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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 7)
African J. of Medical and Health Sciences     Open Access   (Followers: 1)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 12, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 5)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access  
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 11, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access  
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 4, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access  
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access  
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 6)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access  
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 3)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 2)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 2)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 6, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 1)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access  
J. of Family Medicine and Primary Care     Open Access   (Followers: 8)

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Journal Cover Annals of Cardiac Anaesthesia
  [SJR: 0.408]   [H-I: 15]   [12 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0971-9784 - ISSN (Online) 0974-5181
   Published by Medknow Publishers Homepage  [355 journals]
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    • Authors: Prabhat Tewari
      Pages: 285 - 286
      Abstract: Prabhat Tewari
      Annals of Cardiac Anaesthesia 2017 20(3):285-286

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):285-286
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/0971-9784.210428
      Issue No: Vol. 20, No. 3 (2017)
       
  • Risk factors of postcardiotomy ventricular dysfunction in moderate-to-high
           risk patients undergoing open-heart surgery

    • Authors: Christoph Ellenberger, Tornike Sologashvili, Mustafa Cikirikcioglu, Gabriel Verdon, John Diaper, Tiziano Cassina, Marc Licker
      Pages: 287 - 296
      Abstract: Christoph Ellenberger, Tornike Sologashvili, Mustafa Cikirikcioglu, Gabriel Verdon, John Diaper, Tiziano Cassina, Marc Licker
      Annals of Cardiac Anaesthesia 2017 20(3):287-296
      Introduction: Ventricular dysfunction requiring inotropic support frequently occurs after cardiac surgery, and the associated low cardiac output syndrome largely contributes to postoperative death. We aimed to study the incidence and potential risk factors of postcardiotomy ventricular dysfunction (PCVD) in moderate-to-high risk patients scheduled for open-heart surgery. Methods: Over a 5-year period, we prospectively enrolled 295 consecutive patients undergoing valve replacement for severe aortic stenosis or coronary artery bypass surgery who presented with Bernstein-Parsonnet scores >7. The primary outcome was the occurrence of PCVD as defined by the need for sustained inotropic drug support and by transesophageal echography. The secondary outcomes included in-hospital mortality and the incidence of any major adverse events as well as Intensive Care Unit (ICU) and hospital length of stay. Results: The incidence of PCVD was 28.4%. Patients with PCVD experienced higher in-hospital mortality (12.6% vs. 0.6% in patients without PCVD) with a higher incidence of cardiopulmonary and renal complications as well as a prolonged stay in ICU (median + 2 days). Myocardial infarct occurred more frequently in patients with PCVD than in those without PCVD (19 [30.2%] vs. 12 [7.6%]). By logistic regression analysis, we identified four independent predictors of PCVD: left ventricular ejection fraction <40% (odds ratio [OR] = 6.36; 95% confidence interval [CI], 2.59–15.60), age older than 75 years (OR = 3.35; 95% CI, 1.64–6.81), prolonged aortic clamping time (OR = 3.72; 95% CI, 1.66–8.36), and perioperative bleeding (OR = 2.33; 95% CI, 1.01–5.41). The infusion of glucose-insulin-potassium was associated with lower risk of PCVD (OR = 0.14; 95% CI, 0.06–0.33). Conclusions: This cohort study indicates that age, preoperative ventricular function, myocardial ischemic time, and perioperative bleeding are predictors of PCVD which is associated with poor clinical outcome.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):287-296
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_60_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Neutrophil gelatinase-associated lipocalin as a biomarker for predicting
           acute kidney injury during off-pump coronary artery bypass grafting

