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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 3)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
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   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 9)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, 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: 7, 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: 5, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 12, 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: 10)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 6)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 4)
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  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 2)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 2)
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   (Followers: 1)
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: 11)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.205, 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   (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: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
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 Orthopaedic J.     Open Access   (Followers: 1)
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   (Followers: 2)
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: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 3, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     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: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, 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: 5, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 3)
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: 2, 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: 3, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, 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: 8, 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: 2)
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: 2, 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   (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   (Followers: 1)
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: 0.229, h-index: 13)
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: 0.239, 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: 2)
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: 5, 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: 13)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 5)
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 Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 3, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 7, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access   (Followers: 1)
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: 5, 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   (Followers: 1, 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   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 2)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 3)
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: 2)
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: 2)
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: 6)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, 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   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 11)

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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  [355 journals]
  • Target controlled infusion total intravenous anaesthesia and Indian
           patients: Do we need our own data?

    • Authors: Goverdhan Dutt Puri
      Pages: 245 - 248
      Abstract: Goverdhan Dutt Puri
      Indian Journal of Anaesthesia 2018 62(4):245-248

      Citation: Indian Journal of Anaesthesia 2018 62(4):245-248
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_244_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Use of supraglottic airway devices in paediatric patients in the Indian
           context – some we know, some we need to know and march ahead

    • Authors: Priyam Saikia
      Pages: 249 - 253
      Abstract: Priyam Saikia
      Indian Journal of Anaesthesia 2018 62(4):249-253

      Citation: Indian Journal of Anaesthesia 2018 62(4):249-253
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_241_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Newer regional analgesia interventions (fascial plane blocks) for breast
           surgeries: Review of literature

    • Authors: Rakesh Garg, Swati Bhan, Saurabh Vig
      Pages: 254 - 262
      Abstract: Rakesh Garg, Swati Bhan, Saurabh Vig
      Indian Journal of Anaesthesia 2018 62(4):254-262
      Surgical resection of the primary tumour with axillary dissection is one of the main modalities of breast cancer treatment. Regional blocks have been considered as one of the modalities for effective perioperative pain control. With the advent of ultrasound, newer interventions such as fascial plane blocks have been reported for perioperative analgesia in breast surgeries. Our aim is to review the literature for fascial plane blocks for analgesia in breast surgeries. The research question for initiating the review was 'What are the reported newer regional anaesthesia techniques (fascial plane blocks) for female patients undergoing breast surgery and their analgesic efficacy?.' The participants, intervention, comparisons, outcomes and study design were followed. Due to the paucity of similar studies and heterogeneity, the assessment of bias, systematic review or pooled analysis/meta-analysis was not feasible. Of the 989 manuscripts, the present review included 28 manuscripts inclusive of all types of published manuscripts. 15 manuscripts directly related to the administration of fascial plane blocks for breast surgery across all type of study designs and cases were reviewed for the utility of fascial plane blocks in breast surgeries. Interfascial blocks score over regional anaesthetic techniques such as paravertebral block as they have no risk of sympathetic blockade, intrathecal or epidural spread which may lead to haemodynamic instability and prolonged hospital stay. This review observed that no block effectively covers the whole of breast and axilla, thus a combination of blocks should be used depending on the site of incision and extent of surgical resection.
      Citation: Indian Journal of Anaesthesia 2018 62(4):254-262
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_46_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Effect site concentration of propofol at induction and recovery of
           anaesthesia - A correlative dose-response study

    • Authors: Vasanth Sukumar, Arathi Radhakrishnan, Venkatesh H Keshavan
      Pages: 263 - 268
      Abstract: Vasanth Sukumar, Arathi Radhakrishnan, Venkatesh H Keshavan
      Indian Journal of Anaesthesia 2018 62(4):263-268
      Background and Aims: Sound knowledge about effect site concentration (Ce) of propofol aids in smooth induction, maintenance and early recovery. We studied the correlation between Ce of propofol at loss of response to verbal command and recovery concentration using target-controlled infusion (TCI) in Indian patients who underwent spine surgeries. Methods: Ninety patients undergoing spine surgeries were included. Total intravenous anaesthesia (TIVA) technique with TCI for propofol using modified Marsh model was used. Entropy and neuromuscular transmission were used. Ce at induction and recovery and the corresponding state entropy (SE) values were noted. Results: The mean propofol Ce and SE at induction were 2.34 ± 0.24 μg/ml and 52 ± 8, respectively. The mean propofol Ce and SE at recovery were 1.02 ± 0.22 μg/ml and 86.80 ± 2.86, respectively. The Ce at recovery was approximately 50% of the induction value. The correlation coefficient 'r' between Ce at induction and recovery was 0.56. The mean infusion dose of propofol during the maintenance period was 81 ± 14.33 μg/kg/min. The average induction dose of propofol was 1.17 ± 0.2 mg/kg. Conclusion: There is a positive correlation between Ce at induction and recovery. Ce for recovery may have to be set at a lower level during TCI-TIVA and appropriately infusion should be stopped for early recovery. The induction and maintenance doses of propofol are lower than the recommended doses. Data emphasise the need for pharmacokinetic model based on our population characteristics.
      Citation: Indian Journal of Anaesthesia 2018 62(4):263-268
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_670_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Current practice patterns of supraglottic airway device usage in
           paediatric patients amongst anaesthesiologists: A nationwide survey

