{"title":"Awareness and sweating among patients undergoing elective cardiac surgery under hypothermic cardiopulmonary bypass","authors":"A. Mathew","doi":"10.26611/10152213","DOIUrl":"https://doi.org/10.26611/10152213","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82622592","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 comparative study of different types of video laryngoscopes in viewing ease and time of Intubation and laryngoscopic response","authors":"V. Shah","doi":"10.26611/10152212","DOIUrl":"https://doi.org/10.26611/10152212","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"254 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77425514","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 two different doses of Dexmedetomidine on hemodynamic responses during tracheal extubation","authors":"P. Raut","doi":"10.26611/1015839","DOIUrl":"https://doi.org/10.26611/1015839","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82200899","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: Laryngoscopy and intubation incur a reflex sympathetic discharge. Laparoscopic pneumoperitoneum usually causes a hemodynamic response characterized by tachycardia and a rise in blood pressure (BP). The main aim of this study was to compare the beneficial effects of preoperative administration of magnesium sulphate (MgSo4) and dexmedetomidine on the hemodynamic changes of intubation and laparoscopic surgery. Methodology: A randomized, prospective, double-blinded interventional comparative study was conducted on 60 patients undergoing laparoscopic cholecystectomy. Patients were randomized into 2groups, of 30 each to receive magnesium sulphate (50mg/kg(Group A)) or dexmedetomidine(1mcg/kg(Group B)) before induction. Baseline readings of systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), heart rate (HR), electrocardiography (ECG), and peripheral arterial oxygen saturation (SPO2) were recorded. Results: Among 60 patients, the percentage of patients belonging to the American society of anesthesiologists (ASA) I and II category were in group A (66.67%, 33.33%) and group B (63.33%,36.67%) respectively. Patients of both the groups were comparable on all demographic variables. Conclusion: Magnesium sulphate was better in controlling the stress response of intubation and of laparoscopic surgery. Also, it had extended analgesic effect on immediate post-operative pain which makes it better choice than dexmedetomidine to use as anesthetic adjuvant in general anesthesia in laparoscopic surgery. hemodynamic parameters (except Heart Rate). Visual analog, scale (VAS) was also lower in this group.
{"title":"Comparative study of magnesium sulphate and dexmedetomidine in the attenuation of pressor response to intubation and on intraoperative haemodynamic parameters in laparoscopic cholecystectomy","authors":"Prithiv Rishardhan","doi":"10.26611/101519312","DOIUrl":"https://doi.org/10.26611/101519312","url":null,"abstract":"Background: Laryngoscopy and intubation incur a reflex sympathetic discharge. Laparoscopic pneumoperitoneum usually causes a hemodynamic response characterized by tachycardia and a rise in blood pressure (BP). The main aim of this study was to compare the beneficial effects of preoperative administration of magnesium sulphate (MgSo4) and dexmedetomidine on the hemodynamic changes of intubation and laparoscopic surgery. Methodology: A randomized, prospective, double-blinded interventional comparative study was conducted on 60 patients undergoing laparoscopic cholecystectomy. Patients were randomized into 2groups, of 30 each to receive magnesium sulphate (50mg/kg(Group A)) or dexmedetomidine(1mcg/kg(Group B)) before induction. Baseline readings of systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), heart rate (HR), electrocardiography (ECG), and peripheral arterial oxygen saturation (SPO2) were recorded. Results: Among 60 patients, the percentage of patients belonging to the American society of anesthesiologists (ASA) I and II category were in group A (66.67%, 33.33%) and group B (63.33%,36.67%) respectively. Patients of both the groups were comparable on all demographic variables. Conclusion: Magnesium sulphate was better in controlling the stress response of intubation and of laparoscopic surgery. Also, it had extended analgesic effect on immediate post-operative pain which makes it better choice than dexmedetomidine to use as anesthetic adjuvant in general anesthesia in laparoscopic surgery. hemodynamic parameters (except Heart Rate). Visual analog, scale (VAS) was also lower in this group.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75860354","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 ultrasound and ultrasound with peripheral nerve stimulator guided techniques for brachial plexus block in upper limb surgeries","authors":"M. Sivalingam","doi":"10.26611/10152026","DOIUrl":"https://doi.org/10.26611/10152026","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75357222","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 single dose dexmedetomidine given prior to extubation-on-extubation conditions in adult patients following general anaesthesia","authors":"D. Rajasekhar","doi":"10.26611/10152112","DOIUrl":"https://doi.org/10.26611/10152112","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84206115","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 intrathecal labor analgesia using fentanyl 25μg alone and fentanyl 20μg plus bupivacaine 2.5mg on the progress of labor","authors":"Varsha Sapehia","doi":"10.26611/10152021","DOIUrl":"https://doi.org/10.26611/10152021","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87663974","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: The major perioperative goal is to provide adequate depth of anaesthesia along with optimum perioperative analgesia. One of the IV adjuvant that has been shown potential in pre-emptive analgesia is magnesium sulphate. This study was designed to assess the effect of perioperatively administered IV magnesium sulphate on anaesthetic and analgesic requirements. Materials And Methods: Sixty patients of ASA class 1, 2, 18-65 years of age scheduled for neck surgeries were randomly divided in to two groups. Group M received 40 mg/kg, magnesium sulphate in 100ml normal saline as loading dose over 20min followed by 8 mg/kg/hour as infusion till the end of the surgery during total intravenous anaesthesia with propofol, fentanyl and atracurium in neck surgeries. Group C received 100 ml normal saline as loading dose over 20min and thereafter continuous infusion of same volume of normal saline as received by group M. We observed total requirement of inj.propofol and inj.atracurium intraoperatively and duration of postoperative analgesia in both the groups. Results: The mean VAS score was consistently high in Group C than group M during first 24 hours which was statistically significant (p<0.05). The mean duration of total analgesia was significantly higher in group M. And total requirement of propofol and atracurium in control group were significantly higher compared to group receiving Mgso4.Conclusion: Perioperative use of magnesium sulphate as preloading and infusion shows reduced analgesic and anaesthetic drugs requirements in neck surgeries.
