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Publisher: Medknow Publishers   (Total: 429 journals)

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Showing 1 - 200 of 429 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 5, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 12, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access  
Arab J. of Interventional Radiology     Open Access  
Archives of Cardiovascular Imaging     Open Access   (Followers: 1, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 6, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 4)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
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  
Clinical Cancer Investigation J.     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: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 11, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.127, CiteScore: 0)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 2)
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: 3, 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 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: 0.478, 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: 2, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 5, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences     Open Access   (Followers: 3)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access  
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access  
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 3, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orofacial Biology     Open Access  
Intl. J. of Orofacial Research     Open Access  
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 13)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 5)

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

  This is an Open Access Journal Open Access journal
ISSN (Print) 0019-5049
Published by Medknow Publishers Homepage  [429 journals]
  • Acute pain service: Round the clock vigilance

    • Authors: PN Jain
      Pages: 491 - 492
      Abstract: PN Jain
      Indian Journal of Anaesthesia 2018 62(7):491-492

      Citation: Indian Journal of Anaesthesia 2018 62(7):491-492
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_471_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Standards of care for procedural sedation: Focus on differing perceptions
           among societies

    • Authors: Satyen Parida, Pankaj Kundra, VK Mohan, Sandeep K Mishra
      Pages: 493 - 496
      Abstract: Satyen Parida, Pankaj Kundra, VK Mohan, Sandeep K Mishra
      Indian Journal of Anaesthesia 2018 62(7):493-496
      Adherence to established standards of care is important for anaesthesiologists to avoid undesirable legal consequences of their actions. The judiciary lays stress on the need to perpetuate healthy doctor–patient correspondence, good documentation, and to bestow a justifiable standard of care. But what defines standard of care and who delineates such standards is something that lacks clarity. The American Society for Gastrointestinal Endoscopy (ASGE) has recently released updated guidelines on the use of sedation and anaesthesia for gastrointestinal endoscopic procedures. Almost simultaneously, the American Society of Anesthesiologists (ASA) has brought out practice guidelines for moderate sedation and analgesia. In contrast to the ASA recommendations, ASGE does not view capnography as an essential monitoring modality for endoscopic procedures with moderate sedation because it has apparently not been shown to improve patient safety. However, they do agree that evidence supports its deployment during deep sedation. These differences in views between guidelines published by societies of substantial academic and clinical standing can confuse the agreement over what constitutes standard of care for the particular speciality. It is the expectation that guidelines and consensus statements in anaesthesiology be preferably issued by national or international organizations of the same speciality.
      Citation: Indian Journal of Anaesthesia 2018 62(7):493-496
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_201_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Comparison of ultrasound-guided bilateral subcostal transversus abdominis
           plane block and port-site infiltration with bupivacaine in laparoscopic
           cholecystectomy

    • Authors: Indu Suseela, Krishnadas Anandan, Arun Aravind, Suvarna Kaniyil
      Pages: 497 - 501
      Abstract: Indu Suseela, Krishnadas Anandan, Arun Aravind, Suvarna Kaniyil
      Indian Journal of Anaesthesia 2018 62(7):497-501
      Background and Aims: Many patients experience moderate-to-severe pain after laparoscopic cholecystectomy. We aimed to compare the efficacy of ultrasound-guided bilateral subcostal transversus abdominis plane (TAP) block with port-site infiltration for post-operative analgesia after laparoscopic cholecystectomy. Methods: Patients undergoing elective laparoscopic cholecystectomy under general anaesthesia were divided into two groups of 40 each to receive ultrasound-guided bilateral subcostal TAP block (T) with 0.25% bupivacaine 20 ml each side or port-site infiltration with 0.5% bupivacaine 5 ml each at 4 ports (I) at the end of the surgery before extubation. All patients received paracetamol 1 g intravenous 8th hourly. Tramadol 1 mg/kg intravenous bolus and diclofenac 1 mg/kg intravenous infusion were used as the first- and second-line rescue analgesics when Numerical Rating Scale (NRS) ≥4, or when the patient complained of pain. NRS at 1, 2, 3, 6, 12 and 24 h after surgery, time to first analgesic request and total dose of analgesics in 24 h were recorded. Chi-square test and independent t-test were used to compare qualitative and quantitative data, respectively. Results: Time to first analgesic (mean±SD) in Group I and Group T was 292.7 ± 67.03 and 510.3 ± 154.55 min and mean tramadol required was141.8 ± 60.01 mg and 48.69 ± 36.14 mg, respectively (P = 0.001 for both). Mean NRS at 2, 3, 6, 12 and 24 h was significantly lower in Group T. Conclusion: Ultrasound-guided bilateral subcostal TAP block provides superior post-operative analgesia after laparoscopic cholecystectomy compared to port-site infiltration.
      Citation: Indian Journal of Anaesthesia 2018 62(7):497-501
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_55_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Impact of basic medical writing workshop on case report writing by
           post-graduate anaesthesia trainees: A pilot study

