S. Kaushik, Hemendra Bamaniya, Yatendra Singh Chundawat
Objective: The present study was performed to evaluate the effectiveness of intravenous Clonidine as a part of premedication in controlled hypotensive anaesthesia during functional endoscopic sinus surgery (FESS). Material & Methods: It was a prospective study carried out in the department of Anaesthesia of a tertiary care centre of Rajasthan, India. 50 patients undergoing FESS surgery for chronic sinusitis were included in the study and were divided into two groups viz. group I, who were given normal saline and group II, who were given intravenous Clonidine 3μ/kg as a part of premedication prior to induction. The outcomes were measured by estimation of mean arterial pressure (MAP), extra requirement of isoflurane and nitrogycerine (NTG) to achieve target MAP, blood loss during the surgery, duration of surgery and post-operative complications. Results: Both the groups were matched in terms of age, sex and weight parameters. There was statistically significant difference between MAP in group I and group II before induction, average intra-operative and during immediate post-operative period. The requirement of extra isoflurane or NTG to achieve target MAP was high ( in 56% patients) and moderate (in 44% patients) in group I while low requirement was needed in 60% of group II cases and rest 40% cases didn’t required any extra isoflurane or NTG. The average amount of blood loss in group II was significantly less (230±66 ml) than group I (356±75 ml). Similarly, the duration was 76±16 minutes in group I surgery and 59±12 minutes in Clonidine group. Quality of surgical field as per Boezart score was significantly better in Clonidine group. The incidence of postoperative complications like bradycardia, hypotension and prolonged sedation were not significant in both the groups. Conclusion: Clonidine is cheap and safe drug to use for controlled hypotensive anaesthesia without any significant side effect in FESS.
{"title":"Role of clonidine premedication as a part of hypotensive anaesthesia during functional endoscopic sinus surgery: A placebo-controlled study","authors":"S. Kaushik, Hemendra Bamaniya, Yatendra Singh Chundawat","doi":"10.26611/10151124","DOIUrl":"https://doi.org/10.26611/10151124","url":null,"abstract":"Objective: The present study was performed to evaluate the effectiveness of intravenous Clonidine as a part of premedication in controlled hypotensive anaesthesia during functional endoscopic sinus surgery (FESS). Material & Methods: It was a prospective study carried out in the department of Anaesthesia of a tertiary care centre of Rajasthan, India. 50 patients undergoing FESS surgery for chronic sinusitis were included in the study and were divided into two groups viz. group I, who were given normal saline and group II, who were given intravenous Clonidine 3μ/kg as a part of premedication prior to induction. The outcomes were measured by estimation of mean arterial pressure (MAP), extra requirement of isoflurane and nitrogycerine (NTG) to achieve target MAP, blood loss during the surgery, duration of surgery and post-operative complications. Results: Both the groups were matched in terms of age, sex and weight parameters. There was statistically significant difference between MAP in group I and group II before induction, average intra-operative and during immediate post-operative period. The requirement of extra isoflurane or NTG to achieve target MAP was high ( in 56% patients) and moderate (in 44% patients) in group I while low requirement was needed in 60% of group II cases and rest 40% cases didn’t required any extra isoflurane or NTG. The average amount of blood loss in group II was significantly less (230±66 ml) than group I (356±75 ml). Similarly, the duration was 76±16 minutes in group I surgery and 59±12 minutes in Clonidine group. Quality of surgical field as per Boezart score was significantly better in Clonidine group. The incidence of postoperative complications like bradycardia, hypotension and prolonged sedation were not significant in both the groups. Conclusion: Clonidine is cheap and safe drug to use for controlled hypotensive anaesthesia without any significant side effect in FESS.","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"76 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":"127426749","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. Kulkarni, Sandip Mahadev Kande, Pushpa I Agarwal
