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Publisher: Medknow Publishers   (Total: 426 journals)

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Showing 1 - 200 of 426 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: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
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: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
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: 9, 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  
Arab J. of Interventional Radiology     Open Access  
Archives of Cardiovascular Imaging     Open Access   (Followers: 1, 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: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 6, 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: 1)
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  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access  
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: 3)
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: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, 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: 3, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 11, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, 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 Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.127, CiteScore: 0)
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: 2)
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  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 3)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 3)
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: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
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 Critical Care Medicine     Open Access   (Followers: 4, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 4, 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     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, 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: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, 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   (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: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, 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  
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: 3, 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: 2)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
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)

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Journal Cover
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  [426 journals]
  • Does my septic patient have scurvy?

    • Authors: Subhash Kumar Todi
      Pages: 927 - 929
      Abstract: Subhash Kumar Todi
      Indian Journal of Anaesthesia 2018 62(12):927-929

      Citation: Indian Journal of Anaesthesia 2018 62(12):927-929
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_795_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • The Pre-Conception and Pre-Natal Diagnostic Techniques Act and its
           implication on advancement of ultrasound in anaesthesiology; time to
           change mindsets rather than laws

    • Authors: Mridul Dhar, Yashwant S Payal, Vamshi Krishna
      Pages: 930 - 933
      Abstract: Mridul Dhar, Yashwant S Payal, Vamshi Krishna
      Indian Journal of Anaesthesia 2018 62(12):930-933
      Ultrasonography (USG) has a continuously expanding role in anaesthesiology, critical care and pain management and has enhanced and refined patient care. The Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act was established to counter the persistent problem of female foeticide in India. This unique problem which seems to be rooted in our social structure has indirectly impeded the evolution of USG as a widespread tool in medicine in our country. This brief review is aimed at highlighting the expanding role of USG in anaesthesia practice and training, nuances of the PCPNDT act and its implications on the growth and management of ultrasound technology in anaesthesia, in India.
      Citation: Indian Journal of Anaesthesia 2018 62(12):930-933
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_518_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Hydrocortisone, Vitamin C and thiamine for the treatment of sepsis and
           septic shock following cardiac surgery

    • Authors: Mahesh Balakrishnan, Hemang Gandhi, Komal Shah, Himani Pandya, Ramesh Patel, Sunny Keshwani, Nikhil Yadav
      Pages: 934 - 939
      Abstract: Mahesh Balakrishnan, Hemang Gandhi, Komal Shah, Himani Pandya, Ramesh Patel, Sunny Keshwani, Nikhil Yadav
      Indian Journal of Anaesthesia 2018 62(12):934-939
      Background and Aims: The effect of vitamin C on vasopressor requirement in critically ill patients have been evaluated previously. We aimed to evaluate the effect of vitamin C, hydrocortisone and thiamine on vasopressor requirement and mortality in post-operative adult cardiac surgical patients with septic shock. Methods: About 24 patients with septic shock were randomised into Group 1 (receiving matching placebo per day for 4 days) and Group 2 (receiving 6 g vitamin C, 400 mg thiamine and 200 mg hydrocortisone per day for 4 days). Vasopressor dose over 4 days of therapy was the primary endpoint, whereas in-hospital mortality was the secondary endpoint. Results: APACHE IV and EUROSCORE II scores were similar between both the groups. Significant reductions in the requirement of vasopressin (difference from day 1 – 0.0008 ± 0.00289 vs 0.0033 ± 0.00492 units/kg/min; P = 0.019) and noradrenaline (difference from day 1 – 0.0283 ± 0.040 vs 0.023 ± 0.035 μg/kg/min; P = 0.006) were observed with vitamin C treatment as compared to control group. PCT levels on Day 3 (68.11 ± 33.64 vs 33.2 ± 27.55 ng/mL; P = 0.0161) and Day 4 (70.03 ± 29.74 vs 26.3 ± 23.08 ng/mL; P = 0.0009) were significantly lower in treatment group as compared to control. However, there was no difference in the Sepsis-Related Organ Failure Assessment (SOFA) score and mortality between the studied groups. Conclusion: Combination of vitamin C, thiamine and hydrocortisone reduces vasopressor requirement in adult cardiac surgical patients with septic shock.
      Citation: Indian Journal of Anaesthesia 2018 62(12):934-939
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_361_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Obstetric admissions to tertiary level intensive care unit –
           Prevalence, clinical characteristics and outcomes