    • Authors: Anjana S Wajekar, Sweta V Salgaonkar, Indrani H Chincholi, Anita N Shetty
      Pages: 502 - 508
      Abstract: Anjana S Wajekar, Sweta V Salgaonkar, Indrani H Chincholi, Anita N Shetty
      Indian Journal of Anaesthesia 2018 62(7):502-508
      Background and Aims: Research is an integral component of medical education and practice. However, the art of medical writing remains neglected. Case report writing marks foray into the world of publications and presentations. We assessed and compared the impact of basic medical writing workshop about case report writing and their perception levels of confidence in these skills, among post-graduate anaesthesia students. Methods: A needs assessment for medical writing skills was performed among all anaesthesia residents. A total of 20 students were enrolled in this study. The pre-workshop assignment consisted of writing one case report per participant within 30 days, followed by students' confidence assessment in these skills. A workshop on basic medical writing including analytical writing, scientific writing and plagiarism were conducted. Post-workshop a similar assignment was provided, followed by students' confidence assessment. Results: Moderate-to-high need for help was felt by 92.63% for analytical skills, 100% for scientific skills and writing without plagiarism, 95.78% for overall writing skills. For case report writing, the analytical and scientific writing significantly improved after the workshop (P = 0.01 and P = 0.016, respectively). There was a significant improvement in the students' confidence levels post-workshop in their analytical writing skills, avoiding plagiarism and overall writing capabilities (P = 0.02, P = 0.016 and P = 0.002, respectively). Conclusion: Writing skills of participants and their confidence in these skills improved post-workshop.
      Citation: Indian Journal of Anaesthesia 2018 62(7):502-508
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_98_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Effect of epidural levobupivacaine with or without dexamethasone soaked in
           gelfoam for postoperative analgesia after lumbar laminectomy: A double
           blind, randomised, controlled trial

    • Authors: Kamlesh Kumari, Manoj Kamal, Geeta Singariya, Rama Kishan, Sunil Garg, Sharad Thanvi
      Pages: 509 - 515
      Abstract: Kamlesh Kumari, Manoj Kamal, Geeta Singariya, Rama Kishan, Sunil Garg, Sharad Thanvi
      Indian Journal of Anaesthesia 2018 62(7):509-515
      Background and Aims: Postoperative pain results in prolonged hospital stay and delayed return to normal activity. This study was conducted with the aim of evaluating the analgesic efficacy of gelfoam soaked in levobupivacaine with or without dexamethasone placed in the epidural space in patients undergoing lumbar laminectomy. Methods: Ninety adult patients were randomised into three groups. Gelfoam was soaked in 12 mL of 0.9% sodium chloride in Group P, 10 mL of 0.25% levobupivacaine + 2 mL of 0.9% sodium chloride in Group L, and 10 mL of 0.25% levobupivacaine + 2 mL of dexamethasone in group LD. The primary outcome was time to first request for rescue analgesia. Total 24-h tramadol consumption, and postoperative visual analog scale (VAS) scores were recorded. Chi-square test and analysis of variance test were used, and P < 0.05 was considered significant. Results: 75 patients completed the study. Time to first rescue analgesia was longer in group LD [10.11 ± 3.10 h] compared with group L [6.48 ± 2.36 h] and group P [1.76 ± 1.13 h]. Total 24-h tramadol consumption was lower in group LD (88 ± 66.58 mg) and group L (120 ± 70.7 mg) compared with group P (280 ± 64.5 mg). Postoperative VAS scores were lower in group LD and group L compared with group P, both at rest and on movement. Conclusion: Epidural gelfoam soaked in levobupivacaine and dexamethasone prolongs the duration of analgesia and decreases rescue analgesic consumption and VAS score postoperatively, in patients undergoing lumbar laminectomy.
      Citation: Indian Journal of Anaesthesia 2018 62(7):509-515
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_128_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Comparison of bispectral index and end-tidal anaesthetic concentration
           monitoring on recovery profile of desflurane in patients undergoing lumbar
           spine surgery

