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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 Indian Journal of Anaesthesia
  [SJR: 0.302]   [H-I: 13]   [7 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0019-5049
   Published by Medknow Publishers Homepage  [355 journals]
  • Safe anaesthesia for all Indians: A distant dream?

    • Authors: Jigeeshu V Divatia
      Pages: 531 - 533
      Abstract: Jigeeshu V Divatia
      Indian Journal of Anaesthesia 2017 61(7):531-533

      Citation: Indian Journal of Anaesthesia 2017 61(7):531-533
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_454_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Safety monitoring of local anaesthetic drugs from the perspective of
           Pharmacovigilance Programme of India

    • Authors: Pramod Kumar, Ismeet Kaur, Vivekanandan Kalaiselvan, Abhishank Singh
      Pages: 534 - 537
      Abstract: Pramod Kumar, Ismeet Kaur, Vivekanandan Kalaiselvan, Abhishank Singh
      Indian Journal of Anaesthesia 2017 61(7):534-537
      Pharmacovigilance Programme of India (PvPI) was established to promote patient safety by the Ministry of Health and Family Welfare, Government of India in July 2010. It covers various medical hospitals/institutes and National Health Programmes across the country. India is coordinating with various national and international programmes to be a part of international drug monitoring and to monitor the risk-benefit profile of medicines. At present, India has contributed more than 200,000 adverse drug reactions (ADRs) to the database and can draw signals for regulatory decisions. To foster the culture of spontaneous reporting, India has launched paperless and simple modes of reporting ADRs such as Helpline and an Android application. This will help to create a national centre of excellence at par with global drug safety monitoring standards. With the increasing popularity of regional anaesthesia, adverse events may occur due to local anaesthetic drugs, techniques and adjuvants. Uncommon but clinically significant ADRs can be identified in a nationwide pharmacovigilance programme. Anaesthesiologists in India are encouraged to report local anaesthesia-related ADRs to the national pharmacovigilance database.
      Citation: Indian Journal of Anaesthesia 2017 61(7):534-537
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_418_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • An analysis of the predictors of mortality and morbidity in patients
           admitted after suicidal hanging to an Indian multidisciplinary Intensive
           Care Unit

    • Authors: MK Renuka, MS Kalaiselvan, AS Arunkumar
      Pages: 538 - 542
      Abstract: MK Renuka, MS Kalaiselvan, AS Arunkumar
      Indian Journal of Anaesthesia 2017 61(7):538-542
      Background and Aims: Hanging is a frequently used method to attempt suicide in India. There is a lack of data in the Indian population regarding clinical features and outcomes of suicidal hanging. The purpose of this study was to evaluate the factors affecting mortality and morbidity in patients admitted with suicidal hanging to the Intensive Care Unit (ICU). Methods: A 6-year retrospective study of adult patients admitted to the ICU with suicidal hanging was analysed for demographics, mode of hanging, lead time to emergency room (ER) admission, clinical presentation, Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores, admission Glasgow coma scale (GCS) and neurological outcomes. The primary outcome was in-hospital mortality rate. Secondary outcomes were hospital length of stay (LOS), ICU-LOS, time for neurological recovery, organ support and duration of mechanical ventilation. Statistical analysis was performed using the Student's t-test for continuous variables and Chi-square test for categorical variables. Results: We analysed data of 106 patients. The median age was 27 years [Interquartile Range (IQR) (22–34)]. The median lead time to ER admission was 1 h [IQR (0.5–1.4)] with median ICU stay of 3 days [IQR (2–4)]. Vasopressors were administered to 27.4% patients. GCS was ≤7 in 65% patients, and 84.9% patients received mechanical ventilation. Mortality rate was 10.3%. Survivors recovered with normal organ function. Conclusion: Suicidal hanging is associated with significant mortality. Admission GCS, APACHE II and 48 h SOFA score were predictors of poor outcome.
      Citation: Indian Journal of Anaesthesia 2017 61(7):538-542
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_170_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Utility of non-invasive haemoglobin monitoring in oncosurgery patients