    • Authors: Muralidhar Kanchi, R Manjunath, Jos Massen, Lloyd Vincent, Kumar Belani
      Pages: 297 - 302
      Abstract: Muralidhar Kanchi, R Manjunath, Jos Massen, Lloyd Vincent, Kumar Belani
      Annals of Cardiac Anaesthesia 2017 20(3):297-302
      Background: Acute kidney injury (AKI) following cardiac surgery is a major complication resulting in increased morbidity, mortality, and economic burden. In this study, we assessed the usefulness of estimating serum neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker in predicting AKI in patients with stable chronic kidney disease (CKD) and undergoing off-pump coronary artery bypass grafting (OP-CABG). Patients and Methods: We prospectively studied sixty nondialysis-dependent CKD patients with estimated glomerular filtration rate <60 ml/min/1.73 m2 who required elective OP-CABG. Patients were randomized into two groups, Group D received dopamine infusion at 2 μg/kg/min following anesthesia induction till the end of the surgery and Group P did not receive any intervention. Serum creatinine, NGAL, brain natriuretic peptide, and troponin-I were estimated at specified intervals before, during, and after surgery. The results of the study patients were also compared to a simultaneous matched cohort control of thirty patients (Group A) without renal dysfunction who underwent OP-CABG. Results: No patient required renal replacement therapy, and no mortality was observed during perioperative and hospitalization period. Six patients from control group (n = 30), ten patients from placebo group (n = 30), and 12 patients from dopamine group (n = 30) developed stage 1 AKI. However, we did not observe any stage 2 and stage 3 AKI among all the groups. There was a significant increase in serum NGAL levels at the end of surgery and 24 h postoperatively in placebo and dopamine groups as compared to the control. Conclusion: The measurement of NGAL appears to predict the occurrence of AKI after OP-CAB surgery. However, large multicentric studies may be required to confirm the findings of this study.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):297-302
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_48_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Coronary artery bypass graft patients' perception about the risk
           factors of illness: Educational necessities of second prevention

    • Authors: Ali Soroush, Saeid Komasi, Mozhgan Saeidi, Behzad Heydarpour, Danilo Carrozzino, Mario Fulcheri, Paolo Marchettini, Massimo Rabboni, Angelo Compare
      Pages: 303 - 308
      Abstract: Ali Soroush, Saeid Komasi, Mozhgan Saeidi, Behzad Heydarpour, Danilo Carrozzino, Mario Fulcheri, Paolo Marchettini, Massimo Rabboni, Angelo Compare
      Annals of Cardiac Anaesthesia 2017 20(3):303-308
      Background: Patients' beliefs about the cause of cardiac disease (perceived risk factors) as part of the global psychological presentation are influenced by patients' health knowledge. Hence, the present study aimed to assess the relationship between actual and perceived risk factors, identification of underestimated risk factors, and indication of underestimation of every risk factor. Materials and Methods: In this cross-sectional study, data of 313 coronary artery bypass graft (CABG) patients admitted to one hospital in the west of Iran were collected through a demographic interview, actual risk factors' checklist, open single item of perceived risk factors, and a life stressful events scale. Data were analyzed by means of Spearman's correlation coefficients and one-sample Z-test for proportions. Results: Although there are significant relations between actual and perceived risk factors related to hypertension, family history, diabetes, smoking, and substance abuse (P < 0.05), there is no relation between the actual and perceived risk factors, and patients underestimate the role of actual risk factors in disease (P < 0.001). The patients underestimated the role of aging (98.8%), substance abuse (95.2%), overweight and obesity (94.9%), hyperlipidemia (93.1%), family history (90.3%), and hypertension (90%) more than diabetes (86.1%), smoking (72.5%), and stress (54.7%). Conclusion: Cardiac patients seem to underestimate the role of aging, substance abuse, obesity and overweight, hyperlipidemia, family history, and hypertension more than other actual risk factors. Therefore, these factors should be highlighted to patients to help them to (i) increase the awareness of actual risk factors and (ii) promote an appropriate lifestyle after CABG surgery.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):303-308
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_19_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Cardiovascular operation: A significant risk factor of arytenoid cartilage
           dislocation/subluxation after anesthesia

    • Authors: Seri Tsuru, Mayuko Wakimoto, Takeshi Iritakenishi, Makoto Ogawa, Yukio Hayashi
      Pages: 309 - 312
      Abstract: Seri Tsuru, Mayuko Wakimoto, Takeshi Iritakenishi, Makoto Ogawa, Yukio Hayashi
      Annals of Cardiac Anaesthesia 2017 20(3):309-312
      Background: Arytenoid cartilage dislocation/subluxation is one of the rare complications following tracheal intubation, and there have been no reports about risk factors leading this complication. From our clinical experience, we have an impression that patients undergoing cardiovascular operations tend to be associated with this complication. Aims: We designed a large retrospective study to reveal the incidence and risk factors predicting the occurrence and to examine whether our impression is true. Settings and Designs: This was a retrospective study. Methods: We retrospectively studied 19,437 adult patients who were intubated by an anesthesiologist in our operation theater from 2002 to 2008. The tracheal intubation was performed by a resident anesthesiologist managing the patients. Only patients whose postoperative voice was disturbed more than 7 days were referred to the Department of Otorhinolaryngology-Head and Neck Surgery and examined using laryngostroboscopy by a laryngologist to diagnose arytenoid cartilage dislocation/subluxation. We evaluated age, sex, weight, height, duration of intubation, difficult intubation, and major cardiovascular operation as risk factors to lead this complication. Statistical Analysis: The data were analyzed by logistic regression analysis to assess factors for arytenoid cartilage dislocation/subluxation after univariate analyses using logistic regression analysis. Results: Our analysis indicated that difficult intubation (odds ratio: 12.1, P = 0.018) and cardiovascular operation (odds ratio: 9.9, P < 0.001) were significant risk factors of arytenoid cartilage dislocation/subluxation. Conclusion: The present study demonstrated that major cardiovascular operation is one of the significant risk factors leading this complication.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):309-312
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_71_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Propofol versus Ketofol for Sedation of Pediatric Patients Undergoing
           Transcatheter Pulmonary Valve Implantation: A Double-blind Randomized
           Study