    • Authors: Ruchi A Jain, Devangi A Parikh, Anila D Malde, Bhuvneshwari Balasubramanium
      Pages: 269 - 279
      Abstract: Ruchi A Jain, Devangi A Parikh, Anila D Malde, Bhuvneshwari Balasubramanium
      Indian Journal of Anaesthesia 2018 62(4):269-279
      Background and Aims: Supraglottic airway devices (SGADs) are increasingly being used for airway management in paediatric patients undergoing general anaesthesia. This survey was designed to assess the nationwide practice patterns of SGAD usage in paediatric patients. Methods: A questionnaire of 28 questions was circulated amongst 16,532 members of the Indian Society of Anaesthesiologists through online survey engine Google Forms® and served manually to 500 delegates attending the Asian Society of Paediatric Anaesthesiologists conference 2017. Percentage, mean and standard deviation were calculated using Microsoft Excel 2016 (Redmond, WA, USA). Results: Four hundred and five (2.3%) valid responses were obtained. The most commonly used device was i-gel© (60.74%). Three hundred and four (75.06%) respondents had access to second-generation SGADs. Second-generation devices (60.74%) were more commonly used than first-generation devices (39.26%). Anaesthesiologists utilised SGADs in various challenging scenarios such as in the difficult airway (53.33%), remote locations (55.47%), ophthalmologic (38.77%) and long-duration surgeries (17.53%). Sixty per cent respondents did not use SGADs in laparoscopic surgery. Disposable SGADs were reused by 77.28% respondents. Oropharyngeal seal and intracuff pressures were not measured by 86.91% and 56.92% respondents, respectively. Difficulty in size selection (84.19%), securing position (82.22%) and maintaining unobstructed ventilation (78.76%) were common problems encountered while using SGADs. Conclusion: Although there is a widespread use of second-generation SGADs in Indian paediatric anaesthesia, safe practices such as using capnography, measurement of oropharyngeal seal pressure, cuff pressure and appropriate disinfection are lacking.
      Citation: Indian Journal of Anaesthesia 2018 62(4):269-279
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_65_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Comparison of landmark versus pre-procedural ultrasonography-assisted
           midline approach for identification of subarachnoid space in elective
           caesarean section: A randomised controlled trial

    • Authors: Sangeeta Dhanger, Stalin Vinayagam, Bhavani Vaidhyanathan, Idhuyya Joseph Rajesh, Debendra Kumar Tripathy
      Pages: 280 - 284
      Abstract: Sangeeta Dhanger, Stalin Vinayagam, Bhavani Vaidhyanathan, Idhuyya Joseph Rajesh, Debendra Kumar Tripathy
      Indian Journal of Anaesthesia 2018 62(4):280-284
      Background and Aims: Identification of subarachnoid space in pregnant patients can pose a great challenge to anaesthesiologists. This study was designed to compare conventional landmark technique with pre-procedural ultrasonography-assisted midline approach for identification of the subarachnoid space in elective caesarean section. Methods: After institute ethics committee approval and written informed consent, 100 parturients scheduled for elective caesarean section under spinal anaesthesia were included in this prospective randomised control trial and divided into Group L (n = 50) (landmark technique) and Group U (n = 50) (ultrasound-guided technique). Parameters such as time taken for the identification of the interspace, distance between skin and dura mater, number of insertion attempts (the primary outcome), number of passes and time taken were recorded in both the groups. Statistical analysis was done using SPSS software 16. Results: Demographic profiles of both groups were comparable. The number of attempts for needle insertion (1.04 ± 0.19 vs. 1.97 ± 0.77), number of passes in the same interspinous space (1.26 ± 0.44 vs. 1.90 ± 0.51) and the total time for successful lumbar puncture (31.90 ± 6.30 vs. 51.80 ± 12.28 s) were significantly less in Group U as compared to Group L, but the time of identification of interspinous space was significantly more in Group U (56.70 ± 13.08 s) as compared to Group L (47.10 ± 10.45 s). Conclusion: Pre-procedural ultrasound is a useful tool for successful lumbar puncture in parturients as it reduces the number of attempts with fewer side effects as compared to conventional landmark technique.
      Citation: Indian Journal of Anaesthesia 2018 62(4):280-284
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_488_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Effects of adding dexamethasone or ketamine to bupivacaine for
           ultrasound-guided thoracic paravertebral block in patients undergoing
           modified radical mastectomy: A prospective randomized controlled study

