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Publisher: Medknow Publishers   (Total: 356 journals)

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Showing 1 - 200 of 356 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 7)
African J. of Medical and Health Sciences     Open Access  
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access  
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 2)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 12, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
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: 5, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 2)
Archives of Pharmacy Practice     Open Access   (Followers: 4)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
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: 0.362, h-index: 10)
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  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access  
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access  
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: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access  
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 4, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access  
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access  
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access  
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 6)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access  
Heart India     Open Access  
Heart Views     Open Access  
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 2)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access  
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 1, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 2, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access  
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 1)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.536, h-index: 34)
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: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 1)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
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 Critical Illness and Injury Science     Open Access  
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 2)
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: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 1)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 2)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     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: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 6, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
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: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access  
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 1)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 8, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access  
J. of Family Medicine and Primary Care     Open Access   (Followers: 8)

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Journal Cover Indian Journal of Anaesthesia
  [SJR: 0.302]   [H-I: 13]   [7 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0019-5049
   Published by Medknow Publishers Homepage  [356 journals]
  • Regional anaesthesia in breast cancer: Benefits beyond pain

    • Authors: Rakesh Garg
      Pages: 369 - 372
      Abstract: Rakesh Garg
      Indian Journal of Anaesthesia 2017 61(5):369-372

      Citation: Indian Journal of Anaesthesia 2017 61(5):369-372
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_292_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Anaesthesia for electroconvulsive therapy: An overview with an update on
           its role in potentiating electroconvulsive therapy

    • Authors: Pavan Kumar Kadiyala, Lakshmi Deepthi Kadiyala
      Pages: 373 - 380
      Abstract: Pavan Kumar Kadiyala, Lakshmi Deepthi Kadiyala
      Indian Journal of Anaesthesia 2017 61(5):373-380
      Despite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacotherapy. The 'unmodified' technique of ECT was practised initially, with a high incidence of musculoskeletal complications. Several modifications including general anaesthesia and muscle relaxation are used to increase the safety and patient acceptability of ECT. Various anaesthetic techniques including medications are considered to provide adequate therapeutic seizure, simultaneously controlling seizure-induced haemodynamic changes and side effects. A brief review of literature on choice of these anaesthetic techniques is discussed. This article is intended to reinforce the knowledge of clinicians, who may have limited exposure to ECT procedure. Importance is given to the recent updates on the role of induction agents in potentiating therapeutic response to ECT in psychiatric disorders.
      Citation: Indian Journal of Anaesthesia 2017 61(5):373-380
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_132_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Analgesic efficacy of ultrasound-guided paravertebral block versus
           serratus plane block for modified radical mastectomy: A randomised,
           controlled trial

    • Authors: Kapil Gupta, Kadapa Srikanth, Kiran Kumar Girdhar, Vincent Chan
      Pages: 381 - 386
      Abstract: Kapil Gupta, Kadapa Srikanth, Kiran Kumar Girdhar, Vincent Chan
      Indian Journal of Anaesthesia 2017 61(5):381-386
      Background and Aims: Modified radical mastectomy (MRM) may be associated with severe post-operative pain, leading to chronic pain syndrome. We compared the post-operative analgesic profile of two ultrasound-guided nerve blocks: Paravertebral block (PVB) and serratus plane block (SPB). Methods: This double-blind, randomised study was conducted on fifty adult females, scheduled for MRM with axillary dissection. After inducing general anaesthesia with intravenous midazolam 1 mg, fentanyl 1.5 mcg/kg, propofol 1–2 mg/kg and vecuronium 0.1 mg/kg, patients were administered either ultrasound-guided thoracic PVB at T4 (n = 25) or SPB at 5th rib (n = 25) with 20 ml of 0.5% bupivacaine, both as a single level injection. Time to first rescue analgesia and morphine consumption in 4, 6, 24, 48 and 72 h by PCA pump, visual analogue scale score and any adverse effects were recorded. Quantitative variables were compared using the unpaired t-test or the Mann–Whitney U test between the two groups. Qualitative variables were compared using the Chi-square test or Fisher's exact test. Results: The duration of analgesia (mean ± Standard deviation [SD]) was significantly longer in the PVB group compared to SPB group (346 ± 57 min vs. 245.6 ± 58 min, P< 0.001). The post-operative 24 h morphine consumption (mean ± SD) was significantly higher in the SPB group (9.7 ± 2.1 mg) compared to PVB group (6.5 ± 1.5 mg) (P < 0.001). Conclusion: Ultrasound-guided SPB is an alternative analgesic technique to thoracic PVB for MRM although PVB provides a longer duration of analgesia.
      Citation: Indian Journal of Anaesthesia 2017 61(5):381-386
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_62_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Anaphylaxis during anaesthesia: Indian scenario

