Publisher: Medknow Publishers   (Total: 425 journals)

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

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

  This is an Open Access Journal Open Access journal
ISSN (Print) 0019-5049
Published by Medknow Publishers Homepage  [425 journals]
  • Vision, mission and formulation of newer approaches and goals at IJA: The
           scientific journey will continue

    • Authors: Lalit Mehdiratta, Sukhminder Jit Singh Bajwa
      Pages: 1 - 3
      Abstract: Lalit Mehdiratta, Sukhminder Jit Singh Bajwa
      Indian Journal of Anaesthesia 2020 64(1):1-3

      Citation: Indian Journal of Anaesthesia 2020 64(1):1-3
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_938_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • VISION 2020

    • Authors: Muralidhar Joshi
      Pages: 4 - 5
      Abstract: Muralidhar Joshi
      Indian Journal of Anaesthesia 2020 64(1):4-5

      Citation: Indian Journal of Anaesthesia 2020 64(1):4-5
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_908_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • The President's Inaugural Address during ISACON 2019, on 26th Nov.
           2019 at Bengaluru - 'From history, to the Future'

    • Authors: S Bala Bhaskar
      Pages: 6 - 8
      Abstract: S Bala Bhaskar
      Indian Journal of Anaesthesia 2020 64(1):6-8

      Citation: Indian Journal of Anaesthesia 2020 64(1):6-8
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_878_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • ISA academics – A new era

    • Authors: Naveen Malhotra
      Pages: 9 - 10
      Abstract: Naveen Malhotra
      Indian Journal of Anaesthesia 2020 64(1):9-10

      Citation: Indian Journal of Anaesthesia 2020 64(1):9-10
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_954_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Supraglottic jet oxygenation and ventilation – A novel
           ventilation technique

    • Authors: Sushan Gupta
      Pages: 11 - 17
      Abstract: Sushan Gupta
      Indian Journal of Anaesthesia 2020 64(1):11-17
      Supraglottic jet oxygenation and ventilation (SJOV) is a novel minimally invasive supraglottic technique of jet ventilation which has shown superior results in maintaining oxygenation without any major complications. Theoretically, it could maintain PaO2and PaCO2 within physiological limits for as long as required, the maximum duration reported till now is 45 min. The distinct advantage of SJOV over techniques of nasal oxygenation is its ability to record EtCO2during the periods of ventilation. In addition, it also provides reliable airway access by the blind passage of the endotracheal tube into the trachea with a high success rate even in Cormack-Lehane-III (CLIII) grading patients. Potential complications seen with SJOV include nasal bleed and sore throat. No studies have shown to cause severe barotrauma. In this article, we review the evidence regarding oxygenation, ventilation, indications, airway patency and complications of SJOV in comparison to other more commonly used supraglottic oxygenation and ventilation devices.
      Citation: Indian Journal of Anaesthesia 2020 64(1):11-17
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_597_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Relationship between intra-operative hypotension and post-operative
           complications in traumatic hip surgery

