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Publisher: Medknow Publishers   (Total: 427 journals)

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Showing 1 - 200 of 427 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 4)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 2, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 12, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
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: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 8, 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  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access  
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 2)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 4)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 4, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 12, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access   (Followers: 1)
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (Followers: 1, SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 3)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Critical Care Medicine     Open Access   (Followers: 4, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 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: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 2, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 6, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access   (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: 3, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access   (Followers: 1)
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  

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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  [427 journals]
  • Specific reversal agents: Fast and fearless – A new era in
           anticoagulation care

    • Authors: Abhay Bhave
      Pages: 167 - 168
      Abstract: Abhay Bhave
      Indian Journal of Anaesthesia 2019 63(3):167-168

      Citation: Indian Journal of Anaesthesia 2019 63(3):167-168
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_109_19
      Issue No: Vol. 63, No. 3 (2019)
       
  • Novel reversal agents and laboratory evaluation for direct-acting oral
           anticoagulants (DOAC): An update

    • Authors: Shagun B Shah, Akhilesh Pahade, Rajiv Chawla
      Pages: 169 - 181
      Abstract: Shagun B Shah, Akhilesh Pahade, Rajiv Chawla
      Indian Journal of Anaesthesia 2019 63(3):169-181
      Novel oral anticoagulants (NOACs) are no longer “novel” but their reversal agents definitely are. Although NOACs enjoy high clinical efficacy, monitoring and reversal of their effect is a challenge which this review attempts to surmount. Ideally, for NOAC activity measurement, specific anti-Factor IIa levels and anti -Factor Xa levels should be monitored (chromogenic assays), but such tests are not readily available. Modifications of the existing coagulation tests catering to this unmet need for quantification of DOAC activity have been reviewed. The available United States Food and Drug Administration (FDA) approved reversal agents, idarucizumab for dabigatrin and andexanet alfa for anti-Xa direct acting oral anticoagulants have given promising results but are prohibitively priced. Medline, Embase, and Scopus databases were thoroughly searched for clinical trials on laboratory investigations and specific as well as non-specific reversal-agents for DOACs.
      Citation: Indian Journal of Anaesthesia 2019 63(3):169-181
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_734_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Efficacy of local wound infiltration analgesia with ropivacaine and
           dexmedetomidine in tubercular spine surgery – A pilot randomised
           double-blind controlled trial

    • Authors: Medha Mohta, Anju Rani, Ashok Kumar Sethi, Anil Kumar Jain
      Pages: 182 - 187
      Abstract: Medha Mohta, Anju Rani, Ashok Kumar Sethi, Anil Kumar Jain
      Indian Journal of Anaesthesia 2019 63(3):182-187
      Background and Aims: Regional analgesic techniques are difficult to use in tubercular spine patients due to distorted spinal anatomy and presence of infection. This study was conducted with the aim to evaluate analgesic efficacy of local wound infiltration before wound closure in tubercular spine patients. Methods: This pilot randomised double-blind controlled study was conducted in 32 American Society of Anesthesiologists I-III patients, age ≥15 years, undergoing elective surgery for spinal tuberculosis. All the patients received general anaesthesia using standard technique and intravenous morphine for intraoperative analgesia. They received wound infiltration with either normal saline (group C) or local infiltration analgesia with 0.375% ropivacaine 3 mg/kg, adrenaline 5 μg/mL and dexmedetomidine 1 μg/kg in a total volume of 0.8 mL/kg (group LIA) before wound closure. Patient-controlled analgesia using intravenous morphine provided postoperative analgesia. The primary objective was to study 24-h morphine consumption, whereas the secondary objectives included pain scores, complications and patient satisfaction. Repeated measures analysis of variance, Chi-square test and Mann–Whitney U test were used for statistical analysis. Results: Morphine requirement was lower in group LIA (6.7 ± 2.7 mg) than in group C (27.7 ± 7.9 mg);P < 0.001. Group LIA also had lower pain scores (P < 0.001), longer time to rescue analgesic (P < 0.001), better patient satisfaction to pain relief (P = 0.001) and lower incidence of postoperative nausea and vomiting than group C. Conclusion: Wound infiltration with ropivacaine, adrenaline and dexmedetomidine before wound closure provided good postoperative analgesia with lower morphine requirement.
      Citation: Indian Journal of Anaesthesia 2019 63(3):182-187
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_780_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • A randomised controlled comparison of video versus instructor-based
           compression only life support training

