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ANAESTHESIOLOGY (121 journals)                     

Showing 1 - 121 of 121 Journals sorted alphabetically
Acta Anaesthesiologica Scandinavica     Hybrid Journal   (Followers: 62)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 6)
Acute Pain     Full-text available via subscription   (Followers: 16)
Advances in Anesthesia     Full-text available via subscription   (Followers: 31)
African Journal of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 9)
Ain-Shams Journal of Anaesthesiology     Open Access   (Followers: 2)
Ain-Shams Journal of Anesthesiology     Open Access   (Followers: 1)
Ambulatory Anesthesia     Open Access   (Followers: 9)
Anaesthesia     Hybrid Journal   (Followers: 242)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 72)
Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 62)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 28)
Anaesthesia Reports     Hybrid Journal  
Anaesthesia, Pain & Intensive Care     Open Access  
Anaesthesiology Intensive Therapy     Open Access   (Followers: 9)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 7)
Anestesia Analgesia Reanimación     Open Access   (Followers: 1)
Anestesia en México     Open Access   (Followers: 1)
Anesthesia & Analgesia     Hybrid Journal   (Followers: 276)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Anesthesia Progress     Hybrid Journal   (Followers: 6)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 2)
Anesthesiology     Hybrid Journal   (Followers: 233)
Anesthesiology and Pain Medicine     Open Access   (Followers: 23)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 25)
Anesthesiology Research and Practice     Open Access   (Followers: 15)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Annales Françaises d'Anesthésie et de Réanimation     Full-text available via subscription   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 15)
BDJ Team     Open Access   (Followers: 1)
Best Practice & Research Clinical Anaesthesiology     Hybrid Journal   (Followers: 15)
BJA : British Journal of Anaesthesia     Hybrid Journal   (Followers: 245)
BJA Education     Hybrid Journal   (Followers: 70)
BMC Anesthesiology     Open Access   (Followers: 18)
BMJ Supportive & Palliative Care     Hybrid Journal   (Followers: 47)
Brazilian Journal of Anesthesiology     Open Access   (Followers: 5)
Brazilian Journal of Anesthesiology (Edicion en espanol)     Open Access  
Brazilian Journal of Anesthesiology (English edition)     Open Access   (Followers: 1)
Brazilian Journal of Pain (BrJP)     Open Access  
British Journal of Pain     Hybrid Journal   (Followers: 28)
Canadian Journal of Anesthesia/Journal canadien d'anesthésie     Hybrid Journal   (Followers: 48)
Case Reports in Anesthesiology     Open Access   (Followers: 11)
Clinical Journal of Pain     Hybrid Journal   (Followers: 19)
Colombian Journal of Anesthesiology : Revista Colombiana de Anestesiología     Hybrid Journal   (Followers: 1)
Current Anaesthesia & Critical Care     Full-text available via subscription   (Followers: 36)
Current Anesthesiology Reports     Hybrid Journal   (Followers: 4)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 61)
Current Pain and Headache Reports     Hybrid Journal   (Followers: 2)
Der Anaesthesist     Hybrid Journal   (Followers: 9)
Der Schmerz     Hybrid Journal   (Followers: 4)
Der Schmerzpatient     Hybrid Journal  
Douleur et Analgésie     Hybrid Journal  
Egyptian Journal of Anaesthesia     Open Access   (Followers: 3)
Egyptian Journal of Cardiothoracic Anesthesia     Open Access  
EMC - Anestesia-Reanimación     Hybrid Journal  
EMC - Anestesia-Rianimazione     Hybrid Journal  
EMC - Urgenze     Full-text available via subscription  
European Journal of Anaesthesiology     Hybrid Journal   (Followers: 30)
European Journal of Pain     Full-text available via subscription   (Followers: 27)
European Journal of Pain Supplements     Full-text available via subscription   (Followers: 5)
Global Journal of Anesthesiology     Open Access   (Followers: 2)
Headache The Journal of Head and Face Pain     Hybrid Journal   (Followers: 5)
Indian Journal of Anaesthesia     Open Access   (Followers: 7)
Indian Journal of Pain     Open Access   (Followers: 2)
Indian Journal of Palliative Care     Open Access   (Followers: 8)
International Anesthesiology Clinics     Hybrid Journal   (Followers: 9)
International Journal of Clinical Anesthesia and Research     Open Access  
Itch & Pain     Open Access   (Followers: 2)
JA Clinical Reports     Open Access  
Journal Club Schmerzmedizin     Hybrid Journal  
Journal of Anesthesia & Clinical Research     Open Access   (Followers: 10)
Journal of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8)
Journal of Anesthesia     Hybrid Journal   (Followers: 13)
Journal of Anesthesia History     Full-text available via subscription   (Followers: 1)
Journal of Anesthesiology and Clinical Science     Open Access   (Followers: 1)
Journal of Cellular and Molecular Anesthesia     Open Access  
Journal of Clinical Anesthesia     Hybrid Journal   (Followers: 13)
Journal of Critical Care     Hybrid Journal   (Followers: 42)
Journal of Headache and Pain     Open Access   (Followers: 3)
Journal of Neuroanaesthesiology and Critical Care     Open Access   (Followers: 3)
Journal of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 8)
Journal of Obstetric Anaesthesia and Critical Care     Open Access   (Followers: 22)
Journal of Pain     Hybrid Journal   (Followers: 19)
Journal of Pain and Symptom Management     Hybrid Journal   (Followers: 45)
Journal of Pain Research     Open Access   (Followers: 10)
Journal of Palliative Care     Full-text available via subscription   (Followers: 20)
Journal of Society of Anesthesiologists of Nepal     Open Access   (Followers: 2)
Journal of the Bangladesh Society of Anaesthesiologists     Open Access  
Jurnal Anestesi Perioperatif     Open Access  
Jurnal Anestesiologi Indonesia     Open Access  
Karnataka Anaesthesia Journal     Open Access   (Followers: 2)
Le Praticien en Anesthésie Réanimation     Full-text available via subscription   (Followers: 2)
Local and Regional Anesthesia     Open Access   (Followers: 8)
Medical Gas Research     Open Access   (Followers: 3)
Medycyna Paliatywna w Praktyce     Open Access   (Followers: 1)
OA Anaesthetics     Open Access   (Followers: 3)
Open Anesthesia Journal     Open Access  
Open Journal of Anesthesiology     Open Access   (Followers: 10)
Pain     Hybrid Journal   (Followers: 61)
Pain Clinic     Hybrid Journal   (Followers: 1)
Pain Management     Hybrid Journal   (Followers: 18)
Pain Medicine     Hybrid Journal   (Followers: 13)
Pain Research and Management     Open Access   (Followers: 7)
Pain Research and Treatment     Open Access   (Followers: 2)
Pain Studies and Treatment     Open Access   (Followers: 2)
Research and Opinion in Anesthesia and Intensive Care     Open Access   (Followers: 3)
Revista Chilena de Anestesia     Open Access   (Followers: 1)
Revista Colombiana de Anestesiología     Open Access   (Followers: 1)
Revista Cubana de Anestesiología y Reanimación     Open Access   (Followers: 1)
Revista da Sociedade Portuguesa de Anestesiologia     Open Access  
Revista Española de Anestesiología y Reanimación     Hybrid Journal  
Revista Española de Anestesiología y Reanimación (English Edition)     Full-text available via subscription   (Followers: 2)
Romanian Journal of Anaesthesia and Intensive Care     Open Access   (Followers: 1)
Saudi Journal of Anaesthesia     Open Access   (Followers: 7)
Scandinavian Journal of Pain     Hybrid Journal   (Followers: 1)
Southern African Journal of Anaesthesia and Analgesia     Open Access   (Followers: 8)
Sri Lankan Journal of Anaesthesiology     Open Access   (Followers: 2)
Survey of Anesthesiology     Full-text available via subscription   (Followers: 12)
Techniques in Regional Anesthesia and Pain Management     Hybrid Journal   (Followers: 11)
Topics in Pain Management     Full-text available via subscription   (Followers: 2)
Trends in Anaesthesia and Critical Care     Full-text available via subscription   (Followers: 23)

