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Publisher: Medknow Publishers   (Total: 426 journals)

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Showing 1 - 200 of 426 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: 11, 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: 10, 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   (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: 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: 9, 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   (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: 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 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: 2)
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   (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: 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: 5, 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: 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: 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  

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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  [426 journals]
  • Continuous wound infiltration of local anaesthetics for acute
           postoperative pain – A revisit

    • Authors: Vimi Rewari, Rashmi Ramachandran
      Pages: 425 - 427
      Abstract: Vimi Rewari, Rashmi Ramachandran
      Indian Journal of Anaesthesia 2019 63(6):425-427

      Citation: Indian Journal of Anaesthesia 2019 63(6):425-427
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_425_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Focused review on management of the difficult paediatric airway

    • Authors: Andrea S Huang, John Hajduk, Catherine Rim, Sarah Coffield, Narasimhan Jagannathan
      Pages: 428 - 436
      Abstract: Andrea S Huang, John Hajduk, Catherine Rim, Sarah Coffield, Narasimhan Jagannathan
      Indian Journal of Anaesthesia 2019 63(6):428-436
      Management of the difficult paediatric airway management may be associated with a high rate of complications. It is important that clinicians understand the patient profiles associated with difficult airway management, and the equipment and techniques available to effectively manage these children. The goal of this focused review is to highlight key airway management concepts when managing the paediatric difficult airway. This includes understanding the advantages and limitations of various airway equipment designed for children and reviewing the difficult airway algorithm with its unique considerations for the paediatric patient. Early recognition of known risk factors and thorough preparation may be helpful in reducing the risk of complications during difficult airway management in children.
      Citation: Indian Journal of Anaesthesia 2019 63(6):428-436
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_250_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Continuous wound infiltration of bupivacaine at two different anatomical
           planes for caesarean analgesia – A randomised clinical trial

    • Authors: Diana Thomas, Sakthirajan Panneerselvam, Pankaj Kundra, Priya Rudingwa, Ranjith K Sivakumar, Gowri Dorairajan
      Pages: 437 - 443
      Abstract: Diana Thomas, Sakthirajan Panneerselvam, Pankaj Kundra, Priya Rudingwa, Ranjith K Sivakumar, Gowri Dorairajan
      Indian Journal of Anaesthesia 2019 63(6):437-443
      Background and Aims: Continuous wound infiltration of local anaesthetics provide postoperative analgesia by peripheral nociceptors blockade. The placement of wound infiltration catheter in the optimal anatomical plane of surgical wound may play a significant role in reducing postoperative pain depends on the surgical procedure. We hypothesised that preperitoneal infusion of local anaesthetics will reduce the postoperative opioid consumption as compared to subcutaneous infusion following cesarean section. Methods: This was a randomised, double-blinded clinical trial. Fifty-two pregnant women who underwent lower segment caesarean section by Pfannensteil incision, under spinal anaesthesia, were randomised to group 'subcutaneous' and group 'preperitoneal'. A wound infiltration catheter was placed in the subcutaneous or preperitoneal plane, depending on their randomisation at the end of the surgery. Bupivacaine of 0.25% at 5 mL/h was infused for the next 48 h. Pain was assessed using numerical rating scale at 1, 2, 3, 4, 5, 6, 12, 24, 36 and 48 h after surgery. Cumulative postoperative consumption and adverse effects of morphine and complications of the procedure were looked for. Results: Cumulative 48-h morphine consumption showed no statistical significance between the preperitoneal group (15.96 ± 7.69 mg) and subcutaneous group (21.26 ± 11.03 mg); P = 0.058. Pain score was comparable. Independent T-test and Mann–Whitney test were the statistical tests used for continuous and categorical data, respectively. Conclusion: Postoperative cumulative morphine consumption and pain scores are comparable when bupivacaine is infused continuously through wound infiltration catheter either in the preperitoneal or subcutaneous layer following Caesarean delivery.
      Citation: Indian Journal of Anaesthesia 2019 63(6):437-443
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_745_18
      Issue No: Vol. 63, No. 6 (2019)
       
  • Derivation and validation of a formula for paediatric tracheal tube size
           using bootstrap resampling procedure

