Critical care in obstetrics
Sunil T Pandya, Kiran MangalampallyIndian Journal of Anaesthesia 2018 62(9):724-733 Pregnancy is a normal physiologic process with the potential for pathologic states. Pregnancy has several unique characteristics including an utero-placental interface, a physiologic stress that can cause pathologic states to develop, and a maternal–foetal interface that can affect two lives simultaneously or in isolation. Critical illness in pregnant women may result from deteriorating preexisting conditions, diseases that are co-incidental to pregnancy, or pregnancy-specific conditions. Successful maternal and neonatal outcomes for...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Sunil T Pandya Kiran Mangalampally Source Type: research

Foetal surgery: Anaesthetic implications and strategic management
Bhavani Shankar Kodali, Shobana BharadwajIndian Journal of Anaesthesia 2018 62(9):717-723 Intrauterine surgery is being performed with increasing frequency. Correction of foetal anomalies in utero can result in normal growth of foetus and a healthier baby at delivery. Intrauterine surgery can also improve the survival of babies who would have otherwise died at delivery, or in the neonatal period. There are three commonly used approaches to correct foetal anomalies: open surgery, where the foetus is exposed through hysterotomy; percutaneous approach, where needle or foetoscope is inserted through the abdominal wall and the...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Bhavani Shankar Kodali Shobana Bharadwaj Source Type: research

Anaesthesia for non-obstetric surgery in obstetric patients
GL Ravindra, Abhinava S Madamangalam, Shwetha SeetharamaiahIndian Journal of Anaesthesia 2018 62(9):710-716 Anaesthesia for pregnant patients presenting for non-obstetric surgery needs a thorough understanding of the physiological changes and altered pharmacokinetics of pregnancy. Considering the effects of surgery and anaesthesia on the foetus, only essential and emergency surgeries are performed during pregnancy. Surgical procedures in second trimester have the advantage of better foetal outcome. The primary concerns of maternal and foetal safety are achieved by a focused multidisciplinary team-based approach with respe...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: GL Ravindra Abhinava S Madamangalam Shwetha Seetharamaiah Source Type: research

Anaesthetic management of obstetric emergencies
Pradeep A Dongare, Madagondapalli S NatarajIndian Journal of Anaesthesia 2018 62(9):704-709 Obstetric emergencies are a challenge both for the obstetrician and the anaesthesiologist. The incidence of caesarean sections as per the National Family Health Survey published in 2015–16 was 17.2%. In 7.6% of cases, the decision to conduct a caesarean section was taken after the onset of labour pains. Caesarean sections are classified depending on the urgency into four categories. The target decision to delivery interval for category 1 caesarean section is less than 30 min. This is used as an audit tool for the effi...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Pradeep A Dongare Madagondapalli S Nataraj Source Type: research

Management of major obstetric haemorrhage
Anjan Trikha, Preet Mohinder SinghIndian Journal of Anaesthesia 2018 62(9):698-703 One of the most important causes of maternal mortality is major obstetric haemorrhage. Major haemorrhage can occur in parturients either during the antepartum period, during delivery, or in the postpartum period. Early recognition and a multidisciplinary team approach in the management are the cornerstones of improving the outcome of such cases. The management consists of fluid resuscitation, administration of blood and blood products, conservative measures such as uterine cavity tamponade and sutures, and finally hysterectomy. Blood transf...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Anjan Trikha Preet Mohinder Singh Source Type: research

Approach to failed spinal anaesthesia for caesarean section
Ketan S Parikh, Shwetha SeetharamaiahIndian Journal of Anaesthesia 2018 62(9):691-697 Failure of spinal anaesthesia for caesarean section may have deleterious consequences for the mother as well as the newborn baby. In this article, we discuss the mechanisms of failure of spinal anaesthesia as well as the approach to a failed block. We performed a literature search in Google Scholar, PubMed, and Cochrane databases for original and review articles concerning failed spinal anaesthesia and caesarean section. Strategies for a failed spinal anaesthetic include manoeuvers to salvage the block, repeating the block, epidural anae...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Ketan S Parikh Shwetha Seetharamaiah Source Type: research