背景:围手术期的主要目标是提供足够的麻醉深度和最佳的围手术期镇痛。其中一种静脉佐剂已显示出潜在的先发制人的镇痛是硫酸镁。本研究旨在评估围手术期静脉注射硫酸镁对麻醉和镇痛需求的影响。材料与方法:选择ASA 1级、2级、年龄18 ~ 65岁拟行颈部手术的患者60例，随机分为两组。M组颈部手术在异丙酚、芬太尼、阿曲库铵全静脉麻醉期间，以100ml生理盐水中硫酸镁40mg /kg作为负荷剂量，持续20min，再以8mg /kg/h输注至手术结束。C组以生理盐水100 ml作为负荷剂量，持续20min，随后连续输注与m组相同体积的生理盐水。观察总需药量。异丙酚和注射。两组术中阿曲库铵及术后镇痛时间。结果:C组患者前24 h VAS平均评分持续高于M组，差异有统计学意义(p<0.05)。m组平均总镇痛时间显著高于Mgso4组，对照组丙泊酚和阿曲库铵总需要量显著高于Mgso4组。结论:围手术期使用硫酸镁作为预负荷和输注可减少颈部手术对镇痛和麻醉药物的需求。
{"title":"The effect of perioperative magnesium sulphate on the total anesthetic and analgesic requirement in neck surgery","authors":"K. R. Patel","doi":"10.26611/10151934","DOIUrl":"https://doi.org/10.26611/10151934","url":null,"abstract":"Background: The major perioperative goal is to provide adequate depth of anaesthesia along with optimum perioperative analgesia. One of the IV adjuvant that has been shown potential in pre-emptive analgesia is magnesium sulphate. This study was designed to assess the effect of perioperatively administered IV magnesium sulphate on anaesthetic and analgesic requirements. Materials And Methods: Sixty patients of ASA class 1, 2, 18-65 years of age scheduled for neck surgeries were randomly divided in to two groups. Group M received 40 mg/kg, magnesium sulphate in 100ml normal saline as loading dose over 20min followed by 8 mg/kg/hour as infusion till the end of the surgery during total intravenous anaesthesia with propofol, fentanyl and atracurium in neck surgeries. Group C received 100 ml normal saline as loading dose over 20min and thereafter continuous infusion of same volume of normal saline as received by group M. We observed total requirement of inj.propofol and inj.atracurium intraoperatively and duration of postoperative analgesia in both the groups. Results: The mean VAS score was consistently high in Group C than group M during first 24 hours which was statistically significant (p<0.05). The mean duration of total analgesia was significantly higher in group M. And total requirement of propofol and atracurium in control group were significantly higher compared to group receiving Mgso4.Conclusion: Perioperative use of magnesium sulphate as preloading and infusion shows reduced analgesic and anaesthetic drugs requirements in neck surgeries.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83963999","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 between bupivacaine alone and bupivacaine plus clonidine in subarachnoid block in orthopaedic surgeries in lower limb","authors":"A. Negi","doi":"10.26611/10152037","DOIUrl":"https://doi.org/10.26611/10152037","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"31 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91476103","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":"Comparison between prophylactic intravenous ephedrine and crystalloid preloading for prevention of post spinal hypotension","authors":"Sudeep Sirga","doi":"10.26611/10152035","DOIUrl":"https://doi.org/10.26611/10152035","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89334326","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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