    • Authors: M Ganesh Kumar, Meenakshi Atteri, Yatindra K Batra, Lakshminarayana Yaddanapudi, Sandhya Yaddanapudi
      Pages: 444 - 449
      Abstract: M Ganesh Kumar, Meenakshi Atteri, Yatindra K Batra, Lakshminarayana Yaddanapudi, Sandhya Yaddanapudi
      Indian Journal of Anaesthesia 2019 63(6):444-449
      Background and Aims: The accuracy of age-, length- and weight-based formulae to predict optimal size of uncuffed tracheal tubes (TTs) in children varies widely. We determined the accuracy of age, length and weight in predicting the size of TT in Indian children, and derived and validated a formula using the best predictor. Methods: In the derivation phase, 100 children aged 1-8 years undergoing general anaesthesia and tracheal intubation with an uncuffed tube were prospectively studied. The correct size of the TT used was confirmed using the leak test. A bootstrap resampling procedure was used to estimate the accuracy of the predictors (age, weight, or length alone; length and age; length and weight; and length, weight and age). The best predictor was used to derive a formula (Paediatric Tube Size Predictor, PTSP) to calculate the size of TT. The accuracy of PTSP was tested in 150 children of the same age group in the validation phase. Results: Length (L (in meters), R2 = 0.61) was the best single predictor of the size of TT and was used to derive the PTSP as internal diameter = 3L + 2.5. In the validation phase, the PTSP predicted the size of TT correctly in 75% of children. Re-intubation was associated with a higher incidence of respiratory morbidity than one-time tracheal intubation. Conclusion: Length of the child predicts the size of an uncuffed TT better than age and weight. The PTSP formula based on length correctly predicts the size of uncuffed TT in 75% of children.
      Citation: Indian Journal of Anaesthesia 2019 63(6):444-449
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_39_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Comparative efficacy of postoperative analgesia between ultrasound-guided
           dual transversus abdominis plane and Ilioinguinal/Iliohypogastric nerve
           blocks for open inguinal hernia repair: An open label prospective
           randomised comparative clinical trial

    • Authors: Vinod Hosalli, Basavaraja Ayyanagouda, Preetika Hiremath, Uday Ambi, SY Hulkund
      Pages: 450 - 455
      Abstract: Vinod Hosalli, Basavaraja Ayyanagouda, Preetika Hiremath, Uday Ambi, SY Hulkund
      Indian Journal of Anaesthesia 2019 63(6):450-455
      Background and Aims: Transversus abdominis plane (TAP) and Ilioinguinal/Iliohypogastric (IL/IH) nerve blocks have been advocated in reducing postoperative pain and additional analgesic requirement following lower abdominal surgeries with varied effect. The aim of this study was to determine post-operative analgesic efficacy by comparing dual TAP [combining TAP and IL/IH nerve blocks] and IL/IH nerve block alone for open inguinal hernia repair. Methods: Two hundred patients undergoing elective primary unilateral open inguinal hernia repair with a mesh were included in to this trial. Ultrasound-guided dual TAP (D-TAP Group) or IL/IH (IL/IH Group) nerve block were administered to patients following subarachnoid block according to their group allocation, with 0.5% ropivacaine. Post operatively patients were monitored for visual analogue scale (VAS) scores at rest (at 4, 12, 24 and 48h) and during movement (at 24, 48 h, 3 and 6 months). Pain scores at 3 and 6 months were assessed by telephonic interview, using the DN4 questionnaire for neuropathic pain. The statistics was obtained using Chi-square test for proportions in qualitative data and student's unpaired t test for quantitative data. P value <0.05 was considered significant. Results: The pain scores at rest (VAS-R) were significantly lower at 12 hours and 24 hours (P < 0.001) in D-TAP group, while pain scores at movement were significantly lower (P < 0.001) in D-TAP group at 24 and 48 hours compared to IL/IH group. The mean time required for first rescue analgesic was longer in D-TAP group (5.590 ± 2.386 hr) in comparison to IL/IH group (3.1053 ± 1.1822h). Conclusion: Ultrasound-guided dual TAP block provides more effective post-operative analgesia in open inguinal hernia repair.
      Citation: Indian Journal of Anaesthesia 2019 63(6):450-455
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_153_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • McGrath MAC video laryngoscope versus direct laryngoscopy for the
           placement of double-lumen tubes: A randomised control trial