    • Authors: Mona Blough El Mourad, Asmaa Fawzy Amer
      Pages: 285 - 291
      Abstract: Mona Blough El Mourad, Asmaa Fawzy Amer
      Indian Journal of Anaesthesia 2018 62(4):285-291
      Background and Aims: Pain after modified radical mastectomy (MRM) has been successfully managed with thoracic paravertebral block (TPVB). The purpose of this study was to evaluate the effect of adding dexamethasone or ketamine as adjuncts to bupivacaine in TPVB on the quality of postoperative analgesia in participants undergoing MRM. Methods: This prospective randomised controlled study enrolled ninety adult females scheduled for MRM. Patients were randomised into three groups (30 each) to receive ultrasound-guided TPVB before induction of general anaesthesia. Group B received bupivacaine 0.5% + 1 ml normal saline, Group D received bupivacaine 0.5% + 1 ml dexamethasone (4 mg) and Group K received bupivacaine 0.5% + 1 ml ketamine (50 mg). Patients were observed for 24 h postoperatively to record time to first analgesic demand as a primary outcome, pain scores, total rescue morphine consumption and incidence of complications. Results: Group K had significantly longer time to first analgesic demand than group D and control group (18.0 ± 6.0, 10.3 ± 4.5 and 5.3 ± 3.1 hours respectively; P = 0.0001). VAS scores were significantly lower in group D and group K compared to control group at 6h and 12 h postoperative (p 0.0001 and 0.0001 respectively) while group K had lower VAS at 18 hours compared to other two groups (P = 0.0001). Control group showed the highest mean 24 h opioid consumption (8.9 ± 7.9 mg) compared to group D and group K (3.60 ± 6.92 and 2.63 ± 5.24 mg, P = 0.008,0.001 respectively). No serious adverse events were observed. Conclusion: Ketamine 50 mg or dexamethasone 4 mg added to bupivacaine 0.5% in TPVB for MRM prolonged the time to first analgesic request with no serious side effects.
      Citation: Indian Journal of Anaesthesia 2018 62(4):285-291
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_791_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • A comparative study to evaluate ultrasound-guided transversus abdominis
           plane block versus ilioinguinal iliohypogastric nerve block for
           post-operative analgesia in adult patients undergoing inguinal hernia
           repair

    • Authors: Kirti Kamal, Parul Jain, Teena Bansal, Geeta Ahlawat
      Pages: 292 - 297
      Abstract: Kirti Kamal, Parul Jain, Teena Bansal, Geeta Ahlawat
      Indian Journal of Anaesthesia 2018 62(4):292-297
      Background and Aims: Both transversus abdominis plane (TAP) block and combined ilioinguinal-iliohypogastric (IIN/IHN) blocks are used routinely under ultrasound (USG) guidance for postoperative pain relief in patients undergoing inguinal hernia surgery. This study compares USG guided TAP Vs IIN/IHN block for post-operative analgesic efficacy in adults undergoing inguinal hernia surgery. Methods: Sixty adults aged 18 to 60 with American Society of Anesthesiologsts' grade I or II were included. After general anaesthesia, patients in Group I received USG guided unilateral TAP block using 0.75% ropivacaine 3 mg/kg (maximum 25 mL) and those in Group II received IIN/IHN block using 10 mL 0.75% ropivacaine. Postoperative rescue analgesia was with tramadol (intravenous) IV ± diclofenac IV in the first 4 h followed by oral diclofenac subsequently. Total analgesic consumption in the first 24 h was the primary objective, intraoperative haemodynamics, number of attempts and time required for performing the block as well as the postoperative pain scores were also evaluated. Results: Time to first analgesic request was 319.8 ± 115.2 min in Group I and 408 ± 116.4 min in Group II (P = 0.005). Seven patients (23.33%) in Group I and two (6.67%) in Group II required tramadol in first four hours. No patient in either groups received diclofenac IV. The average dose of tablet diclofenac was 200 ± 35.96 mg in Group I and 172.5 ± 34.96 mg in Group II (P = 0. 004). Conclusion: USG guided IIN/IHN block reduces the postoperative analgesic requirement compared to USG guided TAP block.
      Citation: Indian Journal of Anaesthesia 2018 62(4):292-297
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_548_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Anaesthesia for laparoscopic nephrectomy: Does end-tidal carbon dioxide
           measurement correlate with arterial carbon dioxide measurement?

