Comparison Of Dexamethasone And Magnesium Sulphate As Adjuvants To Bupivacaine For Ultrasound Guided Subcostal Transverse Abdominis Plane Block In Laparoscopic Cholecystectomy For Post Operative Analgesia

Authors: Aparna Rayala, SUSHMA Konduri, Sachidanand Rachamalla, Srinivas Upadhyayula

Keywords: Bupivacaine,dexamethasone,laparoscopic cholecystectomy,magnesium sulphate,subcostal transverse abdominis plane block

Aim & Objective: to compare the efficacy of dexamethasone and magnesium sulphate (Mg SO4) as adjuvants to bupivacaine in ultrasound-guided (USG) bilateral subcostal transverse abdominis plane (SCTAP)...

Association of Diaphragmatic ultrasound parameters with preoperative pulmonary function tests and postoperative respiratory complications in patients undergoing major abdominal surgeries

Authors: Aarti Agarwal, Shreya Khatri, Sanjay Dhiraaj, Hira lal, Rajneesh kumar Singh, Puneet Goyal

DOI: 10.18231/j.ijca.8558.1758876204

Keywords: Diaphragm ultrasound, Pulmonary Function tests , Postoperative pulmonary complications

Objective: To determine whether diaphragmatic excursion, thickness and thickening fraction performed in the preoperative period correlate with preoperative pulmonary function test and respiratory rese...

Comparative Evaluation of Clonidine and Metoprolol for Perioperative Hemodynamic Stability, Blood Loss Control, and Postoperative Recovery in Patients Undergoing Elective Surgery: A Prospective Randomized Controlled Study

Authors: Baseeha Sereen V.A, Swadika Natarajan, Balasubramanian Arunkumar, Shanu Shanmugasundaram, PANNEERSELVAM PERIASAMY, Arbind Kumar Choudhary

DOI: 10.18231/j.ijca.10098.1758886969

Keywords: Keywords: Clonidine; Metoprolol; perioperative care; hemodynamic stability; blood loss; postoperative recovery; elective surgery.

Abstract Background: Effective perioperative management of hemodynamics and blood loss is critical to patient safety and recovery in elective surgeries. Clonidine, an α2 adrenergic agonist, and Metopr...

Management of Hypokalemic periodic paralysis in pregnancy: Anesthetic considerations for a 34 -week gestation patient

Authors: Pon Sushma, Karthik Krishnamoorthy

DOI: 10.18231/j.ijca.10167.1759905020

Keywords: Anesthetics, Cesarean Section ,Hypokalemic Periodic Paralysis, Muscle Weakness, Sodium Channels

Hypokalemic periodic paralysis (HypoPP) is a rare autosomal disorder characterized by episodic hypokalemia leading to acute muscle weakness, resulting from dysfunctional calcium and sodium channels. T...

COMPARING THE EFFICACY OF ONDANSETRON VS PALONOSETRON IN THE PREVENTION OF SHIVERING UNDER SPINAL ANESTHESIA IN PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE

Authors: Renganathan Sockalingam, Pavala Kannan Velu, INDUMATHY SEERALAN, Ganesh Prabhu S C

DOI: 10.18231/j.ijca.10439.1759905202

Keywords: Postanesthetic shivering, Ondansetron, Palonosetron, Spinal anaesthesia, 5-HT3 receptor antagonist

ABSTRACT Background: Shivering is a common postanaesthetic complication that causes metabolic stress and discomfort. Pharmacological management includes 5-HT3 receptor antagonists, such as ondansetron...

Pain Management for Interstitial Cystitis and its Response to Superior Hypogastric Nerve Block, Pudendal Nerve Block

Authors: Aparna Bagle, anushka sharma, yashwant nankar

Keywords: Interstitial Cystitis, Pudendal Nerve Block, Superior Hypogastric Plexus Block, Chronic Pelvic Pain, Ultrasound-Guided Nerve Block, Pain Management

Background: Interstitial cystitis (IC) presents significant therapeutic challenges due to its complex pathophysiology and variable response to conventional treatments. This case report describes the s...

Excision Of Large Lipomas Using Tumescent Anesthesia – A Case series of seven patients in a tertiary center

Authors: Naveena pandiyan, Nivetha Chandramouleswaran, Shanu shanmugasundaram, Brindha Rathnasabapathy

DOI: 10.18231/j.ijca.10607.1760416186

Keywords: Giant lipoma, Tumescent anesthesia

Lipomas are the most common benign soft tissue tumors. Giant lipomas are generally excised under general anesthesia because more local anesthesia than is safe to inject may be required for complete e...