    • Authors: Rabie Soliman, Mohammed Mofeed, Tarek Momenah
      Pages: 313 - 317
      Abstract: Rabie Soliman, Mohammed Mofeed, Tarek Momenah
      Annals of Cardiac Anaesthesia 2017 20(3):313-317
      Objective: The study was done to compare propofol and ketofol for sedation of pediatric patients scheduled for elective pulmonary valve implantation in a catheterization laboratory. Design: This was a double-blind randomized study. Setting: This study was conducted in Prince Sultan Cardiac Centre, Saudi Arabia. Patients and Methods: The study included 60 pediatric patients with pulmonary regurge undergoing pulmonary valve implantation. Intervention: The study included sixty patients, classified into two groups (n = 30). Group A: Propofol was administered as a bolus dose (1–2 mg/kg) and then a continuous infusion of 50–100 μg/kg/min titrated as needed. Group B: Ketofol was administered 1–2 mg/kg and then infusion of 20–60 μg/kg/min. The medication was prepared by the nursing staff and given to anesthetist blindly. Measurements: The monitors included heart rate, mean arterial blood pressure, respiratory rate, temperature, SPO2and PaCO2, Michigan Sedation Score, fentanyl dose, antiemetic medications, and Aldrete score. Main Results: The comparison of heart rate, mean arterial pressure, respiratory rate, temperature, SPO2and PaCO2, Michigan Sedation Score, and Aldrete score were insignificant (P > 0.05). The total fentanyl increased in Group A more than Group B (P = 0.045). The required antiemetic drugs increased in Group A patients more than Group B (P = 0.020). The durations of full recovery and in the postanesthesia care unit were longer in Group A than Group B (P = 0.013, P < 0.001, respectively). Conclusion: The use of propofol and ketofol is safe and effective for sedation of pediatric patients undergoing pulmonary valve implantation in a catheterization laboratory. However, ketofol has many advantages more than the propofol. Ketofol has a rapid onset of sedation, a rapid recovery time, decreased incidence of nausea and vomiting and leads to rapid discharge of patients from the postanesthesia care unit.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):313-317
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_24_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Randomized comparative study of intravenous infusion of three different
           fixed doses of milrinone in pediatric patients with pulmonary hypertension
           undergoing open heart surgery

    • Authors: Neeraj Kumar Barnwal, Sanjeeta Rajendra Umbarkar, Manjula Sudeep Sarkar, Raylene J Dias
      Pages: 318 - 322
      Abstract: Neeraj Kumar Barnwal, Sanjeeta Rajendra Umbarkar, Manjula Sudeep Sarkar, Raylene J Dias
      Annals of Cardiac Anaesthesia 2017 20(3):318-322
      Background: Pulmonary hypertension secondary to congenital heart disease is a common problem in pediatric patients presenting for open heart surgery. Milrinone has been shown to reduce pulmonary vascular resistance and pulmonary artery pressure in pediatric patients and neonates postcardiac surgery. We aimed to evaluate the postoperative outcome in such patients with three different fixed maintenance doses of milrinone. Methodology: Patients were randomized into three groups. All patients received fixed bolus dose of milrinone 50 μg/kg on pump during rewarming. Following this, patients in low-dose group received infusion of milrinone at the rate of 0.375 μg/kg/min, medium-dose group received 0.5 μg/kg/min, and high-dose group received 0.75 μg/kg/min over 24 h. Heart rate, mean arterial pressure (MAP), mean airway pressure (MaP), oxygenation index (OI), and central venous pressure (CVP) were compared at baseline and 24 h postoperatively. Dose of inotropic requirement, duration of ventilatory support and Intensive Care Unit (ICU) stay were noted. Results: MAP, MaP, OI, and CVP were comparable in all three groups postoperatively. All patients in the low-dose group required low inotropic support while 70% of patients in the high-dose group needed high inotropic support to manage episodes of hypotension (P = 0.000). Duration of ventilatory support and ICU stay in all three groups was comparable (P = 0.412, P = 0.165). Conclusion: Low-dose infusions while having a clinical impact were more beneficial in avoiding adverse events and decreasing inotropic requirement without affecting duration of ventilatory support and duration of ICU stay.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):318-322
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_231_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • The blalock and taussig shunt revisited

