AANCHAL EPISODE 721

When computers are applied to an efficient operating system, it will only magnify the efficiency. Should it be made routine? Transtracheal lidocaine ensured patient immobility with hemodynamic stability during total parotidectomy with nerve stimulation studies as compared to intraoperative dexmedetomidine infusion. Although it allows for better visualization of the vocal cords, it requires 2 trained anaesthetists to perform and this would need to be considered when using this technique. Preprocedural preparation of children scheduled for magnetic resonance imaging MRI is challenging. Patients received a supraclavicular brachial plexus block with 0. It is a monetary burden to launch newer molecules hence the industry is concentrating on improving the efficacy of existing molecules.

Intraoperative Ramsay sedation scores were significantly higher in D Group mean – 3. Of a total , patients were included in this study. Coughing score, intubation score, and patient tolerance score during and after nasotracheal intubation were assessed. The number of patients who were cooperative during intubation was higher in local Dex group compared to IV Dex and control groups; however, the difference was not statistically significant. McGrath and Airtraq videolaryngoscopes are among the novel laryngoscopes that have an advantage over the conventional laryngoscopes in case of unanticipated difficult airway. The median and mean sedation scores were lower in Group D 3 and 3.

Thirty patients were randomized to receive either dexmedetomidine Group D or fentanyl Group F along with total intravenous anesthesia with propofol. Local Dex can be useful as IV form with the aim of propofol dose saving. Discrimination of the model for mortality was assessed using receiver operating characteristic curve and calibration was assessed using the Hosmer-Lemeshow goodness-of-fit test.

Mean time to orientation was Thoracic epidural block in sepsis: Though Group B showed low SB P values as compared to Group A from 10 min following induction, the difference became significant between 45 and min.

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There was a strong correlation between OD of the optimal ETT used and the ultrasound assessed subglottic diameter.

Airway management for patients with recent oral facial injuries is always a challenge for the anesthetist.

The aim of the study is to compare the appropriateness of uncuffed ETT selection based on modified Cole’s formula with that of ultrasound assessment method of subglottic diameter in children undergoing surgical procedures under general anesthesia. Perioperative esmolol as an opioid alternative has been shown to reduce postoperative nausea vomiting using opioid sparing. The hemodynamic profile of patients in the two groups was comparable except the heart rate was significantly more in Group D after intubation and at 60 min.

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This duration was also statistically significant. All the groups were similar with respect to patient and block characteristics.

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Changes in mean arterial blood pressures followed a similar trend as with SBP. We describe how the glidescope GLS and fiber-optic FOB can be effectively combined in three patients undergoing oral maxillofacial surgeries after sustaining multiple facial fractures from trauma to allow less traumatic intubation, an option to visualize on either monitor and faster intubating time mean 1 min 14 s for our episoee compared to the use of either one alone.

The time of insertion, ease, and placement appropriateness were compared.

During the procedure special precaution was taken with regard to intra-procedural fluid management and maintenance of cerebral perfusion pressure. Following approval from Institutional Ethical Research Committee, aancha, American Society of Anesthesiologists I and II patients aged between 1 and 7 years undergoing various elective infra-umbilical surgical procedures were included in this study.

Hemodynamic response, glottic view percentage of glottic opening score [POGO]ease of intubation, and airway complications were also measured.

Dexmedetomidine provides an excellent sedation during surgery. Preplacement check of complete central venous pressure catheter assembly: Data on patients’ demographics, practice, and usage pattern of medications were collected.

She was undergoing hemodialysis every alternate day and was waiting for a renal transplantation. A paradigm shift in drug delivery systems have been noted recently. Endovascular coiling of both these aneurysms was performed under general endotracheal anesthesia.

Rendell Baker Soucek mask for ventilation in a postrhinoplasty patient: Export selected to Endnote. A year-old woman of autosomal dominant polycystic kidney disease presented with multiple intracranial aneurysms at anterior communicating artery and left middle cerebral artery bifurcation. The mean arterial pressure was significantly lower after the initial loading dose of study drug in Group D. Compared with opioids, perioperative esmolol may reduce the incidence of postoperative nausea vomiting and increase the volatile anesthetic requirement.

Further, large-scale studies are needed to explore these results. One hundred and fifty American Society of Anesthesiologists I and II patients of age 2—6 years were randomly allotted into two groups: McGrath and Airtraq videolaryngoscopes are among the novel laryngoscopes that have an advantage over the conventional laryngoscopes in case of unanticipated difficult airway.

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In this randomized, controlled, clinical trial study, we compared the hemodynamic changes related to anesthesia induction with intravenous IV propofol- and sevoflurane-based inhalational induction in patients undergoing fiberoptic intubation for cervical spine surgery.

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Ninety patients posted for upper limb orthopedic surgery were divided randomly into three groups. Airtraq is better than McGrath laryngoscope due to shorter tracheal intubation time.

Should it be made routine? Pulse rate, blood pressure, respiratory rate, saturation, sedation, and any side effect were monitored. Ultrasonographic assessment of the subglottic diameter at the cricoid region is a better tool in aancahl the appropriate size uncuffed ETT than modified Cole’s formula.

All patients completed the study.

The patients receiving anticoagulant for some other reasons were excluded along with those with pregnancy, congenital coagulation disorders and terminal illness. Results were statistically analyzed episide analysis of variance F -test and unpaired t -test.

Intubation time was significantly shorter with Airtraq The patients were randomly allocated into three groups of 25 patients each.

Evaluation of clonidine as an adjuvant to brachial plexus block and its comparison with tramadol Prakash Kelika, Jamkar Maya Arun April-June33 2: The present study was designed and carried out aiming to evaluate the effects of local dexmedetomidine Dex on sedation rate and hemodynamic changes in candidate patients for fiberoptic nasotracheal intubation. Dexmedetomidine and propofol infusions are increasingly being used to ensure intraoperative patient immobility in the absence of muscle relaxants during parotidectomy.

Patients were stratified by age into three groups: Other advantages include a reduction in opioid consumption, while not requiring a catheter or any other device, as well as easy dilution with saline.