S. Singla, Ankush Singla, S. Malhotra, S. Soni, P. Gupta
{"title":"Comparison of quality of surgical field and hemodynamic changes with total intravenous anaesthesia and monitored anaesthesia care using local anaesthesia with conscious sedation in patients undergoing elective endoscopic sinus surgery for fungal granuloma","authors":"S. Singla, Ankush Singla, S. Malhotra, S. Soni, P. Gupta","doi":"10.26611/10151136","DOIUrl":"https://doi.org/10.26611/10151136","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"212 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":"132073914","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}
D. Rajpal, Utkarsh Khandelwal, Manhar Shah, M. Lal
{"title":"Topic role of venous blood gases in patients of acute breathlessness presenting in emergency department","authors":"D. Rajpal, Utkarsh Khandelwal, Manhar Shah, M. Lal","doi":"10.26611/101511119","DOIUrl":"https://doi.org/10.26611/101511119","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"486 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":"133758924","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 efficacy of nalbuphine with hyperbaric bupivacaine and pentazocine with hyperbaric bupivacaive in preoperative assessment of geriatric patients of Telangana","authors":"G. Reddy, Swapna T","doi":"10.26611/101511216","DOIUrl":"https://doi.org/10.26611/101511216","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"5 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":"129304856","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":"Efficacy of intrathecal dexmedetomidine for prevention of shivering: A randomized controlled trial","authors":"M. Giri, Siddharthkumar B. Parmar, K. N. Shah","doi":"10.26611/101512224","DOIUrl":"https://doi.org/10.26611/101512224","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"22 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":"132368952","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}
G. Narendren, Ashwin Kumar, T MadhusudhananTMadhusudhanan
{"title":"Comparison of efficacy, potency, haemodynamic effects, complications and side effects of two doses of dexmedetomidine for control of shivering intra operatively","authors":"G. Narendren, Ashwin Kumar, T MadhusudhananTMadhusudhanan","doi":"10.26611/101512215","DOIUrl":"https://doi.org/10.26611/101512215","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"2 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":"132403679","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 effect of sevoflurane and desflurane on hemodynamic parameters and recovery characteristics in patients undergoing laparoscopic gynecologically surgeries","authors":"C. Patil, Pradip Shivsambh Swami","doi":"10.26611/101512316","DOIUrl":"https://doi.org/10.26611/101512316","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":"116147989","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}
Shahnawaz Rizwee, R. Tiwari, A. Kotia, J. Goyal, S. Chandalia
Background: Postdural puncture headache (PDPH) is a well-known complication of spinal anaesthesia. Two strategies have evolved to reduce the incidence of PDPH: First, to reduce the gauge of needle and second, to change the design of needle tip. Needle size might be the most significant factor in the development of PDPH. Aim: To compare the incidence of post-dural puncture headache and technical difficulties in lower abdomen surgeries under subarachnoid block between 27-G Whitacre spinal needle and 27-G Quincke spinal needle. Materials and Method: The present study was conducted at Tertiary Care Hospital and patients who were posted for lower abdomen surgeries including caesarean section, pelvis/perineum and lower limb surgeries under subarachnoid block and ASA physical status I and II were included in the study. A study proforma was formulated and details of demographic characteristics, baseline vitals, failure to produce spinal anaesthesia, time in seconds to the first appearance of cerebrospinal fluid (CSF) at the hub of the spinal needle, number of attempts to obtain CSF intraoperatively and patients were interviewed postoperatively. Results: The mean duration PDPH in the study was 33.84±25.14 hours in Quincke group as compare to 21±10.52 hours in Whitacre group and appearance of no significant difference between groups. Duration of headache lasted <24 hours and 24-48 hours (6 vs 3 & 4 vs 1 patient) among Quincke and Whitacre group respectively. Conclusion: The use of a 27-G Whitacre spinal needle was associated with a significantly lower incidence of PDPH than a 27-G Quincke spinal needle used for spinal anaesthesia. Key Word:27 G Quincke and Whitacre spinal needle *Address for Correspondence: Dr.Anshu S. S. Kotia, Assistant Professor, Department of Anaesthesiology, Jaipur National University Institute for Medical Sciences and Research Centre, Jagatpura, Jaipur, INDIA. Email:health@jnuhealthcare.com Received Date: 03/06/2019 Revised Date: 30/06/2019 Accepted Date: 07/08/2019 DOI: https://doi.org/10.26611/1015111212
