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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
Anaesthesia, Pain & Intensive Care
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1607-8322 - ISSN (Online) 2220-5799
Published by Aga Khan University Hospital, Karachi Homepage  [1 journal]
  • Analgesic effects of dexmedetomidine with hyperbaric bupivacaine in spinal
           anesthesia for patients undergoing Illiazorov surgery

    • Authors: Dr Tariq, Abaid-ur -Rehman, Sana Siddiq, Khazina Qadeer, Kashif Hussain, Nabeel Ashfaq, Leena Aziz
      Abstract: Objective: To examine the efficacy of dexmedetomidine with hyperbaric bupivacaine 0.5% in spinal anesthesia for patients undergoing Illiazorov surgery.
      Methodology: This cross-sectional/observational study was conducted at Orthopedics and Spine Centre, Ghurki Trust Teaching Hospital (GTTH) Lahore for two months from 20th August 2018 to 20th October 2018. In this study 52 patients of both genders undergoing lower limb surgeries were included. Patient’s ages ranged from 18 to 65 y. Detailed medical history and informed consent was taken from all of the patients. The patients were randomly divided into two groups using a computer generated random number table. Group-I  included 26 patients and received inj. dexmedetomidine 10 µg in 0.5 ml of normal saline along with 12.5 mg of 0.5% hyperbaric bupivacaine (2.5 ml) , while the Group-II had 26 patients and received only 0.5ml  of  normal saline with 12.5 mg of 0.5% hyperbaric bupivacaine(2.5ml). Results were noted in both groups as time to achieve T10 sensory blockade and time to first rescue analgesia after spinal anesthesia.
      Results: There were 19 (73.08%) male patients and 7 (26.92%) females in Group-I while in Group-II 21 (80.77%) patients were male and 5 (19.23%) were females. We observed the results were similar with respect to the time to reach T10 sensory blockade. But, we observed a significant difference in time to first rescue analgesia after spinal anesthesia. In Group-I, it was 270.35 min while in Group-II, it was 182.25 min.
      Conclusion: In this study, we concluded that there was a significant difference in two groups with respect to the time to first rescue analgesia after spinal anesthesia with and without using dexmedetomidine in addition to 0.5% bupivacaine in spinal anesthesia for Illiazorov surgery.
      Citation: Rehman AU, Siddiq S, Qadeer K, Nawaz A, Hussain K, Ashfaq N, Aziz L. Analgesic effects of dexmedetomidine with hyperbaric bupivacaine in spinal anesthesia for patients undergoing Illiazorov surgery. Anaesth. pain & intensive care 2019;23(1)___
      Received – 11 November 2018; Reviewed – 17, 19, 20 November 2018; Corrected – 10 April 2019; Accepted - 10 April 2019
      PubDate: 2019-07-15
      Issue No: Vol. 23, No. 1 (2019)
       
  • The effect of different levels of elevated intraperitoneal pressure on the
           cerebral perfusion pressure during laparoscopic cholecystectomy

    • Authors: Dr Tariq, Doaa G. Diab, Hani I. Taman
      Abstract: Background: In spite of an ever increasing number of laparoscopic techniques, there is still a lot of arguments about multiple aspects of this technique as regards the best method for accessing the peritoneal cavity by creating pneumoperitoneum which may have many effects on cerebral perfusion state and oxygen consumption. We conducted this study to evaluate the effect of different levels of elevated artificial intraperitoneal pressure on the cerebral perfusion pressure (CPP) during laparoscopic cholecystectomy.
      Methodology: This prospective, randomized clinical trial enrolled 40 patients scheduled for elective laparoscopic cholecystectomy, 20 - 59 years old, of either sex, and ASA I and II. After ethical approval, patients were randomly assigned into two groups to receive, either: intraperitoneal pressure of 12 mmHg (Group PL) or a pressure of 20 mmHg (Group PH).
      Results: No significant differences in heart rate, arterial oxygen saturation and end tidal Co2 between both groups. Mean arterial pressure and CPP were lower in Group PH vs. Group PL at 2nd intraoperative reading. CPP at this point was lower in both groups compared to basal value, MAP in
      Group PH was lower and JBP was higher at 2nd intraoperative reading than basal value. PaO2 and cerebral oxygen extraction ratio  (COER) were
      lower in Group PH vs, Group PL, also PaO2 was lower in Group PH compared to basal value at 2nd intraoperative reading.
      Conclusions: During laparoscopic cholecystectomy, there is frequently reported alterations in cerebral blood flow and intracranial pressure. These changes affect cerebral perfusion pressure and thus may affect cerebral oxygenation.
      Citation: Diab DG, Taman HI. The effect of different levels of elevated artificial pneumoperitoneum pressure on the cerebral perfusion pressure during laparoscopic cholecystectomy. Anaesth. pain & intensive care 2019;23(1)___
      PubDate: 2019-07-15
      Issue No: Vol. 23, No. 1 (2019)
       
