P. Sridhar, Perambalur Hospitals, S. Sabapathy, R. Shankar
{"title":"Comparison of post-operative analgesic effect between 0.125% levobupivacaine and 0.125% ropivacaine with and without fentanyl among patients undergone abdominal surgery","authors":"P. Sridhar, Perambalur Hospitals, S. Sabapathy, R. Shankar","doi":"10.26611/10151315","DOIUrl":"https://doi.org/10.26611/10151315","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"8 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":"115131919","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}
Khatija Y Dalvani, J. Badheka, Vrinda Oza, J. Gol, Mayur B. Patel
{"title":"Utility of video stylet in evaluating vocal cord mobility after thyroid and para thyroid surgery compared with direct laryngoscopy","authors":"Khatija Y Dalvani, J. Badheka, Vrinda Oza, J. Gol, Mayur B. Patel","doi":"10.26611/101512318","DOIUrl":"https://doi.org/10.26611/101512318","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"7 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":"115195745","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}
Seema Yadav, Devendra Kumar Bohra, V. Pipal, D. Pipal, R. Pipal
Background: General anaesthesia for caesarean delivery is associated with substantially greater maternal risk than regional anaesthesia. Most of the deaths occurring during general anaesthesia are related to airway management or aspiration. Spinal and epidural anaesthesia have therefore become more common in obstetric surgical practice. Objectives: A one year prospective observational study of caesarean sections (CS) carried out under regional anaesthesia was analysed to know the 1. Incidence and characteristics of failed regional anaesthesia leading to conversion of regional to general anaesthesia (Total/Partial “Failure” of block) in CS. 2. Identification of risk factors for “block failure ”3. To identify the options used for managing an inadequate block. Methods: The present study was conducted in Anaesthesia Department of Panna Dhai Women Hospital attached to R.N.T. Medical College from 1st Feb. 2011 to 31st Jan.2012. Regional anaesthesia technique for CS included spinal (most common), epidural and combined spinal epidural (CSE) technique. Results: Incidence of failed spinal anaesthesia was 77/4038 (1.906%) [52/ 4038; 1.287% -partial spinal failure and 25/4038; 0.62%complete spinal failure]. There was no case of failure observed in epidural or CSE. Failure rate was 13/1674 (0.77) for elective CS and 64/2403 (2.66%) for emergency CS. Conclusion; Spinal anaesthesia using hyperbaric bupivacaine produced reliable anaesthesia for caesarean section with failure rate of 0.77% in elective surgery and 2.66% in emergency surgery. Key Word: Regional anaesthesia, CS, SAB, CSE, General anaesthesia *Address for Correspondence: Dr. Devendra Kumar Bohra, Department of Anaesthesia, Dr SN Medical College, Jodhpur, Rajasthan, INDIA. Email: dr.dharmendrapipal2007@gmail.com Received Date: 02/03/2019 Revised Date: 30/04/2019 Accepted Date: 22/06/2019 DOI: https://doi.org/10.26611/1015111210
{"title":"Conversion of regional to general anaesthesia for caesarean section - A one-year prospective observational study","authors":"Seema Yadav, Devendra Kumar Bohra, V. Pipal, D. Pipal, R. Pipal","doi":"10.26611/101511210","DOIUrl":"https://doi.org/10.26611/101511210","url":null,"abstract":"Background: General anaesthesia for caesarean delivery is associated with substantially greater maternal risk than regional anaesthesia. Most of the deaths occurring during general anaesthesia are related to airway management or aspiration. Spinal and epidural anaesthesia have therefore become more common in obstetric surgical practice. Objectives: A one year prospective observational study of caesarean sections (CS) carried out under regional anaesthesia was analysed to know the 1. Incidence and characteristics of failed regional anaesthesia leading to conversion of regional to general anaesthesia (Total/Partial “Failure” of block) in CS. 2. Identification of risk factors for “block failure ”3. To identify the options used for managing an inadequate block. Methods: The present study was conducted in Anaesthesia Department of Panna Dhai Women Hospital attached to R.N.T. Medical College from 1st Feb. 2011 to 31st Jan.2012. Regional anaesthesia technique for CS included spinal (most common), epidural and combined spinal epidural (CSE) technique. Results: Incidence of failed spinal anaesthesia was 77/4038 (1.906%) [52/ 4038; 1.287% -partial spinal failure and 25/4038; 0.62%complete spinal failure]. There was no case of failure observed in epidural or CSE. Failure rate was 13/1674 (0.77) for elective CS and 64/2403 (2.66%) for emergency CS. Conclusion; Spinal anaesthesia using hyperbaric bupivacaine produced reliable anaesthesia for caesarean section with failure rate of 0.77% in elective surgery and 2.66% in emergency surgery. Key Word: Regional anaesthesia, CS, SAB, CSE, General anaesthesia *Address for Correspondence: Dr. Devendra Kumar Bohra, Department of Anaesthesia, Dr SN Medical College, Jodhpur, Rajasthan, INDIA. Email: dr.dharmendrapipal2007@gmail.com Received Date: 02/03/2019 Revised Date: 30/04/2019 Accepted Date: 22/06/2019 DOI: https://doi.org/10.26611/1015111210","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"61 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":"114444090","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":"Ultrasound guided preoperative assessment of gastric antral cross-sectional area with respect to fasting hours to avoid the pulmonary aspiration of gastric contents","authors":"Praveen Dhakite, Manasi Panat","doi":"10.26611/101512319","DOIUrl":"https://doi.org/10.26611/101512319","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"6 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":"122778920","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":"Evaluation of ondansetron and granisetron for prevention of spinal induced hypotension","authors":"D. R. Fating, S. Chouksey, S. Agrawal","doi":"10.26611/101512315","DOIUrl":"https://doi.org/10.26611/101512315","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"141 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":"123404343","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}
V. Natarajan, Naveen Chandru Anguchamy, Jeevithan Shanmugam
