Pub Date : 2020-08-12DOI: 10.35975/apic.v24i4.1309
Kapil Rastogi, A. Bharti, Y. Singh, P. Ranjan
Intrathecal Bupivacaine is most commonly used local anesthetic for lower segment cesarean section (LSCS) but there is constant endeavour for search of a local anesthetic (LA) which has improved safety profile for mother as well as foetus. So far many adjuvants like fentanyl, morphine or tramadol etc. has been used with intrathecal LA to prolong intraoperative anesthesia and postoperative analgesia.
{"title":"Comparison of dexmedetomidine and fentanyl as adjuvant to intrathecal levobupivacaine in lower segment cesarean section: A prospective, randomized double blind study","authors":"Kapil Rastogi, A. Bharti, Y. Singh, P. Ranjan","doi":"10.35975/apic.v24i4.1309","DOIUrl":"https://doi.org/10.35975/apic.v24i4.1309","url":null,"abstract":"Intrathecal Bupivacaine is most commonly used local anesthetic for lower segment cesarean section (LSCS) but there is constant endeavour for search of a local anesthetic (LA) which has improved safety profile for mother as well as foetus. So far many adjuvants like fentanyl, morphine or tramadol etc. has been used with intrathecal LA to prolong intraoperative anesthesia and postoperative analgesia.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46820592","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 : 2020-08-07DOI: 10.35975/apic.v24i3.1294
T. Khan
Lisa Stearns, MD, Founder & Medical Director at Center for Pain and Supportive Care, Phoenix, USA, breathed her last on 31 May 2020 at her home in Mexico.As a physician, she was a valiant warrior. Her pursuit of novel methods, innovation, and creative approaches contributed widely to the practice of pain medicine globally. Courageous, stubbornly committed, and always compassionate, she was one of the heroes in the epidemic of pain and suffering.
Lisa Stearns，医学博士，美国凤凰城疼痛与支持护理中心创始人兼医学主任，于2020年5月31日在墨西哥的家中奄奄一息。作为一名医生，她是一名勇敢的战士。她对新方法、创新和创造性方法的追求为全球疼痛医学的实践做出了广泛贡献。她勇敢、坚定、富有同情心，是这场痛苦和苦难流行病中的英雄之一。
{"title":"Lisa J. Stearns, MD","authors":"T. Khan","doi":"10.35975/apic.v24i3.1294","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1294","url":null,"abstract":"Lisa Stearns, MD, Founder & Medical Director at Center for Pain and Supportive Care, Phoenix, USA, breathed her last on 31 May 2020 at her home in Mexico.As a physician, she was a valiant warrior. Her pursuit of novel methods, innovation, and creative approaches contributed widely to the practice of pain medicine globally. Courageous, stubbornly committed, and always compassionate, she was one of the heroes in the epidemic of pain and suffering.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44932336","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 : 2020-07-24DOI: 10.35975/apic.v24i3.1302
S. B. Vasudevarao, K. Raja, Rammoorthi Rao
Background & objective: We studied the safety and effectiveness of combination of dexmedetomidine and fentanyl for chronic sub-dural hematoma (CSDH) evacuation. Main objectives of the study was to register the effects on the combination on the cardio-respiratory and analgesic outcome. Methodology: 56 patients with CSDH were divided into two group. Patients of Group A received dexmedetomidine 1 µg/kg over a period of 10 min with fentanyl 1 µg/kg, followed by an infusion of dexmedetomidine 0.3 µg/kg/min. Group B received fentanyl 1 µg/kg and midazolam 0.03 mg/kg IV. Sedation scores, hemodynamic changes and serial arterial blood gas (ABG) measurements were compared between the two groups. Results: Heart rate and diastolic blood pressure were significantly lower in Group A compared to Group B throughout the observation period after premedication. Systolic blood pressure readings was significantly lower in Group A compared to Group B from 10 min onwards till the end. ABG analysis showed that Group A had significantly lower PCO2 levels during and at the end of surgery and significantly higher PO2 at the end of procedure. Conclusion: The use of dexmedetomidine is associated with significantly higher PO2 at the end of the surgical procedure. It results in lower heart rate, systolic and diastolic blood pressures and PCO2 levels during and at the end of the subdural hematoma evacuation, but the fall remains within the physiological range.