    • Authors: Sumitra G Bakshi, Ajay Gawri, Jigeeshu V Divatia
      Pages: 456 - 461
      Abstract: Sumitra G Bakshi, Ajay Gawri, Jigeeshu V Divatia
      Indian Journal of Anaesthesia 2019 63(6):456-461
      Background and Aims: Role of video laryngoscopes (VLs) in the management of difficult airway with single-lumen tubes (SLTs) is established. VLs provide improved glottis view but are associated with longer time to intubate (TTI). We aimed to compare the TTI for double-lumen tube (DLT) insertion using the McGrath® MAC VL versus direct Macintosh laryngoscope (DL). Methods: Eleven senior anaesthesiologists experienced in SLT insertion, but not DLT insertion with VL participated. Seventy-four adults belonging to American Society of Anesthesiologists physical status I–II posted for elective surgery needing lung isolation were randomised to both intubator and laryngoscope (VL/DL). Primary endpoint was TTI; secondary endpoints included glottic view assessed by the Cormack and Lehane (CL) grade, need for external laryngeal manipulation, ease of intubation [scored using Numeric Rating Scale (1 – easiest, 10 – most difficult)] and associated complications. TTI was compared using Student's t-test. Results: No difference was found in TTI with DL and VL [(56.6 ± 14) s vs (64.4 ± 24) s, P = 0.104] as well as ease of use of laryngoscope [median score of 2 (1–3) in both]. Use of VL resulted in more patients with CL I glottic view – 86.0% versus 58.0% (P = 0.007). Fewer patients required external laryngeal manipulations (19% vs 47%, P = 0.013), and complications were fewer in the VL group (5% vs 24%, P = 0.023). Conclusion: TTI for DLT insertion was similar with VL and DL. However, VL was associated with better glottis visualisation, reduced need of external laryngeal manipulation and fewer complications.
      Citation: Indian Journal of Anaesthesia 2019 63(6):456-461
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_48_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Comparison of analgesic efficacy of continuous bilateral transversus
           abdominis plane catheter infusion with that of lumbar epidural for
           postoperative analgesia in patients undergoing lower abdominal surgeries

    • Authors: Sabina Regmi, S Srinivasan, Ashok S Badhe, M V S Satyaprakash, S Adinarayanan, VK Mohan
      Pages: 462 - 468
      Abstract: Sabina Regmi, S Srinivasan, Ashok S Badhe, M V S Satyaprakash, S Adinarayanan, VK Mohan
      Indian Journal of Anaesthesia 2019 63(6):462-468
      Background and Aims: Epidural analgesia (EA) and transversus abdominal plane (TAP) block have been part of multimodal analgesia techniques for postoperative pain relief in abdominal surgeries though EA has been established as gold standard. This study assesses and compares the analgesic efficacy of continuous bilateral TAP catheter infusion and lumbar epidural infusion. Methods: In this randomised, single-blind, prospective, non-inferiority trial, 75 patients were randomised to receive a bolus dose of 15 ml, 0.25% bupivacaine followed by an infusion of 5–12 ml/h of 0.125% bupivacaine via lumbar epidural in EA group and a bolus dose of 0.4 ml/kg of 0.25% bupivacaine bilaterally via TAP catheter followed by continuous infusion at 5ml/h of 0.125% bupivacaine in TAP group postoperatively. VAS scores (primary objective) and sensory dermatome blockade were recorded at 1, 4, 8, 12 and 24 h. Total morphine consumption, PONV, incidence of hypotension and patient satisfaction scales were recorded at the end of 24 hours. Results: The median VAS scores were comparable between the groups at 1, 4, 8, 12 and 24 hours both at rest (P = 0.11, 0.649, 0.615, 0.280 and 0.191, respectively) and on coughing (p = 0.171, 0.224, 0.207, 0.142 and 0.158, respectively). Total morphine consumption in 24 h between TAP and EA group was comparable (p = 0.366). There was no statistical difference in the incidence of hypotension, PONV and patient satisfaction scale. Conclusion: Continuous bilateral TAP block is as efficacious as the continuous lumbar epidural infusion in relieving postoperative pain in patients undergoing lower abdominal surgeries.
      Citation: Indian Journal of Anaesthesia 2019 63(6):462-468
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_20_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Effect of dexamethasone as an adjuvant to ropivacaine on duration and
           quality of analgesia in ultrasound-guided transversus abdominis plane
           block in patients undergoing lower segment cesarean section - A
           prospective, randomised, single-blinded study

