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Publisher: Medknow Publishers   (Total: 425 journals)

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Showing 1 - 200 of 425 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 4)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access   (Followers: 1)
African J. of Medical and Health Sciences     Open Access   (Followers: 3)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 2)
Al-Azhar Assiut Medical J.     Open Access   (Followers: 2)
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 2, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 5)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 12, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access   (Followers: 1)
Archives of Cardiovascular Imaging     Open Access   (Followers: 2, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 4)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 11, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 5)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 2)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access   (Followers: 1)
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 2)
Canadian J. of Rural Medicine     Full-text available via subscription   (Followers: 1, SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access   (Followers: 1)
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 2)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 4)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 8, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 5, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 4, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 13, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access   (Followers: 1)
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 7, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 1)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access   (Followers: 3)
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access   (Followers: 2)
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 4)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 4, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 2, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 4)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 2)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access   (Followers: 1)
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 5, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 3)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 2, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 2)
Indian J. of Palliative Care     Open Access   (Followers: 6, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 3, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Psychiatry     Open Access   (Followers: 2, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (Followers: 1, SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 1)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 4, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access   (Followers: 1)
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 8, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 3)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 2)
Intl. J. of Orthodontic Rehabilitation     Open Access   (Followers: 1)
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 2)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Acute Disease     Open Access   (SJR: 0.163, CiteScore: 1)

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Indian Journal of Anaesthesia
Journal Prestige (SJR): 0.478
Citation Impact (citeScore): 1
Number of Followers: 7  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0019-5049
Published by Medknow Publishers Homepage  [425 journals]
  • If Oscar the cat could, can't we? – A commentary on
           intraoperative hypotension – Role of artificial intelligence

    • Authors: Murali Chakravarthy
      Pages: 875 - 876
      Abstract: Murali Chakravarthy
      Indian Journal of Anaesthesia 2019 63(11):875-876

      Citation: Indian Journal of Anaesthesia 2019 63(11):875-876
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_721_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Intraoperative hypotension and its prediction

    • Authors: Jaap J Vos, Thomas W L Scheeren
      Pages: 877 - 885
      Abstract: Jaap J Vos, Thomas W L Scheeren
      Indian Journal of Anaesthesia 2019 63(11):877-885
      Intraoperative hypotension (IOH) very commonly accompanies general anaesthesia in patients undergoing major surgical procedures. The development of IOH is unwanted, since it is associated with adverse outcomes such as acute kidney injury and myocardial injury, stroke and mortality. Although the definition of IOH is variable, harm starts to occur below a mean arterial pressure (MAP) threshold of 65 mmHg. The odds of adverse outcome increase for increasing duration and/or magnitude of IOH below this threshold, and even short periods of IOH seem to be associated with adverse outcomes. Therefore, reducing the hypotensive burden by predicting and preventing IOH through proactive appropriate treatment may potentially improve patient outcome. In this review article, we summarise the current state of the prediction of IOH by the use of so-called machine-learning algorithms. Machine-learning algorithms that use high-fidelity data from the arterial pressure waveform, may be used to reveal 'traits' that are unseen by the human eye and are associated with the later development of IOH. These algorithms can use large datasets for 'training', and can subsequently be used by clinicians for haemodynamic monitoring and guiding therapy. A first clinically available application, the hypotension prediction index (HPI), is aimed to predict an impending hypotensive event, and additionally, to guide appropriate treatment by calculated secondary variables to asses preload (dynamic preload variables), contractility (dP/dtmax), and afterload (dynamic arterial elastance, Eadyn). In this narrative review, we summarise the current state of the prediction of hypotension using such novel, automated algorithms and we will highlight HPI and the secondary variables provided to identify the probable origin of the (impending) hypotensive event.
      Citation: Indian Journal of Anaesthesia 2019 63(11):877-885
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_624_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Scalp block for analgesia after craniotomy: A meta-analysis

