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Publisher: Sri Lanka Journals Online   (Total: 50 journals)   [Sort by number of followers]

Showing 1 - 50 of 50 Journals sorted alphabetically
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 Otolaryngology     Open Access   (Followers: 1)
Ceylon Medical J.     Open Access   (SJR: 0.186, CiteScore: 0)
Engineer : J. of the Institution of Engineers, Sri Lanka     Open Access  
Galle Medical J.     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 Diagnostic Pathology     Open Access   (Followers: 8)
J. of Environmental Professionals Sri Lanka     Open Access  
J. of Management     Open Access   (Followers: 17)
J. of Science of the University of Kelaniya Sri Lanka     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 University Librarians Association of Sri Lanka     Open Access   (Followers: 4)
J. of the University of Ruhuna     Open Access   (Followers: 1)
Kelaniya J. of Management     Open Access  
Medico-Legal 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 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 Forensic Medicine, Science & Law     Open Access   (Followers: 1)
Sri Lanka J. of Obstetrics and Gynaecology     Open Access   (Followers: 1)
Sri Lanka J. of Psychiatry     Open Access   (Followers: 2)
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 Lankan J. of Anaesthesiology     Open Access   (Followers: 1, 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  
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: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1391-8834
Published by Sri Lanka Journals Online Homepage  [50 journals]
  • Study to determine the effect of oral pregabalin premedication on
           haemodynamic response to laryngoscopy, intubation and carbon dioxide
           insufflation during laparoscopic cholecystectomy

    • Abstract: Background:The process of laryngoscopy and endotracheal intubation is usually associated with exaggerated haemodynamic response. In extreme cases this response may result in myocardial ischaemia, cardiac failure, increase in intracranial pressure and intracranial haemorrhage. Hence our prospective randomized double blinded placebo control study was designed to observe the effect of pregabalin in attenuating this haemodynamic response. Method:In this study, 100 adult patients of ASAPS I and II undergoing elective laparoscopic cholecystectomy were included. The patients were randomly allocated into two groups, group P received 150mg oral pregabalin and group C received similarly looking B complex capsules one hour before the surgery. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were observed. Sedation score was assessed using Ramsay sedation scale. Results:We observed an increase in all the haemodynamic parameters in both the groups. The percentage change in HR and MAP from baseline at one-minute following intubation was +33% and +28.5% in control group compared to +14% and +3% in pregabalin group. Similarly, the percentage change at five minutes after carboperitoneum was +24% and +26% in control group compared to +4% and +0.8% in pregabalin group. This difference was statistically significant with P value <0.05. We also found all the patients in acceptable sedation state (score 3 and 4 based on Ramsay sedation scale) in pregabalin group whereas only 40% patients had a score of 3 in placebo group at 15minutes following extubation. Conclusion:Oral pregabalin in a dose of 150mg one hour before the surgery is a safe and effective premedicant in attenuating pressor response to laryngoscopy, intubation and laparoscopy. It also produces good sedation without any adverse effects. Published on 2019-02-06 00:00:00
       
  • Comparison of clonidine and dexmedetomidine as adjuvants for ropivacaine
           in supraclavicular brachial plexus block

    • Abstract: Background: Addition of adjuvants to local anaesthetic in supraclavicular brachial plexus block helps in improving duration of block and analgesia. We compare clonidine and dexmedetomidine as adjuvants to ropivacaine in supraclavicular brachial plexus block. Method: A total of 75 patients aged from 20 to 60 years belonging to ASA I-II scheduled for upper limb surgery were included and divided into three groups- Group I received 0.5% ropivacaine plus normal saline, Group II received 0.5% ropivacaine plus clonidine and Group III received 0.5% ropivacaine plus dexmedetomidine. The patients were compared for onset as well as duration of sensory and motor blockade, duration of analgesia and haemodynamic side effects. Results: The mean duration of sensory and motor block as well as analgesia was found to be more (statistically highly significant p<0.001) in group III (dexmedetomidine group) having a much longer duration of sensory and motor block as well as analgesia compared to group I (plain ropivacaine) and group II (clonidine group). Conclusion: Therefore, in present study it was found that addition of clonidine and dexmedetomidine to 0.5% ropivacaine are effective in supraclavicular brachial plexus block. However, dexmedetomidine is a better alternative to clonidine as adjuvant for 0.5% ropivacaine in to obtain early onset and prolong the duration of sensory and motor block and postoperative analgesia. Published on 2019-02-06 00:00:00
       
  • Comparison of lateral insertion technique of ClassicTM laryngeal mask
           airway along right versus left border of tongue in adults