    • Authors: Chris Maria Joseph, Gaurav Bhatia, Valsamma Abraham, Tapasya Dhar
      Pages: 940 - 944
      Abstract: Chris Maria Joseph, Gaurav Bhatia, Valsamma Abraham, Tapasya Dhar
      Indian Journal of Anaesthesia 2018 62(12):940-944
      Background and Aims: Obstetric admissions to the intensive care unit (ICU) are a subject of increasing interest, as it is an indirect indicator of maternal morbidity and mortality. The studies from areas reported to have a higher maternal mortality rate are lacking. Thus, we undertook this study to determine the prevalence pattern, clinical characteristics and outcome of obstetric patients admitted to the ICU of a tertiary care hospital. Methods: All obstetric patients (up till 42 days of delivery) admitted to the ICU from 1st October 2015 to 30th September 2016 and from 1st October 2010 to 30th September 2015 were included. Data collected for our study included demographic characteristics, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) II score at the time of admission, obstetric and medical history, provisional diagnosis, the reason for ICU admission, interventions required in ICU and the outcome. Results: The third trimester (46.79%) and postpartum period (40.37%) were the most common time of admission with conditions such as severe pre-eclampsia, eclampsia, HELLP syndrome (Haemolysis, elevated liver enzymes, low platelet count), antepartum haemorrhage, postpartum haemorrhage and anaemia. The mean APACHE II score was 16.89 ± 7.48 with a mortality rate of 17.76%. The mean length of stay in ICU was 3.47 ± 3.16 days, and mean length of stay in our hospital was 8.78 ± 6.76 days Conclusion: Obstetric patients recover well if treated early. A good ICU care with monitoring can save a young productive life.
      Citation: Indian Journal of Anaesthesia 2018 62(12):940-944
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_537_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • An observational prospective study of performance of
           acromioaxillosuprasternal notch index in predicting difficult
           visualisation of the larynx

    • Authors: Tejwant Rajkhowa, Priyam Saikia, Deepjyoti Das
      Pages: 945 - 950
      Abstract: Tejwant Rajkhowa, Priyam Saikia, Deepjyoti Das
      Indian Journal of Anaesthesia 2018 62(12):945-950
      Background and Aims: Bedside screening test for predicting difficult intubation is an accepted practice, even though its clinical value remains limited. This study aimed to study the predicting value of acromioaxillosuprasternal notch index (AASI) for difficult visualisation of the larynx (DVL). Methods: After Hospital Ethical Committee approval, 440 consecutive consenting adult non-obstetric patients were included in this study. AASI, modified Mallampati class (MMT), sternomental distance (SMD), thyromental distance (TMD) and inter incisor distance (IID) were evaluated preoperatively by trained personnel. Visualisation of larynx was graded according to Cormack–Lehane grading, with grade III and IV being considered as DVL. The cut-off values for prediction of DVL were defined a priori. Direct laryngoscopy was carried out by qualified anaesthesiologists blinded to the results of the airway predictors under evaluation. Primary outcome variable was AASI as a predictor of DVL. Comparing DVL with MMT, SMD, TMD and IID were secondary objectives. Results: DVL was observed in 3.6% [95% confidence interval (1.9–5.4%)] patients. We observed that sensitivity, specificity and Area Under Curve i.e., AUC (95% confidence interval) of ROC of AASI was 81.25 (53.69-95.03), 96.7 (94.39-98.11) and 0.890 (0.777-1.000) respectively. AUC of AASI was found to better than MMT, SMD, TMD and IID. Conclusion: AASI (≥0.5) is a good predictor of difficult visualisation of the larynx at direct laryngoscopy.
      Citation: Indian Journal of Anaesthesia 2018 62(12):945-950
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_480_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Endovascular treatment of acute ischaemic stroke under conscious sedation:
           Predictors of poor outcomes