  • Dexmedetomidine as an antiepileptic in super refractory status epilepticus

    • Authors: Dr Tariq, Bikram Kumar Gupta, Arun Raj Pandey, Shardendu Singh, Madhup Kumar Singh
      Abstract: Refractory and super-refractory status epilepticus (SRSE) is a life-threatening neurological emergency, associated with very high morbidity and mortality. Treatment should be aimed to stop seizure and to avoid cerebral damage and morbidity related to it. The term SRSE is reserved for the patients who continue to have seizures despite the use of general anesthetic agents, or for whom seizures recur when therapy is tapered or withdrawn. A variety of treatment modalities are present, almost entirely based upon open observational studies or case reports. Therapy includes anesthesia, antiepileptic drug therapy, hypothermia, ketogenic diet, other medical, immunological, and physical therapies. In our case the patient’s seizure subsided after starting dexmedetomidine infusion while other antiepileptics had been completely stopped except valproic acid.
      Citation: Gupta BK, Pandey AR, Singh S, Singh MK. Dexmedetomidine as an antiepileptic in super refractory status epilepticus. Anaesth. pain & intensive care 2019;23(1):___
      Received – 23 October 2018; Reviewed – 17 November 2018, 2 January 2019; Corrected – 21 December 2018, 2 January 2019; Accepted - 2 January 2019
      PubDate: 2019-07-15
      Issue No: Vol. 23, No. 1 (2019)
       
  • John Patrick Beavis

    • Authors: Dr Tariq, Maira Bailey
      Abstract: John Beavis first became involved in Primary Trauma Care (PTC) when he and Sir Terence English approached PTC Foundation to introduce the course in Peshawar, in Pakistan’s North West Frontier Province. It was a successful start; later on spread to Karachi and throughout the country and into other areas.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • TRENDS & TECHNOLOGY

    • Authors: Dr Tariq
      Abstract: TRENDS & TECHNOLOGY
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Attenuation of the hemodynamic response to tracheal intubation with
           gabapentin and oral midazolam

    • Authors: Dr Tariq, Ahmed H. Bakeer, Nasr M. Abdallah
      Abstract: Objective: Endotracheal intubation is associated with hemodynamic response that may be serious in high-risk patients. This study compared oral gabapentin 900 mg alone or with 7.5 mg oral midazolam on the hemodynamic responses to direct laryngoscopy and endotracheal intubation (LETI).
      Methodology: This randomized, double-blind clinical trial was conducted in operating room complex, National Cancer Institute, Cairo University, Cairo. The study included 60 normotensive adults scheduled for modified radical mastectomy under general anesthesia. The participants were randomly allocated to two equal groups to receive premedication either with oral gabapentin 900 mg (Group G) or gabapentin 900 mg plus 7.5 mg midazolam (Group GM). Sedation was monitored up to the time of induction of anesthesia. Heart rate (HR) and systolic and diastolic blood pressures were recorded up to 30 min of laryngoscopy.
      Results: In the two groups, systolic and diastolic blood pressure and heart changes were controlled up to 30 min intra-operatively. Systolic and diastolic blood pressure were significantly lower in Group GM compared to Group G. At all times, there was no significant difference in heart rate between the two groups.
      Conclusion: Oral gabapentin is effective in attenuation of the hypertensive response to laryngoscopy and endotracheal intubation when administered in a dose of 900 mg 90 min before modified radical mastectomy. It is more effective when combined with oral midazolam 7.5 mg.
      Citation: Bakeer AH, Abdallah NM. Attenuation of the hemodynamic response to tracheal intubation with gabapentin and oral midazolam. Anaesth. pain & intensive care 2019;23(1):37-42
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Investigation of the effects of different doses of sugammadex on kidney
           histopathology in rabbits with acute renal failure