    • Authors: R Sudhakaran, Jeetinder K Makkar, Divya Jain, Jyotsna Wig, R Chabra
      Pages: 516 - 523
      Abstract: R Sudhakaran, Jeetinder K Makkar, Divya Jain, Jyotsna Wig, R Chabra
      Indian Journal of Anaesthesia 2018 62(7):516-523
      Background and Aims: Several techniques have evolved over time to monitor depth of anesthesia and ensure enhanced recovery. This randomized double-blinded trial was designed to compare bispectral index (BIS) or end-tidal anaesthetic concentration (ETAC) monitoring on the recovery characteristics of patients undergoing thoracolumbar spine surgeries. Methods: Seventy American Society of Anesthesiologist I–II patients of either sex were randomized to Group B – BIS-guided protocol, Group E – ETAC-guided protocol, or Group S – Standard protocol. After intravenous induction, anaesthesia was maintained with desflurane in O2/N2O (50:50) mixture. In BIS, ETAC and Standard groups, inspired end-tidal desflurane concentration was varied to achieve BIS of 45–55, 0.8–1.0 age-corrected minimum alveolar concentration, and haemodynamic parameters within 20% of the baseline, respectively. Time to eye opening (emergence time, the primary outcome), time to extubation, and time to name recall from the discontinuation of the anaesthetic agent were recorded. Incidence of nausea, vomiting, and total analgesic consumption was noted for 24 h. Results: Emergence time (mean ± SD) in ETAC (5.1 ± 1.53 min) and BIS (5.0 ± 2.12 min)-guided groups was significantly lower than Standard group (7.5 ± 2.90 min). Extubation time in ETAC (6.3 ± 2.22 min) and BIS-guided group (6.5 ± 1.78 min) was significantly lower than Standard group (9.0 ± 3.20 min) (P < 0.001). Time to achieve fast track score of more than 12 was significantly less in BIS-guided group (13.12 ± 2.59 min). Conclusion: ETAC-guided anaesthesia is comparable to BIS-guided anaesthesia in achieving early recovery.
      Citation: Indian Journal of Anaesthesia 2018 62(7):516-523
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_172_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Efficacy of dexmedetomidine for prevention of emergence agitation in
           patients posted for nasal surgery under desflurane anaesthesia: A
           prospective double-blinded randomised controlled trial