    • Authors: Namrata Gupta, Anita Kulkarni, AK Bhargava, Aditya Prakash, Nitika Gupta
      Pages: 543 - 548
      Abstract: Namrata Gupta, Anita Kulkarni, AK Bhargava, Aditya Prakash, Nitika Gupta
      Indian Journal of Anaesthesia 2017 61(7):543-548
      Background and Aims: Oncosurgeries may incur massive blood loss demanding frequent blood sampling to assess blood loss and the need for intraoperative blood transfusions. Accuracy of non-invasive spectrophotometric haemoglobin (hereafter to be referred as SpHb) monitoring has been studied in various perioperative settings. The intraoperative use of Radical-7®, Masimo Corp., (Radical-7®) for SpHb monitoring may be useful during cancer surgery. The aim of this study is to evaluate the intraoperative utility of SpHb monitoring by the Radical-7® to guide intraoperative transfusion in oncosurgeries. Methods: Fifty adult patients, undergoing oncosurgery with anticipated blood loss of more than 20% of blood volume, were selected. Continuous SpHb monitoring was performed intraoperatively and blood transfusion was based on SpHb values. Simultaneous laboratory haemoglobin (LabHb) samples were taken for validation. The accuracy of intraoperative blood transfusions based on SpHb was analysed using Error Grid Analysis. Paired measurements of SpHb and LabHb were compared using Bland–Altman plot analysis. Results: There were 66 paired data points for blood transfusion from fifty patients with a correlation of 73% (P < 0.001) between SpHb and LabHb. In the Bland–Altman analysis, the bias was − 0.313 g/dl with ~ 95% of values within the limits of agreement of 1.81 g/dl to −2.44 g/dl. In the Error Grid Analysis, most data points were in the least error zone (Zone A). Conclusion: The Radical-7® has the advantage of providing SpHb value continuously to take prompt decision regarding blood transfusion intraoperatively.
      Citation: Indian Journal of Anaesthesia 2017 61(7):543-548
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_707_16
      Issue No: Vol. 61, No. 7 (2017)
       
  • Effect of ketamine on pro- and anti-inflammatory cytokine response in
           paediatric cardiac surgery: A prospective randomised controlled study

    • Authors: Tamer Hamed Ibrahim, Hassan Saad Abdelrahman, Mohammed A Alharbi, Ibrahim A Zabani, Mohamed Fouad Ismail, Heba Kary
      Pages: 549 - 555
      Abstract: Tamer Hamed Ibrahim, Hassan Saad Abdelrahman, Mohammed A Alharbi, Ibrahim A Zabani, Mohamed Fouad Ismail, Heba Kary
      Indian Journal of Anaesthesia 2017 61(7):549-555
      Background and Aims: Paediatric cardiac surgery with cardiopulmonary bypass (CPB) is associated with a marked inflammatory response and triggers release of inflammatory cytokines. The aim of this study was to study the effect of ketamine on the inflammatory response during correction of congenital cyanotic heart diseases. Methods: Sixty-six patients with congenital cyanotic heart diseases scheduled for cardiac surgery were randomised into three groups. Group A patients did not receive ketamine (control group), Group B patients received 2 mg/kg ketamine intravenous (IV) and Group C patients received ketamine 2 mg/kg IV and an IV infusion of ketamine (50 μg/kg/min). Interleukin (IL) levels for IL-6, IL-8, IL-10, C-reactive protein (CRP) and tumour necrosis factor-α (TNF-α) levels were examined in the three groups at four timings: pre-operative (baseline), intraoperative (after weaning off the CPB) and post-operative (6 and 24 h after weaning off CPB). Paired sample t-test and ANOVA test were used for statistical analysis and P< 0.05 was considered statistically significant. Results: Within each group, the intra- and post-operative serum levels of IL-6, IL-8, IL-10 and CRP were significantly elevated from the baseline, however, TNF-α was not significantly elevated. There were no statistically significant differences in the IL, CRP or TNF-α levels between the three groups. Conclusion: Paediatric cardiac surgery for congenital cyanotic heart disease is a triggering factor for the inflammatory response, yet we could not detect any beneficial effect of ketamine on that response whether given either as an IV induction dose or continued as an IV infusion.
      Citation: Indian Journal of Anaesthesia 2017 61(7):549-555
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_607_16
      Issue No: Vol. 61, No. 7 (2017)
       
  • The effect of addition of dexamethasone to levobupivacaine in parturients
           receiving combined spinal-epidural for analgesia for vaginal delivery

