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Taneja, Bharti
- Comparative Evaluation of Efficacy of Transcutaneous Electrical Nerve Stimulation Administered by Dermatomal Stimulation Versus Acupuncture Points Stimulation
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Authors
Affiliations
1 Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, IN
1 Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, IN
Source
Northern Journal of ISA, Vol 1, No 1 (2016), Pagination: 29-34Abstract
Background and Aims: Transcutaneous Electrical Nerve Stimulation (TENS) is a nonpharmacological method based on gate theory of pain control and provides analgesia noninvasively. Application of TENS requires simple training and can be self administered by patients without any l potential for toxicity. Patients can titrate the dosage on and whenever needed. TENS can be administered by either dermatomal stimulation or by stimulation of acupuncture points for labour analgesia. This study was undertaken to compare the efficacy of TENS administered by dermatomal stimulation with TENS administered by stimulation of acupuncture points.
Materials and Method: The study was conducted on 40 ASA grade 1 parturients with 37 to 42 weeks gestation in active stage without any fetal or maternal complication. Parturients were randomly allocated by computer generated random number table to one of two groups (Group D- TENS by dematomal stimulation, Group A- TENS by acupuncture points stimulation) comprising of 20 parturients each. Each group was monitored for pain scores, progress of labour and maternal and fetal outcome. The quantitative parameters were analysed using the Student-t test and Mann Whitney test. Qualitative parameters were analysed using Chi-square test/Fisher Exact test. A p value of <0.05 was taken as statistically significant.
Results: TENS administered by dermatomal stimulation causes significant decrease in VAS score and rescue analgesic requirement as compared to acupuncture point stimulation. Parturients in Group D also reported significant decrease of back pain and better ambulation as compared to Group A. Maternal and fetal outcome were similar in both groups without any side effects.
Conclusion: Pain relief in labour is better when TENS is administered by dermatomal stimulation as compared to acupuncture point stimulation.
Keywords
Acupuncture Analgesia, Obstetric Analgesia, Transcutaneous Electrical Nerve Stimulation.Full Text
References
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- Comparative Evaluation of Single Level Paravertebral Block Versus Caudal Block for Postoperative Analgesia in Pediatric Inguinal Surgery
Abstract Views :310 |
PDF Views:86
Authors
Affiliations
1 Department of Anaesthesiology, Princess of Wales Hospital, Bridgend, GB
2 Department of Anaesthesiology, Maulana Azad Medical College and Associated Hospitals University of Delhi, IN
3 Department of Anaesthesiology, BLK Superspeciality Hospital, New Delhi, IN
1 Department of Anaesthesiology, Princess of Wales Hospital, Bridgend, GB
2 Department of Anaesthesiology, Maulana Azad Medical College and Associated Hospitals University of Delhi, IN
3 Department of Anaesthesiology, BLK Superspeciality Hospital, New Delhi, IN
Source
Northern Journal of ISA, Vol 2, No 2 (2017), Pagination: 47-51Abstract
Background and Aims: To compare and evaluate the efficacy of Single Level Paravertebral Block (SLPVB) with Caudal Block (CB) using 0.2% ropivacaine. Materials and Methods: A prospective study was performed for 40 children aged 2-8 years, undergoing paediatric inguinal hernia repair. They were divided into 2 groups, of 20 patients each, and SLPVB or CB was administered. They were followed up for 24hours and assessed for efficacy of the block in terms of duration of analgesia and quality of block as assessed by FLACC score. The amount of rescue analgesia used, parent satisfaction, and complications if any were also noted. The data collected was analyzed using SPSS software version 17 and a P value of <0.05 was considered significant and appropriate tests were applied. Results: The mean duration of action was found to be 1001.25±564.34 minutes (Median 1440 and IQR 975 minutes) in CB and 1440 minutes (Median 1440 IQR 0) in the PVB. This was statistically significant (P value = 0.03). The efficacy of the block as assessed by the FLACC score was comparable in the two groups. Rescue analgesia was required in 8 patients in the CB as compared to none in the PVB. The parent satisfaction levels were also significantly higher with PVB as compared to CB. No complications were noted with PVB. Failure of block occurred in 1 patient with CB, and there was complaint of urinary retention in 3 patients in the same group. Conclusion: SLPVB has been demonstrated to be superior to CB to provide postoperative analgesia children undergoing inguinal hernia surgery.Keywords
Analgesia, Caudal, Inguinal, Lumbar, Paravertebral, Ropivacaine.Full Text
References
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- Comparative Evaluation of Combined Ilioinguinal Iliohypogastric Block Versus Caudal Block using Ropivacaine and Clonidine for Paediatric Postoperative Analgesia Following Inguinal Hernia Repair
Abstract Views :441 |
PDF Views:167
Authors
Affiliations
1 Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, IN
2 Department of Paediatric Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, IN
1 Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, IN
2 Department of Paediatric Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, IN
Source
Northern Journal of ISA, Vol 3, No 1 (2018), Pagination: 9-14Abstract
Background: Inguinal hernia repair is a commonly performed surgery in children. Various regional techniques have been used for postoperative analgesia however the duration of analgesia is limited by local anesthetics. Objectives: To compare the postoperative analgesia and complications of combined ilioinguinal iliohypogastric block versus caudal block following inguinal hernia repair surgery in children using 0.2% ropivacaine and clonidine (1 μg/kg). Methods: Forty children of age one month to three years undergoing inguinal hernia repair were randomly allocated to two Group C (receiving Caudal block) and group I (receiving combined ilioinguinal iliohypogastric block). Ropivacaine 0.2% and clonidine1 μg/kg used. Patients were evaluated for pain postoperatively at 30 minutes, 1, 1 ½, 2, 4, 8, 12 and 24 hours. Results: Both techniques were effective for postoperative analgesia following hernia repair in children for 24 hours postoperatively. Conclusion: Both combined Ilioinguinal iliohypogastric and caudal block were effective for postoperative analgesia for 24 hours using ropivacaine 0.2% and clonidine 1 μg/kg following inguinal hernia repair in children and no complications were seen in any of the two blocks.Keywords
Caudal, Clonidine, Ilioinguinal Iliohypogastric, Paediatric Analgesia, Ropivacaine.