    • Authors: Anie Gupta, Alok Gupta, Neeraj Yadav
      Pages: 469 - 474
      Abstract: Anie Gupta, Alok Gupta, Neeraj Yadav
      Indian Journal of Anaesthesia 2019 63(6):469-474
      Background and Aims: Ultrasound guided transversus abdominis plane block is an efficacious abdominal field block. The aim was to determine the effect of dexamethasone to 0.375% ropivacaine on the analgesic duration of TAP block in patients undergoing lower segment cesarean section (LSCS). Methods: A single-blinded randomised control study was conducted on 90 patients, who were divided in two groups of 45 each. Group R received 0.375% ropivacaine (25 ml) with normal saline (1 ml) each side and group D received 0.375% ropivacaine (25 ml) with dexamethasone 4 mg (1 ml) each side in transversus abdominis plane block after lower segment cesarean section. Primary objective was to compare time to first rescue analgesia and secondary objectives to compare the total amount of analgesia required in first 24 h postoperatively, visual analog scale scores for somatic and visceral pain and incidence of nausea and vomiting, between the two groups. Student's t test, Chi-square, or Fisher's exact test were performed using SPSS 17.0. Results: Time to first rescue analgesia was significantly less in group R (11.62 ± 3.80 h) compared to group D (19.04 ± 4.13 h) (P < 0.001). Total tramadol consumed in 24 h was significantly higher in group R (86.67 ± 30.55 mg) than group D (35.56 ± 39.54 mg) (P < 0.001). Visual analog scale scores for both somatic and visceral pain were significantly higher in group R than group D at 8 h, 12 h, and 24 h postoperatively. Conclusion: Addition of dexamethasone to ropivacaine in transversus abdominis plane block significantly prolongs the duration of postoperative analgesia.
      Citation: Indian Journal of Anaesthesia 2019 63(6):469-474
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_773_18
      Issue No: Vol. 63, No. 6 (2019)
       
  • Influence of time interval between coronary angiography to off-pump
           coronary artery bypass surgery on incidence of cardiac surgery associated
           acute kidney injury

    • Authors: Deepak Prakash Borde, Balaji Asegaonkar, Pramod Apsingekar, Sujeet Khade, Bapu Khodve, Shreedhar Joshi, Antony George, Amey Pujari, Anand Deodhar
      Pages: 475 - 484
      Abstract: Deepak Prakash Borde, Balaji Asegaonkar, Pramod Apsingekar, Sujeet Khade, Bapu Khodve, Shreedhar Joshi, Antony George, Amey Pujari, Anand Deodhar
      Indian Journal of Anaesthesia 2019 63(6):475-484
      Background and Aims: Cardiac surgery associated acute kidney injury (CSA-AKI) is serious complication after cardiac surgery. The time interval between coronary angiography (CAG) to coronary artery bypass surgery (CABG) is proposed as modifiable risk factor for reduction of CSA-AKI. The aim of this study was to assess influence of time interval between CAG to off-pump CABG (OPCABG) on incidence of CSA-AKI. Methods: This was a retrospective observational study of 900 consecutive OPCABG patients who were classified into 2 groups based on time interval between CAG and OPCABG: ≤7 days or longer. Results: The incidence of CSA-AKI was 24% (214/900) by Kidney Disease: Improving Global Outcomes (KDIGO) definition. The incidence of CSA-AKI was not significantly different in two groups (22% in >7 days groupvs. 28% in ≤7 days group, P = 0.31). The factors independently associated with CSA-AKI were: Age (OR 1.04; P = 0.002), baseline creatinine (OR 1.99,; P = 0.03), moderate LV dysfunction (OR 1.64,; P = 0.007) and blood transfusion (OR 3.3,; P < 0.001), but not the time interval between CAG and OPCABG. The incidence of CSA-AKI was highest in patients with creatinine clearance (CC) <50 mL/min when OPCABG was performed ≤7 days of CAG (16/38; 42%, OR 2.7, 1.4-5.4; P = 0.005) compared to lowest incidence of CSA-AKI in patients with CC >50 mL/min and OPCABG performed >7 days of CAG (114/543; 21%). Conclusion: This study demonstrated that there is no increased incidence of CSA-AKI if OPCABG is performed ≤7 days of CAG; but we recommend to postpone OPCABG for seven days if CC is <50 mL/min and there is no urgent indication for OPCABG in order to reduce incidence of CSA-AKI.
      Citation: Indian Journal of Anaesthesia 2019 63(6):475-484
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_770_18
      Issue No: Vol. 63, No. 6 (2019)
       