{"title":"A comparative study of dexmedetomidine with propofol versus propofolalone for insertion of classical laryngeal mask airway","authors":"V. Kulkarni, Sandip Mahadev Kande, Pushpa I Agarwal","doi":"10.26611/101512320","DOIUrl":"https://doi.org/10.26611/101512320","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"3 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":"127127232","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}
B AdityaPradeepReddy, B. G. Kumari, V. A. K. Kumar
{"title":"A comparative study of ketamine and propofol versus fentanyl and propofol in total intravenous anaesthesia for short surgical procedures","authors":"B AdityaPradeepReddy, B. G. Kumari, V. A. K. Kumar","doi":"10.26611/10151235","DOIUrl":"https://doi.org/10.26611/10151235","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"97 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":"132019746","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: "Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Inadequate pain control, apart from being inhumane, may result in increased morbidity or mortality. Aims and Objectives: To Study comparison of efficacy of intrathecal bupivacaine plus midazolam vs bupivaine alone for postoperatively analgesia in the patients of caesarean delivery. Methodology: The present study was carried out during period of January 2009 to September 2009. sixty patients of age group 18-40 years were selected for the presented study. Patients undergoing caesarean section as SA grade I and II and not having fetal distress selected for study. Preoperative evaluation of all patients was done. Group A : (n=30) received Inj.Bupivacaine 0.5% heavy 2 ml (10 mg) , Group B : (n=30) received Inj.Bupivacaine 0.5% heavy 2 ml (10 mg) + inj.Midazolam 0.5% , 0.2 ml (1mg) .Pain was accessed by duration of analgesia and VAS-score at 1 hr and 3 hr. The statistical analysis was done by Chi –square test, unpaired t-test calculated by SPSS 19 version software. Results : In our study we have seen that The mean age in group A and Group B was 23.8 ± 3.47 Yrs. and 24±4 comparable (t=0.207,p>0.05).The duration of anesthesia was more in Group B i.e. 88.66± 17.75 as compared to 86±16.15 but the difference was not statistically significant (t=0.608,p>0.05) . The duration of analgesia was more in Group B i.e. 246±39 as compared to 200 ±21 but the difference was not statistically significant (t=0.608,p>0.05) .The doses required for analgesia was less in group A i.e. 2.93±0.630 vs in Group B i.e. 2.96±0.490 but the difference was not statistically significant (t=0.226,p>0.05) .The most of the patients with VAS 2 or 3 were more in Group A as compared to Group B but the difference was not significant (X2 =1.950,p>0.05). The most of the patients with VAS 6,4, 3 or 2 were more in Group A as compared to Group B but the difference was not significant (X2 =2.70 ,p>0.05) Conclusion : It can be concluded from our study that addition of the midazolam improved the duration of analgesia, less VAS score but not significantly differed hence for the definite conclusion further studies with large samples are needed.
背景:“疼痛是一种不愉快的感觉和情感体验，与实际或潜在的组织损伤有关，或者用这种损伤来描述。疼痛控制不充分，除了不人道之外，还可能导致发病率或死亡率增加。目的:比较布比卡因联合咪达唑仑与布比卡因单独应用于剖宫产术后镇痛的疗效。方法:本研究于2009年1月至2009年9月进行。选择年龄在18-40岁的60例患者进行本研究。选择SA分级为I级和II级且无胎儿窘迫的剖宫产患者作为研究对象。术前对所有患者进行评估。A组(n=30)注射Inj。布比卡因0.5%重2ml (10mg)， B组(n=30)注射。布比卡因0.5%重2ml (10mg) +注射。咪达唑仑0.5%，0.2 ml (1mg)。通过1小时和3小时的镇痛持续时间和vas评分来评估疼痛。统计学分析采用卡方检验，非配对t检验采用SPSS 19版软件计算。结果:A、B组患者平均年龄23.8±3.47岁。与24±4比较(t=0.207,p>0.05)。B组麻醉时间(88.66±17.75)高于对照组(86±16.15)，但差异无统计学意义(t=0.608,p>0.05)。镇痛期间更多的是在B组即246±39 200±21但相比差异无统计学意义(t = 0.608, p > 0.05),所需剂量镇痛在A组即少。在B组即2.93±0.630 vs。2.96±0.490,但差异不显著(t = 0.226, p > 0.05),大多数的患者血管2或3更在A组与B组,但差异不显著(X2 = 1.950, p > 0.05)。VAS 6、4、3、2级患者A组较B组多，但差异无统计学意义(X2 =2.70,p>0.05)。结论:本研究提示咪达唑仑可改善镇痛时间，降低VAS评分，但差异无统计学意义，需进一步大样本研究才能得出明确结论。
{"title":"A study of comparison of duration of intrathecal bupivacaine plus midazolam vs bupivaine alone for postoperatively analgesia in the patients of caesarean delivery","authors":"P. Patole, A. Dawari","doi":"10.26611/101511117","DOIUrl":"https://doi.org/10.26611/101511117","url":null,"abstract":"Background: \"Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Inadequate pain control, apart from being inhumane, may result in increased morbidity or mortality. Aims and Objectives: To Study comparison of efficacy of intrathecal bupivacaine plus midazolam vs bupivaine alone for postoperatively analgesia in the patients of caesarean delivery. Methodology: The present study was carried out during period of January 2009 to September 2009. sixty patients of age group 18-40 years were selected for the presented study. Patients undergoing caesarean section as SA grade I and II and not having