    • Authors: Umeshkumar Athiraman, Arbi Ben Abdallah, Akash Kansagra, Rene Tempelhoff
      Pages: 951 - 957
      Abstract: Umeshkumar Athiraman, Arbi Ben Abdallah, Akash Kansagra, Rene Tempelhoff
      Indian Journal of Anaesthesia 2018 62(12):951-957
      Background and Aims: Though, many practitioners prefer conscious sedation (CS), it is unclear which factors most influence neurological outcome following mechanical thrombectomy under CS. The aim of this retrospective study is to identify these factors. Methods: After institutional review board approval, data were collected for the patients >18 years of age who underwent endovascular treatment of AIS under CS at our comprehensive stroke centre between January 2009 and June 2015. The primary outcome measure was the modified Rankin Scale (mRS) at discharge. A good outcome was defined as mRS 0–3 and poor outcome as mRS 4–6. Univariate and logistic regression analysis were performed to identify the independent predictors of poor outcomes at discharge. A P < 0.05 was considered statistically significant. Results: One hundred two patients, aged 67 ± 16 years were included. The anterior cerebral circulation was affected in 88 patients (86%), and the median National Institute of Health Stroke Scale (NIHSS) score at presentation was 17.5 (range: 1–36). Overall, 21 (21%) patients had good outcome and 81 (79%) had poor outcome. Logistic regression identified the modified treatment in cerebral ischaemia (mTICI) score [odds ratio (OR): 0.443, confidence interval (CI): 0.244–0.805], NIHSS score (OR: 1.290, CI: 1.125–1.481) and previous transient ischaemic attack (TIA) (OR: 6.988, CI: 1.342–36.380) as significant independent predictors of poor outcome at discharge. Conclusion: The outcome of patients who underwent endovascular treatment of AIS under CS depends on the mTICI score, NIHSS score and history of previous TIA.
      Citation: Indian Journal of Anaesthesia 2018 62(12):951-957
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_487_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Effect of premedication with oral midazolam on preoperative anxiety in
           children with history of previous surgery – A prospective study

    • Authors: Pulak Priyadarshi Padhi, Neerja Bhardwaj, Sandhya Yaddanapudi
      Pages: 958 - 962
      Abstract: Pulak Priyadarshi Padhi, Neerja Bhardwaj, Sandhya Yaddanapudi
      Indian Journal of Anaesthesia 2018 62(12):958-962
      Background and Aims: History of previous surgery may be a risk factor for high preoperative anxiety. The most commonly used technique to reduce preoperative anxiety is oral midazolam premedication because of its safety profile. The aim of this study was to compare the anxiety after premedication in children with a history of previous surgery and those without a history of previous surgery. Methods: A prospective study was conducted in children aged 4–10 years scheduled for surgery under general anaesthesia. Thirty-five children with a history of previous surgery and 35 children without any history of previous surgery were enrolled. Anxiety was assessed using modified Yale Preoperative Anxiety Scale (mYPAS) before and 20 min after premedication with oral midazolam. Anxiety during parental separation and mask acceptance during induction of anaesthesia was assessed using 4-point scale. mYPAS scores were compared using Mann–Whitney U-test, and the incidence of satisfactory parental separation and mask acceptance was compared using χ2 test. Results: The median (interquartile range) anxiety scores after premedication were statistically similar (P = 0.74) in children without a history of previous surgery [31.7 (23.3–40.8)] and in those with a history of previous surgery [33.3 (28.3–47.5)]. Baseline anxiety scores were comparable in the two groups. A high percentage of children in both the groups had a satisfactory parental separation and mask acceptance score. Conclusion: Anxiety scores after premedication with midazolam were similar in children with history of previous anaesthesia exposure and those experiencing anaesthesia for the first time.
      Citation: Indian Journal of Anaesthesia 2018 62(12):958-962
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_529_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Impact of preoperative pulmonary arterial hypertension on early and late
           

