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  Citation statistics : Table of Contents
   2015| December  | Volume 59 | Issue 12  
    Online since December 11, 2015

 
 
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CLINICAL INVESTIGATIONS
Current views and practice of faculty members and consultants regarding 'Publications in India': A cross-sectional study
Madhuri S Kurdi, Ashwini Halebid Ramaswamy, Laxmikant Lokare, Jagadish G Sutagatti
December 2015, 59(12):794-800
DOI:10.4103/0019-5049.171567  PMID:26903673
Background and Aims: There is an increasing enthusiasm and pressure to submit scientific articles to journals for publication due to official policies. This has led to increased stress on authors and editors and in issues like plagiarism. We planned a cross-sectional study with an aim to explore the current publication related views and practice of faculty members and consultants. Methods: We conducted a questionnaire based prospective survey with 22 questions divided into parts. Print and electronic versions were sent to around 18,270 members in total, a majority of whom were anaesthesiologists and 600 members responded to our questionnaire. A database was created and analysed using Microsoft Excel. Results: About 80% felt that online journals were better read than print journals. Eighty eight percent agreed that publications improve academic skills. The Medical Council of India requirements to publish in reputed journals were cited as the main reasons for plagiarism. The publication rule had become a burden for 46% respondents. Review articles were most likely to be read though clinical investigations were considered to be of maximum academic significance. Review/publishing time followed by author requirements and journal indexing were the points our respondents liked to see most when choosing a journal for article submission. Conclusion: Our survey results depict the current author related views and trends in publication practice which may guide in evidence-based policy making.
  1 2,266 342
COMMENTS ON PUBLISHED ARTICLE
Aluminium phosphide poisoning: Need for revised treatment guidelines
Subramanian Senthilkumaran, Chidambaram Ananth, Ritesh G Menezes, Ponniah Thirumalaikolundusubramanian
December 2015, 59(12):831-832
DOI:10.4103/0019-5049.171624  PMID:26903686
  1 4,822 520
LETTERS TO EDITOR
Insulin IP Calc: A smartphone application for insulin infusion protocol in Intensive Care Units
John George Karippacheril, Rashmi Teresa Mathai, Sona Susan Abraham
December 2015, 59(12):829-830
DOI:10.4103/0019-5049.171607  PMID:26903685
  1 2,121 416
Anaesthetic management of bilateral hand transplantation
Sunil Rajan, Ramanathan Kannan Suppiah, Jerry Paul, Lakshmi Kumar
December 2015, 59(12):819-820
DOI:10.4103/0019-5049.171593  PMID:26903679
  1 1,603 357
BRIEF COMMUNICATIONS
Peripherally inserted central venous catheter line removal leading to brachial vein stripping- Need for more caution
Aarti Kabra, Atul Purohit, Vinod Parashar
December 2015, 59(12):814-815
DOI:10.4103/0019-5049.171580  PMID:26903677
  - 1,718 321
Perioperative anaesthetic management of phaeochromocytoma associated with uncorrected tetralogy of Fallot
Chinmayi S Patkar, Namita Baldwa, Sona Dave, Pinakin Gujjar
December 2015, 59(12):816-818
DOI:10.4103/0019-5049.171591  PMID:26903678
  - 1,987 368
CASE REPORTS
Anaesthetic management of extra-pleural pneumonectomy and hyperthermic intrathoracic chemotherapy procedure
Jalaja Koppa Ramegowda, Mohammed Abdul Salam, Vasant Nayak, Shabber Zaveri
December 2015, 59(12):807-810
DOI:10.4103/0019-5049.171574  PMID:26903675
Malignant pleural mesothelioma is a rare tumour with survival of 9-17 months after diagnosis. Radical surgical resection by extra-pleural pneumonectomy combined with hyperthermic intrathoracic chemotherapy has shown to improve patient survival and better microscopic tumour control. Anaesthetic management of this procedure is challenging due to the complex pathophysiological changes associated with prolonged duration of surgery, one- lung ventilation, haemodynamic instability due to major blood loss, temperature variations including heat loss during pneumonectomy and rapid rise in temperature during hyperthermic chemotherapy, cardiac arrhythmias due to exposure to heated chemotherapeutics, cisplatin toxicity and acid-base changes. Intra-operative management involves protective ventilation, regulation of temperature and haemodynamics along with prevention of complications associated with 'heated chemotherapeutics'. Thorough pre-operative assessment and preparation, advanced intra-operative monitoring with prompt corrective interventions, will help in improved patient outcome in the immediate post-operative period. We present one such case done for the 1 st time in India.
