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Publisher: Sri Lanka Journals Online   (Total: 71 journals)   [Sort by number of followers]

Showing 1 - 71 of 71 Journals sorted alphabetically
AGRIEAST : J. of Agricultural Sciences     Open Access  
Anuradhapura Medical J.     Open Access  
Bhumi : The Planning Research J.     Open Access   (Followers: 3)
Built-Environment Sri Lanka     Full-text available via subscription  
Ceylon J. of Medical Science     Open Access  
Ceylon J. of Otolaryngology     Open Access   (Followers: 1)
Ceylon J. of Science     Open Access  
Ceylon Medical J.     Open Access   (SJR: 0.186, CiteScore: 0)
Cities People Places : An Intl. J. on Urban Environments     Open Access  
Colombo Business J.     Open Access  
Engineer : J. of the Institution of Engineers, Sri Lanka     Open Access  
Galle Medical J.     Open Access  
Intl. J. of Multidisciplinary Studies     Open Access  
Intl. J. of Prevention and Treatment of Substance Use Disorders     Open Access   (Followers: 5)
Intl. J. on Advances in ICT for Emerging Regions (ICTer)     Open Access   (Followers: 2)
J. of Agricultural Sciences     Open Access   (Followers: 1)
J. of Business Studies     Open Access  
J. of Diagnostic Pathology     Open Access   (Followers: 9)
J. of Environmental Professionals Sri Lanka     Open Access  
J. of Management     Open Access   (Followers: 18)
J. of Science (JSc)     Open Access  
J. of Science of the University of Kelaniya Sri Lanka     Open Access  
J. of Social Sciences and Humanities Review     Open Access  
J. of the Ceylon College of Physicians     Open Access  
J. of the College of Community Physicians of Sri Lanka     Open Access  
J. of the National Science Foundation of Sri Lanka     Open Access   (Followers: 2, SJR: 0.157, CiteScore: 0)
J. of the Postgraduate Institute of Medicine     Open Access  
J. of the Ruhunu Clinical Society     Open Access  
J. of the University Librarians Association of Sri Lanka     Open Access   (Followers: 4)
J. of the University of Ruhuna     Open Access   (Followers: 1)
Jaffna Medical J.     Open Access  
Kelaniya J. of Human Resource Management     Open Access  
Kelaniya J. of Management     Open Access  
Medico-Legal J. of Sri Lanka     Open Access  
OUSL J.     Open Access  
Pharmaceutical J. of Sri Lanka     Open Access  
Ruhuna J. of Science     Open Access  
Sabaragamuwa University J.     Open Access  
South-East Asian J. of Medical Education     Open Access  
Sri Lanka Anatomy J.     Open Access  
Sri Lanka J. of Advanced Social Studies     Open Access   (Followers: 1)
Sri Lanka J. of Aquatic Sciences     Open Access   (Followers: 1)
Sri Lanka J. of Bio-Medical Informatics     Open Access  
Sri Lanka J. of Child Health     Open Access   (SJR: 0.112, CiteScore: 0)
Sri Lanka J. of Development Administration     Open Access  
Sri Lanka J. of Diabetes Endocrinology and Metabolism     Open Access  
Sri Lanka J. of Food and Agriculture     Open Access  
Sri Lanka J. of Forensic Medicine, Science & Law     Open Access   (Followers: 1)
Sri Lanka J. of Medicine     Open Access  
Sri Lanka J. of Obstetrics and Gynaecology     Open Access   (Followers: 1)
Sri Lanka J. of Psychiatry     Open Access   (Followers: 2)
Sri Lanka J. of Radiology     Open Access  
Sri Lanka J. of Sexual Health and HIV Medicine     Open Access  
Sri Lanka J. of Social Sciences     Open Access   (Followers: 3, SJR: 0.185, CiteScore: 0)
Sri Lanka J. of Surgery     Open Access  
Sri Lanka J. of the Humanities     Open Access  
Sri Lanka Veterinary J.     Open Access  
Sri Lankan J. of Anaesthesiology     Open Access   (Followers: 2, SJR: 0.11, CiteScore: 0)
Sri Lankan J. of Applied Statistics     Open Access  
Sri Lankan J. of Biology     Open Access  
Sri Lankan J. of Human Resource Management     Open Access   (Followers: 1)
Sri Lankan J. of Infectious Diseases     Open Access  
Sri Lankan J. of Medical Administration     Open Access  
Sri Lankan J. of Physics     Open Access  
Sri Lankan J. of Sports and Exercise Medicine     Open Access  
Staff Studies : Central Bank of Sri Lanka     Open Access  
Taprobanica : The J. of Asian Biodiversity     Open Access  
Tropical Agricultural Research     Open Access   (Followers: 1)
Tropical Agricultural Research and Extension     Open Access   (Followers: 2)
Vidyodaya J. of Management     Open Access  
Wayamba J. of Management     Open Access  
Similar Journals
Journal Cover
Sri Lankan Journal of Anaesthesiology
Journal Prestige (SJR): 0.11
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1391-8834
Published by Sri Lanka Journals Online Homepage  [71 journals]
  • Improving morbidity and mortality in Intensive Care through learning from
           deaths, and the role of the Structured Judgement Review (SJR) methodology
           in this process.

