Editorial [Hot Topic Recent Advances in Anesthetic Management (Executive Guest Editors: Ehab Farag and D. John Doyle)] (original) (raw)

ANAESTHESIA, PAIN & INTENSIVE CARE CONTENTS MARCH 2018 ISSUE

Technology and the future of anesthesiology 01 Amer Majeed How could fundamental disagreements 05 about the correct anatomy of the pediatric larynx develop during the last 15 years? Josef Holzki ORIGINAL ARTICLES A combination of intrarectal lignocaine 08 cream plus periprostatic nerve block improves pain control in transrectal ultrasound guided prostate biopsy: A prospective evaluation Ekrem Akdeniz, Sevda Akdeniz Evaluation of clinical effectiveness of three 16 different sedation protocols (intravenous propofol vs. ketamine vs. ketofol) in anxious children Gözde Yalçın, Nurhan Öztaş,Gülay Kip Effect of low dose intrathecal clonidine as an 26 adjuvant to hyperbaric bupivacaine on postoperative analgesia in patients undergoing elective infra umbilical surgeries Prachi Surve, Neeta Dsouza, Rajendra Patil, Dheeraj Narayan Agrawal, Anshumali Study to evaluate transversus abdominis 32 plane (TAP) block with ropivacaine in appendectomy patients by total requirement of diclofenac as a postoperative analgesia drug Intravenous regional anesthesia: comparing 48 efficacy of magnesium sulphate and clonidine as an adjuvant to lignocaine for intraoperative and postoperative analgesia. Deepak Solanki, Meena Singh Effectiveness of audio visual distraction using 55 virtual reality eyeglasses versus tablet device in child behavioral management during inferior alveolar nerve block A prospective randomized controlled trial 62 comparing the effects of dexmedetomidine and fentanyl on attenuation of pressor response during laryngoscopy and intubation Baikady Vasudevarao Sunil, Neeta Santha Comparison of postoperative pain relief 67 following use of spinal anesthesia versus general anesthesia for patients undergoing laparoscopic cholecystectomy Amna Sharaf, Ahmed Mujadid Burki, Saira Mahboob, Razia Bano Awareness, knowledge and attitude about 73 labor analgesia among providers and parturients; a survey based study Effectiveness of algorithm based teaching 81 on recognition and management of periarrest bradyarrhythmias among interns -a randomized control study Kusha Nag, Rani P. VR. Hemanth Kumar, Anand Monickam, Dewan Roshan Singh, T. Sivashanmugam Ultrasound guided 4 in 1 block -a newer, 87 single injection technique for complete postoperative analgesia for knee and below knee surgeries A comparison between intrathecal isobaric 94 levobupivacaine 0.5% and isobaric ropivacaine 0.5% in lower limb surgeries: a prospective, randomized, double blind study Kajal A. Bhatt, Ila A. Prajapati REVIEW ARTICLE Common low back pain, is it really a mystery? 125 Kjetil Larsen EDUCATION Fundamentals of clinical research 131 2: Designing a research study

Serious intraoperative problems — a five-year review of 83,844 anesthetics

Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 2002

P Pu ur rp po os se e: : The low incidence of mortality and major morbidity in anesthesia makes it difficult to study the pattern of potential accidents and to develop preventive strategies. Anesthetic 'near-misses', however, occur more frequently. Using data from a simple routine-based system of problem reporting, we have analyzed the pattern and causes of serious non-fatal problems, in order to improve preventive strategies.

ANAESTHESIA, PAIN & INTENSIVE CARE

Postoperative pain, nausea and vomiting 399 need not continue to plague our patients Barry L. Friedberg Perioperative crystalloids in pediatric 402 surgical patients: current approach A prospective randomized double blinded study 413 to evaluate the efficacy of dexmedetomidine 50 μg intravenously and perineurally as an adjunct to 0.5% ropivacaine for supraclavicular brachial plexus block Shashikala TK, Kavya Madhyastha 2 A randomized controlled trial to compare the 427 efficacy of pethidine and tramadol for postoperative shivering A study on ultrasonographic measurement of 432 optic nerve sheath diameter for detecting raised intracranial pressure in intensive care unit patients Renu Bala, Arnab Banerjee The evaluation of radiofrequency facet nerve 438 denervation in the patients with lumbar facet syndrome: experience with 493 patients Caner MIMAROGLU, Beste MIMAROGLU ALTINAY, Cevdet DUGER, Ahmet Cemil ISBIR, Sinan GURSOY, Kenan KAYGUSUZ, Iclal Ozdemir KOL Maintaining optimal endotracheal tube cuff 442 pressure with pressure gauge reduces the frequency of postoperative airway complications during endoscopic cervical spine surgery Rajesh Mishra, Meena Singh, Mamta Mahobia A randomized controlled study on prevention 447 of succinylcholine induced fasciculation and myalgia by pretreatment with pregabalin in patients undergoing laparoscopic cholecystectomy Effectiveness of magnesium sulphate in acute 458 asthma: a retrospective study

