BACKGROUND: The hemodynamic response associated with laryngoscopy and tracheal intubation may be harmful to certain patients .The laryngeal mask airway avoids the need for laryngoscopy and provides positive pressure ventilation of the lungs in appropriate patients. AIMS AND OBJECTIVES: This study compares the hemodynamic response of laryngoscopy and tracheal intubation to that of laryngeal mask airway insertion in hypertensive patients. METHODS: 60 Hypertensive patients between 40 to 60 years of either gender of ASA Grade II were randomly allotted to one of the groups of 30 each, group ET and group LMA .LMA insertion or tracheal intubation was performed after induction of anesthesia with Thiopentone and muscle relaxation with succinyl choline. Anesthesia was maintained with sevoflurane and nitrous oxide, oxygen the heart rate, systolic BP, diastolic BP, mean arterial pressure and rate pressure product were measured after induction and immediately after insertion / intubation and then after 1, 3, 5 minutes. RESULTS: There was very highly significant difference (p < 0.000) in mean increase in heart rate (38.23% in group ET versus 28.26% in group LMA). The increase in arterial pressure were also significant. The systolic BP increased 40.16% in group ET compared with 37.60% in group LMA (p < 0.000). The diastolic BP was also seen increasing by 22.73% and 14.23% in group ET and group LMA respectively. The MAP and RPP values were maximum after airway instrumentation however we found that values after LMA insertion were significantly lower when compared to tracheal intubation for the first 3 minutes. INTERPRETATION AND CONCLUSION: The data suggest a similar, but attenuated pattern of response associated with mask insertion in comparison to laryngoscopy and intubation .Hence use of LMA may therefore offer some advantages over tracheal intubation in anesthetic management of patients where avoidance of pressure response is of particular concern.
{"title":"A comparative study of haemodynamic response with laryngoscopic endotracheal intubation and laryngeal mask airway insertion in hypertensive patients at tertiary care hospital","authors":"Shreya Sharma, Beula Govindan, A. Thavamani","doi":"10.26611/101512217","DOIUrl":"https://doi.org/10.26611/101512217","url":null,"abstract":"BACKGROUND: \u0000The hemodynamic response associated with laryngoscopy and tracheal intubation may be harmful to certain patients .The laryngeal mask airway avoids the need for laryngoscopy and provides positive pressure ventilation of the lungs in appropriate patients. \u0000AIMS AND OBJECTIVES: \u0000This study compares the hemodynamic response of laryngoscopy and tracheal intubation to that of laryngeal mask airway insertion in hypertensive patients. \u0000METHODS: \u000060 Hypertensive patients between 40 to 60 years of either gender of ASA Grade II were randomly allotted to one of the groups of 30 each, group ET and group LMA .LMA insertion or tracheal intubation was performed after induction of anesthesia with Thiopentone and muscle relaxation with succinyl choline. Anesthesia was maintained with sevoflurane and nitrous oxide, oxygen the heart rate, systolic BP, diastolic BP, mean arterial pressure and rate pressure product were measured after induction and immediately after insertion / intubation and then after 1, 3, 5 minutes. \u0000RESULTS: \u0000There was very highly significant difference (p < 0.000) in mean increase in heart rate (38.23% in group ET versus 28.26% in group LMA). The increase in arterial pressure were also significant. The systolic BP increased 40.16% in group ET compared with 37.60% in group LMA (p < 0.000). The diastolic BP was also seen increasing by 22.73% and 14.23% in group ET and group LMA respectively. \u0000The MAP and RPP values were maximum after airway instrumentation however we found that values after LMA insertion were significantly lower when compared to tracheal intubation for the first 3 minutes. \u0000INTERPRETATION AND CONCLUSION: \u0000The data suggest a similar, but attenuated pattern of response associated with mask insertion in comparison to laryngoscopy and intubation .Hence use of LMA may therefore offer some advantages over tracheal intubation in anesthetic management of patients where avoidance of pressure response is of particular concern.","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122102328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vinay Dandemmanavar, D. Kumar, Pratibha Omkar, K. Pratyusha, Post Graduate
{"title":"Comparative study of preloading with ringer’s lactate and 6% hydroxyethyl starch for prevention of hypotension following spinal anaesthesia","authors":"Vinay Dandemmanavar, D. Kumar, Pratibha Omkar, K. Pratyusha, Post Graduate","doi":"10.26611/10151137","DOIUrl":"https://doi.org/10.26611/10151137","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115767222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Kotia, J. Goyal, S. Chandalia, Barkha Goyal, R. Attri, N. Sen