    • Authors: Usha Kiran, Shivani Aggarwal, Arin Choudhary, B Uma, Poonam Malhotra Kapoor
      Pages: 323 - 330
      Abstract: Usha Kiran, Shivani Aggarwal, Arin Choudhary, B Uma, Poonam Malhotra Kapoor
      Annals of Cardiac Anaesthesia 2017 20(3):323-330
      The systemic to pulmonary artery shunts are done as palliative procedures for cyanotic congenital heart diseases ranging from simple tetralogy of Fallots (TOFs)/pulmonary atresia (PA) to complex univentricular hearts. They allow growth of pulmonary arteries and maintain regulated blood flow to the lungs till a proper age and body weight suitable for definitive corrective repair is reached. We have reviewed the BT shunt with its anaesthtic considerations and management of associated complications.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):323-330
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_80_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Interesting images: Multiple coronary artery aneurysms

    • Authors: Jonathon M Howard, Omar Viswanath, Alfredo Armas, Orlando Santana, Gerald P Rosen
      Pages: 331 - 332
      Abstract: Jonathon M Howard, Omar Viswanath, Alfredo Armas, Orlando Santana, Gerald P Rosen
      Annals of Cardiac Anaesthesia 2017 20(3):331-332
      We present the case of a 65-year-old male who presented with stable angina and dyspnea on exertion. His initial workup yielded a positive treadmill stress test for reversible apical ischemia, and transthoracic echocardiogram demonstrated impaired systolic function. Cardiac catheterization was then performed, revealing severe atherosclerotic disease including multiple coronary artery aneurysms. As a result, the patient was advised to and subsequently underwent a coronary artery bypass graft. This case highlights the presence of multiple coronary artery aneurysms and the ability to appreciate these pathologic findings on multiple imaging modalities, including coronary angiogram, transesophageal echocardiography, and direct visualization through the surgical field.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):331-332
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_22_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Inadequate venous drainage-transesophageal echocardiography as rescue

    • Authors: Monish S Raut, Arun Maheshwari, Sumir Dubey, Ganesh Shivnani, Sandeep Joshi, Arvind Verma, Swetanka Das
      Pages: 333 - 334
      Abstract: Monish S Raut, Arun Maheshwari, Sumir Dubey, Ganesh Shivnani, Sandeep Joshi, Arvind Verma, Swetanka Das
      Annals of Cardiac Anaesthesia 2017 20(3):333-334
      Malposition of venous cannula can cause inadequate venous drainage during cardiopulmonary bypass. It would be good clinical practice to use TEE to check the position of inferior venous cannula to avoid this problem at the earliest.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):333-334
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_164_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • An antenatal diagnosis: Congenital high airway obstruction

    • Authors: S Miital, A Mittal, R Singal, S Singal, G Sekhon
      Pages: 335 - 336
      Abstract: S Miital, A Mittal, R Singal, S Singal, G Sekhon
      Annals of Cardiac Anaesthesia 2017 20(3):335-336
      Congenital high airway obstruction (CHAOS) is a rare lethal fetal malformation characterised by obstruction to the fetal upper airway, which can be partial or complete. Antenatal diagnosis of CHAOS is important due to recent management options. Diagnosis is made with secondary changes such as hyperechoic enlarged lungs resulting in mediastinal compression, ascites, hydrops, flattened or everted diaphragms and dilated distal airways. We reported a case of CHAOS, antenatally on ultrasonography (USG) at 20 weeks of gestation.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):335-336
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/0971-9784.210407
      Issue No: Vol. 20, No. 3 (2017)
       
  • To evaluate dexmedetomidine as an additive to propofol for sedation for
           elective cardioversion in a cardiac intensive care unit: A double-blind
           randomized controlled trial