{"title":"Effect of dexmedetomidine as a sedative in sub-dural hematoma evacuation surgeries","authors":"S. B. Vasudevarao, K. Raja, Rammoorthi Rao","doi":"10.35975/apic.v24i3.1302","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1302","url":null,"abstract":"Background & objective: We studied the safety and effectiveness of combination of dexmedetomidine and fentanyl for chronic sub-dural hematoma (CSDH) evacuation. Main objectives of the study was to register the effects on the combination on the cardio-respiratory and analgesic outcome. \u0000Methodology: 56 patients with CSDH were divided into two group. Patients of Group A received dexmedetomidine 1 µg/kg over a period of 10 min with fentanyl 1 µg/kg, followed by an infusion of dexmedetomidine 0.3 µg/kg/min. Group B received fentanyl 1 µg/kg and midazolam 0.03 mg/kg IV. Sedation scores, hemodynamic changes and serial arterial blood gas (ABG) measurements were compared between the two groups. \u0000Results: Heart rate and diastolic blood pressure were significantly lower in Group A compared to Group B throughout the observation period after premedication. Systolic blood pressure readings was significantly lower in Group A compared to Group B from 10 min onwards till the end. ABG analysis showed that Group A had significantly lower PCO2 levels during and at the end of surgery and significantly higher PO2 at the end of procedure. \u0000Conclusion: The use of dexmedetomidine is associated with significantly higher PO2 at the end of the surgical procedure. It results in lower heart rate, systolic and diastolic blood pressures and PCO2 levels during and at the end of the subdural hematoma evacuation, but the fall remains within the physiological range.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43894880","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 : 2020-07-15DOI: 10.35975/apic.v24i3.1299
D. Sadaf
The pain is too much to bear But How come there is no tear With wounded heart and bleeding hands With teary eyes.. I treat u my dear
疼痛难忍，但为什么没有眼泪？受伤的心和流血的手，含泪的眼睛。。我待你亲爱的
{"title":"The Anesthetist","authors":"D. Sadaf","doi":"10.35975/apic.v24i3.1299","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1299","url":null,"abstract":"The pain is too much to bear \u0000But \u0000How come there is no tear \u0000With wounded heart and bleeding hands \u0000With teary eyes.. \u0000I treat u my dear","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47859926","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 : 2020-07-15DOI: 10.35975/apic.v24i3.1291
I. Yousuf, P. Bansal, Shivani Sharma
Novel corona virus disease, designated by WHO as COVID-19, took the world by storm. The brunt of the disease has to be borne by the respiratory system, although like any systemic disease, it affects almost every body organ system. The disease left us for too long a time wondering about its pathogenesis, and the best strategy to manage it regarding physical support as well as the pharmacotherapeutics.
{"title":"COVID-19","authors":"I. Yousuf, P. Bansal, Shivani Sharma","doi":"10.35975/apic.v24i3.1291","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1291","url":null,"abstract":"Novel corona virus disease, designated by WHO as COVID-19, took the world by storm. The brunt of the disease has to be borne by the respiratory system, although like any systemic disease, it affects almost every body organ system. The disease left us for too long a time wondering about its pathogenesis, and the best strategy to manage it regarding physical support as well as the pharmacotherapeutics.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44924814","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 : 2020-07-15DOI: 10.35975/apic.v24i3.1287
R. Leger, Jon Livelsberger, A. Sinha
‘Enhanced Recovery After Surgery’ (ERAS) protocols are an evidence-based, multidisciplinary system for patient care that— since its emergence in 2001— has shown remarkable efficacy in reducing surgical complications, shortening length of stay (LoS), and the incidence of hospital re-admission. Unfortunately, wide spread acceptance of ERAS has been slow, as it conflicts with some traditional perioperative care practices. However, with protocol compliance >70%, studies have shown significant reduction in mortality and postsurgical complications, with 30-50% reduction in LoS and approximately a 50% reduction in complications.
{"title":"Enhanced recovery after surgery (ERAS) in clinical practice","authors":"R. Leger, Jon Livelsberger, A. Sinha","doi":"10.35975/apic.v24i3.1287","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1287","url":null,"abstract":"‘Enhanced Recovery After Surgery’ (ERAS) protocols are an evidence-based, multidisciplinary system for patient care that— since its emergence in 2001— has shown remarkable efficacy in reducing surgical complications, shortening length of stay (LoS), and the incidence of hospital re-admission. Unfortunately, wide spread acceptance of ERAS has been slow, as it conflicts with some traditional perioperative care practices. However, with protocol compliance >70%, studies have shown significant reduction in mortality and postsurgical complications, with 30-50% reduction in LoS and approximately a 50% reduction in complications.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49405624","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 : 2020-07-15DOI: 10.35975/apic.v24i3.1284
A. Shetti, Bhavika Singla
Intraoperative temperature management is one of the important aspects in successful outcome of the surgical patient. Both anesthesia and surgery significantly have an impact on internal thermoregulation of the human body. We conducted this study to correlate nasopharyngeal temperature with transcutaneous carotid artery temperature of adult patients under general anesthesia (GA) in our rural institution.