    • Authors: Shahna Ali, Manazir Athar, Syed Moied Ahmed
      Pages: 188 - 193
      Abstract: Shahna Ali, Manazir Athar, Syed Moied Ahmed
      Indian Journal of Anaesthesia 2019 63(3):188-193
      Background and Aims: Sudden cardiac deaths remain a major health problem worldwide. Most of these cases generally involve out of hospital cardiac arrest, making the role of bystander resuscitation very crucial. In the developing countries, illiteracy and scarcity of health professionals is a great barrier to cardiopulmonary resuscitation (CPR) training. Video-based CPR training can offer an easily accessible modality in these situations. Hence, this study was conducted with an aim to assess the efficacy of video-based training in comparison to the traditional instructor-based CPR training in layman. Methods: This prospective cross-over observational study included 109 undergraduate university students attending voluntary resuscitation training and were randomly divided into two groups of video-based demonstration (VBD) and instructor-based demonstration (IBD) of compression only life support (COLS). They were then assessed for psychomotor skill development (Laerdal Simpad Plus Q-CPR) and perception about the quality of training methodology as primary and secondary objectives, respectively. Results: Population characteristics were similar in both the groups. In the VBD, scene safety was performed by 95.2% and call for help by 97.6%, and by 76.1% each in the IBD group (P < 0.05). Response to compression time (RCT) was significantly shorter in VBD (35 ± 9 sec) as compared to IBD (54 ± 14 sec) (P < 0.001). However, the proportion of participants performing response check, correct site identification, and other parameters were comparable. Conclusion: Video-based COLS training significantly decreased the RCT by 35% compared to traditional instructor-based training. However, other features of high-quality CPR remain comparable.
      Citation: Indian Journal of Anaesthesia 2019 63(3):188-193
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_737_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Prediction of outcomes in chest trauma patients using chest trauma scoring
           system: A prospective observational study

    • Authors: Minal Harde, G Aditya, Sona Dave
      Pages: 194 - 199
      Abstract: Minal Harde, G Aditya, Sona Dave
      Indian Journal of Anaesthesia 2019 63(3):194-199
      Background and Aims: Prognostication of chest trauma patients by scoring systems is of vital importance to predict morbidity and mortality. We aimed to predict outcomes in chest trauma patients using chest trauma scoring system (CTS) in Indian patients. Methods: This was a prospective observational study done in a trauma care centre at a tertiary care teaching public hospital. CTS was calculated by scores of age, severity of pulmonary contusion, number of rib fractures and presence of bilateral rib fractures. Final CTS ranges from 2 to 12. We evaluated CTS to predict outcome that is mortality as primary objective and development of complications like pneumonia and need for ventilator support as secondary objective in Indian population. Results: Data were collected from 30 patients and they were divided into two groups, CTS <5 (15) and CTS ≥5 (15). High CTS ≥5 was statistically significantly associated with high incidence of pneumonia (P = 0.046), increased requirement of mechanical ventilation (P = 0.025) and mortality (P = 0.035) in chest trauma. Area under the ROC for mortality shows that the test is acceptable (0.75) and at CTS score 5.5 maximum sensitivity is 87.5% and specificity is 68%. Conclusion: This study concludes that a CTS ≥5 is associated with poor outcomes. This scoring system may be used to identify patients at risk of complications and institute early intensive focussed care.
      Citation: Indian Journal of Anaesthesia 2019 63(3):194-199
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_750_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Ultrasound-guided erector spinae plane block for postoperative analgesia
           in modified radical mastectomy: A randomised control study

