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Access Statistics 2017 | January-June | Issue 1

 

ORIGINAL ARTICLE
Shilpa S Bhojraj, Rajashree D Agaskar, Savi J Kapila, Shital K Patil, Ali A Behranwala

Effect of Single-dose Preoperative Pregabalin on Postoperative Pain after Cardiac Surgery: A Prospective Observational Randomized Double-blind Study

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:4-8]


ABSTRACT

Aim and objective: We evaluated the effect of preoperative single-dose pregabalin (PG) on postoperative pain in patients undergoing on-pump coronary artery bypass graft (CABG) surgery.

Materials and methods: In this double-blind study, 60 adult patients scheduled for elective on-pump CABG surgery were randomized into two groups of 30 each, viz., PG and placebo (PL). Patients received either oral PG 150 mg or a PL, 1 hour before surgery. All patients received general anesthesia. Postoperative pain relief was provided with intravenous tramadol 50 mg 8 hourly. Postoperative pain was assessed, both at rest and during coughing, with the 10-point verbal rating scale (VRS) at 6, 12, 18, and 24 hours after extubation. Time to extubation, pain scores, requirement of additional analgesics, and adverse effects were compared using chi-square test, unpaired t test, and Mann-Whitney U test.

Results: The time to extubation was significantly prolonged in the PG group compared with PL (9.84 ± 1.88 vs 8.66 ± 2.12 hours, p = 0.027). The mean VRS scores at rest and during coughing were significantly lower in the PG group compared with PL (p < 0.05). However, the requirement of additional analgesics, such as paracetamol or tramadol was similar in the two groups.

Conclusion: A single preoperative oral dose of PG 150 mg was effective in reducing postoperative pain in patients undergoing on-pump CABG compared with a PL.

Keywords: On-pump coronary artery bypass graft, Postoperative pain, Preemptive analgesia, Pregabalin.

How to cite this article: Bhojraj SS, Agaskar RD, Kapila SJ, Patil SK, Behranwala AA. Effect of Single-dose Preoperative Pregabalin on Postoperative Pain after Cardiac Surgery: A Prospective Observational Randomized Double-blind Study. Res Inno in Anesth 2017;2(1):4-8.

Source of support: Nil

Conflict of interest: None

659

ORIGINAL ARTICLE
Valmik Avhad, Shrikanta Oak, Anita Shetty

Comparison of Safety and Efficacy of ProSeal Laryngeal Mask Array vs Endotracheal Intubation for Gynecological Diagnostic Laparoscopy

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:9-13]


ABSTRACT

This was a prospective randomized study comparing the safety and efficacy of ProSeal laryngeal mask array (PLMA) vs endotracheal intubation (ETT) in gynecological laparoscopic surgeries undertaken in 80 patients with American Society of Anesthesiologist I and II divided into two groups. The parameters assessed were insertion characteristics, hemodynamic response to insertion, gastric distension, and perioperative complications.
The demographic data were comparable. The first-time success rate was slightly higher for PLMA than for ETT. The time required for achieving effective airway was longer in ETT than in PLMA (25.6 ± 8.1 seconds for ETT vs 18.2 ± 5 seconds for PLMA).
The hemodynamic response to intubation/insertion was more in ETT group than in PLMA group, i.e., there was more rise in pulse rate and mean arterial pressure following ETT than PLMA insertion.
Intraoperatively, no episodes of laryngospasm, bronchospasm, desaturation, and inadequate ventilation were observed in both the groups. Postoperatively, sore throat complaints were observed more with ETT than with PLMA.

Keywords: Endotracheal tube, Hemodynamic parameters, Laparoscopic surgery, ProSeal laryngeal mask array.

How to cite this article: Avhad V, Oak S, Shetty A. Comparison of Safety and Efficacy of ProSeal Laryngeal Mask Array vs Endotracheal Intubation for Gynecological Diagnostic Laparoscopy. Res Inno in Anesth 2017;2(1):9-13.