    • Authors: Amr Samir Wahdan, Ahmed Ibrahim El-Sakka, Hassan Mostafa Ismail Gaafar
      Pages: 556 - 561
      Abstract: Amr Samir Wahdan, Ahmed Ibrahim El-Sakka, Hassan Mostafa Ismail Gaafar
      Indian Journal of Anaesthesia 2017 61(7):556-561
      Background and Aims: Regional analgesia is commonly used for the relief of labour pain, Prolongation of analgesia can be achieved by adjuvant medications. The aim of this randomised controlled trial was to evaluate the efficacy of intrathecal levobupivacaine with dexamethasone for labour analgesia. Methods: A total of 80 females were included in this study, all were primigravidas undergoing vaginal delivery with cervical dilatation ≥4 cm and 50% or more effacement. Forty females were included randomly in either Group L (received intrathecal levobupivacaine 0.25% in 2 mL) or Group LD (received intrathecal levobupivacaine 0.25% combined with dexamethasone 4 mg in 2 mL). The primary outcome was the duration of spinal analgesia. Secondary outcomes included the total dose of epidural local anaesthetic given, time to delivery, neonatal outcome and adverse effects. Results: The duration of spinal analgesia was significantly longer in the LD group compared with L group (80.5 ± 12.4 min vs. 57.1 ± 11.5 min, respectively; P< 0.001). In Group LD compared with Group L, time from spinal analgesia to delivery was significantly lower (317.4 ± 98.9 min vs. 372.4 ± 118.8 min, respectively; P = 0.027), and total epidural levobupivacaine consumption was significantly lower (102.4 ± 34.8 mg vs. 120.1 ± 41.9 mg, respectively; P = 0.027). The two groups were comparable with respect to characteristics of sensory and motor block, haemodynamic parameters, pain scores, neonatal outcome and frequency of adverse effects. Conclusion: Intrathecal dexamethasone plus levobupivacaine prolongs the duration of spinal analgesia during combined spinal-epidural CSE for labour analgesia.
      Citation: Indian Journal of Anaesthesia 2017 61(7):556-561
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_149_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Post-operative effectiveness of continuous wound infiltration, continuous
           epidural infusion and intravenous patient-controlled analgesia on
           post-operative pain management in patients undergoing spinal surgery

    • Authors: Anshuman Singh, Parul Jindal, Gurjeet Khurana, Ranjeet Kumar
      Pages: 562 - 569
      Abstract: Anshuman Singh, Parul Jindal, Gurjeet Khurana, Ranjeet Kumar
      Indian Journal of Anaesthesia 2017 61(7):562-569
      Background and Aims: Very few studies have compared continuous wound infiltration (CWI), continuous epidural infusion (CEI) and intravenous Patient Controlled Analgesia (PCA) with morphine in spine surgery. This study compared these modalities in patients undergoing microdissectomy. Methods: This prospective, randomized control trial was conducted on 75 patients of American Society of Anesthesiologists' physical status I or II undergoing microdiscectomy. Patients in all the three groups received morphine 1 mg IV, with a lockout period of 10 min after each bolus, and the maximum allowed dose was 15 mg/5 h postoperatively. Patients in Group A received CWI with 0.25% levobupivacaine 20 mL as bolus after extubation followed by infusion at 5 mL/h. Group B received CEI with 0.25% levobupivacaine at 5 mL/h. Patients in Group C received intravenous (IV) morphine by PCA pump only. The primary end points were static and dynamic visual analogue scores (VAS) and postoperative pain scores. Secondary observations were postoperative morphine consumption at 8 h, 24 h and 48 h, and patient satisfaction. Results: Group A showed greater analgesic effects at 12 h (P < 0.02), 24 h (P < 0.03), 36 h (P < 0.008) and 48 h (P < 0.007) when compared to the other two techniques, as pain scores were less in group A as compared to group B and C. The requirement of postoperative intravenous morphine (mg) was 18 ± 12.82, 22.92 ± 9.88, 41.56 ± 8.83 for groups A, B and C after 48 h (P < 0.001). Conclusion: Continuous wound infiltration is an effective postoperative pain control technique with minimal side effects, after spinal surgery.
      Citation: Indian Journal of Anaesthesia 2017 61(7):562-569
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_684_16
      Issue No: Vol. 61, No. 7 (2017)
       
