia scheduled for computed tomography angiography: A challenge
Manpreet Kaur, Sana Y HussainIndian Journal of Anaesthesia 2019 63(4):312-315 Tracheomalacia is characterised by collapse of the tracheal wall with respiration. Computed tomography angiography (CTA) can be utilised for evaluation of airway abnormalities but providing sedation/anaesthesia for CTA in such a case carries the risk of airway catastrophe. We describe the anaesthetic management of an infant who had tracheomalacia with >90% collapse in lower two third of the intrathoracic trachea as...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
The subcostal nerve as the target for nerve stimulator guided transverse abdominis plane blocks – A feasibility study
Prasanna Vadhanan, Mohammed Hussain, Revathy PrakashIndian Journal of Anaesthesia 2019 63(4):265-269 Background and Aims: Transverse Abdominis Plane (TAP) block was originally described as a landmark-based technique. Peripheral nerve stimulator (PNS) guided blocks are still widely performed, where ultrasound is unavailable. Methods: Cadaveric dissections were performed which showed the subcostal nerve following a predictable course at the lateral abdominal wall in the TAP. The subcostal nerve was...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Giant internal jugular vein
Michiel J Bos, Andre A J Van ZundertIndian Journal of Anaesthesia 2019 63(4):329-330
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Reliability of the thyromental height test for prediction of difficult visualisation of the larynx: A prospective external validation
Shizuha Yabuki, Satoka Iwaoka, Mamoru Murakami, Hiroko MiuraIndian Journal of Anaesthesia 2019 63(4):270-276 Background and Aims: Thyromental height (TMH) has been reported to be useful for prediction of difficult visualisation of the larynx (DVL), defined as Cormack--Lehane (C&L) grade III or IV. The aim of this study was to compare the diagnostic accuracy of the TMH test for DVL with that of other clinically used tests in Japanese patients. Methods: Six hundred and nine surgical patients...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Continuous spinal anaesthesia for caesarean section in a patient with peripartum cardiomyopathy
Teena Bansal, Rajmala Jaiswal, Manju Bala, Deepika SeelwalIndian Journal of Anaesthesia 2019 63(4):317-319
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Correlation between bispectral index, end-tidal anaesthetic gas concentration and difference in inspired–end-tidal oxygen concentration as measures of anaesthetic depth in paediatric patients posted for short surgical procedures
Raylene Dias, Nandini Dave, Barkha Agrawal, Aarti BagheleIndian Journal of Anaesthesia 2019 63(4):277-283 Background and Aims: Measurement of end-tidal anaesthetic gas concentrations (ETAG) is currently a pragmatic indicator for monitoring anaesthetic depth. We aimed to assess the performance of ETAG for sevoflurane (ETAG-sevo) with bispectral index (BIS) and difference between inspired and end-tidal oxygen concentration (Fi−Et)O2% in measuring anaesthetic depth in toddlers and preschool children....
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Paediatric King Vision® videolaryngoscope in a case of infantile oral mass: A useful alternative to fiberoptic bronchoscope as a first choice in paediatric difficult airway
Gnanasekaran Srinivasan, Ranjith Kumar Sivakumar, Prasanna Bidkar, Dristi SharmaIndian Journal of Anaesthesia 2019 63(4):325-327
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Evaluation of performance of C-MAC® video laryngoscope Miller blade size zero for endotracheal intubation in preterm and ex-preterm infants: A retrospective analysis
Renu Sinha, Kanil Ranjith Kumar, Ram Kumar Kalaiyarasan, Puneet Khanna, Bikash Ranjan Ray, Ravinder Kumar Pandey, Jyotsna Punj, Vanlal DarlongIndian Journal of Anaesthesia 2019 63(4):284-288 Background and Aims: The preterm and ex-preterm babies form a separate group among the paediatric population with unique airway anatomy. The utility of C-MAC® Video laryngoscope (VL) for routine intubation of preterm babies has not been evaluated. The purpose of this study is to report the performance of C-MAC®...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
The subcostal nerve as the target for nerve stimulator–guided transversus abdominis plane blocks - Commentary
Sumitra G BakshiIndian Journal of Anaesthesia 2019 63(4):255-256
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Comparing the efficacy of aprepitant and ondansetron for the prevention of postoperative nausea and vomiting (PONV): A double blinded, randomised control trial in patients undergoing breast and thyroid surgeries
Salome Jeyabalan, Suma Mary Thampi, Reka Karuppusami, Kunder SamuelIndian Journal of Anaesthesia 2019 63(4):289-294 Background and Aims: Aprepitant, a Neurokinin-1 receptor antagonist, has been evaluated in abdominal and neurosurgeries, but its effect is less clear in breast and thyroid surgeries, which are also known to be high risk for post-operative nausea and vomiting (PONV). This study was done to compare the antiemetic efficacy of ondansetron and aprepitant in women undergoing mastectomy...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Occurrence of Cardio-respiratory reflex during ophthalmic artery embolisation in the neurointervention radiology suite