           

Similar Journals
Journal Cover
Saudi Journal of Anaesthesia
Journal Prestige (SJR): 0.454
Citation Impact (citeScore): 1
Number of Followers: 7  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1658-354X - ISSN (Online) 0975-3125
Published by Medknow Publishers Homepage  [427 journals]
  • Comparison of analgesic efficacy of ultrasound-guided thoracic
           paravertebral block versus surgeon-guided serratus anterior plane block
           for acute postoperative pain in patients undergoing thoracotomy for lung
           surgery-A prospective randomized study

    • Authors: Anuradha Patel, Vinod Kumar, Rakesh Garg, Sushma Bhatnagar, Seema Mishra, Nishkarsh Gupta, Sachidanand Jee Bharti, Sunil Kumar
      Pages: 423 - 430
      Abstract: Anuradha Patel, Vinod Kumar, Rakesh Garg, Sushma Bhatnagar, Seema Mishra, Nishkarsh Gupta, Sachidanand Jee Bharti, Sunil Kumar
      Saudi Journal of Anaesthesia 2020 14(4):423-430
      Context: Inadequate pain relief after thoracotomy may lead to postoperative respiratory complications.Aims: We have compared total morphine consumption in 24 hours following thoracotomy.Settings and Design: This prospective randomized pilot study involved 50 patients undergoing elective thoracotomy for lung surgery at AIIMS, New Delhi.Patients and Methods: Fifty patients undergoing elective thoracotomy were randomly allocated into two groups. In Group I patients, ultrasound (USG)-guided paravertebral catheter was inserted preoperatively and in Group II patients, serratus anterior plane (SAP) catheter was inserted by the surgeon before closure. Ropivacaine bolus (group I: 0.2% 0.1 ml/kg and group II: 0.375% 0.4 ml/kg) was given before extubation, followed by its continuous infusion for 24 hours. If the numerical rating scale (NRS) was >3, then patients were given intravenous (i.v.) morphine 3 mg. Total 24-hour morphine consumption, duration of effective analgesia, hemodynamic parameters, side effects, and overall patient satisfaction were recorded.Statistical Analysis Used: T-test was used to compare the parametric values in both the groups, whereas the Mann–Whitney U-test was performed to compare the nonparametric values.Results: Postoperative morphine requirement in the ParaVertebral Block (PVB) group (8.65 ± 4.27 mg) was less as compared to the SAP group (11.87 ± 6.22 mg) but that was not statistically significant (p 0.052). Postoperative pain scores at rest and on movement, patient satisfaction, and incidence of chronic post-thoracotomy pain were comparable in both the groups.Conclusion: SAP block with continuous catheter technique seems to be a safe and effective modality for the management of acute postoperative pain after thoracotomy.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):423-430
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_143_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • The effect of tranexamic acid in reducing postoperative hemorrhage in
           patients undergoing coronary artery bypass graft

    • Authors: Alireza Rostami, Amin Haj Hoseini, Alireza Kamali
      Pages: 431 - 435
      Abstract: Alireza Rostami, Amin Haj Hoseini, Alireza Kamali
      Saudi Journal of Anaesthesia 2020 14(4):431-435
      Introduction: Nowadays, cardiovascular diseases such as coronary heart disease are one of the most important causes of human mortality worldwide. Coronary artery bypass graft (CABG) surgery is a standard therapy approach for those suffering from coronary artery disease. Tranexamic acid (TXA), an antifibrinolytic drug, which, in turn, inhibits fibrinolysis, leading to the prevention of bleeding, thus, the present study aimed to evaluate the effect of topical TXA on bleeding reduction after coronary artery CABG. Materials and Methods: In this study 62 patients were randomly divided into two groups of TXA and control. After surgery and removal from the cardiopulmonary pump, TXA (2 g) was injected locally into the mediastinum by the surgeon. In the second group (control) the same amount of normal saline (100 cc) was given. Data were analyzed by SPSS 19 software via the t-test and Fisher's test. Results: A significant difference was found between the 2 groups in terms of postoperative hemorrhage, packed cell volume, platelet transfusion, duration of surgery, and received FFP (P = 0.0001; P = 0.01; P = 0.0001; P = 0.0001; P = 0.0001), where were found to be lower in the TXA group than in the placebo group. There was no significant difference in age, sex, return to the operating room, and discharge. Conclusion: The use of topical TXA in GABC significantly reduced postoperative hemorrhage, packed cell volume, platelet> transfusion, and FFP after surgery. Besides, it had no significant effect on the return to the operating room and mortality.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):431-435
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_800_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Do the existing systemic diseases overstate anaesthetic intervention
           during cataract surgery under local anaesthesia? An observational study to
           correlate the association

    • Authors: Afroz S Khan, Vaijayanti N Gadre, Usha R Badole, Manoj D Gilvarkar, Mohammed Azhar Quazi
      Pages: 436 - 441
      Abstract: Afroz S Khan, Vaijayanti N Gadre, Usha R Badole, Manoj D Gilvarkar, Mohammed Azhar Quazi
      Saudi Journal of Anaesthesia 2020 14(4):436-441
      Context: The objective was to study the extent of anaesthetic intervention and its association with systemic comorbidities. The secondary objectives were to estimate the prevalence of systemic comorbidities in age-related cataracts. Aims: To determine the prevalence of systemic comorbidities in cataract surgery patients and association with anaesthesiologists' intervention.Settings and Design: Prospective observational study. Methods and Materials: The study was done inatertiary care hospital over a period of 3 months. Adult and consenting patients were included and those having sensitivity or toxic reaction to local anaesthetics, uncooperative, and paediatric patients were excluded. Statistical Analysis: The sample size (717) was calculated according to the formula for the finite population.The total number of patients suffering from comorbidities, adverse events during surgery, and events attended by an anesthesiologist with percentages were calculated.Results: Of the 717 patients studied, comorbidities were associated with 385 (53.69%) patients; among which hypertension was most frequent and found in 174 (20.30%). As much as 113 (15.72%) patients had adverse events during surgery and required intervention by the attending anaesthesiologist in which 26 (15.72%) patients required drug administration for stabilization of condition of the patient.Conclusions: From this study, we conclude that there is a correlation between prevalent comorbidities and active intervention by the attending anaesthesiologist in patients undergoing cataract surgery.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):436-441
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_88_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • The perfusion index could early predict a nerve block success: A
           preliminary report