Neuraxial anaesthesia in parturient with cardiac disease
Minati ChoudhuryIndian Journal of Anaesthesia 2018 62(9):682-690 Parturient with corrected or uncorrected cardiac problem may undergo neuraxial anaesthesia for several reasons and in different trimesters. The altered physiological state in a parturient is further deranged in the presence of a cardiovascular lesion, producing the added risk to the parturient undergoing a neuraxial block. A detailed evaluation, knowledge regarding cardiovascular disease state, more vigilant monitoring, and a team approach can lead to a successful outcome. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Minati Choudhury Source Type: research

Hypertensive disorders in pregnancy
Madhusudan Upadya, Sumesh T RaoIndian Journal of Anaesthesia 2018 62(9):675-681 Hypertensive disorders of pregnancy (HDP) remain among the most significant and intriguing unsolved problems in obstetrics. In India, the prevalence of HDP was 7.8% with pre-eclampsia in 5.4% of the study population. The anaesthetic problems in HDP may be due to the effects on the cardiovascular, respiratory, neurologic, renal, haematologic, hepatic and uteroplacental systems. The basic management objectives should be facilitating the birth of an infant who subsequently thrives and completes restoration of health to the mother, or the ...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Madhusudan Upadya Sumesh T Rao Source Type: research

Management of anaesthesia for elective, low-risk (Category 4) caesarean section
Komal Anil Gandhi, Kajal JainIndian Journal of Anaesthesia 2018 62(9):667-674 An increasing number of caesarean sections are being performed for both elective as well as emergency cases. Category 4 caesarean section refers to a planned elective surgery after 39 weeks of gestation at a time suitable to the mother and the maternity team. For a safe conduct of anaesthesia, the updated obstetric anaesthesia guidelines recommend administration of neuraxial anaesthesia, whenever feasible. The management should include adequate postoperative pain relief, early ambulation, and thromboprophylaxis to ensure early recovery. This rev...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Komal Anil Gandhi Kajal Jain Source Type: research

Neuraxial techniques of labour analgesia
Sunanda Gupta, Seema PartaniIndian Journal of Anaesthesia 2018 62(9):658-666 In recent years, many neuraxial techniques have been introduced to initiate and maintain labour analgesia, with low-dose mixtures of local anaesthetics and opioids, which have improved the quality of analgesia and made it safer for both mother and neonate. An independent search of the databases of PubMed, Medline, and Cochrane controlled trial data was conducted by two researchers, and randomized controlled trials that compared different methods of neuraxial analgesia and the different techniques of maintaining labor analgesia were retrieved and ...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Sunanda Gupta Seema Partani Source Type: research

Physiological and anatomical changes of pregnancy: Implications for anaesthesia
Pradeep Bhatia, Swati ChhabraIndian Journal of Anaesthesia 2018 62(9):651-657 During pregnancy, the body goes through various anatomical and physiological changes to provide suitable environment for foetal development, to cater to the increased metabolic demands and to prepare for the childbirth. These changes have notable anaesthetic implications in determining the optimal anaesthetic technique, while also keeping in mind the gestational age, type of procedure and any coexisting medical condition. It is important to note that these changes revert to baseline (pre-pregnancy) levels at different time intervals during the p...
Source: Indian Journal of Anaesthesia - September 10, 2018 Category: Anesthesiology Authors: Pradeep Bhatia Swati Chhabra Source Type: research

Response to comments: Quadratus lumborum block failure: & #8216;A must know complication & #8217;
Gaurav Sindwani, Aditi Suri, Sandeep SahuIndian Journal of Anaesthesia 2018 62(8):648-648 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Gaurav Sindwani Aditi Suri Sandeep Sahu Source Type: research

In response to & #8212;Quadratus lumborum block failure: & #8220;A must know complication & #8221;
Ashok Jadon, Mohammad AmirIndian Journal of Anaesthesia 2018 62(8):646-647 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Ashok Jadon Mohammad Amir Source Type: research