    • Authors: Ardyan Wardhana, Sudadi Sudadi
      Pages: 886 - 894
      Abstract: Ardyan Wardhana, Sudadi Sudadi
      Indian Journal of Anaesthesia 2019 63(11):886-894
      Background and Aims: A previous meta-analysis reported that scalp block had limited benefits (low-quality evidence) compared to no-scalp block modalities for analgesia after craniotomy. However, it included studies using two different pain intensity measurement scales. Therefore, we performed another meta-analysis using a single scale. Methods: We conducted the search for all randomised controlled trials evaluating the effect of scalp block on postcraniotomy pain compared to no-scalp block in Cochrane Central Register of Controlled Trials and PubMed database. We assessed the quality of included studies employing GRADE approach. We performed random-effects inverse-variance weighted meta-analysis of outcomes including pain intensity assessed by a 0--10 visual analog scale and opioid consumption during the first 24 h postoperative period using RevMan 5.3. Results: A total of 10 studies (551 patients) were included. It revealed a statistically significant mean pain intensity reduction in scalp block group when compared to no-scalp block at very early and early 24 h period (seven trials, very low-quality evidence, mean difference (MD) = −1.37, 95% confidence interval (CI): −2.23 to -0.05, I2 = 70%; nine trials, very low-quality evidence, MD = −1.16, 95% CI: −2.09 to −0.24, I2 = 57%, respectively). There was also reduction in the opioid requirements over the first 24 h postoperatively. Conclusion: Scalp block might be useful at <6 h postcraniotomy with very-low quality evidence. Additionally, it had uncertain but moderate effect on reducing total 24 h opioid consumption. Therefore, more studies are needed to reach optimal information size.
      Citation: Indian Journal of Anaesthesia 2019 63(11):886-894
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_315_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Pre-emptive multimodal analgesic regimen reduces post-operative epidural
           demand boluses in traumatic shaft of femur fracture - A randomised
           controlled trial

    • Authors: Jeetinder K Makkar, Kajal Jain, Aswini Kuberan, Mukilan Balasubramanian, Nidhi Bhatia, Preet M Singh
      Pages: 895 - 899
      Abstract: Jeetinder K Makkar, Kajal Jain, Aswini Kuberan, Mukilan Balasubramanian, Nidhi Bhatia, Preet M Singh
      Indian Journal of Anaesthesia 2019 63(11):895-899
      Background and Aims: The efficacy of preemptive multimodal analgesia in post-traumatic patients has not been elucidated. Our aim was to evaluate the efficacy of preemptive MMA regimen in reducing the epidural demand boluses in the first 48 hours following the traumatic shaft of femur fractures. Methods: Patients scheduled for traumatic femur fracture surgery were randomised (n = 135) into two groups in this double blind, placebo controlled trial. Patients received either (Preemptive multimodal group) intravenous acetaminophen 1 gm, diclofenac 75 mg, morphine 3 mg, 75 mg Pregabalin (per oral) or a placebo 30 minutes pre-operatively. Intra-operatively, all patients were managed with spinal and epidural anaesthesia. Post-operatively, patients received patient-controlled epidural analgesia (PCEA) programmed to deliver a bolus of 5 ml of 0.2% Ropivacaine with 2 μg/ml of Fentanyl with lockout interval time of 15 min. Primary outcome was number of PCEA boluses received post-operatively over 48 h. Secondary outcomes measures were time to receive first epidural bolus, postoperative VAS scores and episodes of post-operative nausea, vomiting and sedation. Total number of PCEA bolus doses over 48 hours and VAS scores were analysed using Mann-Whitney test. Results: Significant reduction in median number of demand boluses were observed in preemptive multimodal group (3 [2-4]) compared to placebo group (5 [4-7]); P = 0.00. Time to first rescue epidural bolus was significantly greater in preemptive multimodal group than placebo group. Conclusion: The use of preemptive MMA regimen reduced the requirement of demand epidural bolus doses.
      Citation: Indian Journal of Anaesthesia 2019 63(11):895-899
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_363_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Comparative evaluation of i-gel® insertion conditions using
           dexmedetomidine-propofol versus fentanyl-propofol - A randomised
           double-blind study