    • Authors: Romualdo Del Buono, Giuseppe Pascarella, Fabio Costa, Felice Eugenio Agrò
      Pages: 442 - 445
      Abstract: Romualdo Del Buono, Giuseppe Pascarella, Fabio Costa, Felice Eugenio Agrò
      Saudi Journal of Anaesthesia 2020 14(4):442-445
      Introduction: In literature, there is plenty of material regarding regional anesthesia techniques and block safety, but lacks about block success prevision. The perfusion index (PI) is an oximetry reliability indicator, available on many monitors as non-invasive parameter, indicating the ratio of arterial blood flow (pulsatile flow) to venous, capillary, and tissue blood flow (non-pulsatile blood flow). We hypothesized that that analysis of PI variations after performing regional anesthesia could have a role in predicting a successful nerve block.Methods: Twenty-four consecutive patients regularly scheduled for limb surgery in regional anesthesia were included in our observation. PI measurements were recorded before regional anesthesia, and 1, 2, 3, 5, and 10 min after needle withdrawal. Along with PI, also sensation to cold (ice test), tactile sensation, and motor function were recorded before regional anesthesia, and 1, 2, 3, 5, and 10 min after needle withdrawal on the limb where the block were performed.Results: Ten sciatic nerve blocks, 6 spinal anesthesia, 8 brachial plexus block were performed and resulted successful. In all cases, PI values tripled at 5 min after the block execution and increased linearly, reaching at 10 min an average PI value 3.8 times higher for the interscalene group, 4 times for the spinal group, and 8 for the sciatic group.Conclusions: A tripled PI within 5 min from performing regional anesthesia showed to be a reliable indicator of nerve block success, but a bigger trial involving more patients and different anesthetic concentrations may be necessary to confirm this assumption.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):442-445
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_171_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Perioperative complications of pediatric otorhinolaryngological operations

    • Authors: Yu S Aleksandrovich, VV Rybianov, KV Pshenisnov, SA Razumov
      Pages: 446 - 453
      Abstract: Yu S Aleksandrovich, VV Rybianov, KV Pshenisnov, SA Razumov
      Saudi Journal of Anaesthesia 2020 14(4):446-453
      Background: The identification of risk factors for the development of perioperative complications is one of the most important problems of pediatric anesthesiology.Purpose: To identify risk factors for the development of perioperative complications in children undergoing ambulatory surgical interventions on ENT organs.Methods: Total of 141 patients were examined at the age from 7 to 17 years. Depending on the presence of complications all patients were divided into three groups: “No complications” (n = 64), “One complication” (n = 55) and “Two or more complications” (n = 22). The study was carried out in the following areas: Preoperative clinical status, intraoperative and postoperative complications. The severity of nasal breathing disorders was determined rhinomanometrically. 31 children underwent somnography. In the study of heart rate variability was evaluated. Intraoperative complications included: Cardiac arrhythmias, arterial hypertension and desaturation less than 90%. Postoperative complications included: Cardiorespiratory complications, pain, delirium, postoperative nausea and vomiting.Results: The most significant complication in the intraoperative period is desaturation below 90%, in the postoperative period they are pain, nausea and vomiting. Risk factors for the development of complications in the perioperative period are a decrease in the thyromental distance, hyperplasia of the tonsils of the third degree, Malampati score ≥ to 2 points, parents' bad habits, combined neurological and respiratory pathologies in a child, an assessment of the class “allergology” of the ASPOND scale is not less than 180 points and the prevalence of vagal influences.Conclusions: The obtained results indicate that the presence of risk factors for perioperative complications during operations on ENT organs in children are associated with the initial autonomic status and the predominance of the parasympathetic nervous system as well as with clinical markers.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):446-453
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_99_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Short-term memory impairment in patients undergoing general anesthesia and
           its contributing factors

    • Authors: Ali Ahmadzadeh Amiri, Kasra Karvandian, Nazanin Ramezani, Amir Ahmadzadeh Amiri
      Pages: 454 - 458
      Abstract: Ali Ahmadzadeh Amiri, Kasra Karvandian, Nazanin Ramezani, Amir Ahmadzadeh Amiri
      Saudi Journal of Anaesthesia 2020 14(4):454-458
      Background: Short-term memory disorder following surgery and anesthesia is a common complication of anesthesia and a common complaint of the patients.Aims: This study was designed to assess memory impairment in patients undergoing elective surgery, investigate the effect of general anesthesia (GA) on memory, and identify the factors contributing to it, as well as the specific effect of anesthesia on each of the memory domains.Setting and Design: This cross-sectional study was performed in a university hospital.Methods and Materials: Patients with the American Society of Anesthesiologists (ASA) Class I, II, and III who were candidates for elective abdominal surgery were enrolled. Patients answered several questions based on the Wechsler Memory Scale–Revised V (WMS-R-V), a standardized questionnaire, minutes before entering the operating room (OR) and again after 24 h postoperation, and the differences were recorded.Statistical Analysis: Analysis was performed using T-independent and Chi-square tests with Pearson's coefficient and Fischer's exact test and Man–Whitney test. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) software.Results: Four hundred patients (198 females and 202 males) with a mean age of 50.75 years were enrolled in our study. Our study results showed that short-term memory after GA was significantly decreased compared with preanesthesia (P < 0.05). There was no significant relationship between memory disorder following GA and gender (P = 0.18) or comorbidities (P = 0.138). However, older age was found to be a contributing factor to memory loss following GA (P < 0.001). The highest and lowest effect of GA were found on the number repeat (45.2%) and personal information (16.2%) domain of the memory.Conclusion: GA significantly reduces the patient's short-term memory after the surgery.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):454-458
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_651_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Attitudes and knowledge of anesthesiology trainees to radiation exposure
           in a Tertiary care hospital

    • Authors: Mohammad Asghar Ali, Bushra Salim, Khalid Maudood Siddiqui, Muhammad Faisal Khan
      Pages: 459 - 463
      Abstract: Mohammad Asghar Ali, Bushra Salim, Khalid Maudood Siddiqui, Muhammad Faisal Khan
      Saudi Journal of Anaesthesia 2020 14(4):459-463
      Background and Aims: Ionizing radiation procedures are indispensable in medical clinical practice. Exposure to radiation at any dose could have serious adverse effects. Anesthesiologists working in interventional radiology suites are at a higher risk of radiation exposure than other personnel. The aim of this study was to assess the knowledge and attitude of anesthesiology trainees towards the radiation hazards and current safety practices.Methods: This prospective cross-sectional survey was conducted at the department of anesthesiology at Aga Khan University. All anesthesiology trainees working in the department were given a 12-question paper-based survey after getting ethical review committee approval and informed consent. The questionnaire contained requests for personal demographic data and specific questions regarding radiation protection.Results: A total of 54 participants were included in this survey. Thirty-two (59.3%) were male, and 22 (40.7%) were female. The average year of experience working in anesthesia of the participants was 2.8 ± 1.65 years (range, one to eight years). Frequency of radiation exposure of 32 (59.3%) participants was 1-5 times per week. Approximately 68.5% (37/54) of participants believed they took adequate precautions for protection against radiation. Only 20.4% (11/54) used both a lead apron and a thyroid shield for prevention of radiation exposure. Most participants using the radiation shield or clothing (70.4%; 38/54) cited concerns about cancer.Conclusions: A lack of knowledge persists among anesthesiology trainees in our institute regarding the risks associated with ionizing radiation. This study also serves to highlight the need for anesthesiology trainees to protect themselves properly. Radiation dose, hazards, and protection strategies must be included in the basic curriculum of medical colleges.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):459-463
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_659_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Analgesic efficacy and spread of local anesthetic in ultrasound-guided
           paravertebral, pectoralis II, and serratus anterior plane block for breast
           surgeries: A randomized controlled trial