    • Authors: Deepak Prakash Borde, Balaji Asegaonkar, Sujit Khade, Manish Puranik, Antony George, Shreedhar Joshi
      Pages: 963 - 971
      Abstract: Deepak Prakash Borde, Balaji Asegaonkar, Sujit Khade, Manish Puranik, Antony George, Shreedhar Joshi
      Indian Journal of Anaesthesia 2018 62(12):963-971
      Background and Aims: There is conflicting evidence on adverse effect of Pulmonary Arterial Hypertension (PAH) on outcomes after cardiac surgery for rheumatic heart disease (RHD). The authors studied Indian patients with RHD and preoperative PAH, who undergo cardiac surgery with a hypothesis that they have poor short and long-term outcomes. Methods: This was a retrospective observational study of 407 patients. The patients were divided in three groups based on PAH estimated on echocardiograph as; no or mild PAH (pulmonary artery systolic pressure (PASP) <30 mm of Hg); moderate PAH (PASP 31-55 mm of Hg) and severe PAH (PASP >55 mm of Hg). The primary endpoint was in-hospital mortality and major morbidities; while secondary endpoint was long-term survival. Results: In-hospital mortality was 24 (5.9%); and was not different in patients with severe, (9.1%), moderate (4.5%) or mild PAH (2.8%) (P = 0.09). Patients with severe PAH had higher incidence of prolonged ventilation (P = 0.007). Factors independently associated with mortality were; >2-packed cell transfusion, prolonged ventilation and acute kidney injury but not moderate and severe PAH. Patients with mitral stenosis (MS) and severe PAH had significantly higher mortality as compared to no or mild PAH (P = 0.03) on long-term follow-up [81.37% (mean duration 19.40 ± 14.10 months)], mortality was 8% and not statistically different (P = 0.25) across PAH categories. Conclusion: Moderate and severe PAH does not affect short and long term outcomes of patients undergoing valve surgery for RHD. Patients with MS with severe PAH had higher mortality compared to those with no PAH.
      Citation: Indian Journal of Anaesthesia 2018 62(12):963-971
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_374_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Sphenopalatine ganglion block for treatment of post-dural puncture
           headache in obstetric patients: An observational study

    • Authors: Nitu Puthenveettil, Sunil Rajan, Anish Mohan, Jerry Paul, Lakshmi Kumar
      Pages: 972 - 977
      Abstract: Nitu Puthenveettil, Sunil Rajan, Anish Mohan, Jerry Paul, Lakshmi Kumar
      Indian Journal of Anaesthesia 2018 62(12):972-977
      Background and Aims: Post-dural puncture headache (PDPH) is a consequence of spinal and epidural anaesthesia in approximately 1% of obstetric patients. The gold standard for its treatment is epidural blood patch. Sphenopalatine ganglion block (SPGB) has been proposed as a non-invasive intervention with minimal adverse effect. The primary objective of this study was to assess the efficacy of SPGB for treatment of PDPH. Secondary objectives were to assess onset of analgesia, duration of block and adverse effects. Methods: Twenty parturients diagnosed to have PDPH, resistant to standard treatment modalities such as intravenous fluids, abdominal binder, bed rest and caffeine, were recruited into this prospective observational study. Patients were allocated to either of the two groups. Group A patients received paracetamol 1 g 8 hourly intravenously for a day. If adequate pain relief was not achieved, diclofenac 75 mg 12 hourly was added. Patients in group B received SPGB with 2% lignocaine. Fisher's exact test, Mann–Whitney test and independent sample t-test were used for statistical analysis. Results: About 88.89% patients in group B had adequate pain relief within 5 min of block (P < 0.001). Pain was significantly lower in Group B for up to 8 h, with no adverse effects. Conclusion: SPGB is an effective initial modality for managing severe headache in patients with PDPH.
      Citation: Indian Journal of Anaesthesia 2018 62(12):972-977
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_443_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Correlation between ultrasound-guided subglottic diameter and little
           finger breadth with the outer diameter of the endotracheal tube in
           paediatric patients – A prospective observational study

