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International Journal of

Anesthetics and AnesthesiologyISSN: 2377-4630

Early Online

 Open Access DOI:10.23937/2377-4630/1410185

Carotid Artery Cannulation for Resuscitation during Hypovolemic Shock: A Boon or Bane?

Yuvaraj Kotteeswaran, MD, DNB, PDCC, Saravana Babu, MS, MD, DM, FICACC, FTEE and Todd McDonald, MD, FRCPC, PhD

Article Type: Editorial | First Published: February 28, 2025

A 20-year-old healthy male presented to the emergency room with a penetrating injury to the anterior abdominal wall. On examination, he was in hypovolemic shock with no palpable peripheral pulses. Focused assessment with sonography in trauma (FAST) revealed free fluid in the abdominal cavity....

 Open Access DOI:10.23937/2377-4630/1410184

Unanticipated Laryngeal Neoplasm: A Case of Intraoperative Airway Obstruction Requiring Emergency Tracheostomy

Dewa Gede Agung Sasmara Putera and Budi Yulianto Sarim

Article Type: Case Report | First Published: 2024/10/05

Effective airway management is crucial in anesthesiology, especially when dealing with unexpected complications such as undiagnosed laryngeal tumors. These tumors often present with subtle symptoms that can be easily misattributed to more common conditions, posing significant challenges during intubation....

 Open Access DOI:10.23937/2377-4630/1410183

Absolute Iron-Deficiency Anaemia, Intravenous Iron Replacement and Depression Prevalence in Pre-Operative Planned Gynecology Surgery: A Pre-Post Intervention Study

Daniel Wirth, Hester K Carter, Jonathan Holmes, Samuel Naylor, Amrutha Vishwanathan and Chiraag Talati

Article Type: Original Research | First Published: 2024/09/18

Iron-deficiency anaemia is common amongst women awaiting gynaecological surgery and often co-exists with and is a risk factor for depression and anxiety. As part of our pre-operative optimisation, we commonly treat specific cases of iron-deficiency anaemia with intravenous iron. Our objective was to study the relationship between iron-deficiency anaemia, intravenous iron correction, and the prevalence of depression and anxiety in our population....

 Open Access DOI:10.23937/2377-4630/1410182

An Interesting Case of Ruptured Sinus of Valsalva of Right Coronary Sinus with a Missed Vsd and the Role of Intraoperative Tee-A Mandatory Life Saving Tool

Roly Mishra, Vikas Sharma, MBBS, MD, FNB and Sunil Dhole, MBBS, MD, PDCC

Article Type: Case Report | First Published: 2024/09/13

Ruptured sinus of Valsalva aneurysm (RSOV) (most commonly right sinus), a rare finding but well-recognized clinical entity. Invariably a form of left-to-right shunt due to rupture into right-sided chambers. A ruptured sinus of valsalva may lead to life threatening complications including myocardial ischemia, obstruction of right ventricle outflow tract and cardiac tamponade especially in acute rupture. Thus, it warrants urgent surgical or percutaneous repair. We present a case of CAD-TVD which w...

 Open Access DOI:10.23937/2377-4630/1410181

Comparison of Epidural Ropivacaine and Ropivacaine with Clonidine in Patient’s Undergoing Total Abdominal Hysterectomy: A Randomized Clinical Study

Izhar Faisal, Saima Salam and Sanjay Choubey

Article Type: Original Article | First Published: 2024/09/02

Epidural anaesthesia is preferred technique for the patients undergoing lower abdominal surgery, owing to its ability to provide perioperative anaesthesia as well as postoperative analgesia. Ropivacaine has emerged as a possible replacement of Bupivacaine because of its favourable clinical profile. Neuraxial adjuvants augment the action of local anaesthetics and allow reductions of anaesthetic and analgesic requirement....

 Open Access DOI:10.23937/2377-4630/1410180

The Efficacy and Safety of Remimazolam versus Propofol in Patients Undergoing Colonoscopy: A Systematic Review and Meta-Analysis

Vitor Cavalcante Monici, Alessandra Rocha Ribeiro Souto, Henrique de La Rocque Vieira de Mello dos Reis1, Augusto Silva Alves, Ângelo Antônio Silva Lima, José Riccardo Ferrette Barreto, Igor Mourão Almeida, Henrique Augusto Guaresqui and Flavia Farah Sabe

Article Type: Systematic Review and Meta-Analysis | First Published: 2024/08/07

Anesthesia with Propofol is common in patients undergoing colonoscopy, however, Remimazolam, a ultra-short-acting benzodiazepine, emerges as an alternative for this procedure. There are no clear protocols to guide choice between them. This study aims to explore the use of Remimazolam compared to propofol in patients undergoing colonoscopy....