{"title":"Correlation of nasopharyngeal temperature with transcutaneous carotid artery temperature of adult patients under general anesthesia in rural tertiary care hospital.","authors":"A. Shetti, Bhavika Singla","doi":"10.35975/apic.v24i3.1284","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1284","url":null,"abstract":"Intraoperative temperature management is one of the important aspects in successful outcome of the surgical patient. Both anesthesia and surgery significantly have an impact on internal thermoregulation of the human body. We conducted this study to correlate nasopharyngeal temperature with transcutaneous carotid artery temperature of adult patients under general anesthesia (GA) in our rural institution.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48588463","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 : 2020-07-14DOI: 10.35975/apic.v24i3.1274
Z. Furqan, S. Fatima, G. A. Awan
Ischemia-reperfusion injury is a complex, which causes cell damage. In this study, we aimed to investigate the protective effects of dexmedetomidine on lung in the renal IR model in diabetic rats. The concept of tele-education has been present in the background for many years. From the idea of making use of your idle time by distant learning through television to use of simulated courses to enhance your clinical skills and judgements, tele-education has stood the test of time by constantly evolving according to the needs of modern era.
{"title":"Tele-education in the post-COVID period; a new normal","authors":"Z. Furqan, S. Fatima, G. A. Awan","doi":"10.35975/apic.v24i3.1274","DOIUrl":"https://doi.org/10.35975/apic.v24i3.1274","url":null,"abstract":"Ischemia-reperfusion injury is a complex, which causes cell damage. In this study, we aimed to investigate the protective effects of dexmedetomidine on lung in the renal IR model in diabetic rats. \u0000The concept of tele-education has been present in the background for many years. From the idea of making use of your idle time by distant learning through television to use of simulated courses to enhance your clinical skills and judgements, tele-education has stood the test of time by constantly evolving according to the needs of modern era.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48934654","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 : 2020-06-24DOI: 10.35975/apic.v24i2.1265
S. Hasan
I am writing in order to stress upon the correct and safe rate of propofol infusion in intensive care unit (ICU) as a high rate of infusion can easily be missed and can lead to serious consequences. Propofol infusion syndrome (PRIS) is a well-known entity, which has been reported in both children and adults and is related to its high rates. First death due to PRIS was reported in 1990. The term was originally coined in 1998 by Bray to describe the adverse effects with its use in pediatric population. Though the first case was reported in a child, it has now been increasingly reported in adult ICU patients too.
{"title":"Propofol infusion Syndrome","authors":"S. Hasan","doi":"10.35975/apic.v24i2.1265","DOIUrl":"https://doi.org/10.35975/apic.v24i2.1265","url":null,"abstract":"I am writing in order to stress upon the correct and safe rate of propofol infusion in intensive care unit (ICU) as a high rate of infusion can easily be missed and can lead to serious consequences. Propofol infusion syndrome (PRIS) is a well-known entity, which has been reported in both children and adults and is related to its high rates. First death due to PRIS was reported in 1990. The term was originally coined in 1998 by Bray to describe the adverse effects with its use in pediatric population. Though the first case was reported in a child, it has now been increasingly reported in adult ICU patients too.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45679218","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 : 2020-06-24DOI: 10.35975/apic.v24i2.1262
A. Huda, Mohammad Yasir
We report a case of a child with methylmalonic acidemia who presented to our hospital for lens aspiration surgery. Methylmalonic acidemia is an inherited disorder of protein catabolism. Its clinical effects can vary from mild to severe, and include lethargy, vomiting, hypotonia, hypothermia, failure to thrive and encephalopathy. The main concern in treatment of these patients is prevention of academia by identifying precipitating factors. It is especially important to acutely manage fluids and electrolytes before, during and after surgery.
{"title":"Anesthetic management of a child with methylmalonic acidemia for lens aspiration – a case report","authors":"A. Huda, Mohammad Yasir","doi":"10.35975/apic.v24i2.1262","DOIUrl":"https://doi.org/10.35975/apic.v24i2.1262","url":null,"abstract":"We report a case of a child with methylmalonic acidemia who presented to our hospital for lens aspiration surgery. Methylmalonic acidemia is an inherited disorder of protein catabolism. Its clinical effects can vary from mild to severe, and include lethargy, vomiting, hypotonia, hypothermia, failure to thrive and encephalopathy. The main concern in treatment of these patients is prevention of academia by identifying precipitating factors. It is especially important to acutely manage fluids and electrolytes before, during and after surgery.","PeriodicalId":7735,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46309834","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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