Pub Date : 2023-04-01DOI: 10.33545/26643766.2023.v6.i2b.399
Fatma Adel Momen Elshazly, A. M. El-Sheikh, M. Mourad, W. E. Messbah
{"title":"Efficacy of ultrasound-guided erector spinae plane block versus retrolaminar block for postoperative analgesia in patients undergoing thoracotomy","authors":"Fatma Adel Momen Elshazly, A. M. El-Sheikh, M. Mourad, W. E. Messbah","doi":"10.33545/26643766.2023.v6.i2b.399","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i2b.399","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82037082","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}
Pub Date : 2023-04-01DOI: 10.33545/26643766.2023.v6.i2b.398
Ghady Osama Makram Ebied, G. El-Baradey, N. S. El-shmaa, T. Mostafa
Background: Hypovolemia and reduced vascular tone have a role in determining the severity of hypotension in septic shock. The risk of fluid overload is presented as common complication during septic shock resuscitation. The study aimed to investigate the effect of early norepinephrine administration on outcomes of patients with sepsis induced hypotension. Methods: This study was performed on 64 patients diagnosed with sepsis. The patients were randomly allocated into two groups, Group A: Received 30ml /kg ringer's lactate solution after first presentation then norepinephrine was added when persistent mean arterial pressure was still lower than mmHg despite adequate fluid resuscitation. Group B: Received 30ml /kg ringer's lactate solution after first presentation combined with norepinephrine infusion (0.05 mic/kg/min). Results: Time to reach MAP ≥ 65 mmHg showed statistically significant decrease in group B compared with group A. Mean arterial blood pressure in group B Showed statistically significant increase compared with group A. In group B: there were statistically significant decrease in heart rate changes compared with group A. There was statistically significant decrease in group B compared with group A in volume of intravenous fluid administered, quantity and dose of norepinephrine during 1st day, duration of norepinephrine, total leukocyte count, blood urea, serum creatinine and serum lactate and 30 days mortality. Urine output showed statistically significant increase in group B compared with group A at 1h, 6h, 12h and 24h follow up. Conclusion : Norepinephrine as part of initial resuscitation of sepsis induced hypotension result in decreased time to reach target MAP, decrease IV fluid requirement, lowers blood lactate levels, and decreases mortality rate.
{"title":"The impact of early norepinephrine administration on outcomes of patients with sepsis induced hypotension, randomized controlled prospective study","authors":"Ghady Osama Makram Ebied, G. El-Baradey, N. S. El-shmaa, T. Mostafa","doi":"10.33545/26643766.2023.v6.i2b.398","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i2b.398","url":null,"abstract":"Background: Hypovolemia and reduced vascular tone have a role in determining the severity of hypotension in septic shock. The risk of fluid overload is presented as common complication during septic shock resuscitation. The study aimed to investigate the effect of early norepinephrine administration on outcomes of patients with sepsis induced hypotension. Methods: This study was performed on 64 patients diagnosed with sepsis. The patients were randomly allocated into two groups, Group A: Received 30ml /kg ringer's lactate solution after first presentation then norepinephrine was added when persistent mean arterial pressure was still lower than mmHg despite adequate fluid resuscitation. Group B: Received 30ml /kg ringer's lactate solution after first presentation combined with norepinephrine infusion (0.05 mic/kg/min). Results: Time to reach MAP ≥ 65 mmHg showed statistically significant decrease in group B compared with group A. Mean arterial blood pressure in group B Showed statistically significant increase compared with group A. In group B: there were statistically significant decrease in heart rate changes compared with group A. There was statistically significant decrease in group B compared with group A in volume of intravenous fluid administered, quantity and dose of norepinephrine during 1st day, duration of norepinephrine, total leukocyte count, blood urea, serum creatinine and serum lactate and 30 days mortality. Urine output showed statistically significant increase in group B compared with group A at 1h, 6h, 12h and 24h follow up. Conclusion : Norepinephrine as part of initial resuscitation of sepsis induced hypotension result in decreased time to reach target MAP, decrease IV fluid requirement, lowers blood lactate levels, and decreases mortality rate.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79820226","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}
Pub Date : 2023-04-01DOI: 10.33545/26643766.2023.v6.i2b.395
Dr. Shravan Kumar Dholi, Dr. Syed Ali Aasim, D. M. Reddy, D. M. Reddy, Dr. Ajay Kumar, Dr. Jashwanth, Dr. Rohith Varma, Dr. Aakita Aleem, Dharmapuram Anil, Dr. Owais, D. Haritha, Dr. Rashmitha, Dr. Mamatha, Dr. Layasree, D. Maneesha, D. Dinesh, Dr. B Anoosha, D. Harika, S. Goutham, S. Sushma
{"title":"Cardiopulmonary resuscitation: Every citizen is a lifesaver","authors":"Dr. Shravan Kumar Dholi, Dr. Syed Ali Aasim, D. M. Reddy, D. M. Reddy, Dr. Ajay Kumar, Dr. Jashwanth, Dr. Rohith Varma, Dr. Aakita Aleem, Dharmapuram Anil, Dr. Owais, D. Haritha, Dr. Rashmitha, Dr. Mamatha, Dr. Layasree, D. Maneesha, D. Dinesh, Dr. B Anoosha, D. Harika, S. Goutham, S. Sushma","doi":"10.33545/26643766.2023.v6.i2b.395","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i2b.395","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80184555","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}
Pub Date : 2023-04-01DOI: 10.33545/26643766.2023.v6.i2b.402
Dr. Nandini Deshpande, Dr. Naresh Paliwal, Dr.Vijayalaxmi S Patil
Neurofibromatosis is a multisystem disorder with a relentless course. It poses a particular challenge to the anesthesiologist due to involvement of airway, spine, central and peripheral nervous system with systemic neurohormonal implications that can all lead to an adverse intraoperative course. Hence an understanding and detailed evaluation of systemic and local involvement of NF-1 is essential. Pregnancy has additional implications in a patient of NF-1, with an increase in size of neurofibromas, IUGR, preterm labour, hypertension secondary to pheochromocytoma, to name a few. We present the case of a 38 weeks pregnant 29-year-old female with NF-1 who underwent LSCS under spinal anesthesia and had an uneventful recovery. Our aim is to understand the anesthesia implications of NF-1 and present our unusual case.