    • Authors: Tanveer Singh Kundra, Parminder Kaur, PS Nagaraja, N Manjunatha
      Pages: 337 - 340
      Abstract: Tanveer Singh Kundra, Parminder Kaur, PS Nagaraja, N Manjunatha
      Annals of Cardiac Anaesthesia 2017 20(3):337-340
      Introduction: Propofol may lead to patient recall and discomfort when used for sedation in elective cardioversion. The aim of the present study was to evaluate dexmedetomidine as an additive to propofol for sedation in elective cardioversion. Materials and Methods: A total of 500 patients undergoing elective cardioversion were randomized into Group 1 (n = 250) and Group 2 (n = 250) on the basis of computer-generated randomization table. Patients in Group 1 were given dexmedetomidine (1 mcg/kg) over 10 min before giving propofol (1 mg/kg), while patients in Group 2 were given only propofol (1 mg/kg). One or two additional doses of 0.5 mg/kg propofol were given if modified Ramsay Sedation Score (mRSS) was <5. Number of patients requiring additional doses were noted. Any hemodynamic or respiratory complication along with the mean time to recovery (mRSS = 1) was recorded. Patient recall, patient discomfort, and further requirement of cardioversion in the next 24 h were also noted. Results: About 10% patients in Group 1 and 64% patients in Group 2 required the first additional dose of propofol. While no patient in Group 1 required second dose, 16% patients in Group 2 required second dose of propofol. The mean time to recovery in Group 1 was 8.36 ± 3.08 min and 8.22 ± 2.38 min in Group 2 (P = 0.569). Sixty-seven patients (26.8%) in Group 1 and 129 patients (51.6%) in Group 2 reported remembering something (P < 0.0001), i.e., recall. Thirty-five patients (14%) in Group 1 and 79 patients (31.6%) in Group 2 reported dreaming during the procedure (P < 0.0001). Visual analog scale score was higher in Group 1 as compared to Group 2. Six patients in Group 1 and 24 patients in Group 2 had a requirement of repeat cardioversion in 24-h follow-up (P = 0.001). Conclusions: Dexmedetomidine is a useful adjunct to propofol for elective cardioversion.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):337-340
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_262_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • Is endothelin gene polymorphism associated with postoperative atrial
           fibrillation in patients undergoing coronary artery bypass grafting?

    • Authors: Ira Dhawan, Minati Choudhury, Milind P Hote, Anushree Gupta, Poonam Malhotra, Kalaivani V Mani
      Pages: 341 - 347
      Abstract: Ira Dhawan, Minati Choudhury, Milind P Hote, Anushree Gupta, Poonam Malhotra, Kalaivani V Mani
      Annals of Cardiac Anaesthesia 2017 20(3):341-347
      Background: The mechanism of development of atrial fibrillation (AF) in patients undergoing coronary artery bypass grafting (CABG) has not been clearly defined, and the involvement of multiple factors such as advanced age, withdrawal of β-blockers, inadequate atrial protection, and electrolyte imbalance, particularly hypomagnesemia has been documented by several authors. Despite all the available pharmacologic prophylaxis, incidence of AF still remains high in this group of patients. This unexplained cause could be genetic inheritance of endothelin-1 (ET-1) gene which is thought to have a pro-arrhythmogenic effect. Aim: This study aims to investigate the relationship between plasma ET-1 concentrations, ET-1 gene polymorphisms in loci -1370 T/G, -134 (3A/4A) Ins/del, Lys198Asn (G/T), and occurrence of AF in patients undergoing CABG. Methodology: Ninety-eight nonrelated, nondiabetic patients over a period of 4 years undergoing routine CABG were selected for the present study. All patients were genotyped for three single nucleotide polymorphisms (SNPs) in loci -1370 T/G, -134 (3A/4A) Ins/del, and Lys198Asn (G/T) in the ET-1 gene by gene sequencing. The plasma ET-1 concentrations were measured using an ET immunoassay. Results: Plasma ET-1 concentrations were higher in AF+ group (P = 0.001) as compared to AF− group. The allele frequencies between AF+ and AF− group were significantly different only with respect to the Lys198Asn (G/T) SNP of the ET-1 gene. Conclusion: The study described the possible correlation of polymorphism of ET gene in CABG population from India. The ET-1 gene might play a disease-modifying role in atrial fibrillation.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):341-347
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_264_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • Major vessel venous thrombosis in patients of posttubercular chronic
           constrictive pericarditis undergoing pericardectomy: A rare scenario