Persistent cerebral desaturation on near-infrared spectroscopy without neurological insult
Pooja Natarajan, Rahul GuhaBiswas, Atanu Saha, Pradeep NarayanIndian Journal of Anaesthesia 2018 62(8):643-645 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Pooja Natarajan Rahul GuhaBiswas Atanu Saha Pradeep Narayan Source Type: research

Wolff-Parkinson White syndrome in a parturient with rheumatic heart disease for caesarean section - Anaesthesia management
Rachana Chhabria, Prajwala S KaushikIndian Journal of Anaesthesia 2018 62(8):641-643 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Rachana Chhabria Prajwala S Kaushik Source Type: research

Anaesthetic management in a patient with progressive supranuclear palsy
Antoine Abi Lutfallah, Christine Dagher, Nicole Naccache, Patricia YazbeckIndian Journal of Anaesthesia 2018 62(8):640-641 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Antoine Abi Lutfallah Christine Dagher Nicole Naccache Patricia Yazbeck Source Type: research

Continuous ultrasound-guidederector spinae plane block for post-operative pain management in lumbar spine surgery: A case series
Neeeraj Kumar Chaudhary, Swati SinghIndian Journal of Anaesthesia 2018 62(8):638-639 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Neeeraj Kumar Chaudhary Swati Singh Source Type: research

Anaesthetic management of a child with adrenoleukodystrophy: A case report
Sachinkumar Wagh, PS Garcha, Sachin HiradeveIndian Journal of Anaesthesia 2018 62(8):636-638 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Sachinkumar Wagh PS Garcha Sachin Hiradeve Source Type: research

Mobile phone holder as an ultrasound transducer stabilisation device: A novel technique
Ashutosh Kaushal, Ashish Bindra, Shalendra SinghIndian Journal of Anaesthesia 2018 62(8):635-636 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Ashutosh Kaushal Ashish Bindra Shalendra Singh Source Type: research

Opioid-free mastectomy in combination with ultrasound-guided erector spinae block: A series of five cases
Abhijit S Nair, Suresh Seelam, Vibhavari Naik, Basanth K RayaniIndian Journal of Anaesthesia 2018 62(8):632-634 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Abhijit S Nair Suresh Seelam Vibhavari Naik Basanth K Rayani Source Type: research

Anaesthetic management for cardiac surgery in patients with cold haemagglutinin disease
Jasbir S Khanuja, Neelam Aggarwal, Rajat Kapur, Sushant SrivastavaIndian Journal of Anaesthesia 2018 62(8):628-631 Cold haemagglutination is a primary or acquired autoimmune disease involving antibodies that lead to agglutination of red blood cells at low temperature followed by complement fixation and haemolysis on rewarming. This disease can lead to adverse consequences in patients undergoing cardiothoracic surgery, especially when hypothermic cardiopulmonary bypass is applied. The authors discuss the management of two patients who underwent mitral valve replacement surgery while cold agglutinins were detected in the pe...
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Jasbir S Khanuja Neelam Aggarwal Rajat Kapur Sushant Srivastava Source Type: research

Topicalisation of airway for awake fibre-optic intubation: Walking on thin ice
Mamta Dubey, Soumi Pathak, Furkan AhmedIndian Journal of Anaesthesia 2018 62(8):625-627 Topicalisation of the airway by various techniques has routinely been recommended for awake fibre-optic bronchoscopy in cases of difficult airway. However, topicalisation by itself can cause airway obstruction by decreasing the tone of the laryngeal muscles and causing a dynamic air inflow obstruction. Two cases of difficult airway are illustrated where anaesthetising upper airway with nebulisation with 4% lignocaine (Xylocaine™) or 2% lignocaine (Xylocaine™) jelly resulted in stridor and upper airway obstruction. T...
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Mamta Dubey Soumi Pathak Furkan Ahmed Source Type: research