    • Abstract: Introduction Appropriate placement of laryngeal mask airway (LMA) is crucial for successful ventilation during conduct of anaesthesia as well as during cardiopulmonary resuscitation. As LMA insertion is generally performed blindly, clinicians are always in search of an ideal technique that will provide a higher incidence of correct placement. We aimed at comparing the lateral insertion technique of ClassicTM LMA along the right border of the tongue with that of the left border in adults.   Methodology In this prospective randomised control study, we included 132 ASA I/II patients of either gender between 18 to 65 years and allocated into two groups. The operators were natural right-handed individuals. In Group R, LMA was inserted through the right border of the tongue and vice versa for Group L. We compared fibreoptic grading of laryngeal view, number of attempts, time taken for successful insertion, ease of insertion and complications.
      Results In our study the fibreoptic grading and the time taken in both the groups were similar. Ease of insertion and number of attempts was in favour of Group L. Even though the overall sore throat incidence was found to be less, it was significantly more in Group R than Group L. ConclusionThe lateral technique of insertion of the ClassicTM LMA along either the right border or the left border of the tongue is comparable in terms of the fibreoptic grading and the time taken for successful insertion. However, left side technique is easier as per the operator, requires fewer number of attempts, has lesser incidence of sore throat after 2 hours. Published on 2019-02-06 00:00:00
       
  • Comparison of one-handed C-E technique and glass holding technique of mask
           ventilation in anesthetized, apnoeic paediatric patients

    • Abstract: Background: Successful and effective ventilation using a face mask is very basic, important and critical step in emergency resuscitation as well as in the operating room for pre-oxygenation of anesthetized apnoeic patients. Mask ventilation requires a good seal and a patent airway. Techniques for face mask ventilation include one-handed techniques and two-handed techniques. One-handed technique can be either classical C-E technique or glass holding technique. We aim to compare two one-handed techniques of mask holding in terms of delivered ventilation, mask leak and ease of performing. Method: All patients fulfilling inclusion and exclusion criteria were included after approval of the institutional ethics committee. After induction of general anaesthesia and confirming apnoea, patients with an odd serial number were first started with one-handed C-E technique then crossed over with glass holding technique while patients having even serial numbers were ventilated first with glass holding technique followed by the one-handed C-E technique. Expiratory tidal volume (VTe) and peak inspiratory pressure (PIP) and ease of ventilation for each breath in one minute were recorded. Results: VTe (mean ± SD) ml, Leak (mean ± SD) ml, PIP (mean ± SD) cmH2O was 94.94±25.22, 21.36±7.97, 18.05±2.99 and 101.78±28.18, 19.78±15.68, 16.52±1.95 for CE and Glass holding technique respectively. There is no significant difference between both the techniques in terms of analysed variables. (p-value > 0.05) Conclusion: Statistical analysis does not support that Glass holding technique is better than C-E technique in respect to studied variables. Still as results were comparable for both the groups, the Glass holding technique is a good alternative to C-E and other techniques of mask ventilation. Glass holding technique is very promising in view of ease of ventilation, decreasing procedural fatigue and reducing incidence and severity of tissue trauma, but further studies are required. Published on 2019-02-06 00:00:00
       
  • A comparative study of Airtraq┬« and McCoy laryngoscopes for endotracheal
           intubation in adult patients with simulated difficult airway using a rigid
           cervical collar in elective surgeries under general anaesthesia

    • Abstract: Background and Aims: Objective of intubation in patients with suspected neck injuries is sufficient laryngeal exposure with minimal cervical spine movement. Cervical collars reduce movements of spinebut result in difficult laryngoscopy. Airtraq, an indirect optic-laryngoscope allows high quality viewing of vocal cords with minimal neck movement without alignment of oropharyngolaryngeal axis. McCoy is a modification of standard laryngoscope with flexible tip. This study intends to compare efficacy of Airtraq and McCoy laryngoscopes for endotracheal intubation in adultpatients undergoing elective surgeries with simulated neck immobilisation using rigid cervical collar. Subjects and methods: Following approval from Institutional Ethical Committee, 60 consenting American Society of Anaesthesiologist's Physical Status (ASA PS) I-II patients, aged 18-65years were assigned into two groups by random sampling, namely Group A (Airtraq) or M (McCoy). Duration of one year with power 0.8 and alpha 0.05. Analysed by SPSS version 21. Intubation time, Intubation difficulty scale (IDS) and modified Cormack-Lehane grading were noted. Results: Mean intubation time was 27.2secs (6.47) and 40.2sec (12.36) for Airtraq and McCoy respectively (p-value < 0.0001). Median IDS values were 3 (Interquartile range (IQR) 1.25-4) and 0 for McCoy laryngoscopy and Airtraq, respectively (p< 0.0001). Median Cormack-Lehane glottic view was 2 and 1 for McCoy and Airtraq, respectively (p<0.0001). There were no failures to intubate in either group. Conclusion: Airtraq improves ease of intubation significantly when compared to McCoy blade with shorter intubation timeand IDS score, in patients with simulated neck immobilisation Published on 2019-02-06 00:00:00
       
