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Enhanced recovery after anaesthesia (ERAA) protocols must be followed in all surgeries. 所有手术都必须遵循麻醉后强化恢复（ERAA）协议。
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_724_24
Mukul C Kapoor
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引用次数: 0
Comparing the effects of three local anaesthetic agents on cardiac conduction system - A randomised study. 比较三种局麻药对心脏传导系统的影响--随机研究。
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_1185_23
Vaishali Agarwal, Pravin K Das, Soumya S Nath, Manoj Tripathi, Bhuwan Tiwari

Background and aims: This study aimed to compare the effects of three local anaesthetic (LA) agents, namely bupivacaine, levobupivacaine, and ropivacaine, on the cardiac conduction system as assessed by corrected QT (QTc) and P wave dispersion (PWD) intervals in lower limb orthopaedic surgeries and to find the most suitable LA agent that can be used for a long duration.

Methods: The study included 75 patients with American Society of Anesthesiologists physical status I and II of either gender in the age group of 18-65 years undergoing elective lower limb orthopaedic surgeries under epidural anaesthesia. These were allocated to groups B (bupivacaine), L (levobupivacaine), and R (ropivacaine). We observed blood pressure, heart rate, respiratory rate, PWD, and QTc intervals from baseline value through Holter monitoring, pain assessment by visual analogue scale, and demand and total volume of LA consumed by patient-controlled analgesia devices. The repeated measures of ANOVA were carried out to find the effect of time and time-to-group interaction among the groups across the periods.

Results: On intergroup comparison of QTc and PWD, no significant difference among groups was observed, but on intragroup analysis, a statistically significant increase in QTc and PWD from baseline was observed for each of groups B, L, and R at all time intervals. However, the mean increase in QTc and PWD recorded for Group B was higher than in groups L and R.

Conclusions: Bupivacaine has the maximal tendency to prolong QTc and PWD. All three agents showed comparable haemodynamic effects and time to onset of sensory and motor blockade.

背景和目的：本研究旨在比较布比卡因、左旋布比卡因和罗哌卡因这三种局麻药对下肢矫形手术中心脏传导系统的影响（通过校正QT（QTc）和P波弥散（PWD）间期评估），并找出最适合长期使用的局麻药：研究对象包括在硬膜外麻醉下接受择期下肢矫形手术的 75 名美国麻醉医师协会体能状态 I 级和 II 级患者，性别不限，年龄在 18-65 岁之间。这些患者被分配到 B 组（布比卡因）、L 组（左布比卡因）和 R 组（罗哌卡因）。我们通过 Holter 监测仪观察血压、心率、呼吸频率、PWD 和 QTc 间期的基线值，通过视觉模拟量表评估疼痛，并通过患者自控镇痛设备观察 LA 的需求量和总用量。通过重复测量方差分析发现了时间和时间-组间交互作用对各组在不同时期的影响：在 QTc 和 PWD 的组间比较中，未观察到各组间的显著差异，但在组内分析中，观察到 B、L 和 R 组在所有时间间隔内的 QTc 和 PWD 与基线相比均有统计学意义上的显著增加。然而，B 组的 QTc 和 PWD 平均增幅高于 L 组和 R 组：结论：布比卡因具有延长 QTc 和 PWD 的最大趋势。所有三种药剂的血流动力学效应以及感觉和运动阻滞开始的时间具有可比性。
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引用次数: 0
Limitations of high-frequency variability index in pain monitoring during pheochromocytoma resection. 嗜铬细胞瘤切除术中疼痛监测高频变异指数的局限性
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_350_24
Jun Honda, Rieko Oishi, Keisuke Yoshida, Satoki Inoue
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引用次数: 0
Sensitivity and subgroup analysis in a meta-analysis - What we should know? 荟萃分析中的敏感性和亚组分析--我们应该知道什么？
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_623_24
Abhijit Sukumaran Nair, Nitinkumar Borkar
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引用次数: 0
Optimising oxygenation prior to and during tracheal intubation in critically ill patients. 优化重症患者气管插管前和插管过程中的氧合。
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_553_24
Kunal Karamchandani, Alex Iancau, Craig S Jabaley
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引用次数: 0
Ultrasound-guided central neuraxial block: Practice to curriculum? 超声引导下的中枢神经阻滞：从实践到课程？
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_777_24
Srinivasan Parthasarathy, Nishant Kumar, Indubala Maurya, J Edward Johnson
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引用次数: 0
Does the resistive index of the radial artery change after arterial cannulation in patients undergoing abdominal surgery? A prospective observational study. 腹部手术患者动脉插管后桡动脉的阻力指数会发生变化吗？一项前瞻性观察研究。
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_628_24
Lakshmi Kumar, Rajasri Subramaniam, P Anandajith Kartha, Dimple E Thomas, Sunil Patel, Niveditha Kartha

Background and aims: To evaluate the flow at the cannulation site in the radial artery, the resistive indices (RIs) before cannula insertion and 6 h after decannulation were measured (primary outcome). The secondary outcomes were measurement of the artery size by anteroposterior (AP) diameter at the insertion site, RI and AP diameter at a point 4 cm proximal and in the ipsilateral ulnar artery before insertion and 6 h after cannula removal.