Ketan K Kataria, Rajeev Chauhan, Summit Dev Bloria, Ankur LuthraIndian Journal of Anaesthesia 2019 63(4):316-317
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Comparison of Full Outline of UnResponsiveness (FOUR) score and the conventional scores in predicting outcome in aneurysmal subarachnoid haemorrhage patients
Rajeeb Kumar Mishra, Charu Mahajan, Indu Kapoor, Hemanshu Prabhakar, Parmod Kumar BithalIndian Journal of Anaesthesia 2019 63(4):295-299 Background and Aims: Full Outline of UnResponsiveness (FOUR) score is a more comprehensive score used to assess eye response, motor response, brainstem reflexes, and respiration that was introduced to overcome the drawbacks of Glasgow coma scale (GCS) score. Our aim was to assess which score best predicts mortality and poor outcome in aneurysmal subarachnoid haemorrhage...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Foreign body obstructing fresh gas flow through disposable breathing circuit
Kavitha Lakshman, Jean Hannah Philip, HM Ravikiran, Namrata RanganathIndian Journal of Anaesthesia 2019 63(4):319-321
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Assessment of predisposing factors in myofascial pain syndrome and the analgesic effect of trigger point injections - A primary therapeutic interventional clinical trial
S Parthasarathy, Siyam Sundar, Gayatri MishraIndian Journal of Anaesthesia 2019 63(4):300-303 Background and Aims: Myofascial pain syndrome (MPS) is a common cause of chronic musculoskeletal pain, characterised by myofascial trigger points (TPs). TP injection is an established technique for management of MPS. In this study, we analysed the efficacy of myofascial TP injection of lignocaine and the influencing biomechanical factors on MPS. Methods: After obtaining ethical committee approval, we included...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Awake fiberoptic intubation with double lumen tube for severe predicted difficult airways: Could it be feasible with a rigid fiberoptic stylet?
Stefano Falcetta, Massimiliano Sorbello, Ida Di Giacinto, Abele DonatiIndian Journal of Anaesthesia 2019 63(4):323-325
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Magnesium sulphate optimises surgical field without attenuation of the stapaedius reflex in paediatric cochlear implant surgery
Wahba Z Bakhet, Hassan A Wahba, Lobna M El Fiky, Hossam DebisIndian Journal of Anaesthesia 2019 63(4):304-309 Background and Aims: The anaesthesia technique for paediatric cochlear implantation should be modified to achieve an optimised surgical field and allow neuromonitoring. Total intravenous anaesthesia (TIVA) provides good surgical condition without affecting intraoperative electrical stapaedial reflex threshold (ESRT). Though magnesium sulphate (MgSO4) is a cheap, readily available drug for...
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Ultrasound-guided left brachiocephalic vein cannulation: Where to puncture the vein?
Amarjeet Kumar, Chandni Sinha, Ajeet Kumar, Neeraj Kumar, Jitendra K SinghIndian Journal of Anaesthesia 2019 63(4):327-328
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
A new indication of erector spinae plane block for perioperative analgesia is total hip replacement surgery – A case report
Swati Singh, Rahul Ranjan, Dusu LalinIndian Journal of Anaesthesia 2019 63(4):310-311 A new indication of ultrasound – guided Erector spinae plane block for perioperative analgesia is orthopaedic surgery. We report here the use of this paraspinal block in the case of a 68-yr-old female with multiple systemic disorder for total hip replacement surgery.
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Unilateral giant internal jugular vein – In response
Venkata Ganesh, B Naveen Naik, Kamal KajalIndian Journal of Anaesthesia 2019 63(4):331-332
Indian Journal of Anaesthesia : 2014 - 58(6)
Thu Apr 04, 2019 00:00
Journal Club
No abstract available
Journal of Neurosurgical Anesthesiology - Published Ahead-of-Print
Wed Apr 03, 2019 03:00
Effects of Vasopressors on Cerebral Circulation and Oxygenation: A Narrative Review of Pharmacodynamics in Health and Traumatic Brain Injury
The clinical use of vasoactive drugs aims to improve hemodynamic variables and thereby maintain or restore adequate perfusion and oxygenation in accordance with metabolic demands. A main focus in the management of patients with brain pathology during surgery and neurointensive care is restoring and/or maintaining adequate cerebral perfusion pressure in order to ensure cerebral blood flow in accordance with metabolic demands. One commonly used clinical strategy is the administration of vasoactive...
Journal of Neurosurgical Anesthesiology - Published Ahead-of-Print
Wed Apr 03, 2019 03:00
Sleep science in anesthesiology
Latest Results for Journal of Anesthesia
Sat Apr 06, 2019 03:00
Three versus five lumbar PVB injections for herniorrhaphy
Latest Results for Journal of Anesthesia
Fri Apr 05, 2019 03:00
Response to letter to the editor
Latest Results for Journal of Anesthesia
Fri Apr 05, 2019 03:00
Dexmedetomidine and clinical outcomes of non-cardiac surgery
Latest Results for Journal of Anesthesia
Thu Apr 04, 2019 03:00

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