Background: Temperature management during cardiac surgery has been one of the chief concerns. Numerous strategies are currently invoked to manage the requirements of cooling, temperature maintenance, and rewarming patients during cardiac surgical procedures.Aim: To study the rate of cooling and warming at different sites of the body following extracorporeal cooling and rewarming in patients during open heart surgery.Materials and Method: The present study was conducted on fifty patients undergoing elective open heart surgery at Tertiary Care Hospital in Jaipur city. Fifty patients belonging to both sex and different age groups were studied. The patients were divided into two groups. Group I consisting of patients in which Nitroglycerin was not used as vasodilator during rewarming on Cardiopulmonary bypass and Group II where Nitroglycerin was used.Results: During bypass stage, the Skin, Rectal and Nasopharyngeal temperatures fell because of hypothermia. In both groups the rectal temperature fell slowly. The fall in skin temperature was maximum whereas nasopharyngeal temperature showed an intermediate fall.Conclusion: The temperature of heart determines the degree of protection afforded to it during coronary occlusion by aortic cross clamping. Key Word:extracorporeal cooling, rewarming. *Address for Correspondence: Dr.Jaswant Goyal, Assistant Professor, Department of Pharmacology, Jaipur National University Institute for Medical Sciences and Research Centre, Jagatpura Jaipur, INDIA. Email:health@jnuhealthcare.com Received Date: 09/05/2019 Revised Date: 21/06/2019 Accepted Date: 01/08/2019 DOI: https://doi.org/10.26611/101511127
{"title":"Study of rate of cooling and warming at different sites of the body following extracorporeal cooling and rewarming in patients during open heart surgery","authors":"A. Kotia, J. Goyal, S. Chandalia, Barkha Goyal, R. Attri, N. Sen","doi":"10.26611/10151127","DOIUrl":"https://doi.org/10.26611/10151127","url":null,"abstract":"Background: Temperature management during cardiac surgery has been one of the chief concerns. Numerous strategies are currently invoked to manage the requirements of cooling, temperature maintenance, and rewarming patients during cardiac surgical procedures.Aim: To study the rate of cooling and warming at different sites of the body following extracorporeal cooling and rewarming in patients during open heart surgery.Materials and Method: The present study was conducted on fifty patients undergoing elective open heart surgery at Tertiary Care Hospital in Jaipur city. Fifty patients belonging to both sex and different age groups were studied. The patients were divided into two groups. Group I consisting of patients in which Nitroglycerin was not used as vasodilator during rewarming on Cardiopulmonary bypass and Group II where Nitroglycerin was used.Results: During bypass stage, the Skin, Rectal and Nasopharyngeal temperatures fell because of hypothermia. In both groups the rectal temperature fell slowly. The fall in skin temperature was maximum whereas nasopharyngeal temperature showed an intermediate fall.Conclusion: The temperature of heart determines the degree of protection afforded to it during coronary occlusion by aortic cross clamping. Key Word:extracorporeal cooling, rewarming. *Address for Correspondence: Dr.Jaswant Goyal, Assistant Professor, Department of Pharmacology, Jaipur National University Institute for Medical Sciences and Research Centre, Jagatpura Jaipur, INDIA. Email:health@jnuhealthcare.com Received Date: 09/05/2019 Revised Date: 21/06/2019 Accepted Date: 01/08/2019 DOI: https://doi.org/10.26611/101511127","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123420950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative study of ropivacaine with dexmedetomidine versus ropivacaine in ultrasound guided transversus abdominis plane block for post-operative pain relief in cesarean section","authors":"Naveen Chandru Anguchamy, K. Manian","doi":"10.26611/10151239","DOIUrl":"https://doi.org/10.26611/10151239","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128212733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A double-blindstudy comparing incidence and severity of post operative nausea and vomiting in general Anaesthesia versus spinalAnaesthesia","authors":"D. Desai, Kanvee M Vania, H. Kanabar","doi":"10.26611/10151113","DOIUrl":"https://doi.org/10.26611/10151113","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120955342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Respiratory morbidities are the most common anaesthesia related complications, following dental damage during endotracheal intubation. Difficult tracheal intubation accounts for 17% of the respiratory related injuries and results in significant morbidity and mortality. There are numerous literature on comparison between these two supraglottic airway devices with contradictory results. Objective: To compare LMA Proseal and I-gel for ease of insertion based on Modified Scheme of Lund and Stovener, jaw relaxation based on Young’ criteria, number of attempts for insertion in adult patients undergoing elective surgeries. Methodology: It is a RCT involving Sixty patients, scheduled for various elective surgical procedures undergoing general anaesthesia belonging to ASA class I and II were included in the study. The patients were divided in two groups Group P-proseal, Group I-I gel 30 each. Results: The mean age in group LMA-P and group I-gel was 30.9 and 31.23 years respectively. Majority of cases were from Grade I in both P (66.7%) and I (83.3%) groups. The attempt of insertion was statistically significant between the two groups (p<0.05). Time required in Group I is less compared to group P in our study. Conclusion: I-gel is a cheap and effective SGD alternative to Proseal LMA.