    • Authors: Subhi M Alghanem, Islam M Massad, Mahmoud M Almustafa, Luma H Al-Shwiat, Mohammad K El-Masri, Omar Q Samarah, Osama A Khalil, Muayyad Ahmad
      Pages: 18 - 23
      Abstract: Subhi M Alghanem, Islam M Massad, Mahmoud M Almustafa, Luma H Al-Shwiat, Mohammad K El-Masri, Omar Q Samarah, Osama A Khalil, Muayyad Ahmad
      Indian Journal of Anaesthesia 2020 64(1):18-23
      Background and Aims: The relationship between intra-operative hypotension and post-operative complications has been recently studied in non-cardiac surgery. Little is known about this relationship in traumatic hip surgery. Our study aimed to investigate this relationship. Methods: A retrospective study was conducted on patients who underwent surgical correction of traumatic hip fracture between 2010 and 2015. We reviewed the perioperative blood pressure readings and the episodes of intra-operative hypotension. Hypotension was defined as ≥30% decrease in the pre-induction systolic blood pressure sustained for ≥10 min. The relationship between intra-operative hypotension and post-operative complications was evaluated. Post-operative complications were defined as new events or diseases that required post-operative treatment for 48 h. Factors studied included type of anaesthesia, blood transfusion rate, pre-operative comorbidities and delay in surgery. We used the Statistical Package for Social Sciences (SPSS, IBM 25) to perform descriptive and non-parametric statistics. Results: A total of 502 patients underwent various types of traumatic hip surgery during the study period. Intra-operative hypotension developed in 91 patients (18.1%) and 42 patients (8.4%) developed post-operative complications. Significantly more patients with hypotension developed post-operative complications compared to patients with stable vitals (18.7% vs. 6.1; P < 0.001). There was no statistically significant difference in the incidence of post-operative complication in patients receiving general or spinal anaesthesia. Pre-operative comorbidities had no significant relationship with post-operative complications. Intra-operative blood transfusion was related to both intra-operative hypotension and post-operative complications. Conclusion: There was an association between intra-operative hypotension and post-operative complications in patients undergoing traumatic hip surgery.
      Citation: Indian Journal of Anaesthesia 2020 64(1):18-23
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_397_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Controlled hypotension for FESS: A randomised double-blinded comparison of
           magnesium sulphate and dexmedetomidine

    • Authors: Alka Chhabra, Preeti Saini, Karuna Sharma, Neelam Chaudhary, Abhineet Singh, Sunanda Gupta
      Pages: 24 - 30
      Abstract: Alka Chhabra, Preeti Saini, Karuna Sharma, Neelam Chaudhary, Abhineet Singh, Sunanda Gupta
      Indian Journal of Anaesthesia 2020 64(1):24-30
      Background and Aims: Intense bleeding during general anaesthesia (GA) is the major limitation during functional endoscopic sinus surgery (FESS). This study was aimed to compare the efficacy of dexmedetomidine and magnesium sulphate (MgSO4)for controlled hypotension in FESS. Methods: Sixty eight patients undergoing FESS were randomised to receive either dexmedetomidine 1 μg/kg over 10 min followed by infusion at 0.2 to 0.7 μg/kg/h (Group D) or MgSO440 mg/kg over 10 min followed by an infusion at 10 to 15 mg/kg/h (Group M). Anaesthesia and infusion rates for study drugs were maintained with sevoflurane to keep MAP between 60–70 mmHg throughout the surgery. The time to reach the target MAP, the number of patients requiring a minimum and maximum infusion doses of study drugs were noted. Results: The mean time to achieve target mean arterial pressure (MAP) was less in group D (10.59 ± 2.04) as compared with (21.32 ± 4.65 min) group M (P < 0.001). The target MAP was achieved between 5–15 min in 73.52% patients (Group D) with an infusion dose of 0.2–0.4 μg/kg/h of dexmedetomidine without the use of sevoflurane, while 82.35% patients in group M required 4% sevoflurane along with >12–15 mg/kg/hr infusion of MgSO4to achieve target MAP in 10–20 min. Conclusion: Dexmedetomidine is superior to MgSO4in achieving target MAP in lesser time with minimum infusion dose.
      Citation: Indian Journal of Anaesthesia 2020 64(1):24-30
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_417_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Systemic lidocaine versus ultrasound-guided transversus abdominis plane
           block for postoperative analgesia: A comparative randomised study in
           bariatric surgical patients