    • Authors: Ranju Gandhi, Bimla Sharma, Jayashree Sood, Raminder Sehgal, Parul Chugh
      Pages: 387 - 392
      Abstract: Ranju Gandhi, Bimla Sharma, Jayashree Sood, Raminder Sehgal, Parul Chugh
      Indian Journal of Anaesthesia 2017 61(5):387-392
      Background and Aims: Anaphylaxis during anaesthesia is a rare but serious problem. In contrast to the developed countries where databases of perianaesthetic anaphylaxis are preserved, none exist in India. We conducted a survey amongst Indian anaesthesiologists to study the incidence and aetiology of anaphylaxis during anaesthesia in India. Methods: A written questionnaire comprising 20 items was mailed electronically or distributed personally to 600 randomly selected Indian anaesthesiologists. The responses were compiled and analysed. Results: We received responses from 242 anaesthesiologists. One hundred and sixty-two (67%) anaesthesiologists had encountered anaphylaxis during anaesthesia. Anaesthetic drugs led to 40% of reactions, and 60% of reactions were attributed to non-anaesthetic drugs. Opioids were the most common anaesthetic drugs implicated in anaphylaxis during anaesthesia, and non-depolarising muscle relaxants were the second most commonly implicated agents. Colloids, antibiotics and blood transfusion were the common non-anaesthetic agents thought to be responsible for anaphylactic reactions during anaesthesia. There were five deaths due to anaphylaxis during anaesthesia. Only 10% of anaesthesiologists ordered for allergy testing subsequently though 38% of anaesthesiologists had access to allergy testing facilities. Conclusions: Our survey reveals that two-thirds of participating Indian anaesthesiologists had witnessed anaphylaxis during anaesthesia. Commonly implicated anaesthetic drugs were opioids and non-depolarising muscle relaxants while colloids, antibiotics and blood transfusion were the common non-anaesthetic agents causing anaphylactic reactions during anaesthesia. Further, our survey reveals low utilisation and paucity of referral allergy centres to investigate suspected cases of anaphylaxis during anaesthesia.
      Citation: Indian Journal of Anaesthesia 2017 61(5):387-392
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_80_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Difficulty in inserting left double-lumen endobronchial tubes at the
           cricoid level in small-statured women: A retrospective study

    • Authors: Mika Sato, Kenji Kayashima
      Pages: 393 - 397
      Abstract: Mika Sato, Kenji Kayashima
      Indian Journal of Anaesthesia 2017 61(5):393-397
      Background and Aims: Left double-lumen endobronchial tube (DLT) sizes are selected using tracheal diameters and left mainstem bronchial diameters (LMBDs) determined from chest radiographs or computed tomography (CT) scans. In Western women, 35-Fr or 37-Fr DLTs are often selected. However, difficulties can be encountered when inserting 32-Fr or 35-Fr DLTs in Japanese women. We investigated success rates for 32-Fr or 35-Fr DLT insertion in Japanese women and determined the causes of unsuccessful DLT insertion. Methods: We searched anaesthesia records of Japanese women aged ≥20 years who underwent thoracic surgery with 32-Fr or 35-Fr DLTs between April 2010 and March 2015 in our hospital. In the successful group (SG), patients were intubated using the initially selected DLTs. By contrast, in the unsuccessful group (UG), the DLT size had to be changed. The Mann–Whitney U-test and Fisher's exact test were used to compare groups. Results: The SG included 149 (96.1%) of 155 cases of 32-Fr DLT use and 119 (95.2%) of 125 cases of 35-Fr DLT use. Patient height was significantly lower in the UG than in the SG for the 35-Fr DLT (P = 0.0036). In seven of 12 UG patients (three for 32-Fr and four for 35-Fr), the transverse diameters of cricoid cartilages were smaller than the DLTs' tracheal diameters, thereby preventing passage through the cricoid cartilages. Conclusion: Along with LMBDs, transverse diameters of cricoid cartilages based on CT scans or ultrasonogram findings may help in selecting the appropriate left DLT size.
      Citation: Indian Journal of Anaesthesia 2017 61(5):393-397
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_13_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Comparison of actual and ideal body weight for selection of appropriate
           size of ProSeal™ laryngeal mask airway in overweight and obese
           patients: A prospective, randomised study