  - 2,677 447
Perioperative management of patient with Bombay blood group undergoing mitral valve replacement
Shio Priye, J Sathyanarayan, S Shivaprakash, Durgaprasad Reddy
December 2015, 59(12):811-813
DOI:10.4103/0019-5049.171577  PMID:26903676
Bombay red blood cell phenotype is an extremely rare blood type for which patients can receive only autologous or Bombay phenotype red blood cells. We report a case of stenotic mitral valve with Bombay phenotype who underwent minimal invasive right lateral thoracotomy for the replacement of the mitral valve. A male patient from Bangladesh presented to the hospital with New York Heart Association III symptoms. His medical evaluation revealed severe mitral valve stenosis and mild aortic valve regurgitation. The patient received erythropoietin, intravenous iron succinate and folic acid tablets. Autologous blood transfusion was carried out. The mitral valve was replaced with a prosthetic valve successfully. After weaning off from cardiopulmonary bypass, heparinisation was corrected with protamine. Post-operatively, the patient received autologous red blood cells. The patient recovered after 1-day of inotropic support with adrenaline and milrinone, and diuretics and was discharged on the 5 th post-operative day.
  - 2,697 458
CLINICAL INVESTIGATIONS
A comparative study of effect of sevoflurane on intubating conditions with rocuronium in neurosurgical patients
Saikat Mitra, Shobha Purohit, Sonali Bhatia, Poonam Kalra, Satya Prakash Sharma
December 2015, 59(12):774-778
DOI:10.4103/0019-5049.171557  PMID:26903669
Background and Aims: Rocuronium may not always be the preferred relaxant for rapid sequence intubation. When 2% sevoflurane is used in conjunction with rocuronium, it may reduce the time required for achieving complete skeletal muscle relaxation with the intubating dose of rocuronium. Methods: This study was prospective, randomised, double-blind in nature and compared the effect of sevoflurane on intubation time and intubating conditions when used along with rocuronium. Thirty adult patients belonging to American Society of Anesthesiologists physical status Grades 1 and 2, of either gender aged between 30 and 65 years undergoing neurosurgical operations were randomly allocated into two equal groups: Group R received 0.8 mg/kg rocuronium, and Group RS received 0.8 mg/kg of rocuronium with 2% sevoflurane. Onset time of intubation was assessed using train-of-four stimuli. The intubating conditions were compared using the Cooper scoring system and the haemodynamic responses were compared between the two groups. Results: The onset time of intubation was 101.73 ± 10.28 s in Group R and 60.4 ± 4.1 s in Group RS (P < 0.001), with excellent intubating conditions in both groups and without any adverse effects. Significant differences in heart rate and mean arterial pressure were seen immediately after intubation, at 1 and 3 min (P < 0.05) between the two groups. Conclusion: Rocuronium 0.8 mg/kg along with 2% sevoflurane provides excellent intubating conditions within 60-66 s from its administration.
  - 2,618 1,294
Does labour epidural slow the progress of labour and lead to complications? Obstetricians' perception working in private and public sector teaching hospitals in a developing country
Muhammad Sohaib, Samina Ismail
December 2015, 59(12):779-784
DOI:10.4103/0019-5049.171559  PMID:26903670
Background and Aims: Obstetricians play a major role in the decision making for provision of analgesia for the woman in labour. As epidural analgesia (EA) is the most preferred technique, it is important to know obstetricians' perception regarding its effect on progress of labour and associated complications. Methods: The 6 months cross-sectional study included 114 obstetricians from teaching hospitals. After informed consent, obstetricians were asked to fill a predesigned questionnaire containing 13 close ended questions regarding their perception on the effect of EA on progress of labour, EA complications and whether they would recommend EA to their patients or not. Other variables included age, gender, training in EA, practice type and hospital settings (private or public sector). Results: Majority of the obstetricians had the perception of EA prolonging the first stage (89.5%) and second stage (98.2%) of labour, increasing the rate of caesarean section (87.7%), instrumental delivery (58.8%) and increasing the incidence of backache (85.5%). None of the obstetricians received any formal training in EA. Majority (84.2%) were not sure if they would recommend EA to their patients. When these responses were compared between public and private sector, a statistically higher percentage (P < 0.001) of public sector obstetricians had negative perception of EA. Conclusion: Perception of obstetrician regarding EA is contrary to the current evidence. There is a need to introduce formal curriculum on EA in obstetric training program and conduct regular refresher courses.
