Athma Prasanna - Academia.edu (original) (raw)

Papers by Athma Prasanna

Research paper thumbnail of Transversus abdominis analgesia plane block versus transcutaneous electrical nerve stimulation for post caesarian pain relief

Journal of Obstetric Anaesthesia and Critical Care, 2011

Research paper thumbnail of Sphenopalatine Ganglion Block Under Vision Using Rigid Nasal Sinuscope

Regional Anesthesia & Pain Medicine, 1992

Research paper thumbnail of Diagnostic Dilemmas

Indian Journal of Anaesthesia, 2002

Research paper thumbnail of Association of Obstetric Anaesthesiologists guidelines for anaesthetic management of patients undergoing tubal ligation and breast feeding in the perioperative period - some comments

Journal of Obstetric Anaesthesia and Critical Care, 2011

Research paper thumbnail of Unilateral celiac plexus block

Journal of Pain and Symptom Management, 1996

Gmerpatn, oral mmphine su&te, dim block The use of bilateral neumiytic celiac plexus blolk to rel... more Gmerpatn, oral mmphine su&te, dim block The use of bilateral neumiytic celiac plexus blolk to relieve intractable pain due to tipper abdominal malignancy is' well established.'.A This block is typically performed using a large volume and high concentration of alcoh,bl. Efficacy rates have been in the range oi @I%-94% (good to excellent relief), with varied durations.'S-S" The technique requirss skill and is not free from 'side effects. Wilh the advent of oral opioid therapy, the indications have become more limited. Unilateral neurolytic block ma); have benefit 'in reducing the complications of neurolysis."~' It may also be analgesic and reduce the requirement for oiioids in 'some settings. We describe our experience wi+ this block as an

Research paper thumbnail of Vasomotor rhinitis and sphenopalatineganglion block

Journal of Pain and Symptom Management, 1997

The effectiveness of the sphenopalatine ganglion (SPG) block for the relief of symptoms in chroni... more The effectiveness of the sphenopalatine ganglion (SPG) block for the relief of symptoms in chronic vasomotor rhinitis was assessed in 30 patients of both genders. The number of blocks required for complete relief was three (range from two to four) at weekly intervals in 66. 7% of volunteers. There was no recurrence of symptoms during a follow-up period of 12-20 months in 29 patients, and one patient was symptom free for 8 months. The technique is simple and can be performed as an outpatient procedure without side effects.

Research paper thumbnail of Neuropathic pain and sympathetic nerve blocks

Middle East journal of anaesthesiology, 2003

Research paper thumbnail of Transcutaneous Electrical Nerve Stimulation and Labor Pain

Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II expe... more Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II experienced good to excellent relief of back pain. Eight percent in primi and 12% in multigravida had no relief in Group I. Few had benefit in the second stage. The duration of labor was reduced by 120 minutes in multi and by 77 minutes in primigravida in group I (P value <0.001). There was no change in the intrapartum fetal heart rate in both the groups and none required immediate resuscitation.

Research paper thumbnail of Post operative analgesia with continuous epidural infusion

Middle East journal of anaesthesiology, 2004

Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdomin... more Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdominal surgery were grouped into sixteen each, on complaint of pain. They received an epidural bolus dose, followed by infusion of the assigned drug at 4ml per hour through BARD PCA I pump. Pain assessment, for the first four hours, was hourly, and subsequently at l0th, 16th, 22nd, 28th, 36th and 40th hour by VAS and VRS. The groups matched for demographic distribution. All groups had lower mean pain scores at first hour by VAS and VRS. In Group II and Group III, the difference was significant (<0.05) at the 2nd (VAS) and 4th (VRS) hours. From 16th (VAS) and 22nd (VRS) hours, the mean pain score was less and significant (<0.05) in Group III. In all groups sedation ranged from 0-1. There was hypotension in Group I (2/16).urinary retention in Group II (8/9 not catheterised); unilateral sensory impairment and motor weakness in Group I (3/16) and Group III (1/16). This study showed that co...

Research paper thumbnail of Transcutaneous Electrical Nerve Stimulation and Labor

Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II expe... more Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II experienced good to excellent relief of back pain. Eight percent in primi and 12% in multigravida had no relief in Group I. Few had benefit in the second stage. The duration of labor was reduced by 120 minutes in multi and by 77 minutes in primigravida in group I (P value <0.001). There was no change in the intrapartum fetal heart rate in both the groups and none required immediate resuscitation.