{"title":"Pregnancy and neurofibromatosis type 1- challenges in anesthesia: A case report","authors":"Dr. Nandini Deshpande, Dr. Naresh Paliwal, Dr.Vijayalaxmi S Patil","doi":"10.33545/26643766.2023.v6.i2b.402","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i2b.402","url":null,"abstract":"Neurofibromatosis is a multisystem disorder with a relentless course. It poses a particular challenge to the anesthesiologist due to involvement of airway, spine, central and peripheral nervous system with systemic neurohormonal implications that can all lead to an adverse intraoperative course. Hence an understanding and detailed evaluation of systemic and local involvement of NF-1 is essential. Pregnancy has additional implications in a patient of NF-1, with an increase in size of neurofibromas, IUGR, preterm labour, hypertension secondary to pheochromocytoma, to name a few. We present the case of a 38 weeks pregnant 29-year-old female with NF-1 who underwent LSCS under spinal anesthesia and had an uneventful recovery. Our aim is to understand the anesthesia implications of NF-1 and present our unusual case.","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90612414","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}
Pub Date : 2023-04-01DOI: 10.33545/26643766.2023.v6.i2b.403
Dr. Sona David
{"title":"Attenuation of propofol induced pain by thiopentone sodium, fentanyl and lignocaine: A comparative study","authors":"Dr. Sona David","doi":"10.33545/26643766.2023.v6.i2b.403","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i2b.403","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76924879","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}
Pub Date : 2023-01-01DOI: 10.33545/26643766.2023.v6.i1b.382
Dr. Suraj Balaji Folane, Dr. Nazmeen Sayyed, Dr. Manisha Pole
{"title":"Anaesthetic management of a case of dilated cardiomyopathy posted for exploratory abdominal surgery","authors":"Dr. Suraj Balaji Folane, Dr. Nazmeen Sayyed, Dr. Manisha Pole","doi":"10.33545/26643766.2023.v6.i1b.382","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i1b.382","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86042446","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}
Pub Date : 2023-01-01DOI: 10.33545/26643766.2023.v6.i1a.365
Dr. Ketaki Nirkhi, Dr. Aniruddha Nirkhi
{"title":"A study to understand the current practices regarding the use of cuffed endotracheal tubes in pediatric anaesthesia amongst Indian anaesthesiologists","authors":"Dr. Ketaki Nirkhi, Dr. Aniruddha Nirkhi","doi":"10.33545/26643766.2023.v6.i1a.365","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i1a.365","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87972580","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}
Pub Date : 2023-01-01DOI: 10.33545/26643766.2023.v6.i1b.378
Dr. Arti Rajput, Dr. Anju Jamwal
{"title":"A comparative evaluation of butorphanol, fentanyl and nalbuphine for total intravenous anaesthesia in laparoscopic cholecystectomy","authors":"Dr. Arti Rajput, Dr. Anju Jamwal","doi":"10.33545/26643766.2023.v6.i1b.378","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i1b.378","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72637850","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}
Pub Date : 2023-01-01DOI: 10.33545/26643766.2023.v6.i1b.375
D. R, Sornam A, Jayashree R, L. R
{"title":"A comparison of train of four monitoring and double burst stimulation to assess residual neuromuscular blockade","authors":"D. R, Sornam A, Jayashree R, L. R","doi":"10.33545/26643766.2023.v6.i1b.375","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i1b.375","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85482197","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}
Pub Date : 2023-01-01DOI: 10.33545/26643766.2023.v6.i1b.383
Mai Elsaid Hamada, Laila Elahwal, G. Eid, H. El-Gendy
{"title":"Ultrasound guided erector spinae plane block versus quadratus lumborum block for post-operation analgesia in laparoscopic cholecystectomy surgeries: A randomized controlled trial","authors":"Mai Elsaid Hamada, Laila Elahwal, G. Eid, H. El-Gendy","doi":"10.33545/26643766.2023.v6.i1b.383","DOIUrl":"https://doi.org/10.33545/26643766.2023.v6.i1b.383","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87239115","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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