{"title":"Comparative study of ropivacaine and nalbuphine and ropivacaine alone in PNS guided supraclavicular brachial plexus block","authors":"Shraddha Kangad","doi":"10.26611/10152132","DOIUrl":"https://doi.org/10.26611/10152132","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89483253","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: Adequate analgesia aids to restore normal functions including ventilation, coughing and mobility, thereby facilitating early rehabilitation and shortened hospital stay. Present study was aimed to compare epidural Bupivacaine with fentanyl versus ropivacaine with fentanyl combination for post operative analgesia in lower abdominal and lower limb surgeries at a tertiary hospital. Material and Methods: Present study was comparative, interventional study, conducted in patients aged 18–65 years, either gender, American Society of Anesthesiologists (ASA) physical status I–II, posted for elective lower abdominal and lower limb surgeries. This single-blind study comprised a sample size of 30 patients randomly allocated (by computer generates list) into two groups as Group R (0.125% ropivacaine with 1 ug/ml fentanyl) and Group B (0.125% bupivacaine with 1 ug/ml fentanyl). Results: We compared various parameters such as Age (years), Weight (kg), BMI (kg/m2), Gender, ASA status, Type of surgery, Duration of surgery (min), Intraoperative fentanyl (μg), Catheter insertion level (L1-L2/L2-L3), all parameters were comparable and difference was not significant statistically. Common surgeries considered for study were ovarian debulking surgeries, Wertheim’s hysterectomy, orthopaedic lower limb surgeries (THR, TKR) and hemicolectomy. Post-operative analgesia was calculated on basis of VAS scores. We noted in less post-operative VAS scores at 6,12,18 hours in group R and difference was statistically significant. Conclusion: Epidural ropivacaine with fentanyl combination seems to be a better alternative to epidural bupivacaine with fentanyl, as it provides comparable stable hemodynamics, early onset and prolonged post‑op analgesia, lower consumption of post‑op local anaesthetic for epidural analgesia.
{"title":"Comparative study between epidural bupivacaine with fentanyl versus ropivacaine with fentanyl combination for post operative analgesia in lower abdominal and lower limb surgeries","authors":"Sudeep Sirga","doi":"10.26611/101519313","DOIUrl":"https://doi.org/10.26611/101519313","url":null,"abstract":"Background: Adequate analgesia aids to restore normal functions including ventilation, coughing and mobility, thereby facilitating early rehabilitation and shortened hospital stay. Present study was aimed to compare epidural Bupivacaine with fentanyl versus ropivacaine with fentanyl combination for post operative analgesia in lower abdominal and lower limb surgeries at a tertiary hospital. Material and Methods: Present study was comparative, interventional study, conducted in patients aged 18–65 years, either gender, American Society of Anesthesiologists (ASA) physical status I–II, posted for elective lower abdominal and lower limb surgeries. This single-blind study comprised a sample size of 30 patients randomly allocated (by computer generates list) into two groups as Group R (0.125% ropivacaine with 1 ug/ml fentanyl) and Group B (0.125% bupivacaine with 1 ug/ml fentanyl). Results: We compared various parameters such as Age (years), Weight (kg), BMI (kg/m2), Gender, ASA status, Type of surgery, Duration of surgery (min), Intraoperative fentanyl (μg), Catheter insertion level (L1-L2/L2-L3), all parameters were comparable and difference was not significant statistically. Common surgeries considered for study were ovarian debulking surgeries, Wertheim’s hysterectomy, orthopaedic lower limb surgeries (THR, TKR) and hemicolectomy. Post-operative analgesia was calculated on basis of VAS scores. We noted in less post-operative VAS scores at 6,12,18 hours in group R and difference was statistically significant. Conclusion: Epidural ropivacaine with fentanyl combination seems to be a better alternative to epidural bupivacaine with fentanyl, as it provides comparable stable hemodynamics, early onset and prolonged post‑op analgesia, lower consumption of post‑op local anaesthetic for epidural analgesia.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86992281","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 dexmedetomidine versus clonidine to attenuate the hemodynamic response to laryngoscopy and endotracheal intubation","authors":"Sachin Madhukar Kumbhar","doi":"10.26611/10152017","DOIUrl":"https://doi.org/10.26611/10152017","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80644583","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":"Compare study on incidence of PDPH using 25g QUINCKE and 25g WHITACRE needles undergoing elective surgery by spinal anaesthesia","authors":"S. Premkumar","doi":"10.26611/10152123","DOIUrl":"https://doi.org/10.26611/10152123","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":"88472057","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}
