Global Journal of Anesthesia and Clinical Research


COMPARATIVE STUDY ULTRASOUND GUIDED ABDOMINAL FIELD BLOCKS VERSUS PORT INFILTRATION IN LAPAROSCOPIC CHOLECYSTECTOMIES FOR POST-OPERATIVE PAIN RELIEF

Research article of Global Journal of Anesthesia and Clinical Research Comparative study ultrasound guided abdominal field blocks versus port infiltration in laparoscopic cholecystectomies for post-operative pain relief Shazia Shafi1, *Nusrat Jehan2,  Kouser  Benazir 3 1Senior Resident, Department of Anesthesiology & Critical Care, Govt. Medical College, Srinagar, India.2Associate professor, Department of Anesthesiology & Critical Care, Govt. Medical College, Srinagar, India.3Consultant, Department of Anesthesiology & Critical Care, Govt. Medical College, Srinagar, India. Background and Aims: Effective post‑operative analgesia after laparoscopic cholecystectomy is important because it facilitates early amelioration, ambulation and short hospital stay. Aim: To compare the postoperative analgesic efficacy of ultrasound guided abdominal field blocks with port site infiltration with ropivacaine in laparoscopic cholecystectomy. Methods: An observational study was conducted in the Postgraduate Department of Anaesthesiology and Critical Care Medicine in collaboration with the Department of General Surgery, Government Medical College, Srinagar from October 2017 – December 2018. Patients were randomised into two groups to receive either local anaesthetic infiltration of the laparoscopy port sites (n = 40, Group A/standard group) and  USAFBs (n = 40, Group B/study group) using a total dose of 30 ml of ropivacaine 0.2% with sterile technique. Randomisation was done by flipping of coin method. The primary objective was to measure magnitude of pain in first 24 hours using numeric rating scores (NRS). To estimate opioid consumption in first 24 hours postoperatively. To assess the quality of pain relief and patient satisfaction on a four point Patient satisfaction scale.  Statistical analysis was done using SPSS version 21. Data were compared using the Chi‑square test and students’ t‑test. Results: Duration of analgesia was significantly longer in Group B than group A. Upon inter group comparison of A vs. B the results were statistically significant (p value <0.001). At all time in 24 hrs. Postoperative period (1, 2, ...

GANGLION IMPAR BLOCK THROUGH TRANSSACROCOCCYGEAL APPROACH FOR MANAGEMENT OF CHRONIC PERINEAL PAIN

Review article of Global Journal of Anesthesia and Clinical Research Ganglion Impar block through Transsacrococcygeal Approach For Management Of Chronic Perineal Pain Dipika Patel, Nita Gosai Department of Anaesthesia Gujarat Cancer and Research Institute, Civil Hospital, Ahmedabad, Gujarat India The ganglion Impar is an unpaired sympathetic structure located at the level of the Sacrococcygeal joint. The modified technique replaced the previously using technique of the Impar block via the horizontal approach through the anococcygeal ligament. Modified technique of Ganglion Impar block through transsacroccygeal approach is easy to perform and give maximum pain relief with margin of safety. Aims and objectives To study, 1) Ease and complications of Impar block through trans- sacrococcygeal approach 2) The analgesic efficacy of Impar block, 3) Duration of analgesic effect of Impar block Method In this retrospective study,15 patients who had chronic perineal pain had given ganglion Impar block.., The ganglion Impar block was given through trans-sacrococcygeal approach, After written and informed consent, patient was asked to lie down on his abdomen, facing down with a pillow under the pelvis to help flatten out the lower lumber spine’s natural curvature. Skin was infiltrate with local anaesthetic, after proper aseptic precautions. The needle is advanced under fluoroscopy guidance until correct needle placement is obtained. Once position is confirmed, therapeutic block is performed with administration of 2ml of 100% absolute alcohol after confirming 50% reduction in VAS from baseline with diagnostic block (0.125% Bupivacaine 5 ml). Attempts of procedure were recorded in all patients. VAS was assessed after 12 and 24 hours. Patients were discharged after 24 hours, asked to report every week and whenever VAS is more than 4 for 3 months Result Fifteen patients with advanced cancer with perineal pain who were not responding to pharmacotherapy treatment received a neurolytic ganglion Impar block through trans-sacrococcygeal ...