    • Authors: Preeti Sachin Rustagi, Shalaka Sandeep Nellore, Amala Guru Kudalkar, Rashmi Sawant
      Pages: 900 - 907
      Abstract: Preeti Sachin Rustagi, Shalaka Sandeep Nellore, Amala Guru Kudalkar, Rashmi Sawant
      Indian Journal of Anaesthesia 2019 63(11):900-907
      Background and Aims: i-gel® insertion necessitates adequate depth of anaesthesia to prevent laryngospasm, gagging or limb movements. We aimed to compare i-gel® insertion conditions with propofol induction after pre-treatment with dexmedetomidine or fentanyl. Methods: Eighty ASAI/II patients undergoing general anaesthesia were randomised into Groups D (n = 40) and F (n = 40). Group D received 1 μg/kg dexmedetomidine over 10 minutes followed by 5ml of 0.9%normal saline (NS) over 2 minutes. Group F received 10 ml of 0.9%NS over 10 minutes followed by fentanyl 1 μg/kg over 2 minutes. Thirty seconds after study drugs, propofol 2 mg/kg was given. Ninety seconds after propofol, i-gel® was inserted. Overall insertion conditions were assessed by Modified Scheme of Lund and Stovener. Heart-rate (HR) and mean arterial pressure (MAP) were noted at baseline, after study drug, propofol induction and 1,3,5,10 minutes after i-gel® insertion. Respiratory rate and apnoea times were recorded. Results: Insertion conditions were comparable between both groups. Moderately relaxed jaw, coughing and movement was observed in more patients of Group F. Incidence of apnoea was significantly higher (P < 0.0001) in group F (18/40) than group D (3/40).Mean duration of apnoea in group F (284.5 ± 11.19 sec) was significantly higher than group D (217.17 ± 16.48 sec). Percentage drop in MAP from baseline after propofol was more in group F (10.3%) than group D (5.6%). MAP after induction was significantly lower in group F compared to group D (P = 0.002), but similar after i-gel® insertion, 1,3,5 and 10 minutes after insertion. After propofol (P = 0.003) and i-gel® insertion (P < 0.001), HR was significantly lower with dexmedetomidine. Conclusion: Dexmedetomidine and fentanyl provide comparable conditions for i-gel® insertion with propofol.
      Citation: Indian Journal of Anaesthesia 2019 63(11):900-907
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_313_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Evaluation of resident satisfaction and change in knowledge following use
           of high-fidelity simulation teaching for anaesthesia residents

    • Authors: S Shailaja, SS Hilda, Prajna A Pinto, Rithesh J D&#39;Cunha, Lulu S Mahmood, Radhesh B Hegde
      Pages: 908 - 914
      Abstract: S Shailaja, SS Hilda, Prajna A Pinto, Rithesh J D'Cunha, Lulu S Mahmood, Radhesh B Hegde
      Indian Journal of Anaesthesia 2019 63(11):908-914
      Background and Aims: Anaesthesia practice demands medical knowledge and skills as essential components for patient management in peri-operative emergencies. Since all residents are not exposed to such situations during their residency, training them using simulation technology could bridge this knowledge and skill gap. The aim of this study was to train and evaluate residents to manage anaesthesia emergencies on high fidelity simulators. Methods: Kirkpatrick model of program evaluation was carried out. Resident reaction was captured using a satisfaction questionnaire and the change in knowledge was assessed using pre-test and post-test Multiple Choice Questions (MCQs). Six scenarios were created and executed on a human patient simulator (HPS). All 22 residents participated in this teaching learning method. The steps of simulation teaching included pre-test, pre-briefing, orientation to manikins, performing/scribe, debriefing, feedback questionnaire, and post-test. The satisfaction questionnaire was administered following the second and fourth scenario. Results: 95% residents agreed on overall satisfaction, that it helps in building team dynamics and clinical reasoning. All students agreed that this teaching had positive professional impact. 14% residents felt they were anxious during the class. The items in the questionnaire had a Cronbach's α value of 0.9. The mean score for pre-test was 24.22 ± 7 (Mean ± SD) and the post-test was 47.18 ± 5.6, the difference between the scores were statistically significant (P = 0.007). Conclusion: The use of high-fidelity simulation to train anaesthesia residents resulted in greater satisfaction scores and improved the residents' reasoning skills.
      Citation: Indian Journal of Anaesthesia 2019 63(11):908-914
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_133_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Attenuation of haemodynamic responses to laryngoscopy and endotracheal
           intubation with dexmedetomidine: A comparison between intravenous and
           intranasal route