Source of support: Nil

Conflict of interest: None

495

ORIGINAL ARTICLE
Sweta Salgaonkar, Anjana S Wajekar, Aditi Lakhotia

A Prospective, Pre- and Post-comparative Study to assess Knowledge about Medical Writing

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:1-3]


ABSTRACT

Background: Medical writing is an important component of any research starting with writing a research protocol up to its culmination into presentations and publications. In spite of numerous mandatory academic projects being undertaken in India, the research output in peer-reviewed journals remains low. Lack of proficiency in medical writing has been cited as one of the important causes for same. We conducted a pre and post continued medical education (CME) multiple choice question (MCQ) questionnaire test to assess the baseline knowledge of the participants in this field and observe their improvement after the CME.

Materials and methods: 210 medical students and faculty from various medical disciplines participated in the workshop. Responses to a 15 item validated MCQ questionnaire under various headings such as literature search, spectrum of formats, statistics, references and reporting were collected from the participants of the CME.

Results: 40.48% of the participants responded for pre-CME questionnaire forms and 36.67% for the post-CME questionnaire forms. In the post-CME questionnaire, a vast improvement was obtained in almost all questions, observed most prominently in the sections on literature search, referencing and reporting guidelines.

Conclusion: Training programs in medical writing should be included as a part of the curriculum from undergraduate days. Till the time that this becomes a reality, we should continue to equip ourselves with good medical writing skills by organizing such educative programs.

Keywords: Publications, Medical writing, Questionnaire, Research.

How to cite this article: Salgaonkar S, Wajekar AS, Lakhotia A. A Prospective, Pre- and Post-comparative Study to assess Knowledge about Medical Writing. Res Inno in Anesth 2017;2(1):1-3.

Source of support: Nil

Conflict of interest: None

432

CASE REPORT
Priti Devalkar, Sweta Salgaonkar, Vasundhara V Dhale

Anesthesia Management of a Patient with Sickle Hemoglobinopathy and Mitral Stenosis for Emergency Lower (Uterine) Segment Cesarean Section

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:18-20]


ABSTRACT

The pregnant patient with sickle hemoglobinopathy (SCD) and mitral stenosis (MS) presenting for emergency lower (uterine) segment cesarean section (LSCS) represents a challenge to the anesthesiologist. In such a case, the choice of anesthesia is dependent on the patient’s clinical condition, urgency of surgery, and the reports of laboratory investigations. An understanding of physiological changes in pregnancy and the pathological impact of MS and SCD on pregnancy will help the administration of safe anesthesia for mother and baby. We have discussed the management of a pregnant patient with SCD and MS for emergency LSCS.

Keywords: Emergency lower (uterine) segment cesarean section, Mitral stenosis, Sickle hemoglobinopathy.

How to cite this article: Devalkar P, Salgaonkar S, Dhale VV. Anesthesia Management of a Patient with Sickle Hemoglobinopathy and Mitral Stenosis for Emergency Lower (Uterine) Segment Cesarean Section. Res Inno in Anesth 2017;2(1):18-20.

Source of support: Nil

Conflict of interest: None

416

SHORT COMMUNICATION
Vaishali S Badge, FM Ashiqe

Survey of Glycemic Control Protocols in Cardiac Surgery Intensive Care Units

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:24-25]


ABSTRACT

Perioperative Hyperglycaemia can lead to sepsis, mediastinitis, prolonged mechanical ventilation, cardiac arrhythmias, increased ICU and hospital stay. The different centres follow different protocols to treat hyperglycaemia and still there is a controversy regarding the tight sugar control protocol. This survey was carried out to find the appropriate protocol regarding glycaemic control in various centres in UK.

Keywords: Hyperglycaemia, Sugar control protocol.

How to cite this article: Badge VS, Ashiqe FM. Survey of Glycemic Control Protocols in Cardiac Surgery Intensive Care Units. Res Inno in Anesth 2017;2(1):24-25.