    • Authors: Swati Singh, Gunjan Kumar, Akhileshwar
      Pages: 200 - 204
      Abstract: Swati Singh, Gunjan Kumar, Akhileshwar
      Indian Journal of Anaesthesia 2019 63(3):200-204
      Background and Aims: Several locoregional techniques have been described for providing postoperative analgesia after breast surgery. The optimal technique should be easy to perform, reproducible and provide good analgesia. This randomised control study was designed to evaluate the postoperative analgesic effect of ultrasound-guided erector spinae plane (US-guided ESP) block for modified radical mastectomy (MRM) surgery. Methods: A total of 40 females belonging to American Society of Anesthesiologists' 1 or 2 posted for MRM were randomly allocated into Group 1 (control group) and group 2 (ESP group). Patients in Group 1 received only general anaesthesia (GA) and were managed for pain postoperatively according to routine protocol, while group 2 (ESP group) patients received unilateral US-guided ESP block preoperatively (20 mL 0.5% bupivacaine to the operating side) followed by GA. The primary objective of study was to record postoperative 24 h cumulative morphine requirement. Differences between the two groups were analyzed using the Mann–Whitney U-test or a two-tailed Student's t-test. Results: Postoperative morphine consumption was found to be significantly less in patients receiving US-guided ESP block compared to control group (1.95 ± 2.01 mg required in ESP group vs 9.3 ± 2. 36 mg required in control group, P value = 0.01)). All the patients in control group required supplemental morphine postoperatively compared to only two patients requiring that in US-guided ESP block group (P < 0.01). Conclusion: US-guided ESP block when given prior to MRM surgery provided effective postoperative analgesia. CTRI registration no. - CTRI/2018/03/012712 registered in the clinical trial registry, India.
      Citation: Indian Journal of Anaesthesia 2019 63(3):200-204
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_758_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • A comparative evaluation of pre-emptive versus post-surgery
           intraperitoneal local anaesthetic instillation for postoperative pain
           relief after laparoscopic cholecystectomy: A prospective, randomised,
           double blind and placebo controlled study

    • Authors: Prabhu Gnapika Putta, Hemalatha Pasupuleti, Aloka Samantaray, Hemanth Natham, Mangu Hanumantha Rao
      Pages: 205 - 211
      Abstract: Prabhu Gnapika Putta, Hemalatha Pasupuleti, Aloka Samantaray, Hemanth Natham, Mangu Hanumantha Rao
      Indian Journal of Anaesthesia 2019 63(3):205-211
      Background and Aims: Intraperitoneal local anaesthetic instillation (IPLAI) reduces postoperative pain and analgesic consumption effectively but the timing of instillation remains debatable. This study aims at comparing pre-emptive versus post-surgery IPLA in controlling postoperative pain after elective laparoscopic cholecystectomy. Methods: Ninety patients belonging to American Society of Anesthesiologists physical status I or II were randomly assigned to receive IPLAI of either 30 ml of normal saline (C) or 30 ml of 0.5% bupivacaine at the beginning (PE) or at the end of the surgery (PS) using a double-dummy technique. The primary outcome was the intensity of postoperative pain by visual analogue scale score (VAS) at 30 minute, 1, 2, 4, 6, 24 hours after surgery and time to the first request for analgesia. The secondary outcomes were analgesic request rate in 24 hours; duration of hospital stay and time to return to normal activity. Data were compared using analysis of variance, Kruskal-Wallis or Chi-square test. Results: For all predefined time points, VAS in group PE was significantly lower than that in groups C (P < 0.05). The time to first analgesic request was shortest in group C (238.0 ± 103.2 minutes) compared to intervention group (PE, 409.2 ± 115.5 minutes; PS, 337.5 ± 97.5 minutes;P < 0.001). Time to attain discharge criteria was not statistically different among groups. Conclusion: Pre-emptive intraperitoneal local anaesthetic instillation resulted in better postoperative pain control along with reduced incidence of shoulder pain and early resumption of normal activity in comparison to post surgery IPLAI and control.
      Citation: Indian Journal of Anaesthesia 2019 63(3):205-211
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_767_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Haemodynamic changes during prone positioning in anaesthetised chronic
           cervical myelopathy patients