    • Authors: Sohan Lal Solanki, Jeson R Doctor, Kamlesh K Shekhawat, Sheila Nainan Myatra, Malini Joshi, Jigeeshu V Divatia
      Pages: 398 - 403
      Abstract: Sohan Lal Solanki, Jeson R Doctor, Kamlesh K Shekhawat, Sheila Nainan Myatra, Malini Joshi, Jigeeshu V Divatia
      Indian Journal of Anaesthesia 2017 61(5):398-403
      Background and Aims: The ProSeal™ laryngeal mask airway (PLMA) has advantages of providing better cuff seal and the presence of a gastric drain tube. The manufacturer recommends actual body weight (ABW) for size selection. Pharyngeal area reduces with increase in body mass index (BMI); hence, in overweight patients, PLMA selected on ABW may not fit well. We hypothesised that the ideal body weight (IBW) would be more appropriate in size selection of PLMA. Methods: This randomised, single-blind study included 124 patients of 20–60 years and American Society of Anesthesiologists Class I–II, with BMI >25. Patients were randomly divided into two groups. In Group ABW, PLMA was selected based on ABW (62 patients) and in Group IBW, PLMA was selected based on IBW (62 patients). The primary outcome was the first-attempt insertion success rate. Oropharyngeal air leaks, gastric air leaks, drain tube air leaks, insertion difficulty scores and postoperative complications were assessed. Fibre-optic view (Grade I–IV) was assessed for proper placement by a blinded assessor. Statistical analyses were performed using Chi-square test or Fisher's exact test. Results: First-attempt insertion success rate and overall insertion success rates were similar in both the groups. Group IBW patients had significantly less resistance during insertion, lower peak airway pressures, successful nasogastric tube insertions, better fibre-optic views and less post-operative complications. Oropharyngeal leak pressure and instrumentation used for insertion were comparable. Conclusion: IBW is preferable for the size selection of the PLMA in overweight and obese patients compared to the ABW.
      Citation: Indian Journal of Anaesthesia 2017 61(5):398-403
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_69_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • A randomised comparative study of Miller laryngoscope blade versus
           Oxiport® Miller laryngoscope blade for neonatal and infant
           intubations

    • Authors: Raylene Dias, Nandini Dave, Rachana Chhabria, Harick Shah, Madhu Garasia
      Pages: 404 - 409
      Abstract: Raylene Dias, Nandini Dave, Rachana Chhabria, Harick Shah, Madhu Garasia
      Indian Journal of Anaesthesia 2017 61(5):404-409
      Background and Aims: Neonates and infants are prone to oxygen desaturation during the induction of general anaesthesia. Pharyngeal oxygen insufflation has been shown to delay the onset of desaturation and hypoxaemia during apnoea. We tested the hypothesis that deep laryngeal oxygenation with Oxiport® Miller blade would delay the onset of desaturation compared to laryngoscopy without supplemental oxygen (Miller blade). Methods: One hundred neonates and infants undergoing general anaesthesia with endotracheal intubation for surgery were recruited and randomly assigned to one of the two groups: Miller or Oxiport group (laryngoscopy performed with Miller or Oxiport® blade, respectively). Primary outcome measure was the lowest oxygen saturation (SpO2) attained during intubation. Secondary outcomes were the incidence of severe desaturation (SpO2
      Citation: Indian Journal of Anaesthesia 2017 61(5):404-409
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_86_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • The effects of dexmedetomidine and magnesium sulphate in adult patients
           undergoing endoscopic transnasal transsphenoidal resection of pituitary
           adenoma: A double-blind randomised study