    • Authors: Akhilesh Pahade, Prabhat Tewari
      Pages: 348 - 350
      Abstract: Akhilesh Pahade, Prabhat Tewari
      Annals of Cardiac Anaesthesia 2017 20(3):348-350
      We are reporting two cases of neck and arm major venous thrombosis in patients of posttubercular chronic constrictive pericarditis posted for pericardectomy. There was unanticipated difficulty in placement of Internal Jugular vein catheter and subsequent ultrasound revealed thrombosis in the major veins. It was not diagnosed in the preoperative period. This report raises this major complication and highlights the use of ultrasound in such scenarios.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):348-350
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_77_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • Role of transesophageal echocardiography in surgical retrieval of
           embolized amplatzer device and closure of coronary–cameral fistula

    • Authors: Bhupesh Kumar, Alok Kumar, Ganesh Kumar, Harkant Singh
      Pages: 351 - 354
      Abstract: Bhupesh Kumar, Alok Kumar, Ganesh Kumar, Harkant Singh
      Annals of Cardiac Anaesthesia 2017 20(3):351-354
      Congenital coronary artery fistula is an uncommon anomaly. Transcatheter coil embolization or Amplatzer vascular plug device closure of fistula is often done in symptomatic patients with safe accessibility to the feeding coronary artery. Embolization of Amplatzer vascular plug device is rare. We report an 11-year-old male child who presented to us with increasing shortness of breath for 7 years. He had a history of Amplatzer vascular plug device closure of right coronary–cameral fistula 8 years back. Echocardiography demonstrated a dilated aneurysmal right coronary artery with turbulent jet entering into the right ventricle (RV) and device embolized into the left pulmonary artery (LPA). Cardiac catheterization eventually confirmed the diagnosis. Surgical closure of fistula and retrieval of device was done using cardiopulmonary bypass. Intraoperatively transesophageal echocardiogram helped in localizing fistula opening in the RV below the anterior leaflet of tricuspid valve, continuous monitoring to prevent further distal embolization of the device during surgical handling, and assessment of completeness of repair of the fistula and LPA following retrieval of the device.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):351-354
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_196_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • Silicone tracheobronchial stent: A rare cause for bronchoesophageal
           fistula and distortion of airway anatomy

    • Authors: Bhupesh Kumar, Ganesh Kumar Munirathinam, Goverdhan Dutt Puri, Anand Kumar Mishra, Virendra Kumar Arya
      Pages: 355 - 358
      Abstract: Bhupesh Kumar, Ganesh Kumar Munirathinam, Goverdhan Dutt Puri, Anand Kumar Mishra, Virendra Kumar Arya
      Annals of Cardiac Anaesthesia 2017 20(3):355-358
      Silicone tracheobronchial stents are being increasingly used in a large number of patients for the treatment of tracheal stenosis. One very rare complication due to tracheobronchial stenting is bronchoesophageal fistula (BEF), which has been associated with the use of metallic stents. We report intraoperative management of a patient undergoing repair of a BEF, following previous insertion of a silicone Y-stent that is soft in texture and has not been implicated for this complication till date. In addition, misalignment of this silicone tracheobronchial Y-stent resulted in a tracheal mucosal bulge proximal to the stent that vanished after its removal.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):355-358
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_12_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Anesthetic challenges of extrinsic trachea-bronchial compression due to
           posterior mediastinal mass: Our experience with a large esophageal
           mucocele

    • Authors: Saipriya Tewari, Puneet Goyal, Amit Rastogi, Aarti Agarwal, PK Singh
      Pages: 359 - 361
      Abstract: Saipriya Tewari, Puneet Goyal, Amit Rastogi, Aarti Agarwal, PK Singh
      Annals of Cardiac Anaesthesia 2017 20(3):359-361
      Large posterior mediastinal masses may lead threatening complications such as critical tracheobronchial compression. Airway management in these individuals is a challenge and being a lower airway obstruction; rescue strategies are limited. We encountered one such case of a large esophageal mucocele causing extrinsic tracheobronchial compression. We have described the anesthetic management of this case using awake fiber-optic assessment followed by intubation. Close communication with the surgical team, meticulous planning of airway management, and early drainage of the mucocele are the cornerstones of management in such patients.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):359-361
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_194_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • Management of a case of double aortic arch with tracheal compression
           complicated with postoperative tracheal restenosis