    • Authors: Chandan Gupta, Umesh Kumar Valecha, Shri Prakash Singh, Manu Varshney
      Pages: 31 - 36
      Abstract: Chandan Gupta, Umesh Kumar Valecha, Shri Prakash Singh, Manu Varshney
      Indian Journal of Anaesthesia 2020 64(1):31-36
      Background and Aims: The multimodal analgesia strategies to minimise opioid-related side effects are highly desirable in bariatric surgical procedures. We evaluated the efficacy of ultrasound-guided transversus abdominis plane (USG-TAP) block and intravenous lidocaine for postoperative analgesia in obese patients undergoing laparoscopic bariatric surgery. Methods: We studied 56 patients with body mass index >35 kg/m2. They were randomly allocated to Lidocaine group (Group A) and USG-TAP group (Group B). Group A patients were given intravenous Lidocaine (1.5 mg/kg) bolus followed by (1.5 mg/kg/h) infusion. Group B patients were given ultrasound-guided bilateral TAP block using 20 cc of 0.375% ropivacaine each side. Postoperative numeric rating pain scale score (NRS) hours were compared. Other parameters compared were total fentanyl requirement, sedation score, postoperative nausea vomiting (PONV) score and patient satisfaction score. A P value < 0.05 was considered statistically significant. Results: The patient in the Group A had lower resting NRS score (P < 0.05) postoperatively and less fentanyl consumption (P < 0.001) than in Group B. The difference in the sedation scores (P = 0.161) and PONV (P = 0.293) score was found to be statistically insignificant between Group A and B. The difference between the two groups was statistically significant with respect to patient satisfaction score with majority of patients having an excellent patient satisfaction score in Group A as compared to Group B. Conclusion: Intravenous Lidocaine as part of multimodal analgesic technique in obese patients undergoing laparoscopic bariatric surgery improves pain score and reduces opioid requirement as compared to USG-TAP Block.
      Citation: Indian Journal of Anaesthesia 2020 64(1):31-36
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_430_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Comparison of ultrasound-guided intermediate vs subcutaneous cervical
           plexus block for postoperative analgesia in patients undergoing total
           thyroidectomy: A randomised double-blind trial

    • Authors: Kartik Syal, Ankita Chandel, Avinash Goyal, Arunima Sharma
      Pages: 37 - 42
      Abstract: Kartik Syal, Ankita Chandel, Avinash Goyal, Arunima Sharma
      Indian Journal of Anaesthesia 2020 64(1):37-42
      Background and Aims: Intermediate cervical plexus block (CPB) is a new procedure whose analgesic efficacy compared to superficial cervical plexus block is yet to be established. We compared the analgesic efficacy of superficial vs intermediate CPB for post-operative analgesia after thyroid surgery. Methods: Forty-five patients with American Society of Anaesthesiologists' physical status 1 or 2 undergoing total thyroidectomy were recruited. Forty-four patients in superficial/subcutaneous CPB group (n = 22) and intermediate CPB (n = 22) received 20 mL 0.25% bupivacaine with adrenaline 100 μg bilaterally in ultrasound-guided superficial and intermediate cervical plexus block before induction of general anaesthesia., respectively. The primary outcome measure was the postoperative visual analogue scale (VAS) scores at 0, 2, 4, 6, 12 and 24. Secondary outcome measures included the total dose of rescue analgesic required, duration of postoperative analgesia and patient's satisfaction score. Statistical analysis was with the Mann-Whitney U test and independent t-test. Results: The post-operative VAS scores were lower in intermediate CPB group compared to superficial CPB group at 2, 4, 6, 12, 18 and 24 h [P < 0.05]. Time to first rescue analgesic demand was prolonged 10.06 ± 3.62 h in intermediate group compared to 7.94 ± 3.62 h in superficial group [P = 0.017] and total analgesic consumption were lower in intermediate group (71.25 ± 16.70 μg) than the superficial group (101.25 ± 50.31 μg) [P = 0.011]. Conclusion: Ultrasound-guided intermediate CPB reduces post-operative pain scores, prolongs duration of analgesia and decreases demands for rescue analgesia compared to superficial CPB.
      Citation: Indian Journal of Anaesthesia 2020 64(1):37-42
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_483_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Post-operative analgesic effect of intraperitoneal ropivacaine with or
           without tramadol in laparoscopic cholecystectomy