背景:硬脊膜穿刺后头痛(PDPH)是一种众所周知的脊髓麻醉并发症。有两种策略可以减少PDPH的发生:一是减少针头的直径，二是改变针尖的设计。针头的大小可能是PDPH发展中最重要的因素。目的:比较27-G Whitacre脊髓针与27-G Quincke脊髓针在蛛网膜下腔阻滞下进行下腹手术时硬膜穿刺后头痛的发生率及技术难点。材料和方法:本研究在三级医院进行，纳入了在蛛网膜下腔阻滞下进行剖宫产、骨盆/会阴及下肢手术的下腹手术患者和ASA身体状态I和II的患者。制定了一项研究形式，详细介绍了人口统计学特征、基线生命体征、脊髓麻醉失败、脊髓针中心首次出现脑脊液(CSF)的时间(以秒为单位)、术中尝试获得CSF的次数以及术后对患者的访谈。结果:Quincke组PDPH平均持续时间为33.84±25.14 h, Whitacre组为21±10.52 h，两组间无统计学差异。Quincke组头痛持续时间<24小时，Whitacre组头痛持续时间24-48小时(6 vs 3, 4 vs 1)。结论:27-G Whitacre脊髓针与27-G Quincke脊髓针相比，用于脊髓麻醉的PDPH发生率明显降低。关键词:27 G Quincke and Whitacre脊柱针*通讯地址:印度斋浦尔国立大学医学科学与研究中心麻醉系助理教授anshu s.s. Kotia博士收稿日期:03/06/2019修稿日期:30/06/2019收稿日期:07/08/2019 DOI: https://doi.org/10.26611/1015111212
{"title":"A comparative study of 27 G Quincke and Whitacre spinal needle for evaluation of postdural puncture headache","authors":"Shahnawaz Rizwee, R. Tiwari, A. Kotia, J. Goyal, S. Chandalia","doi":"10.26611/101511212","DOIUrl":"https://doi.org/10.26611/101511212","url":null,"abstract":"Background: Postdural puncture headache (PDPH) is a well-known complication of spinal anaesthesia. Two strategies have evolved to reduce the incidence of PDPH: First, to reduce the gauge of needle and second, to change the design of needle tip. Needle size might be the most significant factor in the development of PDPH. Aim: To compare the incidence of post-dural puncture headache and technical difficulties in lower abdomen surgeries under subarachnoid block between 27-G Whitacre spinal needle and 27-G Quincke spinal needle. Materials and Method: The present study was conducted at Tertiary Care Hospital and patients who were posted for lower abdomen surgeries including caesarean section, pelvis/perineum and lower limb surgeries under subarachnoid block and ASA physical status I and II were included in the study. A study proforma was formulated and details of demographic characteristics, baseline vitals, failure to produce spinal anaesthesia, time in seconds to the first appearance of cerebrospinal fluid (CSF) at the hub of the spinal needle, number of attempts to obtain CSF intraoperatively and patients were interviewed postoperatively. Results: The mean duration PDPH in the study was 33.84±25.14 hours in Quincke group as compare to 21±10.52 hours in Whitacre group and appearance of no significant difference between groups. Duration of headache lasted <24 hours and 24-48 hours (6 vs 3 & 4 vs 1 patient) among Quincke and Whitacre group respectively. Conclusion: The use of a 27-G Whitacre spinal needle was associated with a significantly lower incidence of PDPH than a 27-G Quincke spinal needle used for spinal anaesthesia. Key Word:27 G Quincke and Whitacre spinal needle *Address for Correspondence: Dr.Anshu S. S. Kotia, Assistant Professor, Department of Anaesthesiology, Jaipur National University Institute for Medical Sciences and Research Centre, Jagatpura, Jaipur, INDIA. Email:health@jnuhealthcare.com Received Date: 03/06/2019 Revised Date: 30/06/2019 Accepted Date: 07/08/2019 DOI: https://doi.org/10.26611/1015111212","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"33 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":"123466333","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. Oza, Sujal G Patel, V. Parmar, S. Sarathy, Payal P Adhiya
{"title":"A comparative study of intraperitoneal instillation of ketamine and magnesium sulphate for intraoperative and postoperative pain relief in patients undergoing laparoscopic cholecystectomy","authors":"V. Oza, Sujal G Patel, V. Parmar, S. Sarathy, Payal P Adhiya","doi":"10.26611/101512313","DOIUrl":"https://doi.org/10.26611/101512313","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":"122709577","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":"Effect of clonidine on perioperative hemodynamics in hypertensive patients undergoing general anaesthesia","authors":"Ujjwala Andurkar, R. Gore","doi":"10.26611/101512221","DOIUrl":"https://doi.org/10.26611/101512221","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"23 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":"121548425","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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