    • Authors: Rabie Soliman, Eman Fouad
      Pages: 410 - 417
      Abstract: Rabie Soliman, Eman Fouad
      Indian Journal of Anaesthesia 2017 61(5):410-417
      Background and Aim: Transnasal transsphenoidal resection of pituitary tumours is associated with blood loss and wide fluctuations in haemodynamic parameters. The aim of the present study was to compare the effect of dexmedetomidine and magnesium sulphate during the transsphenoidal resection of pituitary tumours. Methods: The study was a double-blind, randomised study and included 152 patients classified randomly into two groups: Group D: Dexmedetomidine was given as a loading dose 1 μg/kg over 10 min before induction followed by an infusion at 0.5 μg/kg/h during the surgery. Group M: Magnesium sulphate was given as loading dose of 50 mg/kg over 10 min followed by an infusion at 15 mg/kg/h during the surgery. The systolic, diastolic and mean arterial blood pressures, in addition to the amount of blood loss were measured at specific timepoints. Data were described in terms of mean ± standard deviation, median, frequencies, 95% confidence of interval of mean and percentages. Results: Mean bleeding score was lower in Group D than Group M (1.36 ± 0.48 vs. 3.05 ± 0.65, respectively; P = 0.002). Mean blood loss was lower in Group D (157.43 ± 48.79 ml vs.299.47 ± 77.28 ml in Group M; P < 0.001)Heart rate, mean arterial pressure, fentanyl requirements, end-tidal sevoflurane concentration, and extubation and emergence times were lower, while incidence of bradycardia and hypotension were higher in Group D. Conclusions: During transsphenoidal pituitary resection, dexmedetomidine, compared to magnesium, is associated with lower blood loss and better operating conditions but with more hypotension and bradycardia
      Citation: Indian Journal of Anaesthesia 2017 61(5):410-417
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_581_16
      Issue No: Vol. 61, No. 5 (2017)
       
  • Intravenous clonidine as a part of balanced anaesthesia for controlled
           hypotension in functional endoscopic sinus surgery: A randomised controled
           trial

    • Authors: Meghna Jiwanmall, Anita Shirley Joselyn, Subramani Kandasamy
      Pages: 418 - 423
      Abstract: Meghna Jiwanmall, Anita Shirley Joselyn, Subramani Kandasamy
      Indian Journal of Anaesthesia 2017 61(5):418-423
      Background and Aims: Controlled hypotension with balanced anaesthesia minimises blood loss. This study was done to evaluate the effectiveness of intravenous clonidine as a single bolus dose to establish controlled hypotension during functional endoscopic sinus surgery (FESS). Methods: This randomised, double-blind, placebo-controlled study was done in a tertiary hospital in India. Sixty American Society of Anesthesiologists physical status I and II patients (18–65 years) undergoing FESS were randomly allocated to one of the two groups. Placebo group (group A, n = 30) received sterile water whereas the clonidine group (group B, n = 30) received 3μg/kg of clonidine intravenously, 30 min prior to induction of anaesthesia. The primary outcome was to achieve a target mean arterial blood pressure (MAP) of 55–65 mmHg intraoperatively. The secondary outcomes measured were requirement of additional fentanyl and metoprolol, intra-operative blood loss, surgeon's opinion on the surgical field, pain, sedation score and complications requiring treatment. Results: Target MAP was easily achieved in clonidine group as against the placebo group (P < 0.001). Significant reduction in intra-operative blood loss (P = 0.0449), a better surgical site scoring (P = 0.02), less requirement of additional hypotensive drugs and good analgesia (P = 0.01) were seen in clonidine group. The complication rates were similar in both the groups. Conclusion: Clonidine is effective in achieving controlled hypotension in patients undergoing FESS. It reduces intra-operative blood loss, requirement of additional hypotensive drugs, improves the surgical field and offers good analgesia without significant side effects.
      Citation: Indian Journal of Anaesthesia 2017 61(5):418-423
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_58_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Lactate/pyruvate monitoring during carotid endarterectomy under general
           anaesthesia versus cervical plexus block: A randomised controlled study