 Open Access DOI:10.23937/2377-4630/1410179

Fascia Iliaca Block versus Lumbar Plexus Block as Analgesia in Hip Surgeries: A Retrospective Cohort Study

Noel S Aypa, MD, DPBA, FPSA, EDRA, Aileen L Rosales, MD, DPBA and Raymund Vincent M Gatmaitan, MD, DPBA

Article Type: Research Article | First Published: 2024/07/26

This was a retrospective, analytical, observational, cohort type of an epidemiological study done through chart review of patients for hip surgery at Makati Medical Center. The primary endpoint was patient reported pain scores using numeric rating scale (NRS) of 1 to 10 at 0, 30, 60, 120 minutes at post-anesthesia care unit (PACU) and within 24 hours post-block and a comparison between the two groups. Additional endpoints included time and use of rescue opioid medication for pain relief within 2...

 Open Access DOI:10.23937/2377-4630/1410178

Public and Scientific Interest in Point-of-Care and Regional Ultrasound Exhibit Significant Correlation: A Google Trends Analysis

Sanjit Menon, BS and Sridhar R Musuku, MD

Article Type: Original Retrospective Study | First Published: 2024/07/18

Online resources such as Google Trends (GT) allow clinicians to monitor search volume trends for various procedures, treatments, and interventions. Search terms were generated using the "related queries" feature of GT as well as researcher consensus. Data were obtained from 2015 to 2021 for the following terms: Point-of-care ultrasound, portable ultrasound, transthoracic echocardiography, transesophageal echocardiography, regional ultrasound, FAST ultrasound, focused ultrasound, trauma ultrasoun...

 Open Access DOI:10.23937/2377-4630/1410177

Anesthesia and Multidisciplinary Team Management throughout the Exit Procedure and Excision of a Huge Congenital Cervical Teratoma: A Case Report

Turki Almalki, Muteb AlOtaibi, Mohamed A Daabiss, Sohil Imran and Basmah kaabi

Article Type: Case Report | First Published: 2024/04/14

The EXIT procedure, or Ex-Utero intrapartum treatment, is a specialized intervention conducted alongside a cesarean section. This approach aims to maintain fetal-placental circulation, ensuring secure management of fetal airways and minimizing the risk of airway obstruction during delivery....

 Open Access DOI:10.23937/2377-4630/1410176

Demographic Profile and Incidence of Residual Neuromuscular Blockade with the Use of Rocuronium and Sugammadex in Oncological Patients in the Post-Anesthetic Recovery Room

Donn-Thell Frewyd Sawntzy Junior, Antônio Roberto Marques Lima, Caroline Olinda de Souza Pitoli, Gaya Amanda Said Barbosa Lima, Mariam Lidemys Marin Montejo, Renata Larissa de Araújo Fernandes, André Renato Moura Barroso, Ivandete Coelho Pereira Pimentel and Mirlane Guimarães de Melo Cardoso

Article Type: Original Article | First Published: 2024/03/25

Neuromuscular blockers are drugs that provide safety for general anesthesia. However, when there is no spontaneous and complete return of normal neuromuscular function in the postoperative period, residual neuromuscular blockade (RNMB) may occur, which has a significant impact on airway physiology, increasing the risks of respiratory complications, including hypoxemia. Sugammadex is an agent that reverses the neuromuscular blockade caused by rocuronium bromide through its selective encapsulation...

 Open Access DOI:10.23937/2377-4630/1410175

Implementation of Hemodynamic Management with the Hypotension Prediction Index during Elective Open Abdominal Aortic Surgery: A Pilot Observational Report

Enrico Giustiniano, MD, Fulvio Nisi, MD1, Francesco Gambino, MD, Romina Aceto, MSc, Manuel Ignacio Garcia Monge, MD and Maurizio Cecconi, FRCA, FFICM, MD

Article Type: Clinical Observational Study | First Published: 2024/03/22

Intra-operative hypotension (IOH) is associated with a poor post-operative outcome. Consequently, it seems important to reduce the incidence of hypotensive events during anesthesia. The HemosphereTM (Edwards Lifescience Co., Irwin, CA, USA) platform provides the Hypotension Prediction Index (HPI), a predictive marker for a drop in blood pressure within a few minutes. We report the results of one year of application of a simple HPI-algorithm aiming at reducing the incidence of IOH in open abdomin...

