Journal of anaesthesiology, clinical pharmacology
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J Anaesthesiol Clin Pharmacol · Apr 2015
Comparison of Macintosh laryngoscope and C-MAC video laryngoscope for intubation in lateral position.
Endotracheal intubation is conventionally performed when the patient is in supine position. It may be required to secure airway in laterally positioned patient. Tracheal intubation in lateral position seems to be difficult because the laryngeal view is compromised. Hence, C-MAC video laryngoscope (Karl Storz, Germany), a newer device using a modified macintosh blade may be useful for intubation in lateral position. ⋯ C-MAC is better than Macintosh laryngoscope for intubation in lateral position.
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J Anaesthesiol Clin Pharmacol · Apr 2015
Influence of hemodynamics and intra-operative hydration on biochemical outcome of renal transplant recipients.
Early graft function is crucial for successful kidney transplantation. The aim of our study was to evaluate the effect of intra-operative central venous pressure (CVP) and mean arterial pressure (MAP) on early graft function and biochemical outcome. ⋯ A CVP around 12 mmHg and mean MAP >95 mmHg with good perioperative fluid hydration is associated with good early graft function.
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J Anaesthesiol Clin Pharmacol · Apr 2015
I-gel versus laryngeal mask airway-Proseal: Comparison of two supraglottic airway devices in short surgical procedures.
Supraglottic airway devices have been established in clinical anesthesia practice and have been previously shown to be safe and efficient. The objective of this prospective, randomized trial was to compare I-Gel with LMA-Proseal in anesthetized spontaneously breathing patients. ⋯ I-Gel is a innovative supraglottic device with acceptable airway sealing pressure, easier to insert, less traumatic with lower incidence of sore throat. Hence I-Gel can be a good alternative to LMA-Proseal.
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J Anaesthesiol Clin Pharmacol · Apr 2015
The dexmedetomidine "augmented" sedato analgesic cocktail: An effective approach for sedation in prolonged endoscopic retrograde cholangio-pancreatography.
In absence of any published standard guideline for sedation or anesthesia practice for prolonged therapeutic "endoscopic retrograde cholangio-pancreatography (ERCP)", safe and cost-effective sedation protocol is the need of the hour. Our study aims to evaluate the efficacy of a dexmedetomidine as an add-on for prolonged deep sedation for ERCP and to compare three deep sedation regimens regarding safety and efficacy. ⋯ The sedato-analgesic cocktail was superior to the conventional propofol-midazolam regimen, dexmedetomidine as add-on increased the efficacy and safety of sedate-analgesic cocktail. It reduces propofol requirement, helps to maintain the patient in a safe and more stable level of sedation and increases satisfaction of the anesthetist.
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J Anaesthesiol Clin Pharmacol · Apr 2015
Comparison of margin of safety following two different techniques of preoxygenation.
Shortening the duration of efficacious preoxygenation would provide benefit in emergency situations like fetal distress etc. This study aims to compare the margin of safety following preoxygenation using 8 vital capacity breaths (VCB) in 1 min and tidal volume breathing (TVB) for 3 min, by assessing changes in PaO2 and apnea induced desaturation time. ⋯ Preoxygenation by 8 VCB in 1 min provides a greater margin of safety, as it results in a significantly high PaO2 with an almost doubled apnea induced desaturation time, in comparison with TVB for 3 min.