    • Authors: Hemang Gandhi, T Vikram Kumar Naidu, Amit Mishra, Pankaj Garg, Jigar Surti, Visharad Trivedi, Himanshu Acharya
      Pages: 362 - 364
      Abstract: Hemang Gandhi, T Vikram Kumar Naidu, Amit Mishra, Pankaj Garg, Jigar Surti, Visharad Trivedi, Himanshu Acharya
      Annals of Cardiac Anaesthesia 2017 20(3):362-364
      Tracheal stenosis in association with the double aortic arch (DAA) is uncommon; however, it carries a high risk of morbidity, mortality, and restenosis. Although surgery is the mainstay of managing a case of the DAA with tracheal stenosis, management of tracheal restenosis requires a multidisciplinary approach. In this case report, we present our successful experience in managing a child of DAA with tracheal stenosis who developed tracheal restenosis after sliding tracheoplasty of trachea.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):362-364
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_95_16
      Issue No: Vol. 20, No. 3 (2017)
       
  • A rare case of acyanotic congenital heart disease, large patent ductus
           arteriosus with pre-ductal coarctation of descending thoracic aorta with
           patent ductus arteriosus closure and extra anatomical bypass grafting

    • Authors: Zara Wani, Deepak Tiwari, Rajeev Gehlot, Deepak Kumar, Sushil Chhabra, Meenaxi Sharma
      Pages: 365 - 368
      Abstract: Zara Wani, Deepak Tiwari, Rajeev Gehlot, Deepak Kumar, Sushil Chhabra, Meenaxi Sharma
      Annals of Cardiac Anaesthesia 2017 20(3):365-368
      We report a case of 18-year-old female patient with large patent ductus arteriosus (PDA)-preductal coarctation of descending thoracic aorta. She underwent large PDA closure with a prosthetic graft from ascending aorta to descending thoracic aorta by mid-sternotomy on cardiopulmonary bypass machine under total hypothermic circulatory arrest.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):365-368
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_46_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Idarucizumab (Praxbind) for reversal of pradaxa prior to emergent repair
           of contained ruptured transverse arch aneurysm

    • Authors: Erol Vahit Belli, Teng Lee
      Pages: 369 - 371
      Abstract: Erol Vahit Belli, Teng Lee
      Annals of Cardiac Anaesthesia 2017 20(3):369-371
      Idarucizumab before cardiopulmonary bypass was used for the reversal of dabigatran during an emergent frozen elephant trunk repair of a transverse arch aneurysm. Reversal was successful and minimal not massive transfusion was required with no abnormal sequelae seen with use before cardiopulmonary bypass.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):369-371
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/0971-9784.210426
      Issue No: Vol. 20, No. 3 (2017)
       
  • The utility of targeted perioperative transthoracic echocardiography in
           managing an adult patient with anomalous origin of the left coronary
           artery-pulmonary artery for noncardiac surgery

    • Authors: Anudeep Jafra, Suman Arora, Aveek Jayant
      Pages: 372 - 375
      Abstract: Anudeep Jafra, Suman Arora, Aveek Jayant
      Annals of Cardiac Anaesthesia 2017 20(3):372-375
      Congenital coronary artery anomalies as a whole are uncommon. Abnormal origin of the left coronary artery from the pulmonary artery (ALCAPA) is probably the most common congenital coronary defect. An overwhelming majority of the patients with untreated ALCAPA do not survive to adulthood. As yet, there is no consensus on the management of adults with ALCAPA. We describe a patient with breast malignancy and incidentally detected ALCAPA; primacy was given to treatment of the oncologic condition as a first step. Anesthesia management was focused on maintaining adequate collateral coronary perfusion and avoidance of excessive loading of the left ventricle. This was achieved using a simplified transthoracic echocardiography (TTE) protocol at the time of induction of anesthesia; TTE was also used to reconfirm the absence of disturbances in myocardial function at the end of surgery. We sugggest the routine use of tte in managing perioperative care in low resource settings when the underlying cardiac disease is rare and the evidence base if often insufficient.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):372-375
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/0971-9784.210402
      Issue No: Vol. 20, No. 3 (2017)
       
  • Sugammadex to reverse neuromuscular blockade in a child with a past
           history of cardiac transplantation