  • An observational study on patient admission in the anaesthesia gas monitor
           and minimum alveolar concentration monitoring: A deficiency with huge
           impact

    • Authors: Habib Md Reazaul Karim, Anilkumar Narayan, Md Yunus, Sanjay Kumar, Avinash Prakash, Sarasa Kumar Sahoo
      Pages: 570 - 574
      Abstract: Habib Md Reazaul Karim, Anilkumar Narayan, Md Yunus, Sanjay Kumar, Avinash Prakash, Sarasa Kumar Sahoo
      Indian Journal of Anaesthesia 2017 61(7):570-574
      Background and Aims: Minimum alveolar concentration (MAC) monitoring is an integral part of modern-day anaesthesia. Both MAC and MAC-awake are age dependant, and age of the patient needs to be entered in the monitor. This study was aimed to assess the practice of patient birth year entry in the anaesthesia monitor and its impact on MAC monitoring. Methods: Sixty volatile anaesthetic-based general anaesthetics (GAs) were observed silently in two tertiary care teaching hospitals with regard to 'birth year' entry in the patient monitor. The impact on MAC for non-entry of age was assessed. The observed MAC reading and the MAC corrected for age (MACage) of the patients were noted. Paired t-test was used to compare the differences in observed MAC and MACagevalues. P <0.05 was significant. Results: Sixty GAs of patients aged between 10 and 68 years were observed; 96.67% anaesthetics were conducted without entering 'birth year'. Thirty-four patients (mean age 35.14 ± 15.38 years) were further assessed for impact of non-entry of age. The observed MAC was similar to MACage in patients aged 40 ± 5 years (36–45 years group). Nearly 79.41% of the observed MACs were incorrect; 55.88% patients were potentially underdosed whereas 23.53% were overdosed. Conclusion: Omitting patient age entry in the monitor results in erroneous MAC values, exposing patients <40 years to underdosing and older patients to overdose.
      Citation: Indian Journal of Anaesthesia 2017 61(7):570-574
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_11_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Retrospective analysis of post-operative coagulopathy after major hepatic
           resection at a tertiary care centre in Northern India

    • Authors: Shweta A Singh, P Vivekananthan, Ankur Sharma, Sandeep Sharma, Kishore GS Bharathy
      Pages: 575 - 580
      Abstract: Shweta A Singh, P Vivekananthan, Ankur Sharma, Sandeep Sharma, Kishore GS Bharathy
      Indian Journal of Anaesthesia 2017 61(7):575-580
      Background and Aims: Hepatic resection is a major surgery associated with intraoperative massive fluid shifts, blood loss, haemodynamic instability and risk of development of post-hepatectomy liver failure. Hepatic resection predisposes the patient to coagulopathy as well as venous thrombosis. However, due to the development of deranged coagulation profile post-operatively, there is a dilemma in starting thromboprophylaxis. Our aim in this study was to determine the incidence of coagulopathy in patients undergoing major hepatectomy. Methods: In this retrospective study, we included 86 patients who had undergone major hepatectomy between January 2010 and December 2015 at our centre. Intraoperatively, we noted the number of liver segments resected, details of epidural catheter insertion, estimated blood loss, transfusion requirement and need for mechanical ventilation post-operatively. Trends of international normalised ratio (INR) and platelet values were recorded until post-operative day 5. Results: Of the 86 patients, 6 (7%) had an abnormal coagulation profile pre-operatively and 39 (45.34%) patients developed a derangement in their coagulation profile on 1st post-operative day (POD). Platelet count was significantly lower and INR values were significantly higher than the pre-operative values on all 5 PODs. Sixty-seven (78%) patients had pre-operative epidural catheter insertion for post-operative pain management. Mechanical thrombophylaxis was used routinely. Conclusions: The incidence of post-operative coagulopathy in our patients who underwent major liver resection was 45.34%. Epidural catheters could be removed safely without transfusion between POD 5 and 7. There was no incidence of venous thrombosis or thromboembolism.
      Citation: Indian Journal of Anaesthesia 2017 61(7):575-580
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_734_16
      Issue No: Vol. 61, No. 7 (2017)
       