Tracheal bronchus: A rare unforeseen anaesthetic challenge
Mita Eunice Sarkar, Alfred Inbaraj, Varghese Zachariah, Sharmishta ShuklaIndian Journal of Anaesthesia 2018 62(8):621-624 The most common congenital central airway anomaly, a tracheal bronchus is of concern during airway management especially if previously undetected. If present, it can lead to inadequate ventilation both during intubation with a normal endotracheal tube and an attempted double lumen tube insertion for one lung ventilation. Meticulous preoperative assessment and use of adjuncts like bronchoscopy before lung isolation can safely and successfully assist the anaesthetic management of such cases. (Source: Ind...
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Mita Eunice Sarkar Alfred Inbaraj Varghese Zachariah Sharmishta Shukla Source Type: research

Observational study of the efficacy of supraclavicular brachial plexus block for arteriovenous fistula creation
Conclusion: Ultrasound-guided isolated brachial plexus block results in good vasodilation and achieves good immediate and long-term patency in AV fistula surgery. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Selvakumar Palaniappan Venkatesh Subbiah V Raja Gopalan Poornima Vijaya Kumar R John Santa Vinothan Source Type: research

Nasogastric tube insertion in anaesthetised, intubated adult patients: A comparison between three techniques
Conclusion: Nasogastric tube insertion using reverse Sellick's manoeuvre shows the highest success rate and having the least adverse events among the compared three methods in anaesthetised, intubated adult patients. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Mohanchandra Mandal Anirban Karmakar Sekhar Ranjan Basu Source Type: research

Validity of thyromental height test as a predictor of difficult laryngoscopy: A prospective evaluation comparing modified Mallampati score, interincisor gap, thyromental distance, neck circumference, and neck extension
Conclusion: TMHT appears promising as a single anatomical measure to predict the risk of difficult laryngoscopy, however, validation will require further studies in more diverse patient populations. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: K Venkata Nageswara Rao D Dhatchinamoorthi Amar Nandhakumar N Selvarajan Hani Rajesh Akula Venkatesan Thiruvenkatarajan Source Type: research

Assessment of functionality of vocal cords using ultrasound before and after thyroid surgery: An observational study
Conclusion: USG examination can prove to be a good, noninvasive, cheap alternative to VRL in examination for functionality of VCs perioperatively. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Amarjeet Kumar Chandni Sinha Ajeet Kumar Akhilesh Kumar Singh Harsh Vardhan Kranti Bhavana Ditipriya Bhar Source Type: research

Effect of anaesthetic agents on olfactory threshold and identification & #8211; A single blinded randomised controlled study
Conclusion: Sevoflurane was associated with short-term olfactory identification impairment with a concomitant reduction in melatonin levels illustrating a possible humoral mechanism. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Balachandar Saravanan Pankaj Kundra Sandeep Kumar Mishra Gopalakrishnan Surianarayanan Pradipta Kumar Parida Source Type: research

Cardiac output monitoring: A comparative prospective observational study of the conventional cardiac output monitor Vigileo & #8482; and the new smartphone-based application Capstesia & #8482;
Conclusion: CapstesiaTM is a reliable and feasible alternative to VigileoTM for intraoperative CO monitoring in oncosurgical patients. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Shagun Bhatia Shah Ajay Kumar Bhargava Uma Hariharan Gayatri Vishvakarma Chamound Rai Jain Anamica Kansal Source Type: research

Autonomic disturbances in diabetes: Assessment and anaesthetic implications
Srilata Moningi, Sapna Nikhar, Gopinath RamachandranIndian Journal of Anaesthesia 2018 62(8):575-583 Diabetes mellitus is the most common medical condition and with increased awareness of heath and related issues, several patients are getting diagnosed with diabetes. The poor control of sugar and long-standing status of disease affects the autonomic system of body. The autonomic nervous system innervates cardiovascular, gastrointestinal, and genitourinary system, thus affecting important functions of the body. The cardiovascular system involvement can manifest as mild arrhythmias to sudden death. Our search for this revie...
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Srilata Moningi Sapna Nikhar Gopinath Ramachandran Source Type: research

Noninvasive cardiac output measurement in clinical practice & #8211; From machines to mobiles
Murali ChakravarthyIndian Journal of Anaesthesia 2018 62(8):573-574 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Murali Chakravarthy Source Type: research