    • Authors: Saikat Niyogi, Asit Biswas, Indrani Chakraborty, Soumya Chakraborty, Amita Acharjee
      Pages: 915 - 923
      Abstract: Saikat Niyogi, Asit Biswas, Indrani Chakraborty, Soumya Chakraborty, Amita Acharjee
      Indian Journal of Anaesthesia 2019 63(11):915-923
      Background and Aims: Haemodynamic changes during endotracheal intubation are major concerns in general anaesthesia This study compared the efficacy of intranasal and intravenous dexmedetomidine (DEX) to attenuate the stress response of laryngoscopy and endotracheal intubation. Methods: In this prospective, randomised, double-blinded study, 70 adults were divided into two groups [Group DIV (n=35) and Group DIN (n=35)]. DIV group received intravenous dexmedetomidine (DEX) infusion (0.5 μg/kg) over 40 min and DIN group received intranasal dexmedetomidine (1 μg/kg) 40 min before induction. The primary objective was the comparison the mean arterial pressure (MAP) between two groups from 40 min before induction at every 10 min intervals till induction of anaesthesia, at the time of intubation, thereafter every 1 min interval till 5 min, at 7 min and 10 min after intubation. The secondary outcomes were comparison of heart rate, systolic and diastolic blood pressure along with sedation and other adverse effects. Statistical analysis was with Statistica 6.0 and Graph Pad prism version 5. Results: In both the groups, all the haemodynamic parameters were maintained within (20% of baseline values) throughout the study period. There was no statistically significant difference in MAP between two groups (P>0.05). Preoperative sedation score was significantly higher in the DIV group than the DIN group (P = 0.014). Conclusion: Like IV DEX, intranasal DEX can also attenuate the haemodynamic stress responses of laryngoscopy and endotracheal intubation without significant differences in MAP between two groups.
      Citation: Indian Journal of Anaesthesia 2019 63(11):915-923
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_320_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Preprocedural ultrasound as an adjunct to blind conventional technique for
           epidural neuraxial blockade in patients undergoing hip or knee joint
           replacement surgery: A randomised controlled trial

    • Authors: Kompal Jain, Arun Puri, Rajeev Taneja, Vikky Jaiswal, Anant Jain
      Pages: 924 - 931
      Abstract: Kompal Jain, Arun Puri, Rajeev Taneja, Vikky Jaiswal, Anant Jain
      Indian Journal of Anaesthesia 2019 63(11):924-931
      Background and Aims: The patients undergoing total knee and hip replacement surgeries are mostly obese, more than 50 years of age with osteophytic spine and spine deformities making the blind conventional technique of regional anaesthesia more difficult. The aim of the study was to compare the role of preprocedural ultrasound scan to conventional blind technique in obese patients with osteophytic spines undergoing total knee or hip replacement surgeries in terms of technical difficulty, clinical efficacy, safety and patient comfort. Methods: A prospective, randomised controlled trial was conducted in which 210 consenting American Society of Anesthesiologists (ASA) grade III patients, age >50 years, Body Mass Index (BMI) ≥30 kg/m2 with osteophytic spines including abnormalities undergoing joint replacement surgeries were randomised in two groups. Ultrasound group (“B”) received Combined Spinal Epidural Anaesthesia (CSEA) after preprocedural lumbar ultrasound scan. In control group (“A”), CSEA was given by blind conventional technique. The primary objective was to compare the rate of successful epidural block on 1st needle insertion attempts in both the groups. The secondary objectives were to compare both groups in terms of ease, success, comfort and safety of epidural block. Results: Ultrasound improved success of CSEA at 1st attempt from 74.3% in control group (“A”) to 85.7% in Ultrasound group (“B”) (P = 0.038). Fewer needle insertion attempts, passes and anaesthesiologist were required in ultrasound group. Pearson correlation coefficient was 0.976 using both views. Conclusion: Preprocedural ultrasound scan is a useful adjunct to lumbar epidural blocks in obese patients with osteophytic abnormal spines.
      Citation: Indian Journal of Anaesthesia 2019 63(11):924-931
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_327_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Fascia iliaca compartment block: How far does the local anaesthetic spread
           and is a real time continuous technique feasible in children?

