{"title":"Comparative study of dexmedetomidine and fentanyl as adjuvants to 0.5% hyperbaric bupivacaine in spinal anaesthesia in elective lower abdominal surgeries","authors":"Sachin Kothawale","doi":"10.26611/10152025","DOIUrl":"https://doi.org/10.26611/10152025","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80974761","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 evaluation of intrathecal administration of preservative free ropivacaine alone and combination of preservative free ropivacaine with dexmedetomidine in patients undergoing lower limb surgeries - A randomized trial","authors":"Sonam Norbu","doi":"10.26611/10152126","DOIUrl":"https://doi.org/10.26611/10152126","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73332458","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 clinical study of comparison of intrathecal hyperbaric bupivacaine with nalbuphine and hyperbaric bupivacaine with pentazocine in lower abdominal surgeries","authors":"Shibu Sreedhar","doi":"10.26611/101520312","DOIUrl":"https://doi.org/10.26611/101520312","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81836209","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 on 0.1% ropivacaine with 2mcg/ml fentanyl versus 0.1% levobupivacaine with 2 mcg/ml fentanyl for epidural labour analgesia","authors":"P. P","doi":"10.26611/10152133","DOIUrl":"https://doi.org/10.26611/10152133","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83037963","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: Total knee replacement (TKR) patients experience severe pain during the early postoperative period1 as it involves extensive bone resection and soft tissue manipulation. The objective of this prospective, randomized, comparative study is therefore to compare the adductor canal block (ACB) with femoral nerve block (FNB) on quadriceps muscle strength preservation and analgesic efficacy in the patients undergoing TKR. Material and Methods: Present study conducted in ppatients of age group 35-70 years, ASA physical status class I, II and III patients posted for unilateral TKR. 50 ppatients were randomized equally by block randomization technique. Group 1 received Adductor Canal Block (15 ml bolus of 0.18% ropivacaine followed by infusion at the rate of 8-10ml/hr), Group 2 received Femoral Nerve Block (15 ml bolus of 0.18% ropivacaine followed by infusion at the rate of 8-10ml/hr) with electromechanical infusion pump for 24 Hours. Results: Gender, BMI distribution between two groups doesn’t have significant difference. Out of 50 patients in our study 19.6% (9) patients were ASA I, 75% (39) were ASA II and 5.4% (2) patients were ASA III. Heart rate, systolic blood pressure and diastolic blood pressure were measured preoperatively, post-operative at 6-8 hrs, at 12 hrs. and at 24 hrs. The difference in those parameters at any given time was not statistically significant. ACB is similar to FNB with respect to quadriceps muscle strength measured by MRC grading at 6 hours. However ACB is very effective in preserving the quadriceps muscle strength measured by MRC grading at 12 and 24 hours with a statistically significant ‘P’ value of 0.0001. Conclusion Adductor canal block makes early rehabilitation after total knee replacement without the risk of inpatient falls.
背景:全膝关节置换术(TKR)患者在术后早期会经历严重的疼痛，因为它涉及广泛的骨切除和软组织操作。因此，这项前瞻性、随机、比较研究的目的是比较内收管阻滞(ACB)与股神经阻滞(FNB)对TKR患者股四头肌肌力保持和镇痛效果的影响。材料与方法:本研究对象为年龄35 ~ 70岁，ASA身体状态为I、II、III级的单侧TKR患者。采用分组随机法将50例患者平均随机化。组1给予内收管阻滞治疗(0.18%罗哌卡因15 ml丸，以8-10ml/hr的速率输注)，组2给予股神经阻滞治疗(0.18%罗哌卡因15 ml丸，以8-10ml/hr的速率输注)，采用机电泵输注24 h。结果:两组间性别、BMI分布无显著性差异。在我们的研究中，50例患者中有19.6%(9例)为ASA I, 75%(39例)为ASA II, 5.4%(2例)为ASA III。术前、术后6 ~ 8小时、12小时分别测量心率、收缩压、舒张压。24小时后。在任何给定时间，这些参数的差异都没有统计学意义。ACB与FNB在6小时MRC分级测量的股四头肌力量方面相似。然而，ACB在保持12小时和24小时MRC分级测量的股四头肌力量方面非常有效，具有统计学意义的P值为0.0001。结论内收管阻滞使全膝关节置换术后早期康复无住院跌倒风险。