    • Authors: Anshu Kumari, Binita Acharya, Bikal Ghimire, Anil Shrestha
      Pages: 43 - 48
      Abstract: Anshu Kumari, Binita Acharya, Bikal Ghimire, Anil Shrestha
      Indian Journal of Anaesthesia 2020 64(1):43-48
      Background and Aims: Intraperitoneal instillation of local anaesthetics has been shown to minimise post-operative pain after laparoscopic surgery. This study was aimed to evaluate the post-operative effect of intraperitoneal ropivacaine with and without tramadol in patients undergoing laparoscopic cholecystectomy. Methods: Eighty patients undergoing laparoscopic cholecystectomy were randomised into two groups. Group R received 0.5% ropivacaine 18 mL with normal saline (NS) 2 mL and Group RT received 0.5% ropivacaine 18 mL with tramadol (100 mg, 2 mL) at the end of surgery intraperitoneally through the port. The pain score was monitored using a numerical rating scale (NRS) every 30 min till 4 h post-operatively and then at 6 h, 12 h and 24 h. The primary objective of the study was to compare the severity of pain between the groups. The secondary objectives were to compare the total dose of rescue analgesic and the time to first rescue analgesia between the groups Statistical analysis was performed using statistical package for the social sciences. Chi-square test and Mann Whitney U test were used for analysis. Results: The pain score in Group RT was significantly lower than Group R at 2.5 h to 24 h (P = 0.005). Only 42.5% in Group RT demanded rescue analgesia as compared to 75% in Group R (P = 0.003). Total analgesic consumption of fentanyl was also reduced in the tramadol group (785 μg vs 1800 μg). No significant adverse effects were found. Conclusion: Intraperitoneal instillation of ropivacaine with tramadol reduces the post-operative pain and analgesic requirement in laparoscopic cholecystectomy as compared to ropivacaine alone.
      Citation: Indian Journal of Anaesthesia 2020 64(1):43-48
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_526_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Erector spinae versus paravertebral plane blocks in modified radical
           mastectomy: Randomised comparative study of the technique success rate
           among novice anaesthesiologists

    • Authors: Moustafa A Moustafa, Ahmad S Alabd, Aly M M Ahmed, Ehsan A Deghidy
      Pages: 49 - 54
      Abstract: Moustafa A Moustafa, Ahmad S Alabd, Aly M M Ahmed, Ehsan A Deghidy
      Indian Journal of Anaesthesia 2020 64(1):49-54
      Background and Aims: Regional analgesia may play a role in pain management during breast surgery. Ultrasound approach to paravertebral block may be challenging. This study compared success rates of ultrasound-guided erector spinae plane block (ESPB) versus parasagittal in-plane thoracic paravertebral block among senior anaesthesia residents in modified radical mastectomy. Methods: One hundred and two female patients undergoing modified radical mastectomy were randomly categorized into PARA group receiving sagittal in-plane paravertebral block and ESPB group receiving erector spinae plane block. The block in the 1st six cases in each group was done by an experienced consultant as a demonstration for three anaesthesia residents not experienced in either block. Primary endpoint was assessing success rate of the blocks. Secondary endpoint was the haemodynamic response to skin incision and postoperative analgesia. Results: All patients were females undergoing modified radical mastectomy. Success rate among residents was 100% in ESPB versus 77.8% in PARA group (P = 0.002). Duration to perform the block was less in ESPB group (4.39 ± 1.2 min) than PARA group (8.18 ± 2.42 min) (P< 0.0001). Guidance frequency by consultants was significantly higher in PARA than ESPB group. Time to 1st analgesic requirement and morphine consumption postoperatively were insignificant between the groups. There was no significant difference regarding haemodynamics. Conclusion: ESPB may be a simple and safe alternative to parasagittal in-plane paravertebral block to provide postoperative analgesia in modified radical mastectomy especially in novice practitioners. It provides equivalent profile of postoperative analgesia with less time to perform the block.
      Citation: Indian Journal of Anaesthesia 2020 64(1):49-54
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_536_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Performance in 6-min walk test in prediction of post-operative pulmonary
           complication in major oncosurgeries: A prospective observational study