    • Authors: Vrushali C Ponde, Anuya A Gursale, Dilip N Chavan, Ashok N Johari, Maryrose O Osazuwa, Tripti Nagdev
      Pages: 932 - 937
      Abstract: Vrushali C Ponde, Anuya A Gursale, Dilip N Chavan, Ashok N Johari, Maryrose O Osazuwa, Tripti Nagdev
      Indian Journal of Anaesthesia 2019 63(11):932-937
      Background and Aims: The fascia iliaca compartment block (FICB) is commonly administered in children for anterolateral thigh surgery. The actual spread of the local anaesthetic (LA) beneath the fascial layers in children is not known. We hypothesised that in children there could be a possibility of the LA to reach lumbar plexus with the dose we used. Methods: This study included 25 children, aged 1-15 years for lower limb surgeries after standardised general anesthesia, the FICB was done with ultrasonography. Radio-opaque dye was tagged to LA and the fluoroscopic study was performed. The catheter was placed under ultrasonography. The primary objective was to investigate the fluoroscopic demonstration of the extent of LA spread by our technique and drug volume which is not known in children. The secondary objectives were to evaluate the intraoperative and postoperative analgesic efficacy, complications if any, of the continuous FICB catheters placed by our method. Results: In all patients, the visualisation of ilium and iliacus muscle, the fascia iliaca and needle tip was possible. The fluoroscopic imaging showed that the LA did not spread till the lumbar plexus in 20 patients. In 5 patients, delineated the psoas muscle and reached the L4 vertebral level. The analgesia was adequate. In the postoperative period, 92% had sufficient pain relief. Mild soakage was an issue with catheters. Conclusion: Although single shot fascia iliaca compartment block has limited spread of local anaesthetic in children, it is efficacious. Continuous fascia iliaca compartment block is feasible and effective in this age group.
      Citation: Indian Journal of Anaesthesia 2019 63(11):932-937
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_344_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Anaesthetic management of pacemaker implantation in a child with dilated
           cardiomyopathy and acquired complete atrioventricular heart block

    • Authors: Garima Choudhary, Rashmi Syal, Rakesh Kumar, Manoj Kamal
      Pages: 938 - 940
      Abstract: Garima Choudhary, Rashmi Syal, Rakesh Kumar, Manoj Kamal
      Indian Journal of Anaesthesia 2019 63(11):938-940
      We report a case of an 8-year-old girl who presented with syncopal attacks and a history of viral illness a month ago. On examination, she was conscious, oriented but had a heart rate of 42/min which was unresponsive to atropine. She was started on dobutamine and isoproterenol. Electrocardiography and echocardiography revealed complete heart block with moderate tricuspid regurgitation, dilated cardiomyopathy and low ejection fraction. Patient was planned for urgent permanent pacemaker insertion. General anaesthesia was administered with endotracheal tube and controlled ventilation using fentanyl, ketamine and pancuronium. For patient safety, invasive arterial monitoring was instituted and external pacing was kept standby. Transvenous pacemaker leads were implanted onto the right ventricular wall through the left subclavian vein.
      Citation: Indian Journal of Anaesthesia 2019 63(11):938-940
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_411_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • SponTaneous Respiration using IntraVEnous anaesthesia and Hi-flow nasal
           oxygen (STRIVE Hi) in tracheal stenting: Experience of ten cases in a
           regional cancer center

    • Authors: Sayandeep Mandal, Suparna M Barman, Anshuman Sarkar, Jyotsna Goswami
      Pages: 941 - 944
      Abstract: Sayandeep Mandal, Suparna M Barman, Anshuman Sarkar, Jyotsna Goswami
      Indian Journal of Anaesthesia 2019 63(11):941-944

      Citation: Indian Journal of Anaesthesia 2019 63(11):941-944
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_386_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Device for centralisation during fibrescope-guided orotracheal intubation.
           An i-gel® innovation

    • Authors: Nishant Sahay, Umesh Kumar Bhadani, Ravi Singh
      Pages: 945 - 946
      Abstract: Nishant Sahay, Umesh Kumar Bhadani, Ravi Singh
      Indian Journal of Anaesthesia 2019 63(11):945-946