{"title":"Comparative study of adductor canal block versus femoral nerve block for effect on quadriceps muscle strength and postoperative pain in the patients undergoing Total knee replacement surgery","authors":"K. Priyanka, Abhiram Nakka","doi":"10.26611/10151912","DOIUrl":"https://doi.org/10.26611/10151912","url":null,"abstract":"Background: Total knee replacement (TKR) patients experience severe pain during the early postoperative period1 as it involves extensive bone resection and soft tissue manipulation. The objective of this prospective, randomized, comparative study is therefore to compare the adductor canal block (ACB) with femoral nerve block (FNB) on quadriceps muscle strength preservation and analgesic efficacy in the patients undergoing TKR. Material and Methods: Present study conducted in ppatients of age group 35-70 years, ASA physical status class I, II and III patients posted for unilateral TKR. 50 ppatients were randomized equally by block randomization technique. Group 1 received Adductor Canal Block (15 ml bolus of 0.18% ropivacaine followed by infusion at the rate of 8-10ml/hr), Group 2 received Femoral Nerve Block (15 ml bolus of 0.18% ropivacaine followed by infusion at the rate of 8-10ml/hr) with electromechanical infusion pump for 24 Hours. Results: Gender, BMI distribution between two groups doesn’t have significant difference. Out of 50 patients in our study 19.6% (9) patients were ASA I, 75% (39) were ASA II and 5.4% (2) patients were ASA III. Heart rate, systolic blood pressure and diastolic blood pressure were measured preoperatively, post-operative at 6-8 hrs, at 12 hrs. and at 24 hrs. The difference in those parameters at any given time was not statistically significant. ACB is similar to FNB with respect to quadriceps muscle strength measured by MRC grading at 6 hours. However ACB is very effective in preserving the quadriceps muscle strength measured by MRC grading at 12 and 24 hours with a statistically significant ‘P’ value of 0.0001. Conclusion Adductor canal block makes early rehabilitation after total knee replacement without the risk of inpatient falls.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79715756","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: Inhaled anesthetics used for general anaesthesia have a rapid onset and offset of action. The Induction and recovery depends on anaesthetic drug solubility, cardiac output and minute ventilation. Sevoflurane and desflurane have low blood gas partition coefficients, and therefore share the advantage of faster onset and recovery from anaesthesia when compared to other inhaled anesthetics. Hence, we designed this prospective randomized study to compare the intraoperative haemodynamic parameters and recovery characteristics of desflurane and sevoflurane. Methods: Sixty patients aged between 18-50 years belonging to ASA I and II scheduled for elective general anaesthesia were enrolled in the study and randomly divided into two groups to receive desflurane(group D) and sevoflurane(group S) for the maintenance of anaesthesia. Both groups were premedicated, pre oxygenated and induced with propofol. Muscle relaxation maintained with vecuronium. Desflurane and sevoflurane concentrations were adjusted according to entropy parameters and clinical variables like HR, NIBP, MAP and SPO2. Neuromuscular blockade reversed with neostigmine and glycopyrrolate. Recovery characteristics assessed using modified Aldrete scoring. Results: The intraoperative haemodynamics was similar with both desflurane and sevoflurane, and was maintained within 20% of baseline values. However, early recovery characteristics were significantly better in group D. Time to eye opening was 6.63 + 2.17 min in group S versus 4.77 + 1.41 min in group D (P< 0.001). Time to Extubation was 8.03 + 2.54 min in group S and 5.93 + 1.44 min in group D (P < 0.001). Response to verbal commands was 8.77 + 3.01 min in group S and 6.97 + 1.67 min in group D (P < 0.001). Modified Aldrete score were significantly better in group D than group S at 1st min, 2nd min and 3rd min. Thereafter, modified Aldrete score assessed at 5, 10, 15, 30 and 60 min were similar in both groups. Conclusion: Both desflurane and sevoflurane produce similar stable haemodynamic profile. Despite the faster early recovery with desflurane, no significant differences were found between the two volatile anaesthetics after 5 minutes during intermediate recovery period.