    • Authors: Karen Miller, Brian Hall, Joseph D Tobias
      Pages: 376 - 378
      Abstract: Karen Miller, Brian Hall, Joseph D Tobias
      Annals of Cardiac Anaesthesia 2017 20(3):376-378
      Sugammadex is a novel agent for the reversal of neuromuscular blockade. The speed and efficacy of reversal with sugammadex are significantly faster than acetylcholinesterase inhibitors, such as neostigmine. Sugammadex also has a limited adverse profile when compared with acetylcholinesterase inhibitors, specifically in regard to the incidence of bradycardia. This adverse effect may be particularly relevant in the setting of a heart transplant recipient with a denervated heart. The authors present a case of an 8-year-old child, status postcardiac transplantation, who required anesthetic care for laparoscopy and lysis of intra-abdominal adhesions. Sugammadex was used to reverse neuromuscular blockade and avoid the potential adverse effects of neostigmine. The unique mechanism of action of sugammadex is discussed, previous reports of its use in this unique patient population are reviewed, and its potential benefits compared to traditional acetylcholinesterase inhibitors are presented.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):376-378
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_15_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Management of iatrogenic pulmonary artery injury during pulmonary artery
           banding

    • Authors: Neeti Makhija, Shivani Aggarwal, Sachin Talwar, Suruchi Ladha, Deepanwita Das, Usha Kiran
      Pages: 379 - 380
      Abstract: Neeti Makhija, Shivani Aggarwal, Sachin Talwar, Suruchi Ladha, Deepanwita Das, Usha Kiran
      Annals of Cardiac Anaesthesia 2017 20(3):379-380
      Pulmonary Artery banding (PAB) is limited to selected patients who cannot undergo primary repair due to complex anatomy, associated co-morbidities, as a part of staged univentricular palliation, and for preparing the left ventricle prior to an arterial switch operation. We report a catastrophic iatrogenic complication in which the pulmonary artery was injured during the PAB. We discuss its multi-pronged management.
      Citation: Annals of Cardiac Anaesthesia 2017 20(3):379-380
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_47_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Methylene blue for post-cardioplumonary bypass vasoplegic syndrome

    • Authors: Neha Pangasa, Rohan Magoon, Vandana Bhardwaj, Amita Sharma, Ameya Karonjkar, Poonam Malhotra Kapoor
      Pages: 381 - 382
      Abstract: Neha Pangasa, Rohan Magoon, Vandana Bhardwaj, Amita Sharma, Ameya Karonjkar, Poonam Malhotra Kapoor
      Annals of Cardiac Anaesthesia 2017 20(3):381-382

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):381-382
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_78_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Bentall procedure in a patient with parkinson disease

    • Authors: Nanditha Sreedhar, Minati Choudhury, K Pradeep, V Devagourou
      Pages: 383 - 384
      Abstract: Nanditha Sreedhar, Minati Choudhury, K Pradeep, V Devagourou
      Annals of Cardiac Anaesthesia 2017 20(3):383-384

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):383-384
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_82_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Asystole following neuromuscular blockade reversal in cardiac transplant
           patients

    • Authors: Njinkeng J Nkemngu
      Pages: 385 - 386
      Abstract: Njinkeng J Nkemngu
      Annals of Cardiac Anaesthesia 2017 20(3):385-386

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):385-386
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_51_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Is Off-pump cardiac surgery ready for goal-directed therapy?

    • Authors: Cor Slagt
      Pages: 387 - 387
      Abstract: Cor Slagt
      Annals of Cardiac Anaesthesia 2017 20(3):387-387

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):387-387
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_56_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Appropriate size of double-lumen tubes in Asians

    • Authors: Chitra Rajeswari Thangaswamy
      Pages: 388 - 388
      Abstract: Chitra Rajeswari Thangaswamy
      Annals of Cardiac Anaesthesia 2017 20(3):388-388

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):388-388
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_66_17
      Issue No: Vol. 20, No. 3 (2017)
       
  • Anesthesia challenges in patent ductus arteriosus stenting for congenital
           heart disease

    • Authors: S Nanditha, Poonam Malhotra Kapoor, Kunal Sarin
      Pages: 389 - 390
      Abstract: S Nanditha, Poonam Malhotra Kapoor, Kunal Sarin
      Annals of Cardiac Anaesthesia 2017 20(3):389-390

      Citation: Annals of Cardiac Anaesthesia 2017 20(3):389-390
      PubDate: Wed,12 Jul 2017
      DOI: 10.4103/aca.ACA_76_17
      Issue No: Vol. 20, No. 3 (2017)
       
 
 
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