      Citation: Indian Journal of Anaesthesia 2019 63(11):945-946
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_582_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Knotty Catheter! - An unusual complication of rectus sheath block

    • Authors: Jeson R Doctor, Sohan Lal Solanki, Sumitra Bakshi
      Pages: 947 - 948
      Abstract: Jeson R Doctor, Sohan Lal Solanki, Sumitra Bakshi
      Indian Journal of Anaesthesia 2019 63(11):947-948

      Citation: Indian Journal of Anaesthesia 2019 63(11):947-948
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_236_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Anaesthetic management of a child with Varadi–Papp (orofacial
           digital syndrome type VI) syndrome

    • Authors: Ramya Ravi, Sandeep Kumar Mishra, Prasanna Udupi Bidkar, Ranjithkumar Sivakumar
      Pages: 948 - 949
      Abstract: Ramya Ravi, Sandeep Kumar Mishra, Prasanna Udupi Bidkar, Ranjithkumar Sivakumar
      Indian Journal of Anaesthesia 2019 63(11):948-949

      Citation: Indian Journal of Anaesthesia 2019 63(11):948-949
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_373_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Bypassing trachea-oesophageal fistula during endotracheal intubation for
           surgical correction: Time to rethink!

    • Authors: Anju Gupta, KK Girdhar
      Pages: 950 - 951
      Abstract: Anju Gupta, KK Girdhar
      Indian Journal of Anaesthesia 2019 63(11):950-951

      Citation: Indian Journal of Anaesthesia 2019 63(11):950-951
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_380_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Chewing gum, the anaesthesiologist and perioperative checklists

    • Authors: Tasneem Dhansura, Dhanwanti Rajwade
      Pages: 951 - 952
      Abstract: Tasneem Dhansura, Dhanwanti Rajwade
      Indian Journal of Anaesthesia 2019 63(11):951-952

      Citation: Indian Journal of Anaesthesia 2019 63(11):951-952
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_387_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Anaesthetic management of a child with Farber's lipogranulomatosis
           posted for exploratory laparotomy

    • Authors: Nitin Choudhary, Sonia Wadhawan, Rahil Singh, Poonam Bhadoria
      Pages: 953 - 955
      Abstract: Nitin Choudhary, Sonia Wadhawan, Rahil Singh, Poonam Bhadoria
      Indian Journal of Anaesthesia 2019 63(11):953-955

      Citation: Indian Journal of Anaesthesia 2019 63(11):953-955
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_418_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Scientometrics in medical journals: Indices, their pros and cons

    • Authors: Abhijit S Nair
      Pages: 955 - 957
      Abstract: Abhijit S Nair
      Indian Journal of Anaesthesia 2019 63(11):955-957

      Citation: Indian Journal of Anaesthesia 2019 63(11):955-957
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_435_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Ultrasound guided bi-level thoracic and lumbar erector spinae plane block
           as surgical anaesthesia method for inguinal hernia repair in a high-risk
           patient: Case report

    • Authors: Tayfun Aydin, Miray Turgut, Onur Balaban
      Pages: 957 - 959
      Abstract: Tayfun Aydin, Miray Turgut, Onur Balaban
      Indian Journal of Anaesthesia 2019 63(11):957-959

      Citation: Indian Journal of Anaesthesia 2019 63(11):957-959
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_440_19
      Issue No: Vol. 63, No. 11 (2019)
       
  • Fatal pulmonary haemorrhage following repeated intercostal drain
           insertions: Think before you re-do

    • Authors: Amit Rastogi, Shantanu Pandey, Ankita Singh, Shashank Tripathi
      Pages: 959 - 960
      Abstract: Amit Rastogi, Shantanu Pandey, Ankita Singh, Shashank Tripathi
      Indian Journal of Anaesthesia 2019 63(11):959-960

      Citation: Indian Journal of Anaesthesia 2019 63(11):959-960
      PubDate: Fri,8 Nov 2019
      DOI: 10.4103/ija.IJA_473_19
      Issue No: Vol. 63, No. 11 (2019)
       
 
 
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