Methods: In 96 patients requiring an arterial line during surgery, peak systolic velocity (PSV) and end-diastolic velocity (EDV) were measured to derive RI using a linear ultrasound transducer. The RI was measured at R1 (insertion point), R2, 4 cm proximal to R1, and U1 on the ipsilateral ulnar artery. The AP diameter of the arteries at baseline R10, R20 and U10 was measured and repeated 6 h after removal of the cannula, R16, R26 and U16.

Results: RI or AP diameter in R1 or R2 did not differ pre- and post-cannulation. Mean R10 1.143 [standard deviation (SD: 0.239)] versus R16 1.181 (SD: 0.260) m/sec [mean difference (MD): -0.0372 (95% confidence interval (CI): -0.098, 0.023), P = 0.230]. Mean AP diameter at baseline versus 6 h decannulation 0.177 (SD: 0.042) versus 0.172 (SD: 0.045) cm [MD: 0.005 (95% CI: 0.003, 0.013), P = 0.222] was also similar. The mean PSV in U10 versus U16 was higher: 0.480 (SD: 0.178) versus 0.528 (SD: 0.316) m/sec [MD: 0.120 (95% CI: -0.185, -0.054), P = 0.002] and AP diameter was also higher than baseline (P = 0.001).

Conclusion: The flow in the radial artery did not change following cannulation. The PSV and AP diameter in the ulnar artery increased after decannulation, suggesting a compensatory increase in flow.

背景和目的：为了评估桡动脉插管部位的血流情况，测量了插管前和拔管后 6 小时的阻力指数 (RI)（主要结果）。次要结果是在插入插管前和拔出插管后 6 小时，通过插入部位的前胸（AP）直径、RI 和同侧尺动脉近端 4 厘米处的 AP 直径测量动脉大小：使用线性超声换能器测量 96 名手术期间需要动脉导管的患者的收缩峰值速度（PSV）和舒张末期速度（EDV），以得出 RI。RI 在 R1（插入点）、R2（R1 近端 4 厘米处）和同侧尺动脉 U1 处测量。在基线 R10、R20 和 U10 处测量动脉 AP 直径，并在拔出插管 6 小时后在 R16、R26 和 U16 处重复测量：结果：R1 或 R2 的 RI 或 AP 直径在拔管前后没有差异。平均 R10 1.143[标准差（SD：0.239）]与 R16 1.181（SD：0.260）米/秒[平均差异（MD）：-0.0372（95% 置信区间（CI）：-0.098，0.023），P = 0.230]。基线时的平均 AP 直径与 6 h 拔管时的 0.177（标清：0.042）cm 与 0.172（标清：0.045）cm [MD：0.005（95% 置信区间：0.003，0.013），P = 0.222]也相似。U10与U16的平均PSV更高：0.480（SD：0.178）与0.528（SD：0.316）米/秒[MD：0.120（95% CI：-0.185，-0.054），P = 0.002]，AP直径也高于基线（P = 0.001）：结论：桡动脉的血流在插管后没有变化。结论：插管后桡动脉的血流没有变化，尺动脉的 PSV 和 AP 直径在拔管后有所增加，表明血流代偿性增加。
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引用次数: 0
Novel supraglottic airway device for ophthalmic procedures. 用于眼科手术的新型声门上气道装置。
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_537_24
Renu Sinha, Kanil Ranjith Kumar, Vinay Balnath Gaikwad, Arshad Ayub
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引用次数: 0
ABCs of anaesthesia private practice: Adapting, building and conquering. 私人麻醉实践 ABC：适应、建设和征服。
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_726_24
Pankaj Gupta, Meera Pandey, Amit Jain
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引用次数: 0
Effects of a mindfulness-based intervention on pain intensity, disability and quality of life of chronic low back pain patients: A randomised study. 正念干预对慢性腰背痛患者的疼痛强度、残疾程度和生活质量的影响：随机研究
IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia
Pub Date : 2024-10-01 Epub Date: 2024-09-14 DOI: 10.4103/ija.ija_361_24
Anirban Pal, Purnava Mukhopadhyay, Debasish Bhattacharyya, Subrata Ray
{"title":"Effects of a mindfulness-based intervention on pain intensity, disability and quality of life of chronic low back pain patients: A randomised study.","authors":"Anirban Pal, Purnava Mukhopadhyay, Debasish Bhattacharyya, Subrata Ray","doi":"10.4103/ija.ija_361_24","DOIUrl":"https://doi.org/10.4103/ija.ija_361_24","url":null,"abstract":"","PeriodicalId":13339,"journal":{"name":"Indian Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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