    • Authors: Sethu Lekshmi Sathyaprasad, Mary Thomas, Frenny Ann Philip, K M Jagathnath Krishna
      Pages: 55 - 61
      Abstract: Sethu Lekshmi Sathyaprasad, Mary Thomas, Frenny Ann Philip, K M Jagathnath Krishna
      Indian Journal of Anaesthesia 2020 64(1):55-61
      Background and Aims: Post-operative pulmonary complications (PPC) contribute to increased morbidity and mortality, necessitating pre-operative functional assessment. Six-minute walk test (6MWT) is a simple option for functional assessment. Methods: This is a prospective observational study conducted in 75 patients who underwent elective abdominal or thoracic oncosurgery under general anaesthesia with either age above 60 years or with cardiopulmonary diseases or obstructive sleep apnoea or low serum albumin or smoking. Patients with history of acute coronary syndrome in past 6 months, dyspnoea at rest, severe pain, inability to walk or interpret instructions and haemodynamic instability were excluded. Preoperatively 6MWT was conducted according to the American Thoracic Society guidelines and patients were observed for PPC. Patients were divided into two groups: group 1–no PPC and group 2–developed PPC. Statistical analysis was done using SPSS software (version 11.0.1). Categorical variables were assessed using Chi-square/Fisher's exact test and continuous variables using student's t-test/Mann-Whitney U test. Association was tested using logistic regression. Results: Out of the 75 patients, 40 patients had no PPC (group 1) and 35 patients had PPC (group 2) including a death. The 6MWD of group with PPCs was significantly less (344 ± 61.927 m) compared to the group without PPCs (442.28 ± 83.194 m, P value = 0.001). The cut-off 6MWD obtained was 390 m, which correlated with longer duration of hospital stay and ICU stay (P = 0.001). Conclusion: Six-minute walk test is a reliable predictor of post-operative pulmonary complications with a cut-off 6MWD of 390 m in the studied oncosurgery patients.
      Citation: Indian Journal of Anaesthesia 2020 64(1):55-61
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_533_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • A case of post-operative posterior reversible encephalopathy syndrome in
           children: A preventable neurological catastrophe

    • Authors: Amit Rastogi, Jaspreet Kaur, Rehman Hyder, Bhanuprakash Bhaskar, Vijay Upadhyaya, Anmol Singh Rai
      Pages: 62 - 65
      Abstract: Amit Rastogi, Jaspreet Kaur, Rehman Hyder, Bhanuprakash Bhaskar, Vijay Upadhyaya, Anmol Singh Rai
      Indian Journal of Anaesthesia 2020 64(1):62-65
      Posterior reversible encephalopathy syndrome (PRES) is a clinic-radiological syndrome that is generally reversible and may lead to permanent neurological damage if left untreated. PRES has been commonly linked with hypertension along with associated vasogenic oedema. Children are more susceptible to these perturbations due to the narrow range of cerebral autoregulation. PRES must be considered in differentials of any neurological dysfunction which is associated with hypertension in the immediate post-operative period. Inadequate pain control in the post-operative period may cause hypertension that may lead to subsequent PRES. We report a case of postoperative PRES in a 12-year-old previously normotensive child posted for splenectomy with an acute rise in blood pressure in the post-operative period.
      Citation: Indian Journal of Anaesthesia 2020 64(1):62-65
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_437_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Enhanced recovery after surgery with intrathecal opioid in a patient of
           Gilbert's syndrome undergoing mitral valve replacement

    • Authors: Banashree Mandal, Srinath Damodaran, Harkant S Baryah, Gayathri Warrier
      Pages: 66 - 68
      Abstract: Banashree Mandal, Srinath Damodaran, Harkant S Baryah, Gayathri Warrier
      Indian Journal of Anaesthesia 2020 64(1):66-68
      Gilbert's syndrome, an inherited autosomal dominant disorder, is the most common cause of congenital unconjugated hyperbilirubinaemia. We report the anaesthetic management of a 46-year-old female with Gilbert's syndrome operated for mitral valve replacement (MVR), with a special focus on the role of intrathecal opioids.
      Citation: Indian Journal of Anaesthesia 2020 64(1):66-68
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_554_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Onco-anaesthesiology as an emerging sub-speciality domain: Need of the
           hour!