Source of support: Nil

Conflict of interest: None

338

CASE REPORT
Banashree Mandal, Deeksha Katoch, Sabia Handa

Management of a Case of Dropped Nucleus following Small Incision Cataract Surgery in a Patient with Thoracic Kyphoscoliosis and Review of Literature

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:21-23]


ABSTRACT

A curved spine accompanied by restricted neck motion poses a challenge for an ophthalmic surgeon, especially a vitreoretinal surgeon, who needs the patient’s eyes in a horizontal position to operate with the microscope. Literature is sparse with case reports of thoracic kyphoscoliosis for vitreoretinal surgery, although many reports are available for cataract surgery. We report a case of thoracic kyphoscoliosis and ankylosing spondylitis with dropped nucleus into the vitreous cavity following a complicated cataract surgery posted for pars plana vitrectomy, pars plana lensectomy, and phacofragmentation under general anesthesia and review the current literature of such case.

Keywords: Extreme positioning, General anesthesia, Thoracic kyphoscoliosis, Vitreoretinal surgery.

How to cite this article: Mandal B, Katoch D, Handa S. Management of a Case of Dropped Nucleus following Small Incision Cataract Surgery in a Patient with Thoracic Kyphoscoliosis and Review of Literature. Res Inno in Anesth 2017;2(1):21-23.

Source of support: Nil

Conflict of interest: None

302

ORIGINAL ARTICLE
Sachin Vaishnav, Anita Shetty, Manjula Sarkar

Prospective Randomized Controlled Study to assess the Role of Dexmedetomidine on Perioperative Hemodynamics in Patients with Supratentorial Tumor undergoing Surgery

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:14-17]


ABSTRACT

The stress response to an intense painful surgical stimulus is characterized by activation of the sympathetic nervous system and an increased secretion of the stress hormones. The ability of the alpha agonist dexmedetomidine (DEX) to decrease heart rate (HR) and arterial blood pressure in perioperative period was tested. One hundred and thirty two patients undergoing craniotomy for supratentorial tumor were randomly distributed to receive either saline (B group) or DEX (A group). The placebo group received saline, whereas the treatment group (A group) received a single bolus dose of DEX (1μg/kg) intravenously over 10 minutes before induction of anesthesia. Hemodynamic parameters, such as HR and arterial blood pressure were measured. Both the groups were comparable with respect to age, sex, American Society for Anesthesiologist grade, and duration of surgery. The arterial blood pressure and HR were found to be lower in the DEX group when compared with the placebo group.

Keywords: Supratentorial tumors, Dexmedetomidine, Hemodynamics.

How to cite this article: Vaishnav S, Shetty A, Sarkar M. Prospective Randomized Controlled Study to assess the Role of Dexmedetomidine on Perioperative Hemodynamics in Patients with Supratentorial Tumor undergoing Surgery. Res Inno in Anesth 2017;2(1):14-17.

Source of support: Nil

Conflict of interest: None

273

SHORT COMMUNICATION
Vaishali S Badge, Henry Skinner

Transfusion Requirements in Anemic Patients undergoing Cardiac Surgery

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:26-27]


ABSTRACT

Cardiac surgery is one of the largest consumer of blood and blood products in medicine. The transfusion rate in cardiac surgery accounts to almost 40-90%. Although lifesaving, it still increases the risk of allergic reactions, risk of transmission of infection, increased morbidity and mortality. The aim of this study was to find out causes of anaemia and requirement of blood or blood products in cardiac surgical patients.

Keywords: Anaemia, Blood transfusion.

How to cite this article: Badge VS, Skinner H. Transfusion Requirements in Anemic Patients undergoing Cardiac Surgery. Res Inno in Anesth 2017;2(1):26-27.

Source of support: Nil

Conflict of interest: None

271

Editorial
SK Gvalani

Microcirculation: A New Focus

[Year:2017] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:27] [Pages No:iv]


ABSTRACT

Prompt and aggressive fluid resuscitation with precise central venous pressure (CVP) monitoring is a common practice in shock states. The development of multi-organ failure is a direct consequence of tissue hypoperfusion and inadequate oxygen transport.

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