  • Effect of entropy-guided low-flow desflurane anaesthesia on laryngeal mask
           airway removal time in children undergoing elective ophthalmic surgery
           – A prospective, randomised, comparative study

    • Authors: Shivangi Mishra, Renu Sinha, Bikash Ranjan Ray, Ravinder Kumar Pandey, Vanlal Darlong, Jyotsna Punj
      Pages: 485 - 490
      Abstract: Shivangi Mishra, Renu Sinha, Bikash Ranjan Ray, Ravinder Kumar Pandey, Vanlal Darlong, Jyotsna Punj
      Indian Journal of Anaesthesia 2019 63(6):485-490
      Background and Aims: In children, entropy-guided titration of isoflurane and sevoflurane leads to faster recovery after anaesthesia. However, role of entropy in recovery following desflurane anaesthesia is not known. Hence, we compared laryngeal mask airway (LMA) removal time and desflurane consumption with entropy and minimal alveolar concentration–guided titration in children given low-flow desflurane anaesthesia. Methods: After ethics committee approval and parental consent, 80 American Society of Anesthesiologists grade I–II children, age 2–14 years, undergoing elective ophthalmic surgery were randomised into entropy and minimal alveolar concentration–guided groups. After LMA insertion, anaesthesia was maintained using oxygen, air (FiO2 0.5) and desflurane using low fresh gas flow of 0.75 L/min. In the entropy-guided group, desflurane was titrated to maintain state entropy between 40 and 60. In the minimal alveolar concentration–guided group, desflurane was titrated to maintain a minimal alveolar concentration between 1 and 1.3. We recorded LMA removal time (from switching off desflurane at the end of surgery till removal of LMA), haemodynamic parameters, uptake and consumption of desflurane between the groups. Results: LMA removal time was significantly decreased in the entropy-guided group in comparison to the minimal alveolar concentration–guided group (4.34 ± 2.03 vs 8.8 ± 2.33 min) (P < 0.0001). Consumption of desflurane was significantly less in the entropy-guided group compared with the minimal alveolar concentration–guided group (18.7 ± 5.07 vs 25.3 ± 8.11 mL) (P < 0.0001). Conclusion: Entropy-guided low-flow desflurane anaesthesia is associated with faster LMA removal and reduced consumption of desflurane in children undergoing ophthalmic surgery.
      Citation: Indian Journal of Anaesthesia 2019 63(6):485-490
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_237_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Ultrasound-guided subarachnoid block in a case of osteogenesis imperfecta
           in an adolescent girl presenting with femur fracture – A case report
           

    • Authors: Jhanvi S Bajaj, Deepa Kane
      Pages: 491 - 493
      Abstract: Jhanvi S Bajaj, Deepa Kane
      Indian Journal of Anaesthesia 2019 63(6):491-493
      Osteogenesis imperfecta (OI) is a rare congenital bone disorder with underlying Type 1 collagen defect, in which patients are prone to fractures. The disease is associated with increased spinal curvature, short stature, loose joints, and poor muscle tone, all contributing to difficulty in identifying landmarks and hindering successful subarachnoid block. We report an interesting case of a successful ultrasonogram (USG)-guided subarachnoid block given in an adolescent girl with OI for fixation of femur fracture. This report underlines the importance USG in managing difficult neuraxial blocks.
      Citation: Indian Journal of Anaesthesia 2019 63(6):491-493
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_110_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Early clinical experience with The Anesthetist Society (TAS) scope (an
           indigenous videolaryngoscope)

    • Authors: Ramneek Kaur, Beena Parikh, Nisarg Patel, Bina Butala
      Pages: 494 - 496
      Abstract: Ramneek Kaur, Beena Parikh, Nisarg Patel, Bina Butala
      Indian Journal of Anaesthesia 2019 63(6):494-496

      Citation: Indian Journal of Anaesthesia 2019 63(6):494-496
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_812_18
      Issue No: Vol. 63, No. 6 (2019)
       
  • Postoperative diabetes insipidus in liver transplantation &#8211; A
           case report

    • Authors: Atish Pal, Ashish Malik, Neerav Goyal
      Pages: 497 - 498
      Abstract: Atish Pal, Ashish Malik, Neerav Goyal
      Indian Journal of Anaesthesia 2019 63(6):497-498

      Citation: Indian Journal of Anaesthesia 2019 63(6):497-498
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_895_18
      Issue No: Vol. 63, No. 6 (2019)
       
  • Acute onset quadriparesis following oesophagectomy due to isolated
           hypophosphataemia