L. ShilpaH, Uttarahalli Main Road Kengeri Bengaluru Karnataka India. Education City
Background: Pain and anxiety in paediatric patients creates significant problems for the patients and the treating physicians. Virtual reality is a relatively new intervention that can be used to provide distraction. Aim: The aim of the proposed study is to evaluate virtual reality (VR) as a non-pharmacological intervention tool to reduce pain and anxiety in patients of paediatric age group undergoing intravenous cannulation. Methods: This was a prospective randomised trial that enrolled paediatric patients of age group 7-11 years. Patients were randomly allocated to virtual reality group where they were made to wear VR headgear and videos were played and standard Emla cream group where cream was applied at the intended site of intravenous cannulation. Results: Patients using VR exhibited lower pain and anxiety score during intravenous cannulation. Conclusions: This current study found that application of immersive VR had better pain alleviation and parent separation anxiety score when compared with non-VR group patient.
{"title":"The role of virtual reality on pain during intravenous cannulation and preoperative separation anxiety in paediatric patients: A prospective randomised study","authors":"L. ShilpaH, Uttarahalli Main Road Kengeri Bengaluru Karnataka India. Education City","doi":"10.26611/10151923","DOIUrl":"https://doi.org/10.26611/10151923","url":null,"abstract":"Background: Pain and anxiety in paediatric patients creates significant problems for the patients and the treating physicians. Virtual reality is a relatively new intervention that can be used to provide distraction. Aim: The aim of the proposed study is to evaluate virtual reality (VR) as a non-pharmacological intervention tool to reduce pain and anxiety in patients of paediatric age group undergoing intravenous cannulation. Methods: This was a prospective randomised trial that enrolled paediatric patients of age group 7-11 years. Patients were randomly allocated to virtual reality group where they were made to wear VR headgear and videos were played and standard Emla cream group where cream was applied at the intended site of intravenous cannulation. Results: Patients using VR exhibited lower pain and anxiety score during intravenous cannulation. Conclusions: This current study found that application of immersive VR had better pain alleviation and parent separation anxiety score when compared with non-VR group patient.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87815809","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 biochemical markers as a prognostic indicators in Covid 19 patients","authors":"S. M","doi":"10.26611/101520315","DOIUrl":"https://doi.org/10.26611/101520315","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82910988","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 Randomized comparative study: Prophylactic use of phenylephrine infusion versus phenylephrine bolus to treat hypotension in caesarean section patients","authors":"S. Kulkarni","doi":"10.26611/10152033","DOIUrl":"https://doi.org/10.26611/10152033","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"2014 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86606699","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 hemodynamic parameters and cardiac function in patients undergoing laparoscopic cholecystectomy in patients with moderate to severe left ventricular dysfunction","authors":"Varsha Sapehia","doi":"10.26611/10152014","DOIUrl":"https://doi.org/10.26611/10152014","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":"84213495","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: Newer anaesthetics such as desflurane have smaller blood-gas partition coefficient than older ones like halothane. Desflurane is preferred because it leads to faster onset of anaesthesia and faster emergence from anaesthesia. However, desflurane is considered to be more expensive than other volatile anaesthetics. Highly selective alpha two adrenoceptor agonists like Dexmedetomidine reduce anaesthetic requirements. Hence this study was designed to compare the effect of Dexmedetomidine infusion on desflurane consumption and recovery characteristics under entropy guided general anaesthesia. Materials and Methods: Fifty patients aged between 18-55 years belonging to ASA I and II scheduled for elective surgeries under general anaesthesia were randomly divided into two groups. Group D patients received a loading dose of