    • Authors: Gomaa Z Hussien, Ahmed M Elbadawy, Hossam A Elshamaa
      Pages: 424 - 428
      Abstract: Gomaa Z Hussien, Ahmed M Elbadawy, Hossam A Elshamaa
      Indian Journal of Anaesthesia 2017 61(5):424-428
      Background and Aims: Carotid endarterectomy (CEA) reduces the risk of stroke in patients with significant carotid stenosis and may be performed under general anaesthesia (GA) or regional anaesthesia (RA). This study aimed to compare RA and GA with regard the jugular venous bulb blood lactate and pyruvate levels. Methods: This randomised-controlled trial was done between October-2013 and September-2015. Thirty-six patients were randomised into either GA or RA groups, with six excluded after randomisation. In the RA group, combined deep and superficial cervical plexus blocks were performed. In the GA group, anaesthesia was induced with propofol and fentanyl. In both groups, monitoring of neurological function was done. Sampling of the contralateral jugular bulb blood was done. The main outcome measures were lactate and pyruvate in the jugular venous blood. For comparing categorical data, Chi-square test was used, and for the numerical variables, t-test was used. Results: Demographics were comparable in the two Groups. Serum lactate and pyruvate levels were higher in the GA group than RA group. At 120 min under anaesthesia, lactate and pyruvate levels under RA vs. GA, respectively were 0.76±0.03 mEq/L vs. 1.14±0.06, p-0.001 mEq/L, and 0.08± 0.00 mEq/L vs. 0.10±0.01 mEq/L, p=0.006. Lactate/ pyruvate ratios were normal in both groups. The mean blood pressure was significantly lower in the GA group during anaesthesia. Conclusion: In patients undergoing Carotid endarterectomy, serum levels of both lactate and pyruvate were higher under general versus regional anaesthesia.
      Citation: Indian Journal of Anaesthesia 2017 61(5):424-428
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_545_16
      Issue No: Vol. 61, No. 5 (2017)
       
  • Acute unilateral post-operative submandibular sialadenitis following
           posterior cranial fossa surgery

    • Authors: Satyashiva Munjal, Amit Srivastava, VS Mehta, Surender Saini
      Pages: 429 - 431
      Abstract: Satyashiva Munjal, Amit Srivastava, VS Mehta, Surender Saini
      Indian Journal of Anaesthesia 2017 61(5):429-431
      Extreme degree of rotation and flexion of the head during posterior fossa surgeries can lead to acute post-operative submandibular sialadenitis that can cause respiratory compromise. Identification of this problem is vital to prevent deterioration in the early post-operative period. This condition responds well to conservative management provided airway obstruction is taken care of. We discuss a case of a 63-year-old female, with a left side vestibular schwannoma who developed airway obstruction in post-operative period due to swelling of right submandibular gland. Various possible mechanisms leading to this condition and related literature are briefy reviewed.
      Citation: Indian Journal of Anaesthesia 2017 61(5):429-431
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_137_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Perioperative sublingual levodopa in Parkisnon&#39;s Disease: A
           useful alternative!

    • Authors: Pritee H Bhirud, Jalpa Arvind Kate
      Pages: 432 - 434
      Abstract: Pritee H Bhirud, Jalpa Arvind Kate
      Indian Journal of Anaesthesia 2017 61(5):432-434
      Timely administration of dopamine agonists is of the essence in Parkinson's disease. The perioperative period especially for abdominal surgeries under general anaesthesia poses a challenge to oral drug administration. Alternatives such as rotigotine patches and subcutaneous apomorphine administration have been described but unavailability restricts their use. Sublingual administration of tablet levodopamine as an alternative worked well in our patients and we would like to describe the same.
      Citation: Indian Journal of Anaesthesia 2017 61(5):432-434
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_178_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Role of electromyography endotracheal tube in preventing recurrent
           laryngeal nerve injury during thyroid surgery: A case reportAirway trauma
           during difficult intubation… from the frying pan into the fire?