  • A randomised comparative evaluation of supraclavicular and infraclavicular
           approaches to brachial plexus block for upper limb surgeries using both
           ultrasound and nerve stimulator

    • Authors: Ranganathan Jothi Abhinaya, Rajagopalan Venkatraman, Palanisamy Matheswaran, Govindarajan Sivarajan
      Pages: 581 - 586
      Abstract: Ranganathan Jothi Abhinaya, Rajagopalan Venkatraman, Palanisamy Matheswaran, Govindarajan Sivarajan
      Indian Journal of Anaesthesia 2017 61(7):581-586
      Background and Aims: The supraclavicular and infraclavicular brachial plexus blocks have a similar distribution of anaesthesia, and both can be used effectively for surgeries of the upper limb. This study aimed to compare the supraclavicular and infraclavicular approaches of brachial plexus blocks, guided by ultrasound and neurostimulation. Methods: Sixty adult patients scheduled for elective upper limb surgery of the elbow and/or below were randomly divided into two groups: infraclavicular Group (I) and supraclavicular Group (S). All the blocks were performed with the aid of ultrasound-guided nerve stimulator confirmation. The two groups were compared with respect to block performance time, onset of sensory and motor blockade, readiness for surgery, success rate and complications. The statistical analysis was performed with Student t-test and Chi-square test. Results: The block performance time for the infraclavicular group was 9.57 ± 3.19 min, whereas for supraclavicular group, it was 11.53 ± 2.90 min with similar success rates (93.3%). Onset of sensory blockade was achieved earlier (6.43 ± 2.61 min) in Group I than Group S (8.45 ± 2.87 min, P = 0.006). The onset of motor blockade was similar in Group I (7.32 ± 2.90 min) and Group S (8.68 ± 3.50 min, P = 0.121). The patient satisfaction was similar in both the groups. One patient had a pneumothorax, three patients developed Horner syndrome and another had clinically symptomatic diaphragmatic paresis in Group S. Conclusion: The infraclavicular block is more rapidly executed compared to supraclavicular block with similar success rates and fewer complications in the presence of ultrasound and nerve stimulator and hence should be preferred.
      Citation: Indian Journal of Anaesthesia 2017 61(7):581-586
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_402_16
      Issue No: Vol. 61, No. 7 (2017)
       
  • Local anaesthetic systemic toxicity following oral ingestion in a child:
           Revisiting dibucaine

    • Authors: Raylene Dias, Nandini Dave, Milind S Tullu, Chandrahas T Deshmukh
      Pages: 587 - 589
      Abstract: Raylene Dias, Nandini Dave, Milind S Tullu, Chandrahas T Deshmukh
      Indian Journal of Anaesthesia 2017 61(7):587-589
      Dibucaine, a potent and toxic local anaesthetic, although currently withdrawn by the United States Food and Drug Administration for use as a spinal anaesthetic, continues to remain available in many over-the-counter topical formulations. Systemic toxicity following oral ingestion of local anaesthetics is rare. We report a case of accidental ingestion of dibucaine (ear drops) in a 7-year-old child who developed diplopia, giddiness, ventricular premature contractions and a right bundle branch block. We also present a brief discussion on the pharmacologic and toxicity profile of dibucaine, the Naranjo algorithm for assessing causality in case of adverse drug reactions and a review of current guidelines on the management of local anaesthetic systemic toxicity.
      Citation: Indian Journal of Anaesthesia 2017 61(7):587-589
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_166_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Perioperative management of patients with severe hypophosphataemia
           secondary to oncogenic osteomalacia: Our experience and review of
           literature

    • Authors: Alka Verma, Saipriya Tewari, Ashish Kannaujia
      Pages: 590 - 593
      Abstract: Alka Verma, Saipriya Tewari, Ashish Kannaujia
      Indian Journal of Anaesthesia 2017 61(7):590-593
      Oncogenic osteomalacia (OOM) is a rare paraneoplastic syndrome associated with mesenchymal tumours. It is characterised by phosphaturia, hypophosphataemia, decreased serum Vitamin D3 levels and severe osteomalacia. OOM-inducing tumours are usually benign, arising either from bone or soft tissue, with extremities and craniofacial region being the most common sites. Surgical resection of the tumour remains the mainstay of treatment. Challenges to an anaesthesiologist arise when such patients are planned for surgical resection of the underlying tumour. All the perioperative dilemmas are directly related to the severe hypophosphataemia. We describe three such cases of OOM and their perioperative management.
      Citation: Indian Journal of Anaesthesia 2017 61(7):590-593
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_57_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Distributing pulse oximeter: An initiative for improving patient safety
           and care