    • Authors: Dhruv Jain, Virender K Mohan, Debesh Bhoi, Ravinder K Batra, Lokesh Kashyap, Dilip Shende, Sana Yasmin Hussain, Anurag Srivastava, Vathulru Seenu
      Pages: 464 - 472
      Abstract: Dhruv Jain, Virender K Mohan, Debesh Bhoi, Ravinder K Batra, Lokesh Kashyap, Dilip Shende, Sana Yasmin Hussain, Anurag Srivastava, Vathulru Seenu
      Saudi Journal of Anaesthesia 2020 14(4):464-472
      Background: Thoracic paravertebral block (TPVB) has become the gold standard to provide postoperative analgesia in breast surgery. Recently, ultrasound-guided (USG) pectoralis (PECS) block and serratus anterior plane (SAP) block have been described as an alternative to TPVB. The objectives were to compare TPVB, PECS, and SAP block in terms of analgesic efficacy and the spread of local anesthetic by ultrasound imaging, correlating it with the sensory blockade.Materials and Methods: Prospective randomized interventional study conducted in 45 ASA grades I–II patients scheduled for the elective breast surgery. Patients were randomly allocated into three groups, i.e., Gr.1 (USG –TPVB) (ropivacaine 0.375% 20 ml), Gr.2 (USG-PECS II) block (ropivacaine 0.375% 30 ml), and Gr.3 (USG-SAP) (ropivacaine 0.375% 30 ml). Spread of the local anesthetics was seen with ultrasound imaging. Onset of sensory blockade, postoperative fentanyl consumption, and pain scores was measured.Results: TPVB and SAP group had comparatively higher spread and sensory block compared to PECS group. Postoperative fentanyl requirement (mean ± SD) was 428.33 ± 243.1 μg, 644.67 ± 260.15 μg, and 415 ± 182.44 μg in the TPVB group, PECS II group, and SAP group, respectively. SAP group had significantly lesser requirement than PECS II group (P = 0.028) but similar requirement as in TPVB group (P = 1.0). Pain scores were not significantly different among the group in the postoperative period.Conclusion: TPVB and SAP group result in a greater spread of the drug and provide equivalent analgesia and are superior to the PECS II block in providing analgesia for breast surgeries. SAP block is easier to perform than TPVB with lesser chances of complications and results in faster onset.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):464-472
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_822_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Pain, stress, analgesia and postpartum depression: Revisiting the
           controversy with a randomized controlled trial

    • Authors: Amrit Kaur, Sukanya Mitra, Jasveer Singh, Rashi Sarna, Dilpreet Kaur Pandher, Richa Saroa, Subhash Das
      Pages: 473 - 479
      Abstract: Amrit Kaur, Sukanya Mitra, Jasveer Singh, Rashi Sarna, Dilpreet Kaur Pandher, Richa Saroa, Subhash Das
      Saudi Journal of Anaesthesia 2020 14(4):473-479
      Background: Pain and depression are associated, but it is uncertain if effective pain relief during labor by labor analgesia reduces the incidence of postpartum depression (PPD). This randomized, controlled study assessed whether combined spinal-epidural (CSE) labor analgesia is associated with a decreased risk of PPD. Other reported risk factors for PPD were also assessed.Materials and Methods: Parturients were randomly assigned to either CSE labor analgesia or normal vaginal delivery (n = 65 each). CSE parturients received 0.5 ml of 0.5% hyperbaric bupivacaine intrathecally and PCEA with continuous infusion of 0.1% levobupivacaine and 2 μg/ml fentanyl @5 ml/h along with patient-controlled boluses with a lockout interval of 15 min. Parturients of both the groups were assessed using Edinburgh Postnatal Depression Scale (EPDS) for depressive symptoms at day 3 and PPD at 6 weeks (primary outcome; defined as EPDS score ≥10 at 6 weeks postpartum). Secondary outcomes included pain scores, maternal satisfaction, and Apgar scores at 1 and 5 min. Parturients were also screened for several risk factors for PPD.Results: Incidence of PPD was 22.3%. The difference in incidence of PPD between the CSE group vs. control group was not significant (27.7% vs. 16.9%; Fisher's exact P = 0.103). Of all the risk factors analyzed in logistic regression model, perceived stress during pregnancy was the only significant predictor of the development of PPD (adjusted Odds Ratio 11.17, 95% Confidence interval 2.86–43.55; P = 0.001).Conclusion: CSE analgesia in laboring parturients does not reduce PPD at 6 weeks. Instead, perceived high stress during pregnancy appears to be the most important factor.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):473-479
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_814_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Postoperative analgesic efficacy of fluoroscopy-guided erector spinae
           plane block after percutaneous nephrolithotomy (PCNL): A randomized
           controlled study

    • Authors: Mukesh K Prasad, Rohit K Varshney, Payal Jain, Amit K Choudhary, Aditi Khare, Gurdeep S Jheetay
      Pages: 480 - 486
      Abstract: Mukesh K Prasad, Rohit K Varshney, Payal Jain, Amit K Choudhary, Aditi Khare, Gurdeep S Jheetay
      Saudi Journal of Anaesthesia 2020 14(4):480-486
      Background: Percutaneous nephrolithotomy (PCNL) a minimally invasive method for the removal of renal calculi and is associated with significant pain in postoperative period. Conventionally, intravenous opioids, local anesthetic infiltration, and regional blocks (intercostal/paravertebral blocks) have been tried with less efficacy to control postoperative pain. The present study is conducted to assess the effectiveness of erector spinae plane block (ESPB) performed under fluoroscopy guidance for postoperative analgesia during PCNL.Subjects and Methods: After obtaining ethical clearance, the study was conducted on 61 American Society of Anaesthesiologists (ASA) I and II patients aged between 18–65 years admitted for PCNL. Group I (n = 30) did not receive ESPB while Group II (n = 31) received ESPB under fluoroscopy guidance and 20 ml of 0.375% ropivacaine was administered after PCNL. Patient-reported pain intensity using visual analogue scale (VAS) was considered as a primary outcome. The hemodynamic variables (heart rate, systolic, diastolic, and mean blood pressure) was considered as a secondary outcome. Statistical analysis was performed using Student's t-test and Mann–Whitney U test. Data analysis was performed using the Statistical Package for the Social Sciences version 23.0.Results: Postoperatively VAS score was significantly lower in Group II at 0, 1, 2, 3, 4, 6, 12, 18, and 24 hours after PCNL (P < 0.001). Dose of rescue analgesia significantly decreased in Group II compared to Group I.Conclusion: ESPB performed under fluoroscopic guidance is a simple and effective technique and it provides significantly better postoperative pain relief.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):480-486
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_26_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Modified electroconvulsive therapy in a resource-challenged setting:
           