    • Authors: Akaansha Garg, Manoj Kamal, Sadik Mohammed, Geeta Singariya, Dilip S Chouhan, Ghanshyam Biyani
      Pages: 524 - 530
      Abstract: Akaansha Garg, Manoj Kamal, Sadik Mohammed, Geeta Singariya, Dilip S Chouhan, Ghanshyam Biyani
      Indian Journal of Anaesthesia 2018 62(7):524-530
      Background and Aims: Nasal surgery under desflurane anaesthesia is more prone to develop emergence agitation (EA). The present study aimed to evaluate the efficacy of dexmedetomidine for prevention of EA. Methods: A total of 72 patients were randomised to group C and group D. Group C patients received placebo while group D patients received dexmedetomidine 1.0 μg/kg bolus followed by 0.4 μg/kg/h after induction of anesthesia. End tidal desflurane was adjusted to keep the bispectral index (BIS) 45–55. Study drug was stopped at extubation. EA was evaluated from extubation till the patient was shifted to postanaesthesia care unit (PACU). Primary outcome was incidence of EA. Secondary outcome measures were requirement of desflurane, haemodynamic stability, and recovery after anaesthesia. The results were analyzed using SPSS version 21. Results: Infusion of dexmedetomidine significantly reduced the incidence of EA (Group C 52.8%; Group D 5.6%) by 89.5% (P = 0.00001). The endtidal desflurane concentration was significantly lower and there was an average 28.87% reduction in requirement of desflurane in group D compared to group C (P < 0.001). The mean heart rate was significantly higher in Group C (P < 0.001). In group C time to extubation, time to achieve BIS 90 and time to response on verbal command was significantly lesser compared to group D (P < 0.0001). Conclusion: Dexmedetomidine significantly reduced the incidence of EA and requirement of desflurane in patients undergoing nasal surgery. However, it was associated with delayed extubation, residual sedation, and prolonged PACU stay.
      Citation: Indian Journal of Anaesthesia 2018 62(7):524-530
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_788_17
      Issue No: Vol. 62, No. 7 (2018)
       
  • Dexmedetomidine–propofol vs ketamine–propofol anaesthesia in
           paediatric and young adult patients undergoing device closure procedures
           in cardiac catheterisation laboratory: An open label randomised trial

    • Authors: Kunal Tewari, Vishal V Tewari, Subroto K Datta
      Pages: 531 - 537
      Abstract: Kunal Tewari, Vishal V Tewari, Subroto K Datta
      Indian Journal of Anaesthesia 2018 62(7):531-537
      Background and Aims: Several drug combinations have been tried in patients with acyanotic congenital heart disease (ACHD) undergoing transcatheter device closure in the cardiac catheterisation laboratory (CCL). Adequate sedation, analgesia, akinesia, cardiorespiratory stability, and prompt recovery are key requirements. Ketamine with propofol is used for this purpose. Dexmedetomidine carries a shorter recovery time. This study compared dexmedetomidine–propofol (DP) with ketamine–propofol (KP) in patients in the CCL. Methods: This was an open label randomised trial at a CCL over a 2-year period from August 2012 to August 2014. Fifty-six paediatric and 44 young adults with ACHD underwent device closure and were randomised to receive DP or KP. The primary outcome studied was time to regain full consciousness, airway and motor recovery. Results: Baseline characteristics were similar in the study groups. In the DP arm as compared to the KP arm, the time to recovery of consciousness (mean ± SD) was significantly faster in both paediatric patients [30 ± 15 vs. 58 ± 13 min (P < 0.001)] and in young adult patients [22 ± 10 vs. 35 ± 12 min (P < 0.001)]. There was significantly faster motor recovery also (mean ± SD) [paediatric: 25 ± 05 vs. 40 ± 14 (P < 0.001); young adult: 10 ± 05 vs. 22 ± 10 min (P < 0.001)]. Conclusion: Procedural anaesthesia with DP in paediatric and young adult patients with ACHD undergoing device closure in the CCL resulted in faster recovery of consciousness and motor recovery compared to KP.
      Citation: Indian Journal of Anaesthesia 2018 62(7):531-537
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_692_17
      Issue No: Vol. 62, No. 7 (2018)
       
  • Assessment of perioperative difficult airway among undiagnosed obstructive
           sleep apnoea patients undergoing elective surgery: A prospective cohort
           study