Comparison between single and double injection ultrasound-guided costoclavicular block for below elbow surgeries – a prospective randomized controlled study

Authors: Shivanika selvam, Rajesh Kumar Kodali V, Ramkumar Dhanasekaran, Mahesh Vakamudi, Aruna Parameswari

Keywords: Costoclavicular block,Ultrasound-guided nerve block,Single-injection costoclavicular block,Double injection costoclavicular block, block onset time, block performance time,Below-elbow surgery

INTRODUCTION The costoclavicular approach targets the brachial plexus in the proximal infraclavicular fossa, where the lateral, medial, and posterior cords are tightly bundled together. Our study comp...

Optimal Length of Insertion of Right Subclavian Venous Catheter via Supraclavicular Approach: A Prospective Observational Study

Authors: Avirneni Vaishnavi, Vipul K Sharma

Keywords: Central venous catheter, Supraclavicular subclavian vein, Anatomical landmarks, Transesophageal echocardiography, Catheter tip placement, Chest radiography

Background : Central venous catheterization (CVC) is a routine procedure in perioperative and intensive care. The subclavian vein is frequently selected due to its anatomical consistency and lower inf...

HFNC and Kartageners syndrome with Invitro Fertilization Conception

Authors: Dr shanmugavalli mariappan, arimanickam ganesamoorthi, gopalakrishnan panneer selvam, gayathri lakshmipathy, nirmala rajagopal

DOI: 10.18231/j.ijca.11100.1759904414

Keywords: HFNC,Kartageners syndrome,Subarachnoid block

ABSTRACT: Kartagener's syndrome is a rare autosomal disorder characterized by a triad of situs inversus, chronic sinusitis, and bronchiectasis. It is typically diagnosed during childhood and is caused...

CORRELATION OF PERFUSION INDEX WITH BASELINE HEART RATE AND POST SPINAL HYPOTENSION IN PREGNANT PARTURIENTS POSTED FOR LSCS-A PROSPECTIVE OBSERVATIONAL STUDY

Authors: THARUN DASARATH PERNI, Sandip Narayan Baheti, SIDDHARTH S BAHETI

DOI: 10.18231/j.ijca.10925.1759482773

Keywords: Perfusion index, heart rate, spinal anesthesia, hypotension, LSCS, cesarean section, maternal hemodynamics, vasopressor.

Background: Post-spinal hypotension is a common and significant complication during lower segment cesarean section (LSCS), potentially compromising maternal and fetal outcomes. Identifying reliable pr...

Effect of pericapsular nerve group block versus femoral nerve block for optimal patient positioning during spinal anaesthesia in hip surgeries- A randomized concurrent parallel study

Authors: Dr. Logesh Ravichandran, Dr. Shanmugavalli Ettiyan, Dr. Suresh Rajkumar, Dr. Ezhilrajan Vaithiyalingam

DOI: 10.18231/j.ijca.10963.1760344738

Keywords: Pericapsular nerve group block, Femoral nerve block, Spinal Anesthesia positioning

Aim and objective: This study aims to evaluate the efficacy of the pericapsular nerve group (PENG) block versus the femoral nerve block (FNB) for optimizing patient positioning during spinal anesthes...

Analgesic Effect of Perineural Dexamethasone on Transversus Abdominis Plane Block: A Randomised Controlled Trial at a Tertiary Hospital in Ghana

Authors: Daniel Akwanfo Yaw Sottie, Ebenezer Owusu Darkwa, George Aryee, Raymond Essuman, Grace-Imelda Obeng Adjei, Robert Djagbletey

DOI: 10.18231/j.ijca.11272.1759482477

Keywords: Caesarean Delivery, Post-operative analgesia, Bilateral TAP Block

Background Caesarean delivery (CD) is associated with significant post-operative pain. The aim of this study was to determine the postoperative analgesic effect of perineural dexamethasone as an adjun...

Analgesic Efficacy of Inferior Alveolar Nerve Block for Mandibular fracture surgeries : A Prospective Case Series

Authors: Pinal Raj Bumiya, Zeal Pranavkumar Patwari, Divya Gajra, Kavita Lalchandani, Kumud Ganvit, Dr. Devyani Jatin Desai

DOI: 10.18231/j.ijca.11556.1760592855

Keywords: Inferior Alveolar Nerve Block, Mandibular surgery,ORIF

Following road traffic accidents, the incidence of mandibular bone fracture was found to be maximum amongst other facial bone injuries. These fractures, usually repaired by open reduction and internal...

Butterfly Effect and Anesthetic Management of an infant coming for Staged Craniosynostosis Repair: A Case Report

Authors: Srikanth Tanjore, Arvind Sukumaran, Anand Murugesan, Sinduja Vairamuthu, Prethiv Raj Mohan, Varsha Arla, Krishna Kumar Gova, Anitha Arun, Prabakaran Perumal

Keywords: Apert syndrome,craniosynostosis,pediatric neuroanaesthesia,geopolitical tensions

Apert syndrome, an autosomal dominant disorder marked by craniosynostosis, midface hypoplasia, and syndactyly, typically necessitates early surgical intervention to mitigate intracranial pressure comp...