    • Authors: Nithin Jayan, Jaya Susan Jacob, Mohan Mathew
      Pages: 298 - 302
      Abstract: Nithin Jayan, Jaya Susan Jacob, Mohan Mathew
      Indian Journal of Anaesthesia 2018 62(4):298-302
      Background and Aims: Not many studies have explored the correlation between arterial carbon dioxide tension (PaCO2) and end-tidal carbon dioxide tension (ETCO2) in surgeries requiring pneumoperitoneum of more than 1 hour duration with the patient in non-supine position. The aim of our study was to evaluate the correlation of ETCO2with PaCO2in patients undergoing laparoscopic nephrectomy under general anaesthesia. Methods: A descriptive study was performed in thirty patients undergoing laparoscopic nephrectomy from September 2014 to August 2015. The haemodynamic parameters, minute ventilation, PaCO2and ETCO2measured at three predetermined points during the procedure were analysed. Correlation was checked using Pearson's Correlation Coefficient Test. P <0.05 was considered statistically significant. Results: Statistical analysis of the values showed a positive correlation between ETCO2and PaCO2(P < 0.05). Following carbon dioxide insufflation, both ETCO2and PaCO2increased by 5.4 and 6.63 mmHg, respectively, at the end of the 1st hour. The PaCO2-ETCO2gradient was found to increase during the 1st hour following insufflation (4.07 ± 2.05 mmHg); it returned to the pre-insufflation values in another hour (2.93 ± 1.43 mmHg). Conclusion: Continuous ETCO2monitoring is a reliable indicator of the trend in arterial CO2fluctuations in the American Society of Anesthesiologists Grades 1 and 2 patients undergoing laparoscopic nephrectomy under general anaesthesia.
      Citation: Indian Journal of Anaesthesia 2018 62(4):298-302
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_740_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Sono-anatomical analysis of right internal jugular vein and carotid artery
           at different levels of positive end-expiratory pressure in anaesthetised
           paralysed patients

    • Authors: Girijapati Machanalli, Amar P Bhalla, Dalim Kumar Baidya, Devalina Goswami, Praveen Talawar, Rahul Kumar Anand
      Pages: 303 - 309
      Abstract: Girijapati Machanalli, Amar P Bhalla, Dalim Kumar Baidya, Devalina Goswami, Praveen Talawar, Rahul Kumar Anand
      Indian Journal of Anaesthesia 2018 62(4):303-309
      Background and Aims: Increasing the cross-sectional area (CSA) of the internal jugular vein (IJV) improves the success rate of cannulation and decreases complications. Application of positive end-expiratory pressure (PEEP) may increase the CSA of IJV beyond that achieved in Trendelenburg position. However, the optimum PEEP to achieve maximal increase in CSA of IJV and the effect of PEEP on IJV and CA relationship is not known. Methods: In this prospective, blinded, randomised controlled study, 120 anesthetised paralysed patients of the American Society of Anesthesiologists physical Status I–II were placed in 20° Trendelenburg position. Patients were randomised into four groups as follows: PEEP of 0, 5, 10 and 15 cmH2O. CSA, anteroposterior (AP) diameter and transverse diameter (Td) of IJV and overlapping of IJV with CA were assessed using two-dimensional ultrasound. Statistical analysis was performed in SPSS version 21.0 software using Chi-square/Fisher's exact test (categorical data) and analysis of variance (continuous data) tests and P < 0.05 was considered statistically significant. Results: There was significant increase in AP diameter, CSA and Td with the application of PEEP 10–15 cmH2O. Increase in CSA up to 25% with PEEP 10 and 44% with PEEP 15 was noted. There was a significant decrease in the overlapping of the internal CA with an increase in PEEP. It ranged from 21% at P0 to 17% P15. Conclusion: Application of PEEP 10–15 cmH2O in Trendelenburg position significantly increased CSA and AP diameter of IJV and decreased CA overlap of IJV in anesthetised paralysed patients.
      Citation: Indian Journal of Anaesthesia 2018 62(4):303-309
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_716_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Ultra-modified rapid sequence induction with transnasal humidified rapid
           insufflation ventilatory exchange: Challenging convention