    • Authors: MAN Rajasekhar, Srilata Moningi, Sujatha Patnaik, Prasad Rao
      Pages: 978 - 983
      Abstract: MAN Rajasekhar, Srilata Moningi, Sujatha Patnaik, Prasad Rao
      Indian Journal of Anaesthesia 2018 62(12):978-983
      Background and Aims: Selection of an appropriate endotracheal tube (ETT) in paediatric patients is a challenging situation. The purpose of this study was to compare whether measurement of subglottic diameter with ultrasound or the age-old little finger width correlates better with the outer diameter (OD) of the ETT used for intubation. Methods: Following approval from the Institutional Ethics board and a written informed consent from parent or guardian, this prospective observational study was carried out on 60 American Society of Anesthesiologists physical status I and II patients aged 6 months–8 years, scheduled for elective surgery under general anaesthesia requiring oral endotracheal intubation. Preoperatively ultrasound-guided subglottic diameter (USGD) and little finger breadth (LFB) measurements were taken. On the day of surgery, intubation was done with an uncuffed ETT, whose OD was noted. The concordance and agreeability between two techniques for estimation of the OD of the ETT were measured by Lin's concordance correlation coefficient. Further, the bias and precision between the techniques and the inter-changeability of the techniques were assessed by using Bland and Altman and Mountain plotting, respectively. Results: Lin's concordance correlation coefficient between USGD and LFB with the OD of the ETT was found to be 0.29 (0.13–0.41) and 0.46 (0.29–0.6), respectively. Conclusion: Overall, neither USGD nor LFB can be used as a reliable tool to predict the OD of the ETT. Registered in Clinical Trial Registry of India. REF/2016/08/011955.
      Citation: Indian Journal of Anaesthesia 2018 62(12):978-983
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_545_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Intractable brain swelling during cerebral arteriovenous malformation
           surgery due to contralateral acute subdural haematoma

    • Authors: Ankur Khandelwal, Arvind Chaturvedi, Gyaninder Pal Singh, Rajeeb Kumar Mishra
      Pages: 984 - 987
      Abstract: Ankur Khandelwal, Arvind Chaturvedi, Gyaninder Pal Singh, Rajeeb Kumar Mishra
      Indian Journal of Anaesthesia 2018 62(12):984-987
      Severe brain swelling during routine neurosurgery can herald serious consequences. Failure to control brain swelling despite adequate measures warns of a surgical cause and should be dealt efficiently. We report a case of an adult female who developed intraoperative acute subdural haematoma (SDH) and consequent intractable brain swelling during surgery of supratentorial arteriovenous malformation (AVM). Such a manifestation of contralateral acute SDH during supratentorial AVM surgery has not been reported earlier.
      Citation: Indian Journal of Anaesthesia 2018 62(12):984-987
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_491_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Reverse stress cardiomyopathy post-liver transplant needing mechanical
           circulatory support

    • Authors: Rakesh V Reddy, Sanjay Agarwal, Vinod Choudhary, Amit K Singhal
      Pages: 988 - 990
      Abstract: Rakesh V Reddy, Sanjay Agarwal, Vinod Choudhary, Amit K Singhal
      Indian Journal of Anaesthesia 2018 62(12):988-990
      A 39-year-old female patient with hepatitis B-related decompensated chronic liver disease underwent living donor liver transplantation. Preoperatively, she had a normal electrocardiogram (ECG) and echocardiography, and also a negative dobutamine stress echocardiography test. Intraoperative course went uneventful. Two hours postoperatively, she developed hypotension. Initially, hypotension was treated with fluids and blood products after confirming normal echocardiography, but with time, patient's haemodynamics worsened. Repeat echocardiography showed postero-inferior regional wall motion abnormality. Troponin I was significantly elevated, but ECG was normal. Suspecting myocardial infarction coronary angiography was done which was normal. Based on Mayo's criteria, patient was diagnosed with reverse Takotsubo cardiomyopathy since postero-inferior wall was involved. Inotropic support failed to maintain haemodynamics and intra-aortic balloon pump (IABP) was placed. Inotropes were gradually tapered and IABP was removed at day 4. Twenty days later, repeat echocardiography was normal and patient was subsequently discharged.
      Citation: Indian Journal of Anaesthesia 2018 62(12):988-990
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_402_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Survey of change in practice following simulation-based training in crisis
           management

    • Authors: Priyanka Pavithran, MC Rajesh, K Rekha, Binu Sajid
      Pages: 991 - 994
      Abstract: Priyanka Pavithran, MC Rajesh, K Rekha, Binu Sajid
      Indian Journal of Anaesthesia 2018 62(12):991-994

      Citation: Indian Journal of Anaesthesia 2018 62(12):991-994
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_121_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Publications in high impact journals from India in the last two
           years&#8211;A reality check