  - 2,483 730
Comparison between intravenous dexmedetomidine and local lignocaine infiltration to attenuate the haemodynamic response to skull pin head holder application during craniotomy
Anu Paul, Handattu Mahabaleswara Krishna
December 2015, 59(12):785-788
DOI:10.4103/0019-5049.171558  PMID:26903671
Background and Aims: Skull pin application is intensely painful and can be accompanied by detrimental haemodynamic changes. We compared intravenous (IV) dexmedetomidine with local infiltration of lignocaine at pin application sites to attenuate haemodynamic changes associated with pin application. Methods: Fifty-two patients undergoing craniotomy were randomised to either group dexmedetomidine (received 1 μg/kg dexmedetomidine over 10 min starting at induction of anaesthesia) or group lignocaine (received 3 ml of 2% lignocaine infiltration at pin application sites before pin application). Anaesthetic protocol was standardised. Heart rate (HR) and mean arterial pressure (MAP) were recorded at the following time intervals, pre-induction baseline, pre-infiltration, post-infiltration, pre-pin application and post-pin application at 1, 2, 3, 4, 5, 10 and 15 min. Statistical analysis was done using independent samples t-test, Fisher exact test and Chi-square test. Results: HR and MAP were comparable between the groups at all the study intervals. The incidence of adverse haemodynamic effects attributable to pin application (tachycardia and/or hypertension) was comparable between the groups (2 patients in group dexmedetomidine and 5 in group lignocaine). However, the incidence of hypotension and/or bradycardia was significantly greater in the dexmedetomidine group (19 patients in group dexmedetomidine and 5 patients in group lignocaine; P = 0.0007). Conclusion: IV dexmedetomidine 1 mcg/kg over 10 min is comparable to local infiltration of 2% lignocaine at pin application sites to attenuate the haemodynamic response associated with skull pin application. However, use of dexmedetomidine is associated with significantly higher incidence of hypotension and bradycardia.
  - 2,434 754
Incident reporting in post-operative patients managed by acute pain service
Syeda Fauzia Hasan, Mohammad Hamid
December 2015, 59(12):789-793
DOI:10.4103/0019-5049.171561  PMID:26903672
Background and Aims: Incident reporting is a reliable and inexpensive tool used in anaesthesia to identify errors in patient management. A hospital incident reporting system was already present in our hospital, but we were unable to find any incident related to acute pain management. Hence, acute pain service (APS) was started for voluntary incident reporting in post-operative patients to identify critical incidents, review the root cause and suggest remedial measures. Methods: All post-operative patients managed by APS were included in this observational study. A proforma was developed by APS, which included information about the type of incident (equipment and patient-related, human errors), severity of incident, person responsible and suggestions to prevent the same incident in the future. Patients and medical staff were informed about the reporting system. Whenever an incident was identified, a proforma was filled out by APS resident and data entered in SPSS programme. Results: Total of 98 (1.80%) incidents were reported in 5432 patients managed by APS during 3 years period. Average age of the patients was 46 ± 17 years. Majority of incidents were related to epidural care (71%) and occurred in surgical wards (87%). Most of the incidents occurred due to human error and infusion delivery set-related defects. Conclusion: Incident reporting proved to be a feasible method of improving quality care in developing countries. It not only provides valuable information about areas which needed improvement, but also helped in developing strategies to improve care. Knowledge and attitudes of medical and paramedical staff are identified as the targeted area for improvement.
  - 1,733 417
EDITORIAL
Off-label use of drugs: An evil or a necessity?