    • Authors: Krishnakumar Mathangi, Jacob Mathews, Chandrasekar D Mathangi
      Pages: 538 - 544
      Abstract: Krishnakumar Mathangi, Jacob Mathews, Chandrasekar D Mathangi
      Indian Journal of Anaesthesia 2018 62(7):538-544
      Background and Aims: Obstructive sleep apnoea (OSA) is largely undiagnosed in surgical population. Airway-related complication account for 35% of anaesthesia-related deaths and OSA patients have higher occurrence of difficult intubation (DIT). The aim of the study is to estimate the occurrence and compare utility of OSA screening parameters in predicting difficult mask ventilation (DMV) and DIT in patients with undiagnosed OSA. Methods: A prospective observational study was conducted in a tertiary care centre in patients undergoing elective surgery. STOP-BANG questionnaire was administered preoperatively along with collection of demographic data and airway assessment. Population was divided in to OSA and non-OSA groups based on STOP-BANG score >3. Occurrence of DMV, laryngoscopy (DL), and DIT were compared between both groups using DMV score, Cormack–Lehane grading, and intubation difficulty scale score, respectively. Results: A total of 54 patients in OSA and 46 patients in non-OSA group were studied. A total of 49 cases of DMV, 14 cases of DIT, and 25 cases of DL were encountered. In the OSA group, there was 77.7% DMV, 22.2% DIT, and 33.3% DL. History of snoring had the highest sensitivity and negative predictive value while history of apnea, body mass index >35, sleep apnoea clinical score had the highest specificity in determining occurrence of difficult airway. Multivariate logistic regression analysis demonstrated STOP-BANG score as the single most important predictor of DMV (odds ratio 3.15, 95% confidence interval, 2.06–4.8). Conclusion: Positive screening test for OSA is associated with difficult airway management.
      Citation: Indian Journal of Anaesthesia 2018 62(7):538-544
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_158_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Laryngeal Mask Airway Protector™ for intubation and extubation in
           thyroid surgeries: A case report

    • Authors: Leng Zoo Tan, Daryl Jian An Tan, Edwin Seet
      Pages: 545 - 548
      Abstract: Leng Zoo Tan, Daryl Jian An Tan, Edwin Seet
      Indian Journal of Anaesthesia 2018 62(7):545-548
      The laryngeal mask airway (LMA) Protector™ has recently made its way into clinical practice. As little is reported on this novel supraglottic airway device, we describe our experiences through intubation and Bailey manoeuvre using the LMA Protector™, and the assessment of vocal cord mobility using a flexible bronchoscope through it in three patients undergoing hemithyroidectomies.
      Citation: Indian Journal of Anaesthesia 2018 62(7):545-548
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_43_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Erector spinae plane block in abdominal surgery: Case series

    • Authors: Juan Carlos Luis-Navarro, Maria Seda-Guzm&#225;n, Cristina Luis-Moreno, Ki-Jinn Chin
      Pages: 549 - 554
      Abstract: Juan Carlos Luis-Navarro, Maria Seda-Guzmán, Cristina Luis-Moreno, Ki-Jinn Chin
      Indian Journal of Anaesthesia 2018 62(7):549-554
      The aim of this study is to report 11 cases of erector spinae plane (ESP) block used for unilateral or bilateral abdominal surgery, adding to the overall limited experience with abdominal ESP block. The procedures were carried out at a teaching hospital in 11 patients (eight males, three females, ages 36–80 years) requiring abdominal surgery, including laparoscopic surgery. Each patient required surgery under different physical circumstances and likely different conceptions of what constituted pain. Two of the eleven patients were administered the ESP block and did not require general anaesthesia. Most of the patients with the ESP block maintained a numerical rating scale (NRS) for pain of 0–2/10 postoperatively. An occasional patient required paracetamol analgesia. There were no cases of opiate rescue. Obesity in a 46-year-old woman was believed to cause unclear ultrasonographic visualisation, interfering with entry of the ESP catheter. She, however, had no post-operative pain. She was given the usual intravenous metamizole 2 g for 10 h and required only analgesics at 16 h. ESP block, which produces analgesia by blocking trunk nerves, is an appropriate approach to patients requiring abdominal surgery, whether laparoscopic or open.
      Citation: Indian Journal of Anaesthesia 2018 62(7):549-554
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_57_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Ultrasound-guided continuous transmuscular quadratus lumborum block- L4 or
           L2 level catheter insertion for analgesia in open abdominal surgery: Case
           series

    • Authors: Vasanth Rao Kadam, S Howell
      Pages: 555 - 557
      Abstract: Vasanth Rao Kadam, S Howell
      Indian Journal of Anaesthesia 2018 62(7):555-557

      Citation: Indian Journal of Anaesthesia 2018 62(7):555-557
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_242_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Elastomeric pumps: How cautious should we be?