{"title":"Comparative study of Intraoperative Haemodynamics and recovery characteristics of desflurane and sevoflurane in patients receiving General Anaesthesia","authors":"M. Kavya","doi":"10.26611/10151932","DOIUrl":"https://doi.org/10.26611/10151932","url":null,"abstract":"Background: Inhaled anesthetics used for general anaesthesia have a rapid onset and offset of action. The Induction and recovery depends on anaesthetic drug solubility, cardiac output and minute ventilation. Sevoflurane and desflurane have low blood gas partition coefficients, and therefore share the advantage of faster onset and recovery from anaesthesia when compared to other inhaled anesthetics. Hence, we designed this prospective randomized study to compare the intraoperative haemodynamic parameters and recovery characteristics of desflurane and sevoflurane. Methods: Sixty patients aged between 18-50 years belonging to ASA I and II scheduled for elective general anaesthesia were enrolled in the study and randomly divided into two groups to receive desflurane(group D) and sevoflurane(group S) for the maintenance of anaesthesia. Both groups were premedicated, pre oxygenated and induced with propofol. Muscle relaxation maintained with vecuronium. Desflurane and sevoflurane concentrations were adjusted according to entropy parameters and clinical variables like HR, NIBP, MAP and SPO2. Neuromuscular blockade reversed with neostigmine and glycopyrrolate. Recovery characteristics assessed using modified Aldrete scoring. Results: The intraoperative haemodynamics was similar with both desflurane and sevoflurane, and was maintained within 20% of baseline values. However, early recovery characteristics were significantly better in group D. Time to eye opening was 6.63 + 2.17 min in group S versus 4.77 + 1.41 min in group D (P< 0.001). Time to Extubation was 8.03 + 2.54 min in group S and 5.93 + 1.44 min in group D (P < 0.001). Response to verbal commands was 8.77 + 3.01 min in group S and 6.97 + 1.67 min in group D (P < 0.001). Modified Aldrete score were significantly better in group D than group S at 1st min, 2nd min and 3rd min. Thereafter, modified Aldrete score assessed at 5, 10, 15, 30 and 60 min were similar in both groups. Conclusion: Both desflurane and sevoflurane produce similar stable haemodynamic profile. Despite the faster early recovery with desflurane, no significant differences were found between the two volatile anaesthetics after 5 minutes during intermediate recovery period.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76440115","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":"Prospective clinical study of USG guided perivascular supraclavicular brachial plexus block for upper limb surgeries","authors":"B. Narayan","doi":"10.26611/10152032","DOIUrl":"https://doi.org/10.26611/10152032","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"1 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78385826","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 preoperative oral pregabalin and gabapentin with respect to postoperative pain relief and postoperative analgesic requirement in patients undergoing laparoscopic cholecystectomy","authors":"Poonam Kunal Dhurve","doi":"10.26611/10152128","DOIUrl":"https://doi.org/10.26611/10152128","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75182725","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: Erector spinae block (ESPB) provides analgesia by targeting the dorsal and ventral rami of the spinal nerves,performed in the lumbar region for postoperative analgesia of abdomino-thoracic surgeries. This study was aimed to assess the efficacy of Erector spinae block (ESPB) on postoperative analgesia in patients undergoing abdominothoracic surgeries under general anesthesia. Material and Methods: Present study was prospective, randomized, comparative study, conducted in patients with 18-70 years age, ASA grade- I/II, posted for abdominothoracic surgeries, Mallampatti scores - I and II, consented for participation. 120 patients were randomly assigned into two groups of 60 each, to either Erector spine block group (Group 1) or conventional pain killers (Group 2). Results: General characteristics such as age, height, weight, BMI were comparable in both groups and difference was not statistically significant. The postoperative systolic blood pressure, diastolic blood pressure, heart rate and Mean post-operative VAS score difference was statistically significant, from 30 minutes post-operative to 480 mins (8 hours). Group 1 have significantly less amount opioid requirement as none of the patients required inj tramadol more than 100 mg and only 5 (8.33%) cases required 100 mg whereas in the Group 2 73.33% required inj tramadol more than 100 mg and 8.55% required 175 mg. Group 1 have significantly long period of opioid free time as during first 2 hours none of the patients required inj tramadol whereas in the Group 2 83.33% required inj tramadol in the first 2 hours. Conclusion: In our study we concluded that the analgesic efficacy of Ultrasound guided Erector spinae block is an effective procedure over systemic analgesics and provide better patient satisfaction and compliance
{"title":"Study of efficacy of ultrasonography guided erector spinae plane block for abdominothoracic surgeries","authors":"Amol B Sasane","doi":"10.26611/101519311","DOIUrl":"https://doi.org/10.26611/101519311","url":null,"abstract":"Background: Erector spinae block (ESPB) provides analgesia by targeting the dorsal and ventral rami of the spinal nerves,performed in the lumbar region for postoperative analgesia of abdomino-thoracic surgeries. This study was aimed to assess the efficacy of Erector spinae block (ESPB) on postoperative analgesia in patients undergoing abdominothoracic surgeries under general anesthesia. Material and Methods: Present study was prospective, randomized, comparative study, conducted in patients with 18-70 years age, ASA grade- I/II, posted for abdominothoracic surgeries, Mallampatti scores - I and II, consented for participation. 120 patients were randomly assigned into two groups of 60 each, to either Erector spine block group (Group 1) or conventional pain killers (Group 2). Results: General characteristics such as age, height, weight, BMI were comparable in both groups and difference was not statistically significant. The postoperative systolic blood pressure, diastolic blood pressure, heart rate and Mean post-operative VAS score difference was statistically significant, from 30 minutes post-operative to 480 mins (8 hours). Group 1 have significantly less amount opioid requirement as none of the patients required inj tramadol more than 100 mg and only 5 (8.33%) cases required 100 mg whereas in the Group 2 73.33% required inj tramadol more than 100 mg and 8.55% required 175 mg. Group 1 have significantly long period of opioid free time as during first 2 hours none of the patients required inj tramadol whereas in the Group 2 83.33% required inj tramadol in the first 2 hours. Conclusion: In our study we concluded that the analgesic efficacy of Ultrasound guided Erector spinae block is an effective procedure over systemic analgesics and provide better patient satisfaction and compliance","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75472596","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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