    • Authors: Dr Tariq, Omur Ozturk, Mesut Erbas
      Abstract: Objective: In our study, we hypothesised that using high doses, ie. 16 mg / kg sugammadex during general anesthesia after acute renal failure in rabbits would lead to a deteriorated renal histopathology due to the accumulation of rocuroniumsugammadex complex in the tubules. We aimed to investigate the effect of different doses of sugammadex (4 or 16 mg) on experimental kidney histopathology in rabbits with acute renal failure.
      Methodology: Eight New Zealand white adult male rabbits were used in the study. The rabbits were divided into 2 groups of four. The first group received low dose (4 mg) sugammadex and the second group received high dose (16 mg) sugammadex. Rabbits were administered 20 mg / kg of cisplatin intravenously 4 hours before general anesthesia and an acute renal failure model was established. After general anesthesia was applied, V-GEL® Rabbıt was placed to all experimental animals to provide airway safety. All animals were manually ventilated using an anesthesia device. At the 25th min after induction, the rabbits in Group D received 4 mg / kg sugammadex iv, and the those in Group Y received 16 mg / kg sugammadex iv. At the end of the experiment, all experimental animals were sacrificed, and the kidneys were removed, and histopathologic examination was performed.
      Results: At the end of our study all experimental animals were sacrificed. There was no statistically significant difference between findings in the kidneys of animals of Group Y and Group D on histopathologic evaluation.
      Conclusion: The results of our study did not reveal any differences between the renal histopathological appearances of rabbits receiving 4 mg / kg or 16 mg /kg sugammadex IV.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Use of the Hamilton anxiety scale to assess mothers of pediatric patients
           on mechanical ventilation

    • Authors: Dr Tariq, Muhammed Nurullah Yakut, Hüseyin Dağ, Yakup Karakurt, Emine Türkkan
      Abstract: Introduction: The risk of complications is higher in intensive care units (ICU) than in other units. As children with severe conditions are hospitalized, many drugs are used concomitantly, and invasive interventions are more frequently required. Therefore, pediatric ICUs are medical settings which cause traumatic stress to both children and their parents. Knowing the extent to which anxiety levels are affected in a parent whose child is hospitalized in the intensive care unit is important. This study investigated the anxiety levels of mothers with a child in the ICU and compared the levels of anxiety of mothers of children on mechanical ventilation (MV) with mothers of children not on MV.
      Methodology: Hamilton Anxiety Rating Scale (HAM-A) forms were filled during faceto- face interviews with the mothers after their children’s admission to the ICU. The mothers details were recorded in case report forms. Basic demographic data were collected for the children involved.
      Results: In total, 128 patients were enrolled; 64 each on MV (patient group) and not on MV (control group) and their mothers. There was no significant difference in the mean ages of the patient and the control groups (73.9 ± 38.4 months vs. 75.7 ± 48.6 months; p = 0.815). The mean HAM-A scores of the patient group and the control group were found to be 23.7 ± 2.2 and 7.9 ± 1.8, respectively (p = 0.001). The age of the mothers was not correlated with the HAM-A score in either the patient or control group. No difference was found between the HAM-A scores in terms of educational level in the patient and control groups (p>0.05).
      Conclusion: The anxiety levels of the mothers whose children were admitted to the intensive care unit were high and these levels further increased with the possibility of their children being connected to mechanical ventilators.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Outcome of pretreatment regimens on hemodynamic parameters and emergence
           during electroconvulsive therapy –a study on dexmedetomidine and esmolol
           