Anesthetic considerations in Stevens & #8211;Johnson syndrome with epilepsy for bilateral amniotic membrane grafting in eye
Vinod K Parashar, Sanwar M Mitharwal, Ankita ChaudharyIndian Journal of Anaesthesia 2018 62(7):569-570 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Vinod K Parashar Sanwar M Mitharwal Ankita Chaudhary Source Type: research

Management of a case of ventricular bigeminy using central neuraxial blockade
Gunjan Singh, Manpreet Kaur, Maya DehranIndian Journal of Anaesthesia 2018 62(7):567-568 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Gunjan Singh Manpreet Kaur Maya Dehran Source Type: research

In the plane, but not in plane: Mind the gap in the transversus abdominis plane
Bikram Kishore Behera, Satyajeet MisraIndian Journal of Anaesthesia 2018 62(7):565-566 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Bikram Kishore Behera Satyajeet Misra Source Type: research

Electronic medical record system: A critical viewpoint
Sumitra G Bakshi, Bhakti TrivediIndian Journal of Anaesthesia 2018 62(7):564-565 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Sumitra G Bakshi Bhakti Trivedi Source Type: research

Document for patient & #39;s sake.... for your colleague & #39;s sake! Document.... for GOD & #39;S sake!!
Swati Chhabra, Pradeep Bhatia, Sadik Mohammed, Rakesh KumarIndian Journal of Anaesthesia 2018 62(7):562-563 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Swati Chhabra Pradeep Bhatia Sadik Mohammed Rakesh Kumar Source Type: research

Major leak during controlled ventilation due to faulty exhaust valve missed during pre-use machine check
Apala Roy Chowdhury, Kanil Ranjith Kumar, Renu SinhaIndian Journal of Anaesthesia 2018 62(7):560-562 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Apala Roy Chowdhury Kanil Ranjith Kumar Renu Sinha Source Type: research

Acute gastric conduit dilatation after oesophagectomy as a cause of respiratory distress
Abhijit S Nair, Vibhavari Milind Naik, Suresh Seelam, Basanth Kumar RayaniIndian Journal of Anaesthesia 2018 62(7):559-560 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Abhijit S Nair Vibhavari Milind Naik Suresh Seelam Basanth Kumar Rayani Source Type: research

Elastomeric pumps: How cautious should we be ?
Swarup Ray, Barkha Agrawal, Raylene Dias, Nandini DaveIndian Journal of Anaesthesia 2018 62(7):558-559 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Swarup Ray Barkha Agrawal Raylene Dias Nandini Dave Source Type: research

Ultrasound-guided continuous transmuscular quadratus lumborum block- L4 or L2 level catheter insertion for analgesia in open abdominal surgery: Case series
Vasanth Rao Kadam, S HowellIndian Journal of Anaesthesia 2018 62(7):555-557 (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Vasanth Rao Kadam S Howell Source Type: research

Erector spinae plane block in abdominal surgery: Case series
Juan Carlos Luis-Navarro, Maria Seda-Guzmán, Cristina Luis-Moreno, Ki-Jinn ChinIndian Journal of Anaesthesia 2018 62(7):549-554 The aim of this study is to report 11 cases of erector spinae plane (ESP) block used for unilateral or bilateral abdominal surgery, adding to the overall limited experience with abdominal ESP block. The procedures were carried out at a teaching hospital in 11 patients (eight males, three females, ages 36–80 years) requiring abdominal surgery, including laparoscopic surgery. Each patient required surgery under different physical circumstances and likely different conceptions of what con...
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Juan Carlos Luis-Navarro Maria Seda-Guzm & #225;n Cristina Luis-Moreno Ki-Jinn Chin Source Type: research

Laryngeal Mask Airway Protector & #8482; for intubation and extubation in thyroid surgeries: A case report
Leng Zoo Tan, Daryl Jian An Tan, Edwin SeetIndian Journal of Anaesthesia 2018 62(7):545-548 The laryngeal mask airway (LMA) Protector™ has recently made its way into clinical practice. As little is reported on this novel supraglottic airway device, we describe our experiences through intubation and Bailey manoeuvre using the LMA Protector™, and the assessment of vocal cord mobility using a flexible bronchoscope through it in three patients undergoing hemithyroidectomies. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Leng Zoo Tan Daryl Jian An Tan Edwin Seet Source Type: research