  • Is knowledge and attitude on epidural analgesia during labour satisfactory
           

    • Abstract: Labour pain management is a major challenge in maternity care. Epidural analgesia provides safe and effective pain relief during labour. The objective was to assess the knowledge, attitudes and associated factors towards epidural analgesia during labour among pregnant women in Colombo region, Sri Lanka. This was a descriptive study conducted at two selected hospitals in Colombo Sri Lanka. The sample size was 260 and those below 18yrs were excluded. Participants were provided with a pretested questionnaire. Ethical approval was obtained from Faculty of Medical Sciences, University of Sri Jayewardenepura. Both knowledge and attitude were given separate scores and were categorized as ‘good’ or ‘poor’ based on their mean. Within the study population, 41.9% had heard of labour analgesia. Among them, only 6.7% had good knowledge and 15.6% had a positive attitude towards labour epidural analgesia. The patients with good knowledge about labour epidural analgesia had good attitude towards the procedure (p<0.05) and there was a positive association between those who had heard of analgesia and their sources of information. However, as the total level of knowledge and attitudes towards labour epidural analgesia was poor, it is recommended that the health care workers issue pamphlets carrying necessary information following discussions with the pregnant women. After admission they should be given clear information about risks and benefits of the procedure and a post-partum feedback would help in quality improvement. Published on 2019-02-06 00:00:00
       
  • Nasotracheal tube stenting by nelaton catheter in paediatric dental
           surgery

    • Abstract: Background:Nasotracheal intubation is associated with many complications such as epistaxis and nasal cavity injury. Stenting the endotracheal tube with appropriate sized nelaton catheter may decrease these complications. In this study we compared stenting the endotracheal tube by nelaton catheter with ordinary intubation technique. Methods:Eighty paediatric patients who were scheduled for elective dental surgery (restoration surgery) were randomly divided into two groups according to the nasotracheal intubation technique. In the first group endotracheal tube was stented with appropriate size nelaton catheter which was removed immediately after tube passage to the oropharynx. In the second group nasotracheal intubation was done by the ordinary technique without tube stenting. Evaluation of the resistance during nasal intubation, incidence and severity of epistaxis and nasal cavity injury were done. Results:Nasotracheal intubation was smooth in 80% of patients with stented tube compared to 40% in the non-stented tube. Epistaxis was found in 22.5% of patients with stented tubes compared to 85% of patients with non-stented tubes. Histopathology of tube contents after extubation showed blood cells in 32.5% in stented tubes and 92% in the non-stented ones. Adenoid tissue was found in5% of patients with stented tubes and 37.5% of patients with non-stented tubes. Conclusion:Stenting the endotracheal tube with nelaton catheter facilitates nasotracheal intubation and decreases the incidence and severity of epistaxis and nasal cavity injury. Published on 2019-02-06 00:00:00
       
  • Hypertriglyceridaemia; a rare cause for severe acute pancreatitis

    • Abstract: Acute pancreatitis is a common cause for acute abdominal pain. Its aetiology is multifactorial with gallstone disease and alcohol abuse being common causative factors. Hypertriglyceridaemia (HTG) is a rare yet well known cause for acute pancreatitis. HTG pancreatitis (HTGP) is associated with severe multi-organ involvement increasing the morbidity and mortality. Prompt lipid lowering therapy and multi-organ support in intensive care is essential for such patients to achieve a good outcome. However, randomised clinical trials evaluating the efficacy of specific lipid lowering measures for HTGP is lacking due to its relative rarity. Published on 2019-02-06 00:00:00
       
  • Embarking on quality improvement in anaesthetic practice

    • Abstract: No abstract available Published on 2019-02-06 00:00:00
       
  • Low dose spinal anaesthesia and transversus abdominis plane block in a
           parturient with peripartum cardiomyopathy for caesarean section following
           a bloody epidural tap

    • Abstract: Peripartum cardiomyopathy (PPCM) is a form of dilated cardiomyopathy which presents unique challenges for anaesthetic management. Here we present a case of PPCM who was given low dose spinal anaesthesia with TAP block for caesarean section which is rarely reported. A 33-year-old multigravida, 35 weeks gestation presented with PPCM with ejection fraction of 24%. Elective caesarean section was planned in view of worsening dyspnoea despite treatment. Graded epidural anaesthesia with invasive monitoring was planned but we encountered a bloody tap whilst securing the epidural catheter, hence switched to low dose spinal anaesthesia (6mg of 0.5% bupivacaine+10mcg of fentanyl). Ultrasound guided bilateral TAP block was given for post-operative analgesia. We observed that the patient had a comfortable and haemodynamically stable experience intra and post operatively. Hence a low dose spinal anaesthesia and TAP block with invasive monitoring can be opted as an anaesthetic technique in PPCM.  Published on 2019-02-06 00:00:00
       
 
 
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