    • Authors: Olurotimi I Aaron, Aramide F Faponle, Benjamin O Bolaji, Samuel K Mosaku, Anthony T Adenekan, Olakunle A Oginni
      Pages: 487 - 492
      Abstract: Olurotimi I Aaron, Aramide F Faponle, Benjamin O Bolaji, Samuel K Mosaku, Anthony T Adenekan, Olakunle A Oginni
      Saudi Journal of Anaesthesia 2020 14(4):487-492
      Background: Suxamethonium has been shown to have a superior modification of the convulsion associated with ECT compared to other muscle relaxants. The dosage of suxamethonium used in ECT varies widely based on the experiences of practitioners. The study aimed to determine and compare the effectiveness and side effect profile of 0.5 mg/kg and 1 mg/kg in modified ECT.Subjects and Methods: This was a prospective randomized crossover study, comparing the effects of suxamethonium at a dose of 0.5 mg/kg, and 1.0 mg/kg in 27 patients who had a total of 54 sessions of modified ECT. The primary outcome parameters were quality of convulsion and onset and duration of apnoea. The secondary outcome parameters were hemodynamic variables, arterial oxygen saturation, delayed recovery, muscle pain, vomiting, headache, prolonged convulsion, and serum potassium. Data collected were entered into proforma and analyzed using Statistical Package for Social Sciences (SPSS) version 17.0. Parametric variables are presented as means and standard deviations while non-parametric variables are presented as frequencies and percentages. The level of significance (P-value) was considered at 0.05.Results: Sixteen patients (59%) had acceptable convulsion modification with 0.5 mg/kg suxamethonium compared to 23 patients (85%) with the use of 1.0 mg/kg suxamethonium (P = 0.016). There was no statistically significant difference in the duration of convulsion, the onset of apnoea, and the duration of apnoea with the two doses. Changes in heart rate, blood pressure, arterial oxygen saturation, and serum potassium level that accompany the mECT were comparable with the two doses of suxamethonium studied.Conclusions: A better modification of convulsion with comparable hemodynamic and side effect profile is achieved during mECT with the use of 1.0 mg/kg suxamethonium compared to 0.5 mg/kg.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):487-492
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_147_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Comparison of the skin-to-epidural space distance at the thoracic and
           lumbar levels in children using magnetic resonance imaging

    • Authors: Tariq M Wani, AlAwwaab Dabaliz, Khalid Kadah, Giorgio Veneziano, Dmitry Tumin, Joseph D Tobias
      Pages: 493 - 497
      Abstract: Tariq M Wani, AlAwwaab Dabaliz, Khalid Kadah, Giorgio Veneziano, Dmitry Tumin, Joseph D Tobias
      Saudi Journal of Anaesthesia 2020 14(4):493-497
      Background: Several studies have attempted to estimate the approximate distance from the skin-to-epidural space using different imaging modalities (computed tomography [CT], ultrasound, and magnetic resonance imaging [MRI]) and direct needle measurements. The objective of our study was to compare the distance from the skin to the epidural space (SED) at multiple levels, focusing on T6-7, T9-10, and L2-3using MRI. Methods: After institutional review board (IRB) approval, sagittal T2-weighted MRI images of the spine of 108 children in the age group ranging from 3 months to 8 years undergoing radiological evaluation in the supine position at our institution were analyzed. The SED at T6-7and T9-10levels (straight and inclined) and SED at L2-3 (straight) were determined and compared using repeated-measures ANOVA and paired t-tests with a Bonferroni correction for 10 pairwise comparisons (P < 0.005 was considered statistically significant). Results: The average SED (measured straight and inclined) was 18.2 mm and 21.6 mm at T6-7; 18.3 mm and 20.5 mm at T9-10; and 21.8 mm (straight) at L2-3. The repeated-measures ANOVA F-test indicated significant variability in SED (P < 0.001) among the 5 measurements obtained. At the P < 0.005 significance level, corrected for multiple comparisons, the SED (straight) at T9-10 straight was shorter than the other measured distances. Conclusion: The distance from the skin to the epidural space is not constant at various vertebral levels. At the levels measured, it was greatest at the lumbar level and at least at the thoracic level of T9-10. A single predictive formula was not applicable for calculating the approximate SED at all vertebral levels.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):493-497
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_292_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Unusual routes for transmission of coronavirus disease (COVID-19):
           Recommendations to interrupt the vicious cycle of infection

    • Authors: Hunny Sharma, Swati Verma
      Pages: 498 - 503
      Abstract: Hunny Sharma, Swati Verma
      Saudi Journal of Anaesthesia 2020 14(4):498-503
      The outbreak of the novel COVID-19, which began silently in Wuhan City, China, has now taken the form of a pandemic, with its claws spreading rapidly in many countries, with new and new cases emerging rapidly. The COVID-19-associated CoV is a beta coronavirus, which spreads at such a deadly rate that the World Health Organization (WHO) has to declare it a Public Health Emergency of International Concern (PHEIC). The objective of the narrative review is to describe what is COVID-19-related coronavirus (CoV), its structure and particle size, potential transmission routes, the risk of infection in patients undergoing blood transfusion or in patients with diabetes and cancer, and recommendations to prevent its spread in office settings, travel / recreation settings, residential and health facilities. This paper also discusses several groundbreaking approaches that are used to counter COVID-19. With this narrative review, we hope to raise awareness of the usual and unusual pathways of transmission and prevent the spread of this pandemic disease.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):498-503
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_301_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Cancer in corona times

    • Authors: Shagun Bhatia Shah, Rajiv Chawla
      Pages: 504 - 509
      Abstract: Shagun Bhatia Shah, Rajiv Chawla
      Saudi Journal of Anaesthesia 2020 14(4):504-509
      Humanity is witnessing an unprecedented tsunami of corona virus disease 2019 (COVID-19) patients. Till date, India houses 10,453 confirmed COVID-19 patients with a death toll of 358 nationwide and the number is steadily rising with each passing day. The capital city of Delhi, harbouring 1510 patients, has the dubious distinction of being the second largest hotspot for COVID positive patients in India, second only to the state of Maharashtra. Being immuno-compromised, cancer patients are first more susceptible to catch this virus and secondly may witness a more devastating course. Having cancer is a bigger risk factor for contracting COVID-19 than even old age. “Death due to untreated cancer is a much bigger reality than death due to COVID-19,” is one perspective that advocates continuation of cancer therapy in corona times albeit by converting cancer hospitals into virtual corona-free fortresses with several tiers of barriers against corona. The immediate, short and long term implications of the corona pandemic and a nationwide lockdown to curtail it, on cancer patients and their caregivers is discussed at length here tempered with experience from the largest tertiary care oncology setup of Northern India. Rigorous literature review based on Medline, Google scholar, Embase, Cochrane and Scopus database search was utilized.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):504-509
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_317_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Laparoscopic bariatric surgery in a patient with idiopathic intracranial
           hypertension and lumboperitoneal shunt: Anesthetic implications

    • Authors: Teresa Lopez, Jacobo Tr&#233;bol, Jos&#233; A Sastre
      Pages: 510 - 513
      Abstract: Teresa Lopez, Jacobo Trébol, José A Sastre
      Saudi Journal of Anaesthesia 2020 14(4):510-513
      Idiopathic intracranial hypertension (IIH) typically affects obese young women. Treatment is mainly medical, but some cases require surgery; ventriculoperitoneal (VPS) or lumboperitoneal shunts (LPS) being the most common procedures. Although bariatric surgery is not the first-line surgical treatment, it can be useful in refractory cases and allows treating the major underlying risk factor and its comorbidities. Laparoscopic bariatric surgery is the gold standard; however, literature in patients with shunts is scarce. In the present study, we report the case of a morbidly obese female with IIH treated with an LPS and with refractory headache, scheduled for laparoscopic Roux-en-Y gastric bypass. LPS position was checked before surgery (abdominal X-ray) and during pneumoperitoneum was clamped. Anesthetic management was guided to minimize increases in intracranial pressure (ICP). Surgery and anesthesia were uneventful. Three months later, headaches disappeared and analgesics were discontinued. In conclusion, laparoscopic bariatric surgery may be an option for IIH. It is safe in patients with LPS, although concerns should be taken into account (avoid any damage to the shunt, limit digestive tract contents spillage, and strict vigilance for early detection of intracranial hypertension signs). Although valve system could prevent pressure complications, the catheter can be clamped to avoid retrograde insufflation of CO2 or digestive tract content.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):510-513
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_190_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Incidental finding of tracheobronchial foreign body during double lumen
           tube placement-lessons learned