fetal distress selected for study. Preoperative evaluation of all patients was done. Group A : (n=30) received Inj.Bupivacaine 0.5% heavy 2 ml (10 mg) , Group B : (n=30) received Inj.Bupivacaine 0.5% heavy 2 ml (10 mg) + inj.Midazolam 0.5% , 0.2 ml (1mg) .Pain was accessed by duration of analgesia and VAS-score at 1 hr and 3 hr. The statistical analysis was done by Chi –square test, unpaired t-test calculated by SPSS 19 version software. Results : In our study we have seen that The mean age in group A and Group B was 23.8 ± 3.47 Yrs. and 24±4 comparable (t=0.207,p>0.05).The duration of anesthesia was more in Group B i.e. 88.66± 17.75 as compared to 86±16.15 but the difference was not statistically significant (t=0.608,p>0.05) . The duration of analgesia was more in Group B i.e. 246±39 as compared to 200 ±21 but the difference was not statistically significant (t=0.608,p>0.05) .The doses required for analgesia was less in group A i.e. 2.93±0.630 vs in Group B i.e. 2.96±0.490 but the difference was not statistically significant (t=0.226,p>0.05) .The most of the patients with VAS 2 or 3 were more in Group A as compared to Group B but the difference was not significant (X2 =1.950,p>0.05). The most of the patients with VAS 6,4, 3 or 2 were more in Group A as compared to Group B but the difference was not significant (X2 =2.70 ,p>0.05) Conclusion : It can be concluded from our study that addition of the midazolam improved the duration of analgesia, less VAS score but not significantly differed hence for the definite conclusion further studies with large samples are needed.","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"28 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":"131898100","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. Bhale, Chidanand Nazirkar, A. Deshmukh, M. Pareek
{"title":"A study of ease of I-GEL insertion","authors":"P. Bhale, Chidanand Nazirkar, A. Deshmukh, M. Pareek","doi":"10.26611/101512216","DOIUrl":"https://doi.org/10.26611/101512216","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"13 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":"125220725","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}
Sandip R. Baheti, H. Mahajan, V. P. Mulay, Kaushik Cherukuri
{"title":"Modified intravenous regional Anaesthesia (Re-exsanguination before surgery)","authors":"Sandip R. Baheti, H. Mahajan, V. P. Mulay, Kaushik Cherukuri","doi":"10.26611/10151233","DOIUrl":"https://doi.org/10.26611/10151233","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"39 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":"133893315","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 study to compare the action of rocuronium versus vecuronium for tracheal intubation and maintenance of anesthesia using train of four monitor","authors":"P. Chougule, S. Agnihotri, M. Asif","doi":"10.26611/101511312","DOIUrl":"https://doi.org/10.26611/101511312","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"149 10 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":"130138674","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}
Chaitanya A Kamat, R. Kerur, Purvashree Deshmukh, Priyanka Gadvi
{"title":"Efficacy of ketamine as an adjuvant to local anaesthetics in ultrasound-guided popliteal nerve blocks for foot surgeries: A double-blind randomized control study","authors":"Chaitanya A Kamat, R. Kerur, Purvashree Deshmukh, Priyanka Gadvi","doi":"10.26611/101512317","DOIUrl":"https://doi.org/10.26611/101512317","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"201 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":"115635353","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":"Study of role of malleable stylet vs gum elastic bougie in facilitation of tracheal intubation with and without use of cricoid pressure","authors":"D. Ruparel, Rajendra D. Patel","doi":"10.26611/10151132","DOIUrl":"https://doi.org/10.26611/10151132","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"130 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":"124240227","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":"Knowledge, attitude and self perceived competency in provision of palliative and end of life care in resident doctors at tertiary care government hospital","authors":"Natasha Kale, Suraj Jadhavar","doi":"10.26611/10151139","DOIUrl":"https://doi.org/10.26611/10151139","url":null,"abstract":"","PeriodicalId":118187,"journal":{"name":"MedPulse International Journal of Anesthesology","volume":"30 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":"124597751","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：