    • Authors: Nitin Manohar, Venkatapura J Ramesh, Muthuchellappan Radhakrishnan, Dhritiman Chakraborti
      Pages: 212 - 217
      Abstract: Nitin Manohar, Venkatapura J Ramesh, Muthuchellappan Radhakrishnan, Dhritiman Chakraborti
      Indian Journal of Anaesthesia 2019 63(3):212-217
      Background and Aims: Anaesthetised patients, when positioned prone, experience hypotension and reduction in cardiac output. Associated autonomic dysfunction in cervical myelopathy patients predisposes them to haemodynamic changes. The combined effect of prone positioning and autonomic dysfunction in anaesthetised patients remains unknown. Methods: Thirty adult chronic cervical myelopathy patients, aged 18-65 years with Nurick grade ≥2 were recruited in this prospective observational study. Heart rate, mean blood pressure, cardiac output, stroke volume, total peripheral resistance and stroke volume variation were measured using NICOM®monitor. Data were collected in supine before anaesthetic induction (baseline), 2 minutes after induction, 2 minutes after intubation, before and after prone positioning and every 5 minutes thereafter until skin incision. Repeated measures analysis of variance (ANOVA) was used to analyse the haemodynamic parameters across the time points. Bivariate Spearman's correlation was used to find factors associated with blood pressure changes. A P value <0.05 was kept significant. Results: Cardiac output during the entire study period remained stable (P = 0.186). Sixty percent of the patients experienced hypotension. At 15 and 20 minutes after prone positioning, mean blood pressure decreased (P = 0.001), stroke volume increased (P = 0.001), and heart rate and total peripheral resistance decreased (P < 0.001, P= 0.001, respectively). These changes were significant when compared to pre-prone position values. Number of levels of spinal cord compression positively correlated with the incidence of hypotension. Conclusion: Cervical myelopathy patients experienced hypotension with preserved cardiac output in prone position due to a reduction in total peripheral resistance. Hypotension correlated with the number of levels of spinal cord compression.
      Citation: Indian Journal of Anaesthesia 2019 63(3):212-217
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_810_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • I-Gel as an intubation conduit: Comparison of three different types of
           endotracheal tubes

    • Authors: Nitin Choudhary, Abhijit Kumar, Amit Kohli, Sonia Wadhawan, Poonam Bhadoria
      Pages: 218 - 224
      Abstract: Nitin Choudhary, Abhijit Kumar, Amit Kohli, Sonia Wadhawan, Poonam Bhadoria
      Indian Journal of Anaesthesia 2019 63(3):218-224
      Background and Aims: I-Gel®, a novel SAD has been introduced as a ventilating device but has widely gained popularity as conduit for intubation. Unlike intubating laryngeal mask airway (ILMA), I-Gel® does not have an endotracheal tube specially designed for it. Hence the aim of this study was to compare the rate of successful intubation via I-Gel®using three different types of endotracheal tubes. Methods: We randomised 75 American Society of Anesthesiologists (ASA) physical status I and II patients, between the age group 18-60 years of either sex undergoing elective surgery under general anaesthesia into three groups on the basis of endotracheal tube (ETT), used for intubation via I-Gel®: Group P (Polyvinyl chloride ETT), Group I (Intubating laryngeal mask airway ETT), Group F (flexometallic ETT). After following the standard induction protocol, appropriate size I Gel®was inserted in all patients. Thereafter group specific ETT was inserted via I-Gel®. We recorded and compared the time taken for successful intubation, the success rate, number of attempts taken, manoeuvres used, and complications among three different types of ETT. Quantitative variables were compared using Kruskal Wallis test and the qualitative variables were compared using Chi-square test. Results: The time taken for successful intubation was least in group P (10.51 ± 3.82 seconds). Group P also had the highest first attempt (68%) and overall rate of successful intubation (88%). Conclusion: PVC ETT had highest first attempt success rate and required minimum time for endotracheal intubation via I-Gel®when compared to ILMA ETT and Flexible ETT.
      Citation: Indian Journal of Anaesthesia 2019 63(3):218-224
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_615_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Comparison of bispectral index targeted end-tidal concentration of
           desflurane during three phases of orthotopic liver transplantation