    • Authors: Lakshmi N Kurnutala, Angela W Strother, Bryan J Hierlmeier
      Pages: 514 - 516
      Abstract: Lakshmi N Kurnutala, Angela W Strother, Bryan J Hierlmeier
      Saudi Journal of Anaesthesia 2020 14(4):514-516
      Tracheobronchial foreign bodies are common in pediatric patients, but also seen in adult patients. Most of these patients present with history of foreign body inhalation, or with the symptoms like cough, respiratory distress. In this paper, we would like to report an incidental finding of a tablet in tracheobronchial tree during double lumen tube placement with fiberoptic bronchoscopy in a middle-aged patient scheduled for right lung decortication for hemothorax. We also learned that delay in removing the tablet would make the removal of foreign body complicated. The patient did not report any history of aspiration or have any signs and symptoms consistent with aspiration. We also discussed the difficult in diagnosing foreign-body aspiration in adults with nonspecific symptoms.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):514-516
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_237_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Erector spinae plane block and rhomboid intercostal block for the
           treatment of post-mastectomy pain syndrome

    • Authors: Emanuele Piraccini, Morena Calli, Stefania Taddei, Stefano Maitan
      Pages: 517 - 519
      Abstract: Emanuele Piraccini, Morena Calli, Stefania Taddei, Stefano Maitan
      Saudi Journal of Anaesthesia 2020 14(4):517-519
      Post-mastectomy pain syndrome (PMPS) can have multiple pain generators, including neuropathic pain and myofascial pain syndrome (MPS). Erector spinae plane (ESP) block and rhomboid intercostal block (RIB) have been used to provide anesthesia of the thorax and also for some chronic pain conditions. We describe a 43-year-old man suffering from right PMPS after right mastectomy, full axillary, and mammary lymph node dissection. We treated her with ESP blocks and RIB to reduce neuralgia and MPS: Neuropathic pain disappeared and the patient experienced only slight residual pain. The result was maintained 3 months later. This report suggests that ESP block and RIB with local anesthetic and corticosteroids with might be useful to treat a PMPS.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):517-519
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_203_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Oral teratoma in a neonate: A case report of anesthetic challenge

    • Authors: Rajneesh Singhal, Vishnu K Garg, Brajesh K Ratre, Mangilal Deganwa
      Pages: 520 - 523
      Abstract: Rajneesh Singhal, Vishnu K Garg, Brajesh K Ratre, Mangilal Deganwa
      Saudi Journal of Anaesthesia 2020 14(4):520-523
      Congenital teratoma of oral cavity in a neonate is a rare condition associated with compromised airway and challenges anesthesiologist in airway management. In this report, we describe a scenario of neonate with multiple oral teratoma, cleft palate, and bifid tongue who presented with respiratory distress for surgical excision of mass. The compromised airway can be successfully managed by appropriate prior planning and effective communication between anesthesiologist and surgical team.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):520-523
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_299_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Anesthetic nuances in Segawa&#39;s syndrome: A case report and
           review of the literature

    • Authors: Manbir Kaur, Umadatt Sharma, Rajendra K Solanki
      Pages: 524 - 527
      Abstract: Manbir Kaur, Umadatt Sharma, Rajendra K Solanki
      Saudi Journal of Anaesthesia 2020 14(4):524-527
      Segawa's syndrome, dopamine-responsive dystonia, is a rare genetic disorder that typically begins in childhood by around 4–6 years of age. It is characterized by abnormal gait and dystonia. A 33-year-old man presented for autologous skin grafting of a nonhealing wound under general anesthesia. Successful anesthetic management of patients with this rare disease, though analogous in many ways to that of patients with Parkinson's disease, still pose significant challenges. We present anesthetic nuances to be considered in the management of a patient with Segawa's disease along with a pertinent review of the literature.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):524-527
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_809_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Erector spinae plane block in various abdominal surgeries: A case series

    • Authors: Toleska Marija, Dimitrovski Aleksandar
      Pages: 528 - 530
      Abstract: Toleska Marija, Dimitrovski Aleksandar
      Saudi Journal of Anaesthesia 2020 14(4):528-530
      Erector spinae plane (ESP) block is a regional anesthesia technique, which provides visceral and somatic analgesia for abdominal surgery; during surgery and in the postoperative period. The local anesthetic is injected between the erector spinae muscle and the transverse process and it spreads cranially and caudally into the paravertebral space, affecting the ventral and dorsal branches of the thoracic spinal nerves and the rami communicants that contain sympathetic nerve fibers. ESP block can replace thoracic epidural anesthesia and has a better analgesic effect compared to other plane blocks that are used in abdominal surgery. We described six case series of successfully performed ESP block for postoperative analgesia in various abdominal surgeries such as unilateral open inguinal hernia repair with a supraumbilical hernia, ileostomy reversal surgery, open diaphragmatic hernia repair, laparoscopic cholecystectomy, and abdominal abscess evacuation.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):528-530
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_31_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Anesthetic management of a “Supercentenarian” (Oldest living
           person on Earth) posted for an emergency surgery

    • Authors: Ram M Sharma, Anurag Garg, Badal Parikh
      Pages: 531 - 534
      Abstract: Ram M Sharma, Anurag Garg, Badal Parikh
      Saudi Journal of Anaesthesia 2020 14(4):531-534
      With the rise in living standards and evolution of science, there is a rise in life expectancy world over. This demographic transition has led to a rise in older persons, increasing the dependency ratios and “demographic burden.” Management of such old patients requires special considerations and understanding as aging is a physiological phenomenon in which the functional capacity of organs decreases due to degenerative changes in the structure. An important aspect to remember in Geriatric Anesthesia is that in spite of adequate compensatory mechanisms for age-related changes, there is a limitation of physiological reserve, especially in stressful circumstances like perioperative period. Geriatric patients are more sensitive to all medications and anesthetic agents. Lesser amount of drug is required to achieve the desired clinical effect, but have a prolonged effect. This elderly but well-preserved patient, possibly a case of small gut obstruction was posted for emergency laparoscopy and proceed. Seeing his age and easy friability, a well-planned preoperative assessment and optimization was done prior to wheeling him into operation theater. Administration of short-acting anesthetic drugs in titrated quantities and awareness about postoperative cognitive dysfunction (POCD) helped us to get better and faster recovery in the patient.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):531-534
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_85_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Bilateral high thoracic continuous erector spinae plane blocks for
           postoperative analgesia in a posterior cervical fusion