    • Authors: Raghu Sudarshan Thota, Rakesh Garg, Seshadri Ramkiran, Jigeeshu V Divatia
      Pages: 69 - 71
      Abstract: Raghu Sudarshan Thota, Rakesh Garg, Seshadri Ramkiran, Jigeeshu V Divatia
      Indian Journal of Anaesthesia 2020 64(1):69-71

      Citation: Indian Journal of Anaesthesia 2020 64(1):69-71
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_838_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Cough projectile during emergence

    • Authors: Deepak Gupta
      Pages: 72 - 73
      Abstract: Deepak Gupta
      Indian Journal of Anaesthesia 2020 64(1):72-73

      Citation: Indian Journal of Anaesthesia 2020 64(1):72-73
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_257_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • How to mend a broken heart: A case of right ventricular stab injury

    • Authors: Anil G Kumar, P Parashuraman, Ashwini Kumar Pasarad, KS Kishore
      Pages: 73 - 75
      Abstract: Anil G Kumar, P Parashuraman, Ashwini Kumar Pasarad, KS Kishore
      Indian Journal of Anaesthesia 2020 64(1):73-75

      Citation: Indian Journal of Anaesthesia 2020 64(1):73-75
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_516_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Airway management in a patient with corrosive poisoning: New tools aid an
           old problem

    • Authors: Gauri R Gangakhedkar, Nisha Gowani, Anjali Rajan, Ravindra Kamble, Prerana Shah
      Pages: 75 - 77
      Abstract: Gauri R Gangakhedkar, Nisha Gowani, Anjali Rajan, Ravindra Kamble, Prerana Shah
      Indian Journal of Anaesthesia 2020 64(1):75-77

      Citation: Indian Journal of Anaesthesia 2020 64(1):75-77
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_522_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Erector spinae plane block as a sole anaesthetic technique for simple
           mastectomy in a cardiorespiratory crippled female

    • Authors: Monisha Sundararajan, Parthasarathy Srinivasan
      Pages: 77 - 79
      Abstract: Monisha Sundararajan, Parthasarathy Srinivasan
      Indian Journal of Anaesthesia 2020 64(1):77-79

      Citation: Indian Journal of Anaesthesia 2020 64(1):77-79
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_362_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Unilateral erector spinae plane block for managing acute pain arising from
           multiple unilateral injuries: A case report

    • Authors: Sandeep Diwan, Abhijit Nair
      Pages: 79 - 80
      Abstract: Sandeep Diwan, Abhijit Nair
      Indian Journal of Anaesthesia 2020 64(1):79-80

      Citation: Indian Journal of Anaesthesia 2020 64(1):79-80
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_609_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Bilateral erector spinae catheter placement for bilateral nephrectomy in a
           paediatric patient

    • Authors: Megan A Wellbeloved, Ellen Kemp
      Pages: 81 - 82
      Abstract: Megan A Wellbeloved, Ellen Kemp
      Indian Journal of Anaesthesia 2020 64(1):81-82

      Citation: Indian Journal of Anaesthesia 2020 64(1):81-82
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_628_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Need to replace codeine for management of paediatric post operative pain

    • Authors: Aditi Jain, Neerja Bhardwaj
      Pages: 83 - 83
      Abstract: Aditi Jain, Neerja Bhardwaj
      Indian Journal of Anaesthesia 2020 64(1):83-83

      Citation: Indian Journal of Anaesthesia 2020 64(1):83-83
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_696_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Supplement information of fasting time for obese children

    • Authors: Binbin Zhu, Yu Gui
      Pages: 84 - 84
      Abstract: Binbin Zhu, Yu Gui
      Indian Journal of Anaesthesia 2020 64(1):84-84

      Citation: Indian Journal of Anaesthesia 2020 64(1):84-84
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_698_19
      Issue No: Vol. 64, No. 1 (2020)
       
  • Operative fasting guidelines and postoperative feeding &#8211;
           Current concepts

    • Authors: Ann S Toms, Ekta Rai
      Pages: 85 - 85
      Abstract: Ann S Toms, Ekta Rai
      Indian Journal of Anaesthesia 2020 64(1):85-85

      Citation: Indian Journal of Anaesthesia 2020 64(1):85-85
      PubDate: Tue,7 Jan 2020
      DOI: 10.4103/ija.IJA_849_19
      Issue No: Vol. 64, No. 1 (2020)
       
 
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