    • Authors: Gyanendra Kumar, Nitin Sethi, Deepanjali Pant, Jayashree Sood, Amarjeet Singh, Shashank Pandey, Amitabh Dutta
      Pages: 225 - 230
      Abstract: Gyanendra Kumar, Nitin Sethi, Deepanjali Pant, Jayashree Sood, Amarjeet Singh, Shashank Pandey, Amitabh Dutta
      Indian Journal of Anaesthesia 2019 63(3):225-230
      Background and Aims: Reduced inhalational anaesthetic requirement in end-stage liver disease during living donor orthotopic liver transplantation (LD-OLT) is due to increased endogenous opioids. This study evaluated the changes in bi-spectral index (BIS) monitored end-tidal desflurane (ETDes) requirements during ‘dissection’, ‘anhepatic’, and ‘neohepatic’ phases of LD-OLT. Methods: This prospective, cohort study included 40 adults undergoing LD-OLT under general anaesthesia (GA). All patients received BIS-guided desflurane GA. ETDesrequirements in three phases of LD-OLT (primary objective); relationship between inhalational anaesthetic requirements and severity of liver disease; and effect of changes in mean arterial pressure (MAP) and body temperature on ETDesconcentration for all three phases were also evaluated. Results: ETDesduring the ‘dissection’ phase (2.92 ± 0.65%) was > ‘anhepatic’ (2.68 ± 0.85%, P= 0.049) and ‘neohepatic’ phases (2.58 ± 0.71%, P= 0.005). Patients with model of end-stage liver disease (MELD) score < 20 returned significantly greater ETDesthan those with MELD score ≥20 during the ‘dissection’ (MELD <20: 3.11 ± 0.49%; MELD ≥20: 2.58 ± 0.77%, P= 0.01) and ‘anhepatic’(MELD <20: 2.96 ± 0.76%; MELD ≥20: 2.17 ± 0.79%, P= 0.003) phases. A positive correlation was observed between ETDes(r = 0.584, P= 0.001) and temperature in the ‘dissection’ phase only. Conclusion: In patients undergoing LD-OLT, BIS monitoring guidance of depth of desflurane GA suggests lower desflurane requirements during ‘anhepatic’ and the ‘neohepatic’ phase of surgery. Also, the desflurane requirement is greater in patients with lesser severity of liver disease.
      Citation: Indian Journal of Anaesthesia 2019 63(3):225-230
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_693_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Ultrasound-guided modified serratus anterior plane block for perioperative
           analgesia in breast oncoplastic surgery: A case series

    • Authors: Rakhi Khemka, Arunangshu Chakraborty
      Pages: 231 - 234
      Abstract: Rakhi Khemka, Arunangshu Chakraborty
      Indian Journal of Anaesthesia 2019 63(3):231-234
      Ultrasound-guided serratus anterior plane (SAP) block has been described to provide complete anaesthesia and analgesia to the lateral thoracic wall. Its use has been recently reported in breast reconstruction surgeries. We present a series of 11 patients where ultrasound-guided SAP block was used as part of multimodal analgesia in breast reconstruction surgery using latissimus dorsi (LD) myocutaneous flap after mastectomies. This resulted in excellent analgesia in the perioperative period and minimal use of intravenous analgesics. The SAP block technique described here is safe and also provides effective analgesia in breast reconstruction surgery with LD flap.
      Citation: Indian Journal of Anaesthesia 2019 63(3):231-234
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_752_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Seeding trials: Marketing gimmick or credible scientific research

    • Authors: Biswa Mohan Padhy, Bikash Ranjan Meher
      Pages: 235 - 238
      Abstract: Biswa Mohan Padhy, Bikash Ranjan Meher
      Indian Journal of Anaesthesia 2019 63(3):235-238

      Citation: Indian Journal of Anaesthesia 2019 63(3):235-238
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_831_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • The tooth of the matter: Diastema as the rare cause of pilot tube
           obstruction of Proseal LMA!

    • Authors: Bharathram Vasudevan, Jyotsna Punj, Ravindra Pandey
      Pages: 239 - 240
      Abstract: Bharathram Vasudevan, Jyotsna Punj, Ravindra Pandey
      Indian Journal of Anaesthesia 2019 63(3):239-240

      Citation: Indian Journal of Anaesthesia 2019 63(3):239-240
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_666_17
      Issue No: Vol. 63, No. 3 (2019)
       