{"title":"A comparative study on incidence of post dural puncture headache using 25-gauge quincke with 25 gauge Whitacre spinal needle in elective caesarean section","authors":"V. Natarajan, Naveen Chandru Anguchamy, Jeevithan Shanmugam","doi":"10.26611/101512214","DOIUrl":"https://doi.org/10.26611/101512214","url":null,"abstract":"","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":"131301988","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 dexamethasone and clonidine as an adjuvant in ultrasound guided supraclavicular brachial plexus block: A prospective, randomized study","authors":"P NaveenKumarC, Y Smitha","doi":"10.26611/10151234","DOIUrl":"https://doi.org/10.26611/10151234","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"29 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":"132218066","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":"tudy of Dexmeditomidine as an adjuvant to bupivacaine in Ilioinguinal, Iliohypogastric nerve block in transverse abdominis plane in lower abdominal surgeries","authors":"Rujuta Pandav, Vasudha Jadhav, J. Paranjpe","doi":"10.26611/101511118","DOIUrl":"https://doi.org/10.26611/101511118","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"16 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":"132303368","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: Improvements in perioperative pain management for lower abdominal operations have been revealed to decrease morbidity, stimulate untimely ambulation, and progress patients’ long-term outcomes. Dexmedetomidine, a selective alpha-2 agonist, has newly been used intrathecally as adjuvant to spinal anesthesia to extend its effectiveness. We compared different adjuvants they are dexmedetomidine and fentanyl added to hyperbaric bupivacaine for spinal anesthesia. The main endpoints were the time of onset and duration of sensory and motor block, Two segment sensory regression time, and duration of analgesia and occurrence of side effects Method: A total of 60 patients, aged 20-45 years old of physical status of ASA grade I,II, assigned to have elective lower limb surgeries under spinal anesthesia were divided into two equally sized groups (Group 1 and Group 2) in a randomized, fashion. The Group 1 was intrathecally administered 15mg hyperbaric bupivacaine with 25μg fentanyl in 0.5ml of normal saline and the group 2 group 15mg bupivacaine with 10μg dexmedetomidine in 0.5ml of normal saline. For each patient, sensory and motor block onset times, and the duration of two segment sensory regression time, sensory, motor blockade and duration of effective postoperative analgesia, were recorded. Results and Conclusion: The time of onset and duration of sensory and motor blockade and the duration of two segment sensory regression time of effective postoperative analgesia was statistically significant in dexmedetomidine (group 2) compared to fentanyl (group 1). The make use of 10μg dexmedetomidine with hyperbaric bupivacaine compared to intrathecal Fentanyl to adjuvant hyperbaric bupivacaine seems to be more efficiently hastens the onset and prolongs the time of sensory and motor blockade. Intraoperatively, there were fewer occurrences of side effects with intrathecal dexmedetomidine when compared to intrathecal fentanyl and reduces the requirement of rescue analgesic in the postoperative period in patients undergoing elective lower limb surgeries.
{"title":"A prospective randomized comparative study on the effectiveness of intrathecal dexmedetomidine and fentanyl as adjuvants to 0.5% hyperbaric bupivacaine in spinal anaesthesia","authors":"Sureshkumar Chodavarapu, A. K. M. Sastri","doi":"10.26611/10151122","DOIUrl":"https://doi.org/10.26611/10151122","url":null,"abstract":"Background: Improvements in perioperative pain management for lower abdominal operations have been revealed to decrease morbidity, stimulate untimely ambulation, and progress patients’ long-term outcomes. Dexmedetomidine, a selective alpha-2 agonist, has newly been used intrathecally as adjuvant to spinal anesthesia to extend its effectiveness. We compared different adjuvants they are dexmedetomidine and fentanyl added to hyperbaric bupivacaine for spinal anesthesia. The main endpoints were the time of onset and duration of sensory and motor block, Two segment sensory regression time, and duration of analgesia and occurrence of side effects Method: A total of 60 patients, aged 20-45 years old of physical status of ASA grade I,II, assigned to have elective lower limb surgeries under spinal anesthesia were divided into two equally sized groups (Group 1 and Group 2) in a randomized, fashion. The Group 1 was intrathecally administered 15mg hyperbaric bupivacaine with 25μg fentanyl in 0.5ml of normal saline and the group 2 group 15mg bupivacaine with 10μg dexmedetomidine in 0.5ml of normal saline. For each patient, sensory and motor block onset times, and the duration of two segment sensory regression time, sensory, motor blockade and duration of effective postoperative analgesia, were recorded. Results and Conclusion: The time of onset and duration of sensory and motor blockade and the duration of two segment sensory regression time of effective postoperative analgesia was statistically significant in dexmedetomidine (group 2) compared to fentanyl (group 1). The make use of 10μg dexmedetomidine with hyperbaric bupivacaine compared to intrathecal Fentanyl to adjuvant hyperbaric bupivacaine seems to be more efficiently hastens the onset and prolongs the time of sensory and motor blockade. Intraoperatively, there were fewer occurrences of side effects with intrathecal dexmedetomidine when compared to intrathecal fentanyl and reduces the requirement of rescue analgesic in the postoperative period in patients undergoing elective lower limb surgeries.","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"64 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":"114832920","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 comparative study of profopol and thiopentone with respect to hemodynamic stability used for various surgeries at tertiary health care centre","authors":"Vaishali Gunwant Kotambkar, G. Dhakne","doi":"10.26611/101511318","DOIUrl":"https://doi.org/10.26611/101511318","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"27 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":"134231360","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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