A new approach to airway assessment & #8212; & #8220;Line of Sight & #8221; and more. Recommendations of the Task Force of Airway Management Foundation (AMF)
Rakesh Kumar, Sunil Kumar, Anil Misra, Neera G Kumar, Akhilesh Gupta, Prashant Kumar, Divya JainJournal of Anaesthesiology Clinical Pharmacology 2020 36(3):303-315 Assessment of airway is recommended by every airway guideline to ensure safe airway management. Numerous unifactorial and multifactorial tests have been used for airway assessment over the years. However, there is none that can identify all the difficult airways. The reasons for the inadequacy of these methods of airway assessment might be their dependence on difficult to remember and apply mnemonics and scores, inability to identify all the variations from the...
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Rakesh Kumar Sunil Kumar Anil Misra Neera G Kumar Akhilesh Gupta Prashant Kumar Divya Jain Source Type: research

Anesthesia and Alzheimer & #39;s: A review
Jeffrey Y SunJournal of Anaesthesiology Clinical Pharmacology 2020 36(3):297-302 As early as 1955, it was Bedford who provided description of cognitive changes in elderly patients following anesthesia and surgery. Reports of individuals with catastrophic, non-stroke-related decline in cognitive functions following anesthesia and surgery lead to a perception in the lay population that anesthesia and surgery have the potential to greatly exaggerate the progression of dementia, particularly Alzheimer's disease (AD). There is a concern that anesthesia and surgery could cause irreversible impairment, leading to AD. ...
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Jeffrey Y Sun Source Type: research

Scheduling elective surgeries following COVID-19: Challenges ahead
Soma Ganesh Raja Neethirajan, Akilandeswari ManickamJournal of Anaesthesiology Clinical Pharmacology 2020 36(3):291-296 Evolving and conflicting information about pathophysiology, clinical course and impact of corona virus disease (COVID-19) on perioperative outcome of patients has brought in new challenges while restarting elective surgeries. A roadmap to resume elective surgeries should detail timings for reopening elective surgeries, COVID-19 testing facilities, adequate PPE supplies, conservation policies for PPE and case prioritization and scheduling. We suggest a six-pronged strategy of minimizing chances of exposur...
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Soma Ganesh Raja Neethirajan Akilandeswari Manickam Source Type: research

Surgical safety checklist in the COVID era
Reshma P Ambulkar, Pankaj Singh, Jigeeshu DivatiaJournal of Anaesthesiology Clinical Pharmacology 2020 36(3):289-290 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Reshma P Ambulkar Pankaj Singh Jigeeshu Divatia Source Type: research

Traditional Indian practices: Time to revisit and re-adopt for a healthier lifestyle
Ruchita Tyagi, Vivek Gupta, Rajiv Kumar, GS WanderJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):166-171 The COVID-19 pandemic has affected human life significantly. In spite of significant advancement of medical technology, management is still focused on preventive strategies due to non availability of vaccine or any definitive treatment. The preventive strategies include hand hygiene, social distancing, isolation/quarantine along with the methods for boosting immunity. The ancient literature and several traditional practices of our country guide a hygienic life style and address several preventive aspects o...
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Ruchita Tyagi Vivek Gupta Rajiv Kumar GS Wander Source Type: research

Therapeutic status of hydroxychloroquine in COVID-19: A review
Kirandeep Kaur, Sandeep Kaushal, Ishita Gupta KaushalJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):160-165 Hydroxychloroquine (HCQ), a 4-aminoquinoline, is used worldwide mainly for its role in management of malaria and rheumatoid arthritis. In the present pandemic of coronavirus disease (COVID)-2019, the drug is being repurposed, based on its in vitro evidence of efficacy against coronavirus. There has been a lot of information, for and against the drug, and this review is an effort to bring forth the evidence and current understanding regarding role of HCQ in COVID-19. Clinical studies, case reports, and i...
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Kirandeep Kaur Sandeep Kaushal Ishita Gupta Kaushal Source Type: research

Safety tent for enhanced personal protection from aerosol-generating procedures while handling the COVID-19 patient airway
Prasanna Bidkar, Umesh Goneppanavar, Jasvinder Kaur, Srivats Valliyur RamamoorthyJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):157-160 The world is going through the COVID-19 pandemic, which has high virulence and transmission rate. More significant the viral load during exposure, the greater is the likelihood of contracting a severe disease. Healthcare workers (HCWs) involved in airway care of COVID-19 patients are at high risk of getting exposed to large viral loads during aerosol-generating actions such as coughing or sneezing by the patient or during procedures such as bag-mask ventilation, intubation, e...
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Prasanna Bidkar Umesh Goneppanavar Jasvinder Kaur Srivats Valliyur Ramamoorthy Source Type: research

Endoscopy mask for safe extubation in patients with COVID-19
Renu Sinha, Souvik Maitra, Bikash Ranjan RayJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):155-157 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Renu Sinha Souvik Maitra Bikash Ranjan Ray Source Type: research

Patient isolation pods for the evacuation of COVID-19 infected patients & #8211; Is this the answer ?
Shibu Sasidharan, Vijay Singh, Harpreet S Dhillon, M BabithaJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):152-155 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Shibu Sasidharan Vijay Singh Harpreet S Dhillon M Babitha Source Type: research

COVID aerosol barrier intubation box & #8211; Boon or bane ?
Shibu Sasidharan, Rakhee Goyal, M Babitha, Suneeta Singh, Harpreet Singh DhillonJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):150-152 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Shibu Sasidharan Rakhee Goyal M Babitha Suneeta Singh Harpreet Singh Dhillon Source Type: research

A simple and novel technique for facial protection during anesthesia administration in a suspected or positive COVID-19 patient
Ravindra Sisodia, Shubham KhandelwalJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):148-150 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Ravindra Sisodia Shubham Khandelwal Source Type: research

Reducing the viral load while securing the airway
Mukul Chandra KapoorJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):147-148 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Mukul Chandra Kapoor Source Type: research

Negative pressure aerosol containment box: An innovation to reduce COVID-19 infection risk in healthcare workers
Vivek Gupta, Ashish Sahani, Bishav Mohan, GS WanderJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):144-147 Healthcare workers (HCW's) are at increased risk of corona virus disease (COVID-19) infection during aerosol generating activities. The aerosol box has been used during intubation and extubation to prevent transmission of infection to HCWs. Isolation room with negative pressure has been advocated for COVID-19 patients. The described containment box has been designed to be useful in COVID intensive care unit (ICU) as a multipurpose box which is a cost effective and readily available resource. Th...
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Vivek Gupta Ashish Sahani Bishav Mohan GS Wander Source Type: research

The aerosol box
Amjad Maniar, Balavenkatasubramanian JagannathanJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):141-143 Despite being scientifically unproven, aerosol boxes have quickly risen in popularity during the COVID-19 pandemic. They have been created in various shapes and sizes, as well as materials across the world. Aerosol boxes offer a transparent barrier between the patient and the healthcare personnel, during intubation and may prove to be useful when prescribed protection equipment such as masks and eyewear are unavailable. In this article, we undertake a brief overview of aerosol boxes in current practice. (Sou...
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Amjad Maniar Balavenkatasubramanian Jagannathan Source Type: research

Need of guidelines for safe transport of patients with COVID-19
Rohini Dattari, Rakesh GargJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):139-141 (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - August 16, 2020 Category: Anesthesiology Authors: Rohini Dattari Rakesh Garg Source Type: research