{"title":"Ease of insertion of laryngeal mask airway Proseal and I-gel with Dexmedetomidine","authors":"J. Irkal, Balaraju Tc, Amitha Mn","doi":"10.26611/10151129","DOIUrl":"https://doi.org/10.26611/10151129","url":null,"abstract":"Background: Respiratory morbidities are the most common anaesthesia related complications, following dental damage during endotracheal intubation. Difficult tracheal intubation accounts for 17% of the respiratory related injuries and results in significant morbidity and mortality. There are numerous literature on comparison between these two supraglottic airway devices with contradictory results. Objective: To compare LMA Proseal and I-gel for ease of insertion based on Modified Scheme of Lund and Stovener, jaw relaxation based on Young’ criteria, number of attempts for insertion in adult patients undergoing elective surgeries. Methodology: It is a RCT involving Sixty patients, scheduled for various elective surgical procedures undergoing general anaesthesia belonging to ASA class I and II were included in the study. The patients were divided in two groups Group P-proseal, Group I-I gel 30 each. Results: The mean age in group LMA-P and group I-gel was 30.9 and 31.23 years respectively. Majority of cases were from Grade I in both P (66.7%) and I (83.3%) groups. The attempt of insertion was statistically significant between the two groups (p<0.05). Time required in Group I is less compared to group P in our study. Conclusion: I-gel is a cheap and effective SGD alternative to Proseal LMA.","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"535 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127622930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. B. Parmar, D. Venkatesan, Rahul C Manek, Shweta Shah
{"title":"A systemic overview of the central venous catheter positioning in chest radiographs of ICU patients","authors":"S. B. Parmar, D. Venkatesan, Rahul C Manek, Shweta Shah","doi":"10.26611/101512311","DOIUrl":"https://doi.org/10.26611/101512311","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126545063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. K. Chakravarthy, H. Kotla, S. Ramineedi, S. Konduru, P. Vaddi
{"title":"A comparative study of the haemodynamic effects in patients undergoing lower abdominal surgeries under sub-arachnoid block by usingprophylactic intravenous low doses ofephedrine","authors":"P. K. Chakravarthy, H. Kotla, S. Ramineedi, S. Konduru, P. Vaddi","doi":"10.26611/101511111","DOIUrl":"https://doi.org/10.26611/101511111","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114936505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of ultrasound guided peripheral nerve block and peripheral nerve block for pain relief, closed reduction and short bedside procedures in acute trauma patients","authors":"G. Rajashree, R. S. Kumar, S. Prabakaran","doi":"10.26611/10151112","DOIUrl":"https://doi.org/10.26611/10151112","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129940771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison between us guidance versus nerve stimulator-assisted us guidance on the efficacy of supraclavicular brachial plexus block for upper limb surgeries","authors":"R. Niharika, M. Rajesh, Yenni Shreedevi","doi":"10.26611/10151131","DOIUrl":"https://doi.org/10.26611/10151131","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127920768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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