Vikram Gota, Jigeeshu V Divatia
December 2015, 59(12):767-768
DOI:10.4103/0019-5049.171555  PMID:26903667
  - 2,968 9,811
EVIDENCE BASED DATA
Current practice of difficult airway management: A survey
MC Rajesh, K Suvarna, S Indu, Taznim Mohammed, A Krishnadas, Priyanka Pavithran
December 2015, 59(12):801-806
DOI:10.4103/0019-5049.171571  PMID:26903674
Background and Aims: Difficult airway (DA) management depends on both training and actual usage of the various approaches in the event of difficulty. The aim of the study was to assess how well the anaesthesiologists are equipped to deal with DA situations. The current practice preference of DA management was also assessed. Methods: A questionnaire was distributed in a continuing medical education (CME) programme dedicated to DA and responses were noted and analysed, using Statistical Package for Social Sciences (SPSS) version 18. Results: The response rate was 73%. Airway assessment was performed by majority. Sixty eight percent consultants and 47% residents were well aware of the American Society of Anesthesiologists' DA algorithm. 67% consultants and 65% residents attended at least one CME on DA in the previous 5 years. There was an overall deficiency of video laryngoscopes, retrograde intubation and cricothyrotomy sets. Most of the respondents were comfortable in using supraglottic airway devices (SGADs). In anticipated DA, the preferred choice of management for junior doctors was attempting conventional method once and awake fibreoptic bronchoscopy (FOB) for the experienced. In unanticipated DA, most of the residents and consultants opted for SGAD. Extubation strategy was similar for both. Thirty four percent of respondents experienced a 'cannot intubate-cannot ventilate' situation at least once. Conclusion: Our survey showed that most respondents performed routine pre-operative airway assessment. A good armamentarium of airway gadgets should be made available in hospitals. Further training in techniques like video laryngoscopy, FOB or cricothyrotomy are essential.
  - 56,792 795
LETTERS TO EDITOR
Thoracic spinal cord stimulation for low back pain in a patient with permanent pacemaker
Dimitrios Vassilakos, Barbara Fyntanidou, Vasilios Grosomanidis, Al-Kaisy Adnan
December 2015, 59(12):820-821
DOI:10.4103/0019-5049.171596  PMID:26903680
  - 1,388 263
Ultrasound guided brachial block in a case of brachial plexus hypertrophy
John George Karippacheril, Shetty Nanda
December 2015, 59(12):822-823
DOI:10.4103/0019-5049.171597  PMID:26903681
  - 1,334 216
A simple test of baricity for subarachnoid drugs
Jyoti Sharma, Ajay Kumar Goila, Rajesh Sood
December 2015, 59(12):823-825
DOI:10.4103/0019-5049.171599  PMID:26903682
  - 1,708 491
Spurious oxygen saturation value: A dilemma for anaesthesiologist
Amit Goyal, Himanshu Khurana, Sangeeta Khanna, Yatin Mehta
December 2015, 59(12):826-827
DOI:10.4103/0019-5049.171601  PMID:26903683
  - 1,282 324
Gum elastic bougie as a tube exchanger: Modified technique
Goneppanavar Umesh, KS Sushma, M Sindhupriya, UN Swarnamba
December 2015, 59(12):827-829
DOI:10.4103/0019-5049.171604  PMID:26903684
  - 1,964 352
SPECIAL ARTICLE
Does non-medical grade power cord compromise the safety of medical equipment?
V Padmavathi, PS Vishnu Prasad, Pankaj Kundra
December 2015, 59(12):769-773
DOI:10.4103/0019-5049.171556  PMID:26903668
A tertiary care 1000 bedded hospital contains more than 10,000 pieces of equipment worth approximately 41 million USD, while the power cords supplied along with the imported equipment do not comply with country-specific norms. Moreover, the local vendors procure power cords with type D/M plug to complete installation and also on-site electrical safety test is not performed. Hence, this project was undertaken to evaluate the electrical safety of all life-saving equipment purchased in the year 2013, referring to the guidelines of International Electrotechnical Commission 62353, the Association for the Advancement of Medical Instrumentation (AAMI) and National Fire Protection Association (NFPA)-99 hospital standard for the analysis of protective earth resistance and chassis leakage current. This study was done with a measuring device namely electrical safety analyser 612 model from Fluke Biomedical.
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