Research paper thumbnail of Neuropathic pain and sympathetic nerve blocks

Research paper thumbnail of Post operative analgesia with continuous epidural infusion

Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdomin... more Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdominal surgery were grouped into sixteen each, on complaint of pain. They received an epidural bolus dose, followed by infusion of the assigned drug at 4ml per hour through BARD PCA I pump. Pain assessment, for the first four hours, was hourly, and subsequently at l0th, 16th, 22nd, 28th, 36th and 40th hour by VAS and VRS. The groups matched for demographic distribution. All groups had lower mean pain scores at first hour by VAS and VRS. In Group II and Group III, the difference was significant (<0.05) at the 2nd (VAS) and 4th (VRS) hours. From 16th (VAS) and 22nd (VRS) hours, the mean pain score was less and significant (<0.05) in Group III. In all groups sedation ranged from 0-1. There was hypotension in Group I (2/16).urinary retention in Group II (8/9 not catheterised); unilateral sensory impairment and motor weakness in Group I (3/16) and Group III (1/16). This study showed that co...

Research paper thumbnail of Chapter-11 Central Neuraxial Block (Anesthesia)

Principles of Anesthesia Equipment, 2016

Research paper thumbnail of Neuropathic pain and sympathetic nerve blocks

Middle East journal of anaesthesiology, 2003

Research paper thumbnail of Post operative analgesia with continuous epidural infusion

Middle East journal of anaesthesiology, 2004

Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdomin... more Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdominal surgery were grouped into sixteen each, on complaint of pain. They received an epidural bolus dose, followed by infusion of the assigned drug at 4ml per hour through BARD PCA I pump. Pain assessment, for the first four hours, was hourly, and subsequently at l0th, 16th, 22nd, 28th, 36th and 40th hour by VAS and VRS. The groups matched for demographic distribution. All groups had lower mean pain scores at first hour by VAS and VRS. In Group II and Group III, the difference was significant (<0.05) at the 2nd (VAS) and 4th (VRS) hours. From 16th (VAS) and 22nd (VRS) hours, the mean pain score was less and significant (<0.05) in Group III. In all groups sedation ranged from 0-1. There was hypotension in Group I (2/16).urinary retention in Group II (8/9 not catheterised); unilateral sensory impairment and motor weakness in Group I (3/16) and Group III (1/16). This study showed that co...

Research paper thumbnail of Acute myofascial pain after regional anesthesia

Journal of Pain and Symptom Management, 1997

Research paper thumbnail of Sphenopalatine ganglion block and pain of cancer

Journal of Pain and Symptom Management, 1993

Research paper thumbnail of Cancer pain relief in India

Journal of Pain and Symptom Management, 1994

Research paper thumbnail of Myofascial pain as postoperative complication

Journal of Pain and Symptom Management, 1993

Research paper thumbnail of Combined Stellate Ganglion and Sphenopalatine Ganglion Block in Acute Herpes Infection

The Clinical Journal of Pain, 1993

Research paper thumbnail of Transversus abdominis analgesia plane block versus transcutaneous electrical nerve stimulation for post caesarian pain relief

Journal of Obstetric Anaesthesia and Critical Care, 2011

Research paper thumbnail of Sphenopalatine Ganglion Block Under Vision Using Rigid Nasal Sinuscope

Regional Anesthesia & Pain Medicine, 1992

Research paper thumbnail of Diagnostic Dilemmas

Indian Journal of Anaesthesia, 2002

Research paper thumbnail of Association of Obstetric Anaesthesiologists guidelines for anaesthetic management of patients undergoing tubal ligation and breast feeding in the perioperative period - some comments

Journal of Obstetric Anaesthesia and Critical Care, 2011

Research paper thumbnail of Unilateral celiac plexus block

Journal of Pain and Symptom Management, 1996

Gmerpatn, oral mmphine su&te, dim block The use of bilateral neumiytic celiac plexus blolk to rel... more Gmerpatn, oral mmphine su&te, dim block The use of bilateral neumiytic celiac plexus blolk to relieve intractable pain due to tipper abdominal malignancy is' well established.'.A This block is typically performed using a large volume and high concentration of alcoh,bl. Efficacy rates have been in the range oi @I%-94% (good to excellent relief), with varied durations.'S-S" The technique requirss skill and is not free from 'side effects. Wilh the advent of oral opioid therapy, the indications have become more limited. Unilateral neurolytic block ma); have benefit 'in reducing the complications of neurolysis."~' It may also be analgesic and reduce the requirement for oiioids in 'some settings. We describe our experience wi+ this block as an

Research paper thumbnail of Vasomotor rhinitis and sphenopalatineganglion block

Journal of Pain and Symptom Management, 1997

The effectiveness of the sphenopalatine ganglion (SPG) block for the relief of symptoms in chroni... more The effectiveness of the sphenopalatine ganglion (SPG) block for the relief of symptoms in chronic vasomotor rhinitis was assessed in 30 patients of both genders. The number of blocks required for complete relief was three (range from two to four) at weekly intervals in 66. 7% of volunteers. There was no recurrence of symptoms during a follow-up period of 12-20 months in 29 patients, and one patient was symptom free for 8 months. The technique is simple and can be performed as an outpatient procedure without side effects.

