Global Journal of Anesthesia and Clinical Research


INCIDENCE OF HYPOTENSION AND ASSOCIATED-RISK FACTORS IN EPIDURAL ANESTHESIA WITH 2% LIDOCAINE AND EPINEPHRINE DURING ELECTIVE CESAREAN SECTION, EFFICACY AND SAFETY ASSESSMENT

Research article of Global Journal of Anesthesia and Clinical Research Incidence of Hypotension and Associated-risk Factors in Epidural Anesthesia With 2% Lidocaine and Epinephrine During Elective Cesarean Section, Efficacy and Safety Assessment Bizimana Prudence, Minghao Liu, Bin Wang Department of Anesthesiology, first affiliated hospital, Chongqing Medical University, China Background: Cesarean section is a worldwide common surgery that requires anesthetic techniques. Many local anesthetics are being now used, but are associated with, dose- dependent and at different level, some side effects including toxicity. Hypotension was described as the first and threat side effect associated to neuraxial techniques. Despite many preventive strategies, it continues to challenge anesthesia providers around the world. Lidocaine was found to be less toxic compared with others commonly used and has been recommended for anesthesia procedures requiring large dose of local anesthetic including epidural anesthesia. The main purpose of this research was to determine the incidence of hypotension and identify the possible risk factors associated with it and thus, assess the efficacy and safety when lidocaine is applied together with epinephrine, in epidural anesthesia for elective cesarean delivery. Materials and methods: This retrospective observational institutional-based study, recruited 612 parturients who underwent elective cesarean section under epidural anesthesia with 2% lidocaine and 1/200000 epinephrine, at 1st affiliated hospital of Chongqing Medical University in 2019. Exclusion criteria included any contraindication to elective cesarean section delivery, general anesthesia, baseline systolic blood pressure < 100mmh and > 140 mm hg, gestational age < 37 weeks and > 42 weeks etc. SPSS 26.0 version and different appropriated tests were used for statistical analysis. P value < 0.05 was accepted as statistically significant. Results: The hypotension incidence was 13.2%, and identified factors associated with it were Baseline Systolic Blood Pressure < 120mmhg, gestational age < 40 weeks, maternal body weight ≤ 60 kg and ...

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 ...

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Global Journal of Anesthesia and Clinical Research

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