    • Authors: Amit Rastogi, Anil Agarwal, Prabhat Kumar Singh, Rudrashish Haldar, Ashish Kannaujia
      Pages: 594 - 596
      Abstract: Amit Rastogi, Anil Agarwal, Prabhat Kumar Singh, Rudrashish Haldar, Ashish Kannaujia
      Indian Journal of Anaesthesia 2017 61(7):594-596

      Citation: Indian Journal of Anaesthesia 2017 61(7):594-596
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_89_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Epidural analgesia information card averted permanent neurological
           sequelae

    • Authors: Sumitra G Bakshi, Gautham Rajan, Parmanand N Jain
      Pages: 597 - 598
      Abstract: Sumitra G Bakshi, Gautham Rajan, Parmanand N Jain
      Indian Journal of Anaesthesia 2017 61(7):597-598

      Citation: Indian Journal of Anaesthesia 2017 61(7):597-598
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_206_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Combined spinal epidural anaesthesia in a case of primigravida with
           coarctation of aorta with severe hypertension for elective lower segment
           caesarean section

    • Authors: Nupur Dua, B K Ashok Kumar, S Chaya, Tejal N Jivrajani
      Pages: 598 - 599
      Abstract: Nupur Dua, B K Ashok Kumar, S Chaya, Tejal N Jivrajani
      Indian Journal of Anaesthesia 2017 61(7):598-599

      Citation: Indian Journal of Anaesthesia 2017 61(7):598-599
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_178_16
      Issue No: Vol. 61, No. 7 (2017)
       
  • Sneaky leaks: Old devil, new location

    • Authors: Goneppanavar Umesh, Jasvinder Kaur, Rashmi Annigeri, KR Thilakchand
      Pages: 600 - 601
      Abstract: Goneppanavar Umesh, Jasvinder Kaur, Rashmi Annigeri, KR Thilakchand
      Indian Journal of Anaesthesia 2017 61(7):600-601

      Citation: Indian Journal of Anaesthesia 2017 61(7):600-601
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_330_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • A rare case of variation in the anatomical relationship between the common
           carotid artery and the internal jugular vein due to enlarged thyroid

    • Authors: Mayur Chillal Ramakrishna, Shalendra Singh, Ankur Khandelwal
      Pages: 601 - 602
      Abstract: Mayur Chillal Ramakrishna, Shalendra Singh, Ankur Khandelwal
      Indian Journal of Anaesthesia 2017 61(7):601-602

      Citation: Indian Journal of Anaesthesia 2017 61(7):601-602
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_369_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Transthoracic oesophagectomy in a patient with Fanconi&#39;s
           anaemia

    • Authors: Radhika A Dash, Kalpana P Balakrishnan
      Pages: 602 - 604
      Abstract: Radhika A Dash, Kalpana P Balakrishnan
      Indian Journal of Anaesthesia 2017 61(7):602-604

      Citation: Indian Journal of Anaesthesia 2017 61(7):602-604
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_251_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Concealing research outcomes: Are there times when it is actually
           justified?

    • Authors: Hilary P Grocott
      Pages: 605 - 605
      Abstract: Hilary P Grocott
      Indian Journal of Anaesthesia 2017 61(7):605-605

      Citation: Indian Journal of Anaesthesia 2017 61(7):605-605
      PubDate: Thu,13 Jul 2017
      DOI: 10.4103/ija.IJA_409_17
      Issue No: Vol. 61, No. 7 (2017)
       
  • Lighter Planes

    • Pages: 606 - 606
      Abstract:
      Indian Journal of Anaesthesia 2017 61(7):606-606

      Citation: Indian Journal of Anaesthesia 2017 61(7):606-606
      PubDate: Thu,13 Jul 2017
      Issue No: Vol. 61, No. 7 (2017)
       
 
 
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