Medical journal, Armed Forces India
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Med J Armed Forces India · Apr 2019
Work-rest pattern, alertness and performance assessment among naval personnel deployed at sea: A cross sectional study.
The combat naval vessels require continuous operational preparedness for guarding the vast coastline. Sailors onboard these ships are at risk for sleep deprivation. Sailors may be vulnerable to chronic fatigue; and decreased performance, vigilance, and cognitive functioning owing to sleep debt, which may affect safety during tactical operations and while transportation of ships. In this study we assessed the work-rest pattern and level of alertness during sailing and non sailing days. ⋯ Our study shows that although the sailors are not getting sufficient restorative sleep while sailing as compared to non-sailing days, this is not affecting their cognitive functioning while working.
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Med J Armed Forces India · Apr 2019
A randomized controlled trial comparing gastro-laryngeal tube with endotracheal intubation for airway management in patients undergoing ERCP under general anaesthesia.
Gastro laryngeal tube (GLT) is a newly introduced device. It is an advanced purpose specific design (essentially a modified laryngeal tube) which especially provides a separate wide channel specifically designed for the introduction of a gastroscope for endoscopic retrograde cholangio-pancreatography (ERCP), simultaneously functioning as a supra-glottic airway device for ventilation. ⋯ In this study, likely to be first of its kind, it is concluded that the GLT is a suitable and better alternative to ETT as it allows adequate ventilation and is associated with faster recovery times and minimal extubation-related complications while enhancing operative conditions for gastroenterologists. Its regular use in patients undergoing ERCP is strongly recommended.