Journal of Anaesthesiology, Clinical Pharmacology最新文献

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Comparison of the LMA BlockBuster and intubating LMA as a conduit to blind tracheal intubation LMA BlockBuster与气管插管LMA作为盲气管插管的比较

Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-05 DOI: 10.4103/joacp.joacp_272_22

Kiranpreet Kaur, Vishvas Verma, Prashant Kumar, Suresh K. Singhal, Svareen Kaur, Vaishali Mahor, Nancy Nandal, Tavleen Kaur

Abstract Background and Aims: Primary aim of the study was to evaluate the performance of Intubating LMA (ILMA) and blockbuster LMA in terms of first pass success rate, ease and duration taken for blind tracheal intubation. Material and Methods: The present prospective randomised study was conducted on 70 patients of either sex aged 18-60 years belonging to ASA physical status I or II. Patients were randomly allocated to either, group I and group B of n = 35 each. In group I and B patients were intubated using ILMA and LMA BlockBuster respectively. Insertion time and ease of placement of supraglottic device, total time taken for successful intubation, number of attempts for endotracheal tube (ETT) placement, and ease of placement of ETT, were recorded. Results: In both groups, the supraglottic device was placed on the first attempt in 88.6% patients. The first-attempt success rate for ETT placement was 71.4% in group I versus 94.3% in group B, ( P = 0.01) with an overall success rate of 88.5% in group I and 100% in group. More failure rate was observed in group I (11.4%) compared to group B (0%). The total time taken for successful intubation in group I was 11.53 ± 6.410 sec and 9.17 ± 2.749 sec in group B ( P = 0.04). Conclusion: We conclude that the modifications in the design of LMA Blockbuster (>95° angle, availability of the parker flex tube 27–30°angle of the emergence of airway tube) make it a more convenient, effective, simpler, and faster intubating device than ILMA.

摘要背景与目的:本研究的主要目的是评价插管式LMA (ILMA)和重建式LMA在盲气管插管的一次通过率、简易性和持续时间方面的表现。材料和方法:本前瞻性随机研究纳入了70例年龄在18-60岁，属于ASA身体状态I或II的患者。将患者随机分为I组和B组，每组35例。I组和B组患者分别插管使用ILMA和LMA BlockBuster。记录声门上装置的插入时间和放置的难易程度、插管成功的总时间、气管内插管(ETT)的尝试次数和ETT放置的难易程度。结果:两组患者首次尝试放置声门上装置的比例均为88.6%。第一组首次尝试放置ETT的成功率为71.4%，而B组为94.3%，(P = 0.01)，总成功率为88.5%，组为100%。I组的失败率(11.4%)高于B组(0%)。I组插管成功总时间为11.53±6.410秒，B组为9.17±2.749秒(P = 0.04)。结论:LMA Blockbuster在设计上的改进(>95°角度，可提供派克伸缩管27-30°气道管的出现角度)使其比ILMA更方便、有效、简单、快速。

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引用次数: 0

Data acquisition from Datex-OhmedaAestiva/5 7900 ventilator using an open-source Python project. 使用开源 Python 项目从 Datex-OhmedaAestiva/5 7900 呼吸机采集数据。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-12 DOI: 10.4103/joacp.joacp_160_22

Nathan T P Patel, Magan R Lane, Timothy K Williams, Lucas P Neff

引用次数: 0

An indigenous modification to ensure closed blood sampling. 本土化改造，确保封闭式血液采样。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-12 DOI: 10.4103/joacp.joacp_88_22

Dhiraj Singh, Rudrashish Haldar, Ashish K Kannaujia, Anil Agarwal

引用次数: 0

A prominent lesion overshadowing the real airway problem in an infant. 突出的病变掩盖了婴儿真正的气道问题。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_105_22

Priya Rudingwa, Deepak Chakravarthy

引用次数: 0

Subcutaneous vasopressin as a rescue to manage intra-operative polyuria of unknown etiology in a neurosurgical patient. 皮下注射血管加压素作为神经外科患者术中不明病因多尿的抢救疗法。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_61_22

Darshana Rathod, Kamlesh Kumari, Namita Malhotra, Tanvi Meshram

引用次数: 0

Ignoring Pantone matching system: A recipe for disaster. 忽视潘通配色系统：祸不单行。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_8_22

Ajmer Singh

引用次数: 0

Inadvertent surgical bleeding in PCOS patient with splenomegaly and its association with Non Alcoholic Fatty Liver Disease (NAFLD). 伴有脾肿大的多囊卵巢综合征（PCOS）患者手术意外出血及其与非酒精性脂肪肝（NAFLD）的关联。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_188_22

Yasha V Kameshwar, Gayatri Mishra

引用次数: 0

Cross-sectional study on utilisation of social media by regional anaesthesia and acute pain medicine fellowship programs in the United States. 关于美国区域麻醉和急性疼痛医学奖学金项目利用社交媒体的横断面研究。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_149_23