    • Authors: Sandeep Diwan, Won Uk Koh, Ki Jinn Chin, Abhijit Nair
      Pages: 535 - 537
      Abstract: Sandeep Diwan, Won Uk Koh, Ki Jinn Chin, Abhijit Nair
      Saudi Journal of Anaesthesia 2020 14(4):535-537
      Posterior decompression and instrumentation of the cervical spine are associated with severe postoperative pain due to extensive soft tissue and muscle dissection during the surgery. In this case series, we describe bilateral continuous cervical erector spinae plane block (CESPB) placed at T1-2 through the thoracic erector spinae plane. A series of 4 patients underwent posterior cervical decompression and stabilization for various surgical indications. The CESPB block provides intense analgesia with low requirements of anesthetic drugs in the perioperative period and opioid-free analgesia in the postoperative period. The spread of local anesthetic was studied by performing CT contrast studies after obtaining informed consent.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):535-537
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_642_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Successful bilevel positive airway pressure therapy in a patient with
           amyotrophic lateral sclerosis after emergency laparotomy: A case report

    • Authors: Yukihide Koyama, Koichi Tsuzaki, Hideaki Shimizu, Junko Kuroda, Soichi Shimizu
      Pages: 538 - 540
      Abstract: Yukihide Koyama, Koichi Tsuzaki, Hideaki Shimizu, Junko Kuroda, Soichi Shimizu
      Saudi Journal of Anaesthesia 2020 14(4):538-540
      Patients with amyotrophic lateral sclerosis (ALS) present an increased risk of postoperative respiratory failure after general anesthesia. We report the case of a 71-year-old man with ALS who underwent emergency laparotomy for small bowel strangulation. After surgery, he remained intubated and was transferred to the high care unit under mechanical ventilation, due to unstable hemodynamics requiring inotropic support. On postoperative day (POD) 3, he was extubated under stable hemodynamics and respiratory status. Immediately after extubation, bilevel positive airway pressure (bilevel PAP) was prophylactically applied to prevent postoperative respiratory failure, which may have been caused by respiratory muscle fatigue, attributed to general anesthesia and surgical stress. On POD 7, bilevel PAP was smoothly weaned off because no signs and symptoms of respiratory failure were observed. On POD 10, he achieved 30 m-walk without rest. No postoperative complications were observed up to one month after surgery. Postoperative respiratory failure may lead to death in patients with neuromuscular disorder. Non-invasive ventilation (NIV) reduces respiratory muscle fatigue, resulting in easy sputum expectoration, promoting CO2washout, and better oxygenation. Consequently, the prophylactic use of NIV to avoid postoperative respiratory insufficiency should be considered in patients with ALS after emergency operation under general anesthesia.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):538-540
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_375_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • A mysterious case of fat embolism

    • Authors: Sangam Yadav, Amanpreet Ghalot, Vanitha Rajagopalan
      Pages: 541 - 543
      Abstract: Sangam Yadav, Amanpreet Ghalot, Vanitha Rajagopalan
      Saudi Journal of Anaesthesia 2020 14(4):541-543
      We report a patient who sustained catastrophic pulmonary fat embolism post-induction of general anesthesia during laparotomy for haemoperitoneum. The source being the fractured shaft of fracture femur which was missed during the primary survey in the chaos of a positive focused assessment with sonography for trauma and a transient responding patient. In this case report, we want to emphasize the importance of primary survey in a trauma patient, effective communication and documentation to prevent errors and for better management of patients.
      Citation: Saudi Journal of Anaesthesia 2020 14(4):541-543
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_109_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Point-of-care nasal ultrasonography: A novel technique using “hockey
           stick” probe

    • Authors: Chitta R Mohanty, Vikas Saini, Sameer Sethi, Snigdha Bellapukonda
      Pages: 544 - 545
      Abstract: Chitta R Mohanty, Vikas Saini, Sameer Sethi, Snigdha Bellapukonda
      Saudi Journal of Anaesthesia 2020 14(4):544-545

      Citation: Saudi Journal of Anaesthesia 2020 14(4):544-545
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_152_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Changing nasal endotracheal tube to opposite nostril in a patient with no
           mouth opening under general anesthesia, after initial awake fiberoptic
           intubation

    • Authors: Kaushik Barua, Pulak Tosh, Naina Narayani, Sunil Rajan
      Pages: 545 - 546
      Abstract: Kaushik Barua, Pulak Tosh, Naina Narayani, Sunil Rajan
      Saudi Journal of Anaesthesia 2020 14(4):545-546

      Citation: Saudi Journal of Anaesthesia 2020 14(4):545-546
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_160_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Superior Trunk block for humerus surgery: Application beyond the shoulder
           analgesia

    • Authors: Tuhin Mistry, Samarjit Dey, Jitendra V Kalbande
      Pages: 547 - 548
      Abstract: Tuhin Mistry, Samarjit Dey, Jitendra V Kalbande
      Saudi Journal of Anaesthesia 2020 14(4):547-548

      Citation: Saudi Journal of Anaesthesia 2020 14(4):547-548
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_198_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Sphenopalatine ganglion block for abortive treatment of a migraine
           headache

    • Authors: Amnon A Berger, Jamal Hasoon
      Pages: 548 - 549
      Abstract: Amnon A Berger, Jamal Hasoon
      Saudi Journal of Anaesthesia 2020 14(4):548-549

      Citation: Saudi Journal of Anaesthesia 2020 14(4):548-549
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_810_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • The role of the hyper-angulated videolaryngoscope in nasotracheal
           intubation

    • Authors: Kan Chandradeva, Divya Harshan
      Pages: 549 - 550
      Abstract: Kan Chandradeva, Divya Harshan
      Saudi Journal of Anaesthesia 2020 14(4):549-550

      Citation: Saudi Journal of Anaesthesia 2020 14(4):549-550
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_811_19
      Issue No: Vol. 14, No. 4 (2020)
       
  • Anesthetic management of a patient with Susac syndrome: A rare
           neurological disorder

    • Authors: Ankur Khandelwal, Chandrakant Prasad, Navdeep Sokhal, Arvind Chaturvedi
      Pages: 551 - 552
      Abstract: Ankur Khandelwal, Chandrakant Prasad, Navdeep Sokhal, Arvind Chaturvedi
      Saudi Journal of Anaesthesia 2020 14(4):551-552

      Citation: Saudi Journal of Anaesthesia 2020 14(4):551-552
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_66_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Assessing adequacy of collateral foot circulation: A simple bedside test
           prior to lower extremity arterial cannulation

    • Authors: Ashutosh Kaushal, Shipra Verma, Rudrashish Haldar, Praveen Talawar
      Pages: 552 - 554
      Abstract: Ashutosh Kaushal, Shipra Verma, Rudrashish Haldar, Praveen Talawar
      Saudi Journal of Anaesthesia 2020 14(4):552-554

      Citation: Saudi Journal of Anaesthesia 2020 14(4):552-554
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_75_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Yet another lost guide wire

    • Authors: Prakash K Dubey, Ranjan Rahul, Alok K Bharti
      Pages: 554 - 556
      Abstract: Prakash K Dubey, Ranjan Rahul, Alok K Bharti
      Saudi Journal of Anaesthesia 2020 14(4):554-556

      Citation: Saudi Journal of Anaesthesia 2020 14(4):554-556
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_108_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • The novel “FIT” of endobronchial intubation: Whimsical
           contention or factitious science?