inj Dexmedetomidine 1 µg/ kg, over 10 minutes before the induction of anaesthesia, and 0.5 µg/ kg/ hour infusion following induction of anaesthesia till the end of surgery. Group P patients received similar volumes of normal saline as bolus before the induction and maintenance infusion till the end of the surgery. Desflurane concentration was adjusted to maintain response entropy values between 40 to 60 and based on clinical variables like heart rate (HR), and mean arterial pressure (MAP). Muscle relaxation was guided by TOF count. HR, NIBP, MAP, SPO2, ENTROPY values were recorded. The total desflurane consumption was recorded from Anaesthesia gas module of GE Datex-Ohmeda S 5 Advance system. At end of surgery, desflurane was discontinued and patient extubated after adequate recovery and when TOF ratio was more than 0.9. Time to eye opening, extubation, response to verbal commands were recorded. Results: The mean consumption of desflurane at the end of one hour was significantly less in group D with p<0.001 (Group P 21.04±6.33 ml/hr and Group D 14.44±1.83 ml/hr). Eye opening time was significantly less in group D with p<0.001(Group P 297.60± 89.97sec and Group D 169.80±22.48 sec). Time for response to verbal commands was significantly less in group D with p<0.001 (Group P 423.60±113.02 sec and Group D 269.80±45.29 sec) Conclusion: Intraoperative Dexmedetomidine infusion reduces desflurane consumption, hastens recovery from desflurane during entropy guided general anaesthesia.
{"title":"Comparative study of desflurane requirement and recovery characteristics in entropy guided general anaesthesia with or without dexmedetomidine infusion","authors":"Rajesh R. Nayak","doi":"10.26611/10151935","DOIUrl":"https://doi.org/10.26611/10151935","url":null,"abstract":"Background: Newer anaesthetics such as desflurane have smaller blood-gas partition coefficient than older ones like halothane. Desflurane is preferred because it leads to faster onset of anaesthesia and faster emergence from anaesthesia. However, desflurane is considered to be more expensive than other volatile anaesthetics. Highly selective alpha two adrenoceptor agonists like Dexmedetomidine reduce anaesthetic requirements. Hence this study was designed to compare the effect of Dexmedetomidine infusion on desflurane consumption and recovery characteristics under entropy guided general anaesthesia. Materials and Methods: Fifty patients aged between 18-55 years belonging to ASA I and II scheduled for elective surgeries under general anaesthesia were randomly divided into two groups. Group D patients received a loading dose of inj Dexmedetomidine 1 µg/ kg, over 10 minutes before the induction of anaesthesia, and 0.5 µg/ kg/ hour infusion following induction of anaesthesia till the end of surgery. Group P patients received similar volumes of normal saline as bolus before the induction and maintenance infusion till the end of the surgery. Desflurane concentration was adjusted to maintain response entropy values between 40 to 60 and based on clinical variables like heart rate (HR), and mean arterial pressure (MAP). Muscle relaxation was guided by TOF count. HR, NIBP, MAP, SPO2, ENTROPY values were recorded. The total desflurane consumption was recorded from Anaesthesia gas module of GE Datex-Ohmeda S 5 Advance system. At end of surgery, desflurane was discontinued and patient extubated after adequate recovery and when TOF ratio was more than 0.9. Time to eye opening, extubation, response to verbal commands were recorded. Results: The mean consumption of desflurane at the end of one hour was significantly less in group D with p<0.001 (Group P 21.04±6.33 ml/hr and Group D 14.44±1.83 ml/hr). Eye opening time was significantly less in group D with p<0.001(Group P 297.60± 89.97sec and Group D 169.80±22.48 sec). Time for response to verbal commands was significantly less in group D with p<0.001 (Group P 423.60±113.02 sec and Group D 269.80±45.29 sec) Conclusion: Intraoperative Dexmedetomidine infusion reduces desflurane consumption, hastens recovery from desflurane during entropy guided general anaesthesia.","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"205 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81615933","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":"Evaluation of efficacy of intrathecal clonidine as an adjuvant to bupivacaine in patients undergoing transurethral resection of prostate","authors":"R. K","doi":"10.26611/101520317","DOIUrl":"https://doi.org/10.26611/101520317","url":null,"abstract":"","PeriodicalId":18595,"journal":{"name":"MedPulse International Journal of Anesthesiology","volume":"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":"89821863","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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