    • Authors: Vibhavari M Naik, Mohammed Salman Saifuddin, Abhijit S Nair, Basanth K Rayani
      Pages: 498 - 499
      Abstract: Vibhavari M Naik, Mohammed Salman Saifuddin, Abhijit S Nair, Basanth K Rayani
      Indian Journal of Anaesthesia 2019 63(6):498-499

      Citation: Indian Journal of Anaesthesia 2019 63(6):498-499
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_22_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Emergency surgery for a ruptured ovarian cyst in an anticoagulated patient
           with artificial mitral valve and massive haemorrhage: Maintaining a
           delicate balance

    • Authors: Ummed Singh, Rishabh Agarwal, Mridul Dhar, Sujoy Biswas
      Pages: 499 - 501
      Abstract: Ummed Singh, Rishabh Agarwal, Mridul Dhar, Sujoy Biswas
      Indian Journal of Anaesthesia 2019 63(6):499-501

      Citation: Indian Journal of Anaesthesia 2019 63(6):499-501
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_18_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Chicken pox in pregnancy: Choice of anaesthetic technique

    • Authors: Mukundan Ramanujam, Asha Tyagi, Devansh Garg
      Pages: 501 - 503
      Abstract: Mukundan Ramanujam, Asha Tyagi, Devansh Garg
      Indian Journal of Anaesthesia 2019 63(6):501-503

      Citation: Indian Journal of Anaesthesia 2019 63(6):501-503
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_53_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Hopkins rod endoscope, the saviour for securing airway in tonsillar
           lymphoma: A case report

    • Authors: Soumya Sarkar, Ankur Luthra, Ankur Gupta, Rajeev Chauhan, Harsimran Tiwana
      Pages: 503 - 505
      Abstract: Soumya Sarkar, Ankur Luthra, Ankur Gupta, Rajeev Chauhan, Harsimran Tiwana
      Indian Journal of Anaesthesia 2019 63(6):503-505

      Citation: Indian Journal of Anaesthesia 2019 63(6):503-505
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_72_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Publication bias - Importance of studies with negative results!

    • Authors: Abhijit S Nair
      Pages: 505 - 507
      Abstract: Abhijit S Nair
      Indian Journal of Anaesthesia 2019 63(6):505-507

      Citation: Indian Journal of Anaesthesia 2019 63(6):505-507
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_142_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Optic nerve sheath diameter assessment in obese patients undergoing
           robotic pelvic surgery

    • Authors: Livio Vitiello, Maddalena De Bernardo, Nicola Rosa
      Pages: 507 - 508
      Abstract: Livio Vitiello, Maddalena De Bernardo, Nicola Rosa
      Indian Journal of Anaesthesia 2019 63(6):507-508

      Citation: Indian Journal of Anaesthesia 2019 63(6):507-508
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_161_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Problems in beginning a &#8220;POEM&#8221;

    • Authors: Nisha Rajmohan, Anvar Sadath, Felix Nelson, Baby T Vamadevan
      Pages: 508 - 510
      Abstract: Nisha Rajmohan, Anvar Sadath, Felix Nelson, Baby T Vamadevan
      Indian Journal of Anaesthesia 2019 63(6):508-510

      Citation: Indian Journal of Anaesthesia 2019 63(6):508-510
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_29_19
      Issue No: Vol. 63, No. 6 (2019)
       
  • Risk factors for postoperative atrial fibrillation

    • Authors: Yusuf Z Sener, Metin Ok&#351;ul, Vedat Hekimsoy
      Pages: 511 - 511
      Abstract: Yusuf Z Sener, Metin Okşul, Vedat Hekimsoy
      Indian Journal of Anaesthesia 2019 63(6):511-511

      Citation: Indian Journal of Anaesthesia 2019 63(6):511-511
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_858_18
      Issue No: Vol. 63, No. 6 (2019)
       
  • Incidence and risk factors for development of atrial fibrillation after
           cardiac surgery under cardiopulmonary bypass

    • Authors: Sona Dave
      Pages: 512 - 512
      Abstract: Sona Dave
      Indian Journal of Anaesthesia 2019 63(6):512-512

      Citation: Indian Journal of Anaesthesia 2019 63(6):512-512
      PubDate: Tue,11 Jun 2019
      DOI: 10.4103/ija.IJA_426_19
      Issue No: Vol. 63, No. 6 (2019)
       
 
 
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