HEALTH OF THE WORK OF THE COMMUNITY HEALTH AND ENDEMY AGENT OF THE MESSIA ALAGOAS

Research article of Global Journal of Anesthesia and Clinical Research HEALTH OF THE WORK OF THE COMMUNITY HEALTH AND ENDEMY AGENT OF THE MESSIA ALAGOAS Ariana da Silva Santos¹*, Simone Farias dos Santos², Ana Patrícia da Silva Santos³, Katia Januário da Silva4, Ana Quitéria da Silva5, Eliane Buarque de Melo Ferreira6. 123456 Núcleo de Apoio à Saúde da Família Secretaria Municipal de Saúde de Messias Alagoas Introduction The project of valorization of the workers of the Municipal Health Secretariat of the city of Messias brings as priority the worker health of the community health agent and of endemics. The project was created according to the reports of the professional daily target audience during conversation rounds, which shared the need for a broader attention to the working and health conditions of the category. Thus, strategies were created aiming at actions involving the continuous care line, including health education, promotion and prevention. The actions are carried out with a multiprofessional Primary Care team, Family Health Support Center and specialized service actions involving integral, individual and collective care. Objectives To promote and prevent health education, seeking to improve physical, psychological and social aspects and strengthen the professional bond. Methodology The project is a descriptive study with a cross-sectional quali-quantitative approach. An individual assessment was performed based on the WHOQOL-bref questionnaire with some adaptations by the Family Health Support Center team. This questionnaire will be reapplied and analyzed every four months for reevaluation with the multiprofessional team to continue the care of each member of the group. The meetings are held monthly and according to the need of the community. Results Improve interaction, cooperation, rapprochement and flexibility in the category of Community Health and Endemic Agents and with other professionals, thus awakening to health care. Conclusion As a permanent project, continuous and having started ...

TRIGEMME NEURALGIA: LITERATURE REVIEW

Review article of Global Journal of Anesthesia and Clinical Research Trigemme neuralgia: literature review Santana, J.F¹; Santos, G.A²; França, L.C³, Ramos, L.V.S4, Lima, L.F.A5; Maia, C.S6 1,2,3,4,5Students of the Course of Dentistry - UFPE; 6Docente /Researcher of the Department of Histology and Embryology of UFPE. Introduction: Neuralgia is a pain that stretches along the path of a nerve. As regions of the head and neck are more affected places and a trigeminal neuralgia is more common among facial neuralgias. Objective: To review the literature on the concept, diagnosis and treatment of trigeminal neuralgia. Methodology: An integrated review was carried out in the MEDLINE, LILACS and SCIELO Virtual Library databases, using the following documents: Neuragia and Trigêmeio. The results of the research were published in all cases, in Portuguese, Portuguese and Portuguese. Results and Discussion: The search resulted in 6,205 articles, these, 30 were separated by amount of subject matter, however, only Nine meeting the inclusion criteria. A trigeminal neuralgia belongs to the group of chronic pain conditions and is classified as primary and secondary. It has a predominance of females, between 50 and 70 years of age and almost always is unilateral. Pain is characterized as paroxysmal, acute, superficial, triggered by the estimation of trigger zones, most of the life born and the skin of the middle region of the face. The patient may present hyposthesia or paraesthesia of a certain area and paralysis of one or more masticatory muscles. The diagnosis is clinical, as well as complementary tests in cases of neuropathic pain. The initial treatment is done by non-invasive methods, with the use of carbamazepine medicines. It can be surgically tested, which is success in 70 and 85% of cases. Conclusion: The articles presented, of facial neuralgias, one that is a bit slower and more common. It has a ...

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Global Journal of Anesthesia and Clinical Research (ISSN:2637-6245; DOI:10.28933/GJACR) is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Anesthesia and Clinical Research (Indexing information).

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