    • Authors: Dr Tariq, Dixitkumar B. Modh, Manthan P. Parmar, Shilpin Solanki, Roopa Sachidananda
      Abstract: Aim: Present study was performed with an aim to observe the effect on hemodynamic parameters and emergence during electroconvulsive therapy using dexmedetomidine and esmolol as pretreatment regimens.
      Methodology: In this prospective study, we selected all patients undergoing ECT from January 2017 to February 2018 in our hospital by convenient sampling, and divided them as follows; Group C (Control Group): patients who did not receive any pretreatment. Group D (Dexmedetomidine Group): inj dexmedetomidine 0.5 μg/kg diluted with 10 ml normal saline and administered over 10 min and Group E (Esmolol Group): inj esmolol 1mg/kg diluted in 10 ml normal saline and administered over 2 min during preoxygenation. Pulse rate, systolic, diastolic blood pressure and SpO2 were measured at baseline value and compared after administration of drugs at various intervals.
      Results: We observed statistically significant reduction in mean heart rate and blood pressure in Group E, followed by Group D after administration of drugs. Highly significant rise in hemodynamic parameters (HR, SBP, DBP) from baseline were observed in Group
      C at 1, 3 and 5 min after ECT shock and returned to baseline value at 10 min of ECT
      current. Obeying commands and eye opening were significantly delayed in Group D
      when compared to Group C and Group E. (p ≤ 0.05)
      Conclusion: Attenuation of hemodynamic parameters during ECT are effectively achieved by inj esmolol 1 mg/kg followed by inj dexmedetomidine 0.5 μg/kg, but dexmedetomidine produces delayed recovery and attenuates emergence agitation better than esmolol without affecting seizure duration or any other complications.
      Citation: Modh DB, Parmar MP, Solanki S. Outcome of pretreatment regimens on hemodynamic parameters and emergence during electroconvulsive therapy –a study on dexmedetomidine and esmolol. Anaesth. pain & intensive care 2019;23(1):52-58
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Complications of low dose propofol in electroconvulsive therapy: a case
           series

    • Authors: Dr Tariq, Javad Rahmati, Ali Shahriari, Maryam Khooshideh
      Abstract: We report a cases series (of four cases) of serious complications observed after propofol injection for electroconvulsive therapy. The signs and symptoms included hyperthermia, hypotension, lethargy, pancytopenia or leukocytosis, as well as renal and hepatic laboratory parameters disturbances. In all of these cases, signs and symptoms improved rapidly. Although propofol used in these patients was drawn from a multidose vial, which can be a source of contamination and infection, rapid disappearance of the signs and symptoms in 3 of the patients after three hours, and remission of hypotension and lethargy the fourth patient within 10 hours, precludes the possibility of sepsis. Anesthesiologists must remain vigilant during propofol use and must shun the use of multi-dose vials.
      Citation: Rahmati J, Shahriari A, Khooshideh M. Complications of low dose propofol in electroconvulsive therapy: a cases series. Anaesth. pain & intensive care 2019;23(1):81-83
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Anesthetic management of an adult patient with childhood x-linked
           adrenoleukodystrophy

    • Authors: Dr Tariq, Jyoti Gupta, Divesh Arora
      Abstract: X-linked adrenoleukodystrophy is a disorder of peroxisomal fatty acid beta-oxidation causing the accumulation of very long chain fatty acids (VLCFA) in tissues. The hallmarks of the disease are CNS demyelination and primary adrenal insufficiency. The anesthetic considerations include mental retardation, seizure disorder, impaired adrenocortical function, immunosuppression, risk of iatrogenic fractures, hypotonia and delayed awakening. The anesthetic plan should be case specific. Pre-operative sedation should be avoided because of hypotonia of pharyngeal muscles. Corticosteroids should be  given intra-operatively. We anesthetized our case using titrated doses of short acting intravenous and inhalational agents. We secured the airway with i-gel. Few cases have been reported in literature. Still there exists no established anesthetic management plan for these patients. To the best of our knowledge, this is the first reported use of titrated doses of anesthetic agents under i-gel supraglottic airway device for a case of x-linked adrenoleukodystrophy posted for orchidectomy, and with a favorable outcome.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Multiple organ dysfunction syndrome: what do we know about pain
           management' A narrative review