Assessment of perioperative difficult airway among undiagnosed obstructive sleep apnoea patients undergoing elective surgery: A prospective cohort study
Conclusion: Positive screening test for OSA is associated with difficult airway management. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Krishnakumar Mathangi Jacob Mathews Chandrasekar D Mathangi Source Type: research

Dexmedetomidine & #8211;propofol vs ketamine & #8211;propofol anaesthesia in paediatric and young adult patients undergoing device closure procedures in cardiac catheterisation laboratory: An open label randomised trial
Conclusion: Procedural anaesthesia with DP in paediatric and young adult patients with ACHD undergoing device closure in the CCL resulted in faster recovery of consciousness and motor recovery compared to KP. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Kunal Tewari Vishal V Tewari Subroto K Datta Source Type: research

Efficacy of dexmedetomidine for prevention of emergence agitation in patients posted for nasal surgery under desflurane anaesthesia: A prospective double-blinded randomised controlled trial
Conclusion: Dexmedetomidine significantly reduced the incidence of EA and requirement of desflurane in patients undergoing nasal surgery. However, it was associated with delayed extubation, residual sedation, and prolonged PACU stay. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Akaansha Garg Manoj Kamal Sadik Mohammed Geeta Singariya Dilip S Chouhan Ghanshyam Biyani Source Type: research

Comparison of bispectral index and end-tidal anaesthetic concentration monitoring on recovery profile of desflurane in patients undergoing lumbar spine surgery
Conclusion: ETAC-guided anaesthesia is comparable to BIS-guided anaesthesia in achieving early recovery. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: R Sudhakaran Jeetinder K Makkar Divya Jain Jyotsna Wig R Chabra Source Type: research

Effect of epidural levobupivacaine with or without dexamethasone soaked in gelfoam for postoperative analgesia after lumbar laminectomy: A double blind, randomised, controlled trial
Conclusion: Epidural gelfoam soaked in levobupivacaine and dexamethasone prolongs the duration of analgesia and decreases rescue analgesic consumption and VAS score postoperatively, in patients undergoing lumbar laminectomy. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Kamlesh Kumari Manoj Kamal Geeta Singariya Rama Kishan Sunil Garg Sharad Thanvi Source Type: research

Impact of basic medical writing workshop on case report writing by post-graduate anaesthesia trainees: A pilot study
Conclusion: Writing skills of participants and their confidence in these skills improved post-workshop. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Anjana S Wajekar Sweta V Salgaonkar Indrani H Chincholi Anita N Shetty Source Type: research

Comparison of ultrasound-guided bilateral subcostal transversus abdominis plane block and port-site infiltration with bupivacaine in laparoscopic cholecystectomy
Conclusion: Ultrasound-guided bilateral subcostal TAP block provides superior post-operative analgesia after laparoscopic cholecystectomy compared to port-site infiltration. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Indu Suseela Krishnadas Anandan Arun Aravind Suvarna Kaniyil Source Type: research

Standards of care for procedural sedation: Focus on differing perceptions among societies
Satyen Parida, Pankaj Kundra, VK Mohan, Sandeep K MishraIndian Journal of Anaesthesia 2018 62(7):493-496 Adherence to established standards of care is important for anaesthesiologists to avoid undesirable legal consequences of their actions. The judiciary lays stress on the need to perpetuate healthy doctor–patient correspondence, good documentation, and to bestow a justifiable standard of care. But what defines standard of care and who delineates such standards is something that lacks clarity. The American Society for Gastrointestinal Endoscopy (ASGE) has recently released updated guidelines on the use of sedation ...
Source: Indian Journal of Anaesthesia - July 11, 2018 Category: Anesthesiology Authors: Satyen Parida Pankaj Kundra VK Mohan Sandeep K Mishra Source Type: research