    • Authors: Swarup Ray, Barkha Agrawal, Raylene Dias, Nandini Dave
      Pages: 558 - 559
      Abstract: Swarup Ray, Barkha Agrawal, Raylene Dias, Nandini Dave
      Indian Journal of Anaesthesia 2018 62(7):558-559

      Citation: Indian Journal of Anaesthesia 2018 62(7):558-559
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_347_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Acute gastric conduit dilatation after oesophagectomy as a cause of
           respiratory distress

    • Authors: Abhijit S Nair, Vibhavari Milind Naik, Suresh Seelam, Basanth Kumar Rayani
      Pages: 559 - 560
      Abstract: Abhijit S Nair, Vibhavari Milind Naik, Suresh Seelam, Basanth Kumar Rayani
      Indian Journal of Anaesthesia 2018 62(7):559-560

      Citation: Indian Journal of Anaesthesia 2018 62(7):559-560
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_203_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Major leak during controlled ventilation due to faulty exhaust valve
           missed during pre-use machine check

    • Authors: Apala Roy Chowdhury, Kanil Ranjith Kumar, Renu Sinha
      Pages: 560 - 562
      Abstract: Apala Roy Chowdhury, Kanil Ranjith Kumar, Renu Sinha
      Indian Journal of Anaesthesia 2018 62(7):560-562

      Citation: Indian Journal of Anaesthesia 2018 62(7):560-562
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_143_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Document for patient's sake.... for your colleague's sake!
           Document.... for GOD'S sake!!

    • Authors: Swati Chhabra, Pradeep Bhatia, Sadik Mohammed, Rakesh Kumar
      Pages: 562 - 563
      Abstract: Swati Chhabra, Pradeep Bhatia, Sadik Mohammed, Rakesh Kumar
      Indian Journal of Anaesthesia 2018 62(7):562-563

      Citation: Indian Journal of Anaesthesia 2018 62(7):562-563
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_272_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Electronic medical record system: A critical viewpoint

    • Authors: Sumitra G Bakshi, Bhakti Trivedi
      Pages: 564 - 565
      Abstract: Sumitra G Bakshi, Bhakti Trivedi
      Indian Journal of Anaesthesia 2018 62(7):564-565

      Citation: Indian Journal of Anaesthesia 2018 62(7):564-565
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_178_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • In the plane, but not in plane: Mind the gap in the transversus abdominis
           plane

    • Authors: Bikram Kishore Behera, Satyajeet Misra
      Pages: 565 - 566
      Abstract: Bikram Kishore Behera, Satyajeet Misra
      Indian Journal of Anaesthesia 2018 62(7):565-566

      Citation: Indian Journal of Anaesthesia 2018 62(7):565-566
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_218_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Management of a case of ventricular bigeminy using central neuraxial
           blockade

    • Authors: Gunjan Singh, Manpreet Kaur, Maya Dehran
      Pages: 567 - 568
      Abstract: Gunjan Singh, Manpreet Kaur, Maya Dehran
      Indian Journal of Anaesthesia 2018 62(7):567-568

      Citation: Indian Journal of Anaesthesia 2018 62(7):567-568
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_182_18
      Issue No: Vol. 62, No. 7 (2018)
       
  • Anesthetic considerations in Stevens–Johnson syndrome with epilepsy
           for bilateral amniotic membrane grafting in eye

    • Authors: Vinod K Parashar, Sanwar M Mitharwal, Ankita Chaudhary
      Pages: 569 - 570
      Abstract: Vinod K Parashar, Sanwar M Mitharwal, Ankita Chaudhary
      Indian Journal of Anaesthesia 2018 62(7):569-570

      Citation: Indian Journal of Anaesthesia 2018 62(7):569-570
      PubDate: Wed,11 Jul 2018
      DOI: 10.4103/ija.IJA_49_18
      Issue No: Vol. 62, No. 7 (2018)
       
 
 
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