    • Authors: Hrudini Dixit, Laxmi Kamat, Meenoti Potdar, Tejash Modi
      Pages: 435 - 437
      Abstract: Hrudini Dixit, Laxmi Kamat, Meenoti Potdar, Tejash Modi
      Indian Journal of Anaesthesia 2017 61(5):435-437

      Citation: Indian Journal of Anaesthesia 2017 61(5):435-437
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_414_16
      Issue No: Vol. 61, No. 5 (2017)
       
  • Airway trauma during difficult intubation&#8230; from the frying
           pan into the fire?

    • Authors: Sriraam Kalingarayar, Amar Nandhakumar, Santhakumar Subramanian, Sreedharan Namboothiri
      Pages: 437 - 439
      Abstract: Sriraam Kalingarayar, Amar Nandhakumar, Santhakumar Subramanian, Sreedharan Namboothiri
      Indian Journal of Anaesthesia 2017 61(5):437-439

      Citation: Indian Journal of Anaesthesia 2017 61(5):437-439
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_140_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Empagliflozin: Novel antidiabetes and pro-cardiac drug

    • Authors: Monish S Raut, Arun Maheshwari
      Pages: 440 - 441
      Abstract: Monish S Raut, Arun Maheshwari
      Indian Journal of Anaesthesia 2017 61(5):440-441

      Citation: Indian Journal of Anaesthesia 2017 61(5):440-441
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_105_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Regional anaesthesia in a patient with aortic stenosis for bladder tumour
           resection

    • Authors: Aalekh Prasad, Abhik Ghosh, Tulsi Nag
      Pages: 441 - 442
      Abstract: Aalekh Prasad, Abhik Ghosh, Tulsi Nag
      Indian Journal of Anaesthesia 2017 61(5):441-442

      Citation: Indian Journal of Anaesthesia 2017 61(5):441-442
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_109_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Intra-operative carcinoid crisis: Revised anaesthesia management

    • Authors: Michelle L Kromas, Yuvesh Passi, Chika Kuzumi, Soni Shikhar
      Pages: 443 - 444
      Abstract: Michelle L Kromas, Yuvesh Passi, Chika Kuzumi, Soni Shikhar
      Indian Journal of Anaesthesia 2017 61(5):443-444

      Citation: Indian Journal of Anaesthesia 2017 61(5):443-444
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_161_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Knotted epidural catheter in an infant: A case report

    • Authors: Chandrakala Kunigal Ravishankar
      Pages: 444 - 446
      Abstract: Chandrakala Kunigal Ravishankar
      Indian Journal of Anaesthesia 2017 61(5):444-446

      Citation: Indian Journal of Anaesthesia 2017 61(5):444-446
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_458_16
      Issue No: Vol. 61, No. 5 (2017)
       
  • Facial skin injury caused by acrylate-based adhesive tapes in a
           post-menopausal patient: A preventable cause

    • Authors: Gaurav Sindwani, Aditi Suri, Ruchi Verma
      Pages: 446 - 447
      Abstract: Gaurav Sindwani, Aditi Suri, Ruchi Verma
      Indian Journal of Anaesthesia 2017 61(5):446-447

      Citation: Indian Journal of Anaesthesia 2017 61(5):446-447
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_99_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • New anticoagulants and antiplatelet agents in perioperative period:
           Recommendations and controversies!

    • Authors: Abhijit S Nair, Basanth Kumar Rayani
      Pages: 448 - 449
      Abstract: Abhijit S Nair, Basanth Kumar Rayani
      Indian Journal of Anaesthesia 2017 61(5):448-449

      Citation: Indian Journal of Anaesthesia 2017 61(5):448-449
      PubDate: Tue,9 May 2017
      DOI: 10.4103/ija.IJA_252_17
      Issue No: Vol. 61, No. 5 (2017)
       
  • Lighter Planes

    • Pages: 450 - 450
      Abstract:
      Indian Journal of Anaesthesia 2017 61(5):450-450

      Citation: Indian Journal of Anaesthesia 2017 61(5):450-450
      PubDate: Tue,9 May 2017
      Issue No: Vol. 61, No. 5 (2017)
       
 
 
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