    • Authors: Dr Tariq, Dmytro Dmytriiev, Kostiantyn Dmytriiev, Oleksandr Stoliarchuk, Andriy Semenenko
      Abstract: Multiple organ dysfunction syndrome (MODS) is observed in 40% of adult patients and 56% of pediatric patients admitted to the intensive care unit (ICU). Mortality in case of MODS can reach 50% and more. Pain management in this population of patients is always a big challenge due to systemic derangements. We give a narrative review of this problem and the recommended lines of action here. We performed a literature search for a period from 1984 to 2018 in Google Scholar, PubMed, Medline, Embase, and Cochrane. Data from 45 articles devoted to the problems of MODS, severe sepsis, heart, liver and renal failures, coagulation disorders and pain management were accumulated and presented here. First step in the management of any pathology is diagnosis and assessment. Organ dysfunction in adults can be assessed according to Sequential Organ Failure Assessment (SOFA) score, and other Systems in pediatric patients. Acetaminophen, tramadol and fentanyl is a safe option for analgesia in MODS after dose adjusting according to liver failure or eGFR. Other methods of analgesia can be used in specific types of organ failure, but have limitations or are not well studied, so they are best avoided or used with caution in patients with MODS. In this article pain management strategies in each particular failure are presented and an algorithm for pain management has been suggested by the authors. Further investigations are required in order to determine the best modalities for pain management in this group of patients.
      Citation: Dmytriiev D. Multiple organ dysfunction syndrome: what do we know about pain management' A narrative review. Anaesth. pain & intensive care 2019;23(1):84-91
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • A review of the most important herbal drugs effective in chest pain due to
           cardiac disease

    • Authors: Dr Tariq, Yahya Ebrahimi, Afshin Hasanvand, Arash Momeni Safarabadi, Hamed Sepahvand, Mona Moghadasi, Saber Abbaszadeh
      Abstract: Cardiovascular diseases is currently one of the most important health issues. Chest pain is one of the most common disorders due to cardiovascular diseases that can be a warning sign for myocardial infarction. Chest pain can be due to heart and otherwise diseases. Bioactive compounds or medicinal herbs are a rich source of antioxidant compounds, biologically active ingredients, phenols, and other substances that inhibit oxidative stress and reduce free radicals through certain mechanisms, and therefore prevent cardiovascular diseases and reduce chest pains. Medicinal plants play the role of the traditional medicine in the treatment and prevention of cardiovascular diseases and other disorders affecting myocardial and vascular tissues. Based on the results obtained from the review of numerous articles indexed in the databases ISI, Scopus, PubMed, Google Scholar, etc, a number of plants have been reported to be used for the treatment and prevention of cardiovascular diseases and chest pain due to cardiac disease, including Curcuma longa, Sophora flavescens, Calendula officinalis, Carthamus tinctorius, Tripterygium wilfordi, Salvia miltiorrhiza, Ampelopsis grossedentata, Pseudotsuga menziesii, Vitis vinifera, Styphnolobium japonicum, Allium sativum. Pharmacological studies have also investigated the therapeutic effects of medicinal herbs, and also their clinical effects and the use of their active ingredients in the production of useful natural drugs. The results of phytochemical investigations on these plants have shown that the most important compounds of the plants include flavonoids,phenolics, Alkaloids, flavonoids and phenolics, saponin and other bioactive compounds can be anti-chest pain hrugs. Due to main active ingredients and flavonoids of these plants, they can be used to produce natural drugs that reduce cardiovasculardiseases and thus chest pain due to cardiac diseases, and therefore relieve the suffering of patients. The purpose of this study was to identify and report medicinal plants with potential for anti-chest pain.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • The effect of addition of intrathecal sufentanil to hyperbaric bupivacaine
           in cesarean section- a prospective randomized study

    • Authors: Dr Tariq, Seyed Mojtaba Mousavi, Reza Aminnejad
      Abstract:  I read the article entitled “The effect of addition of intrathecal sufentanil to hyperbaric bupivacaine in cesarean section- a prospective randomized study” with great interest.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Rapid Response System A practical guide

    • Authors: Dr Tariq, Amna Raza
      Abstract: Dr. Raghavan Murugan, associate professor in critical care medicine at the University of Pittsburg holds the administrative titles of ICU Director & Chief of Critical Care Medicine at Magee-Womens Hospital of UPMC and Director of Clinical and Research Observership Programs at the Department of Critical Care Medicine. He has also received the Presidential Citation Award from Society of Critical Care Medicine in 2015.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Practical Anesthetic Management- The Art of Anesthesiology 1st Edition

    • Authors: Dr Tariq, Saru Singh, Pranav Bansal, Sharma Ruhi
      Abstract: The “Practical Anesthetic Management- The Art of Anesthesiology”, as stated by the authors, is not a textbook, rather an interesting collection of selected  key topics. This book is based on long standing experiences of clinicians with an aim to make the art of anesthesia more safe, effective and efficient.
      PubDate: 2019-07-03
      Issue No: Vol. 23, No. 1 (2019)
       