    • Abstract: Learning from deaths occurring in intensive care has been given much focus in the recent years in clinical governance processes in order to improve morbidity and mortality in critically ill patients. When mistakes happen, providers need to understand individual as well as system failures and take necessary steps to avoid recurrences of shortcomings. This involves a well-defined response to deaths including a robust system to review deaths as well as parallel governance processes to reinforce lessons learnt. The Structured Judgement Review (SJR) methodology is being introduced in the UK as a tool for standardising and quantifying analysis of the problems in the care of patients that have died in the ITU. It can be restricted to patients who were expected to survive, and so focus resources into searching for systematic failings of the unit where they are most likely to have occurred. The SJR uses local reviewers to review case notes against a series of specific enquiries and then requires them to score the quality of care against a scale for each criterion. This review is then used to link back to education and focusing of resources within the hospital’s ITU and parent teams. Published on 2019-07-26 16:55:25
  • Vagal nerve stimulation : less explored entity in surgical patients!

    • Abstract: Vagal nerve stimulation has been used to treat refractory seizures and depression in humans. Vagal nerve stimulation in experimental animals have been found to be effective in controlling systemic inflammation. It has been found that animals who had a surgical or chemical vagotomy do not respond well to anti-inflammatory treatment than one in whom vagus is intact. In future, measures to stimulate vagus nerve could help in preventing mortality and morbidity in medical and surgical patients. Published on 2019-07-26 16:47:17
  • Decisive and timely management - A case of fatal acute decompensated
           cardiomyopathy at 35 weeks of pregnancy

    • Abstract: Peripartum cardiomyopathy (PPCM) is a relatively rare disease occurring most commonly in the postpartum period. A small subset of patients with PPCM present at later stages of pregnancies. The management of PPCM involves guideline-based treatment of cardiac failure. There is a paucity of data regarding timing of delivery and final outcome. Patients presenting with decompensated failure or progressively worsening symptoms need emergent termination of pregnancy along with stabilisation. We present a 35-week pregnant patient in cardiac failure in whom early delivery and effective postoperative management resulted in a favourable outcome for both mother and child.   Published on 2019-07-26 16:28:23
  • Difficult airway management: burning no bridges

    • Abstract: Ameloblastoma is a benign tumor that arises from odontogenic epithelium. It may present a challenge to anaesthetists as it can distort the facial contours and can make bag-mask ventilation difficult. We present a first case of ameloblastoma in our hospital where a 38-year-old female was scheduled for a right mandibulectomy and reconstruction of the mandible with a custom-made titanium implant. Awake fiberoptic intubation was planned as a first choice for induction of anaesthesia as any other technique may have led to serious airway complications. We believe that airway management in difficult airway cases should always be based on the principle of “burning no bridges”. Published on 2019-07-26 16:24:44
  • Spinal dural AV fistula: A nightmare for the anaesthesiologist

    • Abstract: Spinal dural arteriovenous fistulas (SDAVFs) are abnormal connections between radicular arteries and venous plexus of the spinal cord.  SDAVFs most commonly present with pain and weakness in the lower limbs (which presents as difficulty in climbing stairs, gait disturbances)and sphincter dysfunction that is gradually progressive. We present a 31 year old woman who was diagnosed with stress urinary incontinence and was scheduled for tension free vaginal taping. Spinal anaesthesia was administered and post operatively the patient developed myoclonic jerks and weakness of the lower limbs. On evaluation she was found to have lumbar spinodural AV fistula.            Published on 2019-07-26 16:20:48
  • Epidermolysis Bullosa - An anaesthetic challenge

    • Abstract: Epidermolysis bullosa (EB) is a rare genetic disorder characterized by blisters of skin and mucosa as a result of friction or minor trauma. EB can be of three forms: Epidermolysis Simplex (EBS), Junctional Epidermolysis Bullosa (JEB) and Dystrophic (DEB). Management of EB poses a challenge to the anesthetist. We report a case of 4-year-old girl who had been diagnosed with DEB since birth. At present, she was diagnosed to have esophageal stricture and was posted for balloon dilatation of esophagus. Airway examination revealed mouth opening of 1.5-2 fingers breadth with adequate neck movements. Difficult airway was anticipated. General anesthesia was administered and intubation was achieved using Airtraq video laryngoscope. Care was taken not to cause further trauma to the skin and mucosa in the perioperative period. Published on 2019-07-25 17:20:20
  • Extremely rare case of anterior tracheal rupture following endotracheal

    • Abstract: Tracheal rupture is a very rare complication of endotracheal intubation and anterior tears become extremely rare. It is associated with potentially devastating complications which increases perioperative mortality and morbidity. We report a young maternal patient who sustained an anterior tracheal tear complicated with subcutaneous emphysema, pneumomediastinum, bilateral tension pneumothoraces and two episodes of peri arrest.  We emphasize on it's risk factors, importance of early diagnosis and practical approach of  management. She was conservatively managed in a general ICU and had a successful outcome without sequelae. Published on 2019-07-25 17:13:32
  • Public knowledge on brain death and organ donation in Sri Lanka