    • Authors: Ketan Sakharam Kulkarni, Nandini Dave, Shriyam Saran, Madhu Garasia, Sandesh Parelkar
      Pages: 310 - 313
      Abstract: Ketan Sakharam Kulkarni, Nandini Dave, Shriyam Saran, Madhu Garasia, Sandesh Parelkar
      Indian Journal of Anaesthesia 2018 62(4):310-313
      During positive pressure ventilation, gastric inflation and subsequent pulmonary aspiration can occur. Rapid sequence induction (RSI) technique is an age-old formula to prevent this. We adopted a novel approach of RSI for patients with high risk of aspiration and evaluated it further in patients undergoing laparoscopic surgeries. We believe that, in patients with risk of gastric insufflation and pulmonary aspiration, transnasal humidified rapid-insufflation ventilatory exchange can be useful in facilitating pre- and apnoeic oxygenation till tracheal isolation is achieved.
      Citation: Indian Journal of Anaesthesia 2018 62(4):310-313
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_536_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Bilateral transmuscular quadratus lumborum block performed in single
           lateral decubitus position without changing position to the contralateral
           side

    • Authors: Ashok Jadon, Priyanka Jain, Lavina Dhanwani
      Pages: 314 - 315
      Abstract: Ashok Jadon, Priyanka Jain, Lavina Dhanwani
      Indian Journal of Anaesthesia 2018 62(4):314-315

      Citation: Indian Journal of Anaesthesia 2018 62(4):314-315
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_750_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Post-operative seizures after spine surgery: A dilemma

    • Authors: Ashutosh Kaushal, Subodh Kumar, Charu Mahajan, Indu Kapoor, Hemanshu Prabhakar
      Pages: 315 - 317
      Abstract: Ashutosh Kaushal, Subodh Kumar, Charu Mahajan, Indu Kapoor, Hemanshu Prabhakar
      Indian Journal of Anaesthesia 2018 62(4):315-317

      Citation: Indian Journal of Anaesthesia 2018 62(4):315-317
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_786_17
      Issue No: Vol. 62, No. 4 (2018)
       
  • Unusual adverse effect of dexmedetomidine and its management

    • Authors: Sathishkumar Selvaraj, Sakthirajan Panneerselvam
      Pages: 317 - 318
      Abstract: Sathishkumar Selvaraj, Sakthirajan Panneerselvam
      Indian Journal of Anaesthesia 2018 62(4):317-318

      Citation: Indian Journal of Anaesthesia 2018 62(4):317-318
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_66_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Tracheostomy over Ambu® Aura40™ in cannot intubate situation
           due to effects of chemoradiation

    • Authors: Prashant Sirohiya, Vinod Kumar, Rakesh Garg, Nishkarsh Gupta
      Pages: 319 - 320
      Abstract: Prashant Sirohiya, Vinod Kumar, Rakesh Garg, Nishkarsh Gupta
      Indian Journal of Anaesthesia 2018 62(4):319-320

      Citation: Indian Journal of Anaesthesia 2018 62(4):319-320
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_11_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Should single medial canthus injection be the default option for
           peribulbar blocks?

    • Authors: Santhana G Kannan
      Pages: 321 - 322
      Abstract: Santhana G Kannan
      Indian Journal of Anaesthesia 2018 62(4):321-322

      Citation: Indian Journal of Anaesthesia 2018 62(4):321-322
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_45_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Safer methods of ophthalmic block

    • Authors: Renu Sinha, Kanil Ranjith Kumar
      Pages: 323 - 323
      Abstract: Renu Sinha, Kanil Ranjith Kumar
      Indian Journal of Anaesthesia 2018 62(4):323-323

      Citation: Indian Journal of Anaesthesia 2018 62(4):323-323
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_220_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • The link between pulmonary hypertension and adverse renal transplant
           outcome may be renal venous hypertension

    • Authors: Hilary P Grocott
      Pages: 324 - 324
      Abstract: Hilary P Grocott
      Indian Journal of Anaesthesia 2018 62(4):324-324

      Citation: Indian Journal of Anaesthesia 2018 62(4):324-324
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_154_18
      Issue No: Vol. 62, No. 4 (2018)
       
  • Reply to 'The link between pulmonary hypertension and adverse renal
           transplant outcome may be renal venous hypertension'

    • Authors: Sohan Lal Solanki, Vipin Kumar Goyal, Birbal Baj
      Pages: 325 - 325
      Abstract: Sohan Lal Solanki, Vipin Kumar Goyal, Birbal Baj
      Indian Journal of Anaesthesia 2018 62(4):325-325

      Citation: Indian Journal of Anaesthesia 2018 62(4):325-325
      PubDate: Wed,11 Apr 2018
      DOI: 10.4103/ija.IJA_179_18
      Issue No: Vol. 62, No. 4 (2018)
       
 
 
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