Une perfusion peropératoire de dexmédétomidine réduit les besoins analgésiques périopératoires

Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2006

Purpose This prospective, randomized, double-blind study was designed to assess whether intraoperative infusion of dexmedetomidine provides effective postoperative analgesia. Postoperative pain scores and morphine consumption were compared in a treated group and a placebo group, both of which received patient-controlled morphine after total abdominal hysterectomy. Methods Fifty women were randomly assigned to two groups. Group D (n = 25) received a loading dose of dexmedetomidine 1 μg·kg-1iv during induction of anesthesia, followed by a continuous infusion at a rate of 0.5 μg·kg-1·hr-1 throughout the operation. Group P (n = 25) received a volume-matched bolus and infusion of placebo (0.9% saline). For each case, heart rate, peripheral oxygen saturation, and systolic and diastolic blood pressure were recorded intraoperatively and for 48 hr postoperatively. Patients used a patient-controlled analgesia device to receive bolus doses of morphine after surgery. Total morphine consumption, pain scores, and sedation scores were recorded for the first 48 hr (two hours in the postanesthesia care unit and 46 hr on the ward). Results The groups were similar with respect to mean times to extubation of the trachea. Pain and sedation scores were also similar between groups at all corresponding times throughout the 48-hr period of observation. Group D patients consumed significantly less morphine in the postanesthesia care unit and on the ward (P < 0.05 andP < 0.01, respectively). Fewer patients in Group D experienced itching or nausea/vomiting (P < 0.05). Conclusion Continuousiv dexmedetomidine during abdominal surgery provides effective postoperative analgesia, and reduces postoperative morphine requirements without increasing the incidence of side effects. Objectif La présente étude prospective, randomisée et à double insu a été réalisée pour déterminer si une perfusion peropératoire de dexmédétomidine fournit une analgésie postopératoire efficace. Les scores de douleur et la consommation de morphine postopératoires ont été comparés entre un groupe expérimental et un groupe témoin, les deux recevant de la morphine autocontrôlée après une hystérectomie abdominale totale. Méthode Cinquante femmes ont été réparties au hasard en deux groupes. Celles du groupe D (n = 25) ont reçu une dose initiale de dexmédétomidine iv de 1 μg·kg-1 pendant l’induction de l’anesthésie, puis une perfusion continue à 0,5 μg·kg-1·hr-1 pendant l’opération. Celles du groupe P (n = 25) ont reçu un bolus de volume apparié et une perfusion de solution saline à 0,9 %. La fréquence cardiaque, la saturation en oxygène du sang périphérique et la tension artérielle systolique et diastolique ont été enregistrées pendant l’opération et pendant 48 h après. Les patientes ont utilisé une pompe d’analgésie autocontrôlée pour recevoir des bolus de morphine postopératoire. La consommation totale de morphine, les scores de douleur et de sédation ont été notés pendant les 48 premières heures (deux heures à la salle de réveil et 46 h à la chambre). Résultats Ľextubation endotrachéale a été faite à des temps similaires dans les deux groupes. La douleur et la sédation ont aussi été semblables pour tous les enregistrements faits pendant les 48 h d’observation. Une quantité significativement plus basse de morphine a été utilisée dans le groupe D, en salle de réveil et à la chambre (respectivement P < 0,05 et P < 0,01). Moins de patientes du groupe D ont eu du prurit ou des nausées et des vomissements (P < 0,05). Conclusion La perfusion iv continue de dexmédétomidine, administrée pendant une opération abdominale, fournit une analgésie postopératoire efficace et réduit les besoins postopératoires de morphine sans augmenter l’incidence d’effets secondaires.