    • Abstract: Introduction: Brain death is defined as irreversible and complete cessation of the functions of the brain and brain stem. The awareness of brain death and organ donation is still questionable among the public and the data on this aspect is lacking in Sri Lanka.
      Objective: To assess public knowledge on brain death and organ donation in Sri Lanka.
      Methods: 2 public surveys were performed using two questionnaires during two consecutive medical exhibitions held at Colombo during 2017 and 2018. People less than 16 years of age were excluded. No ethical approval was required, and participation was entirely voluntary with responses kept anonymised.
      Results: A total of 179 and 203 participants answered the questionnaire in survey 1 and 2 respectively. More than 80% of participants have heard of brain death. From the participants, 175 (97.8%) knew donating organs can save lives and 162 (90.5%) were willing to carry an organ donor card and expressed a desire to donate organs. Furthermore, 19% of the participants had at least one relative who has donated organs. Only 78 (43.5%) knew that all the listed organs (eye, kidney, liver, lung, heart, pancreas) could be donated.
      Only 88 (43.3%) knew brain death is considered legal as an individual’s death in Sri Lanka. Interestingly, 24 (11.5%) and 44 (21.7%) said ‘yes’ or ‘don’t know’ to the question on the possibility of returning to life in people with brain death respectively.
      Conclusion: This shows the need of education programmes, information campaigns and public media on this aspect. Published on 2019-07-25 17:08:37
  • Comparison of glottic view and ease of orotracheal intubation with
           Macintosh and McCoy laryngoscopes in anaesthetised adult patients

    • Abstract: Background and aims: This study is aimed at comparing glottic view and ease of intubation with Macintosh and McCoyTM laryngoscopes in adult patients.Methods: One hundred forty consenting patients undergoing elective surgery requiring orotracheal intubation were randomly assigned to two groups for assessment of glottic view and ease of intubation. Cormack-Lehane (CL) glottic view, ease of intubation, laryngoscopy time and intubation time were recorded.Results: All recruited patients completed the study, with a single attempt for successful intubation. Demographic profile was comparable between groups. Glottic view represented as CL grade (Macintosh laryngoscope- grade 1 among 100 patients, 2a in 26, 2b in 12 and 3a in 2 patients; McCoyTM laryngoscope- grade 1 in 105, 2a in 20, 2b in 13 and 3a in 2 patients), requirement of additional manoeuvres like optimal external laryngeal manipulation (OELM)/use of lever for best glottic view (OELM in 40 patients, lever in 35 patients), ease of intubation (Macintosh laryngoscope- grade 1 in 49 patients, grade 2 in 21 patients; McCoyTM laryngoscope- grade 1 in 53 patients, grade 2 in 17 patients), mean laryngoscopy time (6.02 ± 1.91 s with Macintosh and 6.65 ± 2.09 s with McCoyTM laryngoscope) and mean intubation time (15.24 ± 3.01 s with Macintosh and 16.09 ± 3.42 s with McCoyTM laryngoscope) were comparable between laryngoscopes.Conclusion: In adult patients with essentially normal airway, Macintosh and McCoyTM laryngoscopes provide similar glottic view and ease at intubation, with comparable time required for laryngoscopy and intubation when performed by an experienced anaesthesiologist. Published on 2019-07-24 17:54:16
  • Comparison of haemodynamic responses to orotracheal intubation in
           anaesthetised and paralysed patients with simulated cervical spine injury:
           Airtraq┬« video laryngoscope versus Fibreoptic bronchoscope

    • Abstract: Background: Endotracheal intubation may produce haemodynamic fluctuations which may be deleterious in patients with cardiovascular and neurological disorders. This is further worsened in patients with difficult airway. This study was conducted to compare haemodynamic fluctuations produced when intubation was done using Airtraq and fibreoptic bronchoscopy which are used in patients with anticipated difficult airway.Methodology: Prospective randomized study. Eighty patients, ASA PS 1 and 2 undergoing elective surgery were randomized into two groups – Group A and Group F. After routine induction and muscle relaxation, orotracheal intubation was done using Airtraq in Group A and fibreoptic bronchoscope in Group F. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at regular intervals. Duration and number of attempts for intubation were also notedResults: There was no significant difference in the average of variation in HR (p=0.384), SBP (p=0.179), DBP (p=0.746) and MAP (p=0.057) from the baseline between the two groups. Duration of intubation in FOB group (mean value of 56.98 s) was more than Airtraq® video laryngoscope group (mean value of 37.38 s) which was statistically significant.Conclusion: Use of fibreoptic bronchoscope offer no added advantage over Airtraq video laryngoscope in terms of haemodynamic response for intubation in difficult airway situation such as cervical spine injury.   Published on 2019-07-24 17:46:31
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