    • Authors: Akhil Kumar, Amitabh Dutta, Shikha Sharma, Jayashree Sood
      Pages: 556 - 557
      Abstract: Akhil Kumar, Amitabh Dutta, Shikha Sharma, Jayashree Sood
      Saudi Journal of Anaesthesia 2020 14(4):556-557

      Citation: Saudi Journal of Anaesthesia 2020 14(4):556-557
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_165_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Spread of local anesthetic after thoracic erector spinae and thoracic
           paravertebral block in patients with multiple posterolateral rib fractures
           

    • Authors: Sandeep Diwan, Abhijit Nair
      Pages: 557 - 559
      Abstract: Sandeep Diwan, Abhijit Nair
      Saudi Journal of Anaesthesia 2020 14(4):557-559

      Citation: Saudi Journal of Anaesthesia 2020 14(4):557-559
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_158_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Different standards of the variable pitch for oxygen saturation with pulse
           rate and heart rate monitoring: An avoidable complication

    • Authors: Tanya Aysha Edathodu, Renu Sinha, Thilaka Muthiah, V Yokasekar
      Pages: 559 - 560
      Abstract: Tanya Aysha Edathodu, Renu Sinha, Thilaka Muthiah, V Yokasekar
      Saudi Journal of Anaesthesia 2020 14(4):559-560

      Citation: Saudi Journal of Anaesthesia 2020 14(4):559-560
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_163_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Ultrasound to identify the cause of unilateral caudal anesthesia

    • Authors: Debendra Tripathy, Bhavna Gupta, S Naveen
      Pages: 560 - 561
      Abstract: Debendra Tripathy, Bhavna Gupta, S Naveen
      Saudi Journal of Anaesthesia 2020 14(4):560-561

      Citation: Saudi Journal of Anaesthesia 2020 14(4):560-561
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_192_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Local anaesthetic systemic toxicity in paediatric patient: Tips to prevent

    • Authors: Renu Sinha, Nishant Patel, Kanil R Kumar
      Pages: 561 - 562
      Abstract: Renu Sinha, Nishant Patel, Kanil R Kumar
      Saudi Journal of Anaesthesia 2020 14(4):561-562

      Citation: Saudi Journal of Anaesthesia 2020 14(4):561-562
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_233_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Use of lung ultrasound to diagnose intraoperative tension pneumothorax in
           a pediatric laparoscopic surgery

    • Authors: Tanya Mital, Shilpa Goyal, Nidhi Jain, Ankur Sharma
      Pages: 563 - 564
      Abstract: Tanya Mital, Shilpa Goyal, Nidhi Jain, Ankur Sharma
      Saudi Journal of Anaesthesia 2020 14(4):563-564

      Citation: Saudi Journal of Anaesthesia 2020 14(4):563-564
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_448_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Aftermath of COVID-19: Need for developing novel bedside communication
           skills?

    • Authors: Niyati Dubey, Preksha Dubey, Prakash K Dubey
      Pages: 564 - 565
      Abstract: Niyati Dubey, Preksha Dubey, Prakash K Dubey
      Saudi Journal of Anaesthesia 2020 14(4):564-565

      Citation: Saudi Journal of Anaesthesia 2020 14(4):564-565
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_457_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Treating postdural puncture headache in COVID-19 positive patient- is
           bilateral greater occipital nerve block the answer?

    • Authors: Abhijit Nair, Sandeep Diwan
      Pages: 566 - 567
      Abstract: Abhijit Nair, Sandeep Diwan
      Saudi Journal of Anaesthesia 2020 14(4):566-567

      Citation: Saudi Journal of Anaesthesia 2020 14(4):566-567
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_383_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • An incidental diagnosis of tracheal bronchus using computed tomography in
           the congenital heart disease patient

    • Authors: Nithiyanandhan Palanisamy, Shrinivas V Gadhinglajkar, Rupa Sreedhar, GJ Murugendiran
      Pages: 567 - 569
      Abstract: Nithiyanandhan Palanisamy, Shrinivas V Gadhinglajkar, Rupa Sreedhar, GJ Murugendiran
      Saudi Journal of Anaesthesia 2020 14(4):567-569

      Citation: Saudi Journal of Anaesthesia 2020 14(4):567-569
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_479_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Use of a bronchial blocker in the prone position

    • Authors: Mohamed S Hajnour, Amro Al-Habib
      Pages: 569 - 570
      Abstract: Mohamed S Hajnour, Amro Al-Habib
      Saudi Journal of Anaesthesia 2020 14(4):569-570

      Citation: Saudi Journal of Anaesthesia 2020 14(4):569-570
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_397_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Response to the case submitted by Bellapukonda et al.- Can intubate but
           cannot ventilate! An unexpected event in a child with stridor after
           accidental aspiration of the potassium permanganate solution

    • Authors: Sujana Dontukurthy, Joseph D Tobias
      Pages: 570 - 572
      Abstract: Sujana Dontukurthy, Joseph D Tobias
      Saudi Journal of Anaesthesia 2020 14(4):570-572

      Citation: Saudi Journal of Anaesthesia 2020 14(4):570-572
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_413_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Ultrasound-guided continuous retroclavicular brachial plexus block

    • Authors: Amarjeet Kumar, Chandni Sinha, Ajeet Kumar
      Pages: 572 - 573
      Abstract: Amarjeet Kumar, Chandni Sinha, Ajeet Kumar
      Saudi Journal of Anaesthesia 2020 14(4):572-573

      Citation: Saudi Journal of Anaesthesia 2020 14(4):572-573
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_314_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • In response to a comment on lung isolation for lobectomy in elderly post
           radiation fibrosis of a difficult airway-pediatric double-lumen tube and
           pediatric ureteroscope as rescue devices

    • Authors: Deyashinee Ghosh, Bhavna Gupta, Atif Khan
      Pages: 573 - 574
      Abstract: Deyashinee Ghosh, Bhavna Gupta, Atif Khan
      Saudi Journal of Anaesthesia 2020 14(4):573-574

      Citation: Saudi Journal of Anaesthesia 2020 14(4):573-574
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_585_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • A novel transparent box for intubation in a suspect/confirmed coronavirus
           disease (COVID-19) patient

    • Authors: Tariq L Jilani, Mohammad A Simbawa, Sara M Aljohani, Kawthar T Barnawi, Saeed A Balubaid, Mojahid M Felimban, Hashim M Bin Samman
      Pages: 574 - 575
      Abstract: Tariq L Jilani, Mohammad A Simbawa, Sara M Aljohani, Kawthar T Barnawi, Saeed A Balubaid, Mojahid M Felimban, Hashim M Bin Samman
      Saudi Journal of Anaesthesia 2020 14(4):574-575

      Citation: Saudi Journal of Anaesthesia 2020 14(4):574-575
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_307_20
      Issue No: Vol. 14, No. 4 (2020)
       
  • Possible use of low-molecular weight dextran as adjuvant for erector
           spinae plane block procedure

    • Authors: Masahiko Tsuchiya, Koh Mizutani, Mitsuhide Yabe, Takashi Mori
      Pages: 576 - 577
      Abstract: Masahiko Tsuchiya, Koh Mizutani, Mitsuhide Yabe, Takashi Mori
      Saudi Journal of Anaesthesia 2020 14(4):576-577

      Citation: Saudi Journal of Anaesthesia 2020 14(4):576-577
      PubDate: Thu,24 Sep 2020
      DOI: 10.4103/sja.SJA_533_20
      Issue No: Vol. 14, No. 4 (2020)
       
 
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