Randomized controlled trial to compare i-gel guided intubation by two insertion techniques: conventional vs. reverse

Authors: THONGAM SHEITYABALA DEVI, SASWATI DAS, AYESHA PATTNAIK, SHREYASI MALLICK

DOI: 10.18231/j.ijca.11805.1760329284

Keywords: airway management, intubation, supraglottic device, i-gel,difficult airway

Background and Aims: Supraglottic airway (SGA) devices have become an integral part of airway management as they can secure the airway and serve as a conduit for tracheal intubation. In this study, w...

A Rare cause of intracranial mass lesion: Imaging of brain hydatid cyst

Authors: Swati Vijapurkar, Monica Khetrapal, Gade Sandeep

DOI: 10.18231/j.ijca.11718.1760330011

Keywords: hydatid disease; neuroimaging; parasitic infection; brain cyst

Hydatid disease, caused by the parasitic tapeworm Echinococcus, rarely involves the central nervous system. Cerebral hydatid cysts predominantly affect children and young adults in endemic regions. Th...

Anaesthetic Management of Occipitocervical Stabilization and C1–C3 Decompression in a Patient with Intradural Cervical Tumor and Prior Stroke: A Case Report

Authors: Amrapali Naik, Naba Mateen Madoo

DOI: 10.18231/j.ijca.11875.1760331956

Keywords: Intradural cervical spinal tumor. Occipitocervical stabilization,C1–C3 decompression,Difficult airway management,Anaesthesia for neuromonitoring.Total intravenous anaesthesia (TIVA)

Upper cervical spinal surgeries pose significant anaesthetic challenges due to proximity to the brainstem, potential for spinal cord compromise, and the need for advanced airway management. These chal...

Correlation Between Presepsin, Procalcitonin, and C-Reactive Protein Levels with Sequential Organ Failure Assessment (SOFA) Scores in Sepsis Patients at the Intensive Care Unit (ICU)

Authors: Novita Anggraeni, Nopian Hidayat, Ricko Yorinda Putra, Dhita Natasha Dwiriyanti Hardi, Fridayenti Fridayenti

DOI: 10.18231/j.ijca.11977.1758706144

Keywords: SOFA scores,sepsis,presepsin,procalcitonin,CRP

Aim and objective: This study investigates the correlation between these biomarkers and SOFA scores in ICU patients with sepsis. Introduction: Sepsis is a life-threatening condition caused by infectio...

Simulation-based out-of-hospital cardiac arrest (OHCA) management training and its impact on knowledge, confidence, attitude, and reactiveness among railway police officers

Authors: Swapnil Vitthal Rahane, Dr. Ravindra HN Hebbasale

Keywords: Simulation-based training, CPR, OHCA, Railway police, Emergency response, First responders, India

Abstract Aim: Out-of-Hospital Cardiac Arrest (OHCA) is a time-critical emergency with low global survival rates, primarily due to delays in cardiopulmonary resuscitation (CPR) initiation. In India, r...

Maternal Cardiac Arrest: Current Resuscitation Strategies and the Emerging Role of Simulation-Based Training

Authors: Ridhima Sharma, Anu Kewlani, Chayanika Kutum, Lalit Gupta, Ripon Choudhary

DOI: 10.18231/j.ijca.12293.1760328874

Keywords: pregnancy,maternal mortality,emergencies,resuscitation,cardiac arrest

Maternal resuscitation during the antenatal period represents a critical and complex clinical challenge, as it involves the simultaneous management of both maternal and foetal well-being. The rarity o...

The Contribution of Anaesthesia and Surgery to Global Warming: A Carbon Foot printing Study of Operating Theatres in Three Different Surgical Specialties—A Prospective Observational Analysis.

Authors: Rangalakshmi Srinivasan, Sowmya Madihalli Janardhan Iyengar, Dr Dilip Kumar M, Dr Harigovindh Adalarasu

DOI: 10.18231/j.ijca.12626.1759485128

Keywords: Carbon footprint, Disposable plastic, General Anesthesia, Global Warming, Medical waste

Background - Climate change has been one of the most significant long-term consequences of scientific and industrial revolutions. It has an impact on all life forms and is a major global public health...

The Indispensable Human Author: Integrating Large Language Models in Anesthesiology Research with Accountability

Authors: Lalit Gupta

DOI: 10.18231/j.ijca.13617.1760329045

Keywords: Hallucination:

The increasing use of Large Language Models (LLMs) like ChatGPT into academia is transforming scholarly communication. In anesthesiology and pain medicine, where clinicians balance immense clinical wo...