Janet Hong, Usama Siddique, Ghislaine Echevarria, Alopi Patel, Yan H Lai, B H Poonam Pai

Background and aims: Social media provides a platform for physicians helping them change the practice in anaesthesiology as it promotes both personal and professional growth. In this cross-sectional study, we identify social media presence and engagement of Accreditation Council for Graduate Medical Education (ACGME)-accredited Regional Anesthesia and Acute Pain Medicine (RAAPM) fellowship programs, specifically on Twitter (Twitter Inc., San Francisco, CA) and Instagram (Meta Platforms Inc., Menlo Park, CA). This article presents current evidence about social media presence and engagement of ACGME-accredited RAAPM fellowship programs on Twitter and Instagram. These findings could potentially help cultivate greater social media engagement in the RAAPM community and improve recruitment of prospective applicants.

Material and methods: The list of ACGME-accredited RAAPM fellowship programs for the academic year 2020-2021 was obtained from the ACGME website. Accounts were searched by reviewing each program's website for profile links and by querying for the name of the program directly on Twitter and Instagram. Department of Anesthesiology, Perioperative and Pain Medicine accounts were analysed for posts pertaining to RAAPM elements, and RAAPM fellowship-specific accounts were investigated. Accounts that were solely focused on an anaesthesiology residency were excluded. All posts over the academic year period of 1 July 2020 to 30 June 2021 were analyzed.

Results: While many programs had active departmental social media accounts during our study, there was a dearth of RAAPM-related output (3.4% of tweets and 2.7% Instagram posts). Furthermore, only 10% of programs had RAAPM fellowship-specific Twitter accounts, of which only 5% of programs were active. Finally, there were no RAAPM fellowship-specific Instagram accounts.

Conclusions: While there is robust use of social media by departmental accounts, there is a paucity of RAAPM-related content and RAAPM fellowship-specific social media accounts. The current gap provides valuable opportunities for future investigations into the cyber footprint and innovative engagement strategies for the RAAPM community.

背景和目的：社交媒体为医生提供了一个帮助他们改变麻醉学实践的平台，因为它既能促进个人成长，又能促进职业发展。在这项横断面研究中，我们确定了经毕业后医学教育认证委员会（ACGME）认证的区域麻醉和急性疼痛医学（RAAPM）研究金项目在社交媒体上的存在和参与情况，特别是在 Twitter（Twitter 公司，加利福尼亚州旧金山）和 Instagram（Meta Platforms 公司，加利福尼亚州门洛帕克）上的存在和参与情况。本文介绍了 ACGME 认证的 RAAPM 研究金项目在 Twitter 和 Instagram 上的社交媒体存在和参与情况。这些发现可能有助于提高 RAAPM 社区在社交媒体上的参与度，并改善潜在申请者的招募工作：从 ACGME 网站获取了 2020-2021 学年 ACGME 认可的 RAAPM 研究金项目列表。通过查看每个项目网站上的简介链接以及直接在 Twitter 和 Instagram 上查询项目名称来搜索账户。分析了麻醉学、围手术期和疼痛医学系账户中与 RAAPM 元素相关的帖子，并调查了 RAAPM 研究金特定账户。排除了只关注麻醉学住院医生的账户。对 2020 年 7 月 1 日至 2021 年 6 月 30 日学年期间的所有帖子进行了分析：在我们的研究中，虽然许多项目都有活跃的部门社交媒体账户，但与 RAAPM 相关的产出却很少（3.4% 的推文和 2.7% 的 Instagram 帖子）。此外，只有10%的项目拥有针对RAAPM研究员的Twitter账户，其中只有5%的项目是活跃的。最后，没有针对 RAAPM 研究员的 Instagram 账户：结论：虽然各部门的账户都在积极使用社交媒体，但与 RAAPM 相关的内容和 RAAPM 研究员专用社交媒体账户却很少。目前的空白为今后调查 RAAPM 社区的网络足迹和创新参与策略提供了宝贵的机会。

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引用次数: 0

Ultrasound-aided thoracic epidural catheter insertion: Description of a feasible technique. 超声辅助胸腔硬膜外导管插入：描述一种可行的技术。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_66_22

Sumitra G Bakshi, Madhavi Shetmahajan, Badal Dhurwe

引用次数: 0

Ultrasound-guided bilateral continuous pecto-intercostal fascial block for post-sternotomy pain management. 超声引导下的双侧连续胸肋间筋膜阻滞治疗胸骨切除术后疼痛。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY

Journal of Anaesthesiology, Clinical Pharmacology

Pub Date : 2023-10-01 Epub Date: 2023-12-20 DOI: 10.4103/joacp.joacp_38_22

Amarjeet Kumar, Chandni Sinha, Ajeet Kumar, Kunal Krishna, Abhinav Prakash, Surabhi

引用次数: 0

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