  • Impression tray - A modest tool as an intubation aid

    • Authors: Khaja Mohideen Sherfudeen, Senthil Kumar Kaliannan, Sethu Madhavan Jeyakumar, RP Ravichandran
      Pages: 240 - 241
      Abstract: Khaja Mohideen Sherfudeen, Senthil Kumar Kaliannan, Sethu Madhavan Jeyakumar, RP Ravichandran
      Indian Journal of Anaesthesia 2019 63(3):240-241

      Citation: Indian Journal of Anaesthesia 2019 63(3):240-241
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_694_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Epidural volume extension for caesarean section in a patient with severe
           pulmonary stenosis and moderate tricuspid regurgitation

    • Authors: Abhyuday Kumar, Chandni Sinha, Ajeet Kumar, Poonam Kumari
      Pages: 242 - 243
      Abstract: Abhyuday Kumar, Chandni Sinha, Ajeet Kumar, Poonam Kumari
      Indian Journal of Anaesthesia 2019 63(3):242-243

      Citation: Indian Journal of Anaesthesia 2019 63(3):242-243
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_703_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Pectoralis block for breast surgeries: More than postoperative analgesic

    • Authors: Sumitra G Bakshi, Madhavi Shetmahajan, Raghu S Thota
      Pages: 243 - 245
      Abstract: Sumitra G Bakshi, Madhavi Shetmahajan, Raghu S Thota
      Indian Journal of Anaesthesia 2019 63(3):243-245

      Citation: Indian Journal of Anaesthesia 2019 63(3):243-245
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_722_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Use of the mid-transverse process to pleura block in a patient undergoing
           intercostal drain placement and rib resection

    • Authors: Ravi S Sharma, Rakesh Kumar, Manoj Kamal, Pradeep Bhatia
      Pages: 245 - 246
      Abstract: Ravi S Sharma, Rakesh Kumar, Manoj Kamal, Pradeep Bhatia
      Indian Journal of Anaesthesia 2019 63(3):245-246

      Citation: Indian Journal of Anaesthesia 2019 63(3):245-246
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_728_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Chin necrosis after prone positioning: A consequence of trans-cranial
           motor evoked potential monitoring during spine surgery

    • Authors: Priyanka Gupta, Amiya K Barik, Vamshi Krishna, Mridul Dhar
      Pages: 246 - 248
      Abstract: Priyanka Gupta, Amiya K Barik, Vamshi Krishna, Mridul Dhar
      Indian Journal of Anaesthesia 2019 63(3):246-248

      Citation: Indian Journal of Anaesthesia 2019 63(3):246-248
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_759_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Haemophagocytic syndrome due to Ebstein&#8211;Barr virus

    • Authors: Anuj Sarma
      Pages: 248 - 250
      Abstract: Anuj Sarma
      Indian Journal of Anaesthesia 2019 63(3):248-250

      Citation: Indian Journal of Anaesthesia 2019 63(3):248-250
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_763_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Publication in high-impact journals

    • Authors: Swati Singh, Raja Avinash
      Pages: 251 - 251
      Abstract: Swati Singh, Raja Avinash
      Indian Journal of Anaesthesia 2019 63(3):251-251

      Citation: Indian Journal of Anaesthesia 2019 63(3):251-251
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_848_18
      Issue No: Vol. 63, No. 3 (2019)
       
  • Publication in high impact journals

    • Authors: Summit Dev Bloria, Ketan Kataria, Ankur Luthra, Pallavi Bloria
      Pages: 252 - 252
      Abstract: Summit Dev Bloria, Ketan Kataria, Ankur Luthra, Pallavi Bloria
      Indian Journal of Anaesthesia 2019 63(3):252-252

      Citation: Indian Journal of Anaesthesia 2019 63(3):252-252
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_113_19
      Issue No: Vol. 63, No. 3 (2019)
       
  • In Response to &#8216;Anaesthesiologist and social media: Walking
           the fine line&#8217;

    • Authors: Shiv Kumar Singh, Tuhin Mistry
      Pages: 253 - 254
      Abstract: Shiv Kumar Singh, Tuhin Mistry
      Indian Journal of Anaesthesia 2019 63(3):253-254

      Citation: Indian Journal of Anaesthesia 2019 63(3):253-254
      PubDate: Thu,7 Mar 2019
      DOI: 10.4103/ija.IJA_708_18
      Issue No: Vol. 63, No. 3 (2019)
       
 
 
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