  • Comparison of pediatric caudal block with ultrasound guidance or landmark
           technique

    • Authors: Dr Tariq, Azmat Riaz, Ali Raza Ali Shah, Syed Asad Ullah Jafri
      Abstract: Background: Single-shot caudal block is a common regional technique for below umbilicus surgery in children to provide intraoperative and postoperative analgesia. Traditionally the landmark technique has been used to perform this block but correct needle placement may sometimes be difficult due to anatomical variations. We performed this clinical trial to find out the usefulness of the recently introduced ultrasound guidance in success of performing caudal block.
      Methodology: This randomized controlled clinical trial was conducted after approval from hospital ethical committee. 240 children between 2 and 10 years of age, were divided into two equal groups. Patients in first group (Group USG) received caudal block with the help of real-time ultrasonography, while the second group (Group LM) received blocks using traditional landmark technique. The primary end point was a successful block which was defined as injection into the caudal canal without any resistance, no blood or CSF on aspiration and no subcutaneous swelling. The secondary end point was no tachycardia (more than 10% increase in heart rate from base line) on skin incision. We also recorded block performing time and number of needle punctures. Mean and standard deviation values were calculated for age, weight and time taken in procedure. Frequency and percentages were calculated for gender, tachycardia and success on first attempt. 
      Results: There was no significant difference between the two groups in regards to age, gender or weight. However, the success on 1st attempt was higher in ultrasound group (95%) as compared to landmark technique (p = 0.000). Similarly, frequency of tachycardia on skin incision was significantly lower in ultrasound group (10%) as compared to landmark technique (p = 0.000). But the time taken was significantly higher in ultrasound group (110.88 ± 16.11 sec) as compared to landmark technique (63.62 ± 13.10 sec) {p= 0.000}
      Conclusion: Success rate in placement of caudal block significantly is increased by  using ultrasound guidance as compared to standard anatomical landmarks technique, but the time taken is significantly higher in ultrasound group as compared to landmark technique.
      Citation: Riaz A, Shah ARA, Jafri SAU. Comparison of pediatric caudal block with ultrasound guidance or landmark technique. Anaesth. Pain & intensive care 2019;23(1):18-22
      PubDate: 2019-07-02
      Issue No: Vol. 23, No. 1 (2019)
       
  • Evaluating the effectiveness of acupressure on anxiety of mothers in a
           pediatric surgical waiting area: a randomized clinical trial

    • Authors: Dr Tariq, Somaye Pouy, Abolfazl Etebarian, Solmaz Saeidi, Soheila Majidi
      Abstract: Background and Objective: Anxiety in children and their mothers is one of the most prevalent preoperative problems in pediatric patients. The preoperative maternal anxiety can lead to unpleasant complications during preoperative as well as postoperative periods of children. Due to limited studies done in this area, the present study was conducted to investigate the effect of acupressure on preoperative anxiety in mothers with a child undergoing tonsillectomy.
      Methodology: The present clinical trial was performed on 61 mothers with a child undergoing tonsillectomy. The samples were randomly divided into two groups of intervention (acupressure) and sham acupressure. The acupressure was applied on the Yintang point in the intervention group and on the Sham point in the sham group. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure the maternal anxiety. Data were analyzed by descriptive and inferential statistics (analysis of variance).
      Results: Statistical analysis showed that the mean score of maternal anxiety before intervention was not significantly different in both intervention and sham groups (42 ± 8 and 41 ± 7, respectively), but there was a significant difference in their anxiety score after intervention in two groups, 38 ± 2 and 40 ± 6, respectively. No relationship was found between the demographic characteristics of the samples and the mean score of maternal anxiety.
      Conclusion: The results of this study revealed that the acupressure has a positive effect on the attenuation of anxiety in mothers with a child undergoing tonsillectomy. Therefore, due to cost-effectiveness and ease of use, this technique is recommended to alleviate the anxiety in mothers whose children are undergoing surgery.
      Citation: Pouy S, Etebarian A, Saeidi S, Majidi S. Evaluating the effectiveness of acupressure on anxiety of mothers in a pediatric surgical waiting area: a randomized clinical trial. Anaesth. pain & intensive care 2019;23(1):23-27
      PubDate: 2019-07-02
      Issue No: Vol. 23, No. 1 (2019)
       