Research paper thumbnail of Neuropathic pain and sympathetic nerve blocks

Middle East journal of anaesthesiology, 2003

Research paper thumbnail of Transcutaneous Electrical Nerve Stimulation and Labor Pain

Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II expe... more Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II experienced good to excellent relief of back pain. Eight percent in primi and 12% in multigravida had no relief in Group I. Few had benefit in the second stage. The duration of labor was reduced by 120 minutes in multi and by 77 minutes in primigravida in group I (P value <0.001). There was no change in the intrapartum fetal heart rate in both the groups and none required immediate resuscitation.

Research paper thumbnail of Post operative analgesia with continuous epidural infusion

Middle East journal of anaesthesiology, 2004

Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdomin... more Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdominal surgery were grouped into sixteen each, on complaint of pain. They received an epidural bolus dose, followed by infusion of the assigned drug at 4ml per hour through BARD PCA I pump. Pain assessment, for the first four hours, was hourly, and subsequently at l0th, 16th, 22nd, 28th, 36th and 40th hour by VAS and VRS. The groups matched for demographic distribution. All groups had lower mean pain scores at first hour by VAS and VRS. In Group II and Group III, the difference was significant (<0.05) at the 2nd (VAS) and 4th (VRS) hours. From 16th (VAS) and 22nd (VRS) hours, the mean pain score was less and significant (<0.05) in Group III. In all groups sedation ranged from 0-1. There was hypotension in Group I (2/16).urinary retention in Group II (8/9 not catheterised); unilateral sensory impairment and motor weakness in Group I (3/16) and Group III (1/16). This study showed that co...

Research paper thumbnail of Transcutaneous Electrical Nerve Stimulation and Labor

Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II expe... more Results: Fifty two percent (primi) and 64% (multi) gravida in Group I and 8% in the Group II experienced good to excellent relief of back pain. Eight percent in primi and 12% in multigravida had no relief in Group I. Few had benefit in the second stage. The duration of labor was reduced by 120 minutes in multi and by 77 minutes in primigravida in group I (P value <0.001). There was no change in the intrapartum fetal heart rate in both the groups and none required immediate resuscitation.

Research paper thumbnail of Neuropathic pain and sympathetic nerve blocks

Research paper thumbnail of Post operative analgesia with continuous epidural infusion

Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdomin... more Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdominal surgery were grouped into sixteen each, on complaint of pain. They received an epidural bolus dose, followed by infusion of the assigned drug at 4ml per hour through BARD PCA I pump. Pain assessment, for the first four hours, was hourly, and subsequently at l0th, 16th, 22nd, 28th, 36th and 40th hour by VAS and VRS. The groups matched for demographic distribution. All groups had lower mean pain scores at first hour by VAS and VRS. In Group II and Group III, the difference was significant (<0.05) at the 2nd (VAS) and 4th (VRS) hours. From 16th (VAS) and 22nd (VRS) hours, the mean pain score was less and significant (<0.05) in Group III. In all groups sedation ranged from 0-1. There was hypotension in Group I (2/16).urinary retention in Group II (8/9 not catheterised); unilateral sensory impairment and motor weakness in Group I (3/16) and Group III (1/16). This study showed that co...

Research paper thumbnail of Chapter-11 Central Neuraxial Block (Anesthesia)

Principles of Anesthesia Equipment, 2016

Research paper thumbnail of Neuropathic pain and sympathetic nerve blocks

Middle East journal of anaesthesiology, 2003

Research paper thumbnail of Post operative analgesia with continuous epidural infusion

Middle East journal of anaesthesiology, 2004

Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdomin... more Forty eight ASA I or II patients of either sex between 20-70 years undergoing major upper abdominal surgery were grouped into sixteen each, on complaint of pain. They received an epidural bolus dose, followed by infusion of the assigned drug at 4ml per hour through BARD PCA I pump. Pain assessment, for the first four hours, was hourly, and subsequently at l0th, 16th, 22nd, 28th, 36th and 40th hour by VAS and VRS. The groups matched for demographic distribution. All groups had lower mean pain scores at first hour by VAS and VRS. In Group II and Group III, the difference was significant (<0.05) at the 2nd (VAS) and 4th (VRS) hours. From 16th (VAS) and 22nd (VRS) hours, the mean pain score was less and significant (<0.05) in Group III. In all groups sedation ranged from 0-1. There was hypotension in Group I (2/16).urinary retention in Group II (8/9 not catheterised); unilateral sensory impairment and motor weakness in Group I (3/16) and Group III (1/16). This study showed that co...

Research paper thumbnail of Acute myofascial pain after regional anesthesia

Journal of Pain and Symptom Management, 1997

Research paper thumbnail of Sphenopalatine ganglion block and pain of cancer

Journal of Pain and Symptom Management, 1993

Research paper thumbnail of Cancer pain relief in India

Journal of Pain and Symptom Management, 1994

Research paper thumbnail of Myofascial pain as postoperative complication

Journal of Pain and Symptom Management, 1993

Research paper thumbnail of Combined Stellate Ganglion and Sphenopalatine Ganglion Block in Acute Herpes Infection

The Clinical Journal of Pain, 1993