    • Authors: Summit Dev Bloria, Ketan Kataria, Ankur Luthra, Pallavi Bloria
      Pages: 994 - 996
      Abstract: Summit Dev Bloria, Ketan Kataria, Ankur Luthra, Pallavi Bloria
      Indian Journal of Anaesthesia 2018 62(12):994-996

      Citation: Indian Journal of Anaesthesia 2018 62(12):994-996
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_494_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Aberrant femoral nerve anatomy: No longer a cause of block failure when
           using ultrasound guidance

    • Authors: R Sripriya, T Sivashanmugam
      Pages: 997 - 998
      Abstract: R Sripriya, T Sivashanmugam
      Indian Journal of Anaesthesia 2018 62(12):997-998

      Citation: Indian Journal of Anaesthesia 2018 62(12):997-998
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_433_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Intraoperative anaphylaxis due to rupture of ascaris lumbricoides

    • Authors: Rajnish Kumar, Abhyuday Kumar, Umesh Kumar Bhadani, Utpal Anand
      Pages: 998 - 1000
      Abstract: Rajnish Kumar, Abhyuday Kumar, Umesh Kumar Bhadani, Utpal Anand
      Indian Journal of Anaesthesia 2018 62(12):998-1000

      Citation: Indian Journal of Anaesthesia 2018 62(12):998-1000
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_435_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Leucocytosis before liver transplant, source could be hiding in heart:
           Case report

    • Authors: M Tandon, P Kumaraswamy, AK Sood, V Pamecha
      Pages: 1000 - 1002
      Abstract: M Tandon, P Kumaraswamy, AK Sood, V Pamecha
      Indian Journal of Anaesthesia 2018 62(12):1000-1002

      Citation: Indian Journal of Anaesthesia 2018 62(12):1000-1002
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_473_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Venous air embolism following application of Mayfield head clamp: A word
           of caution

    • Authors: Ankur Khandelwal, Shruti Gupta, Hemanshu Prabhakar, Sourav Burman
      Pages: 1002 - 1003
      Abstract: Ankur Khandelwal, Shruti Gupta, Hemanshu Prabhakar, Sourav Burman
      Indian Journal of Anaesthesia 2018 62(12):1002-1003

      Citation: Indian Journal of Anaesthesia 2018 62(12):1002-1003
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_477_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Atypical prolonged spinal anaesthesia

    • Authors: Sukhman Shergill, Ursula Galway
      Pages: 1004 - 1005
      Abstract: Sukhman Shergill, Ursula Galway
      Indian Journal of Anaesthesia 2018 62(12):1004-1005

      Citation: Indian Journal of Anaesthesia 2018 62(12):1004-1005
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_527_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Polyuria during endonasal endoscopic surgery: An atypical effect of
           intraoperative dexmedetomidine administration

    • Authors: Rudrashish Haldar, Jagriti Shukla, Devendra Gupta, Sapna Yadav
      Pages: 1005 - 1007
      Abstract: Rudrashish Haldar, Jagriti Shukla, Devendra Gupta, Sapna Yadav
      Indian Journal of Anaesthesia 2018 62(12):1005-1007

      Citation: Indian Journal of Anaesthesia 2018 62(12):1005-1007
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_532_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Perioperative concerns of a patient with Escobar syndrome for ocular
           surgery

    • Authors: Sana Yasmin Hussain, Manpreet Kaur
      Pages: 1007 - 1009
      Abstract: Sana Yasmin Hussain, Manpreet Kaur
      Indian Journal of Anaesthesia 2018 62(12):1007-1009

      Citation: Indian Journal of Anaesthesia 2018 62(12):1007-1009
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_585_18
      Issue No: Vol. 62, No. 12 (2018)
       
  • Epidural catheter displacement &#8211; A report of delayed
           diagnosis

    • Authors: Rishabh Jaju, Bharat Paliwal, Priyanka Sethi, Pradeep Bhatia
      Pages: 1009 - 1010
      Abstract: Rishabh Jaju, Bharat Paliwal, Priyanka Sethi, Pradeep Bhatia
      Indian Journal of Anaesthesia 2018 62(12):1009-1010

      Citation: Indian Journal of Anaesthesia 2018 62(12):1009-1010
      PubDate: Mon,10 Dec 2018
      DOI: 10.4103/ija.IJA_593_18
      Issue No: Vol. 62, No. 12 (2018)
       
 
 
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