  • Intravenous paracetamol as a preemptive analgesia to reduce postoperative
           pain after major oncologic surgery

    • Authors: Dr Tariq, Ristiawan Muji Laksono, Isngadi Isngadi, Arya Hari Murti
      Abstract: Background and purpose: Adequate postoperative pain management, intended not only to facilitate surgery, but also to prevent development of chronic pain, remains the prime concern of the anesthesiologists. Intravenous administration of paracetamol as preemptive analgesia for general surgery has not shown consistent outcomes. The purpose of the present study was to determine the effects of paracetamol as a preemptive analgesia in patients undergoing a major oncologic surgery.
      Methodology: Subjects were patients undergoing major oncology surgery with the criteria of mild to moderate pain. Forty patients involved in the study were divided into a control group (n = 20) of patients not administered with preemptive analgesia and a group of patients who received intravenous paracetamol as a preemptive analgesia (n = 20). Pain intensity was measured by the visual analog scale and analgesic consumption was recorded.
      Results: In the group administered with intravenous paracetamol, there was a significant decline in the visual analog scores and analgesic consumption as compared to the control group not administered with intravenous paracetamol (p < 0.05).
      Conclusions: Administration of intravenous paracetamol at certain doses was capable of suppressing post-major oncologic surgery pain and analgesic consumption. Thus, paracetamol infusion could be used as a preemptive analgesic for major oncologic surgery.
      Citation: Laksono RM, Isngadi I, Murti AH.Intravenous paracetamol as a preemptive analgesia to reduce postoperative pain after major oncologic surgery. Anaesth. pain & intensive care 2019;23(1):28-32
      PubDate: 2019-07-02
      Issue No: Vol. 23, No. 1 (2019)
       
  • Chronic post-hypoxic myoclonus in intensive care: Lance Adams Syndrome

    • Authors: Dr Tariq, Yasemin Tekdöş Şeker, Necla Sözer
      Abstract: Aim: Posthypoxic myoclonus (PHM) is a rare myoclonus syndrome observed after cardiac arrest, is difficult to control and has no definitive diagnostic method. The pathophysiological mechanism of PHM, also known as Lance Adams Syndrome (LAS), is unknown and definitive treatment options are limited. The aim of this study was to present cases of LAS and the follow-up results of treatment following cardiopulmonary resuscitation (CPR) in our hospital.
      Methodology: This study included patients followed up in the intensive care clinic of our hospital between May 2012 and January 2017 after CPR in the intensive care unit (ICU). A retrospective review was made of the record files of patients who were evaluated by the Neurology Department because of epileptic seizures.
      Results: Evaluation was made of 19 patients with no history of epilepsy/antiepileptic drug use and treatment initiated by the Neurology Clinic for LAS. The patients comprised of 11 males (58%) and 8 females (42%) with a mean age of 55.89 ± 19.65 y for survivors and 61.50 ± 16.12 years for non-survivors. The mean length of hospital stay was 35 days for survivors and 17.5 days for nonsurvivors. Outcomes were determined as, mortality in 10 cases, long-term care in 7, and discharge withrecovery in 2. Sodium valproate was used in 4 patients and levetiracetam in 15. The 7 patients on
      long-term care were found to have been lost in the 3-month period after discharge.
      Conclusions: In Lance Adams Syndrome the EEG may not provide any pathological clue or show epileptic changes. An early start to treatment can lead to better prognosis. It can be concluded that after CPR, myoclonic contractions can be reduced, and morbidity and mortality can improve
      with early diagnosis and early treatment.
      PubDate: 2019-02-07
      Issue No: Vol. 23, No. 1 (2019)
       
  • Anesthesia in Nepal: From history to current scenario

    • Authors: Dr Tariq, Laxmi Pathak Nepal
      Abstract: Anesthesia in Nepal is rapidly growing with the availability of modern equipment and newer drugs, subspecialties training programs and formation of professional associations. This article briefly describes how Nepal has travelled all the way from no anesthesia to the current scenario of advanced facilities.
      Issue No: Vol. 23, No. 1
       
 
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