 Open Access DOI:10.23937/2377-4630/1410174

How an Anesthesiologist Can Increase Interventional Testing 200% in A Whiplash Case?

Nelson Hendler, MD, MS and William Gallagher, DC

Article Type: Review Article | First Published: 2024/03/07

The answer to this title question is simple. Get a correct diagnosis. In order to improve your recovery from any whiplash case, soft tissue injury with no objective medical findings, or a cervical sprain, there are several easy steps a trial attorney can follow. First and foremost is to obtain an accurate diagnosis....

 Open Access DOI:10.23937/2377-4630/1410173

Anaesthetic Management in Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency Patient Posted for Total Knee Replacement: A Case Report

Medha Bhardwaj, MD, DNB, DM, Saurabh Mittal, MD, DNB, DM, Harsimran Kaur Buttar, MD and Gurjeet Khurana

Article Type: Case Report | First Published: 2024/03/01

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a most common hereditary genetic, X-linked defect of red blood cells (RBC) enzyme disorder in humans. Clinical manifestations commonly seen are neonatal jaundice, acute hemolytic or chronic non-spherocytic anemia. Acute hemolysis poses a perioperative challenge in management for anesthesiologists and the surgeons. Peripheral nerve block as well as general anaesthesia is a popular and safe anesthesia technique....

 Open Access DOI:10.23937/2377-4630/1410172

The Trapezius Plane Block: Extended Use in Perioperative Pain Management in Nerve Transfer Surgeries

Chandini Kukanti, MBBS, MD, Sravani Jakkireddy, MBBS, MD and Prateek Arora, MD, PDCC

Article Type: Case Report | First Published: 2024/02/29

Nerve transfer surgery has emerged as a promising approach to restoring function in paralyzed muscles. The Trapezius Plane Block (TPB) blocks the thoracic branches of the posterior primary rami, providing extended analgesia in nerve transfer surgeries....

 Open Access DOI:10.23937/2377-4630/1410171

A Questionnaire-Based Survey of Perioperative Utilisation of Ultrasound among Anaesthesiology Residents

Pharanitharan Natarajan and Chandini Kukanti

Article Type: Original Article | First Published: 2024/02/29

Ultrasonography (USG) is a resourceful tool in the perioperative period. A structured training curriculum during residency can enhance the utilisation of USG among residents. This cross-sectional online survey was conducted to evaluate the utilisation of USG in the perioperative period and to assess the adequacy of current training. It was found that although the availability of USG has increased, its use in the perioperative period is limited due to various factors such as time constraints. The...

 Open Access DOI:10.23937/2377-4630/1410170

May Numbers be the Voice of Gods? - May Artificial Intelligence Replace Human Intelligence and Bring Man Back to the Future?

Enrico Giustiniano, MD and Fulvio Nisi, MD

Article Type: Editorial | First Published: 2024/01/19

Knowing the future has been a challenge for humans since the dawn of time. Divination or Mantics is an ancient practice based on the idea that humans could ask gods about the future, and it was practiced in two ways. First, a priest, directly in contact with the divinity, interpreted its objective signs. Second, the 'gods’ will manifest themselves in a more immediate way, through the words uttered by a human figure directly inspired by the god. In both cases, it was a leap of faith, with only ...

 Open Access DOI:10.23937/2377-4630/1410169

Posterior Reversible Encephalopathy Syndrome (PRES): An Unusual Presentation

Geetika Duggal, Ruchika Kathuria and Vibha Mehta

Article Type: Editorial | First Published: 2024/01/19

The first patient, a 20-year-old woman who underwent a caesarean section under spinal anaesthesia complained of a headache immediately after surgery and experienced a generalised tonic-clonic seizure 4 hours later. Vitals remained stable. Supplemental oxygen, midazolam, magnesium sulphate, levetiracetam, mannitol, furosemide, and steroids were used to treat the patient. The results of a brain MRI showed subcortical vasogenic edoema suggestive with PRES and bilaterally symmetrical areas of altere...

 Open Access DOI:10.23937/2377-4630/1410168

Anaesthetic Management of Rigid Bronchoscopic Guided Removal of Endobronchial Tumour: A Case Series

Harishwar M, Karthik Jain M and Arpana Kedlaya

Article Type: CASE SERIES | First Published: 2023/12/01

Anaesthetic challenges involving removal of endobronchial growths are numerous. Use of rigid bronchoscopy, electrocautery, cryoprobe apart from the need of continuous communication and monitoring are essential part of this unique anesthetic care. We report two cases of endobronchial tumors which were removed under general anesthesia....

 Open Access DOI:10.23937/2377-4630/1410167

Evaluating the Utilization of Nalbuphine as an Adjuvant to 0.5% Bupivacaine for Ultrasound-Guided Supraclavicular Brachial Plexus Blockade: A Study in a Tertiary Care Hospital, Dhaka, Bangladesh

Mir Masud Royhan, Nazmul Ahsan Siddiqi Rubel, Abul Ishrat, Md Anisur Rahman and Nazem Ahmed

Article Type: Original Article | First Published: 2023/11/24

Supraclavicular block (SCB) has demonstrated remarkable post-operative patient outcomes in upper limb surgeries. Bupivacaine, a long-acting regional anesthetic, exhibits efficacy that can be influenced by the concomitant administration of additives....

 Open Access DOI:10.23937/2377-4630/1410166

Anesthetic Management of the Case of Removal of Tracheobronchial Foreign Body in a Whistling Child: A Case Report

Renu Sinha, MD, Ruma Thakuria, MD, Hitesh Verma, MD and Abhishek Singh, MD

Article Type: Case Report | First Published: 2023/11/22

Tracheobronchial foreign body pose an anesthetic challenge due to their propensity to cause partial or complete airway obstruction resulting in a need for urgent bronchoscopy and removal. Diagnosis mainly depends on taking proper history and radiological investigation which should demonstrate the time, type and location of the foreign body. The most suitable type of anesthesia and ventilation should be chosen that reduces the risk of complications, morbidity and mortality. ...

 Open Access DOI:10.23937/2377-4630/1410165

Successful Airway Management in a Comorbid Patient with Retrosternal Goiter: A Case Study on Lipoma Excision and Biopsy

Chenal Shah and Rahul Gupta

Article Type: Case Study | First Published: 2023/09/29

This case study presents the management of a 54-year-old British male patient suffering from retrosternal goiter with a BMI of 46.11, who was scheduled for lipoma excision and biopsy with adjacent tissue transfer or rearrangement on the back. The patient had a complex medical history, including type 2 diabetes mellitus, hypertension, hyperlipidemia, and obstructive sleep apnea. Preoperative assessments revealed difficulties...

 Open Access DOI:10.23937/2377-4630/1410164

Pseudo Hypoxic Brain Swelling - An Unanticipated Life-Threatening Complication in Neurosurgery - Report of Two Cases with Review of Literature

Juneja Sarika, MD, Agarwal Himanshu, DM and Sandhu Kavita, MD

Article Type: Case Report | First Published: 2023/09/28

Pseudo Hypoxic Brain Swelling (PHBS) is an under diagnosed and seldom reported fatal complication of seemingly uneventful neurosurgery. Diagnosis may be confused with acute ischemic injury. Early recognition and institution of corrective measures can lead to complete reversal of symptoms and prevent mortality. In this paper, we want to highlight two cases of PHBS, which we came across and present their management and outcome, with review of literature....

 Open Access DOI:10.23937/2377-4630/1410162

Effectiveness of Transtracheal Lignocaine in Relieving Post Extubation Laryngospasm: A Case Report

Ratul Kundu, Anindita Saha, Ananya Sukul and Suman Samanta

Article Type: Case Report | First Published: 2023/09/09

Laryngospasm is reversible spasm of vocal cords that is common in patients who are undergoing upper airway related surgeries under general anaesthesia. It occurs mostly following extubation; requires immediate management and if these patients are left untreated rapid decrease in saturation with bradycardia may take place. Lignocaine is considered effective in prevention of laryngospasm by both topical and intravenous route....

 Open Access DOI:10.23937/2377-4630/1410161

The Use of the Liposomal Bupivacaine in the Quadratus Lumborum Block and Early Surgery Are Key Elements in Facilitating Ambulatory Robotic-Assisted Laparoscopic Radical Prostatectomy

Yehoshua Feierman, Piyush M Gupta, MD, Daniel Escobar, MD, Akram Hossain, MD, Logan Fairchild, DO, David Silver, MD, Ervin Teper, MD, and Dennis Feierman, MD, PhD

Article Type: Original Article | First Published: 2023/08/27

To show that the addition of Quadratus Lumborum Block (QLB) to multimodal perioperative pain management decreases perioperative opioid use, decreases pain scores, and facilitates same day discharge after robotic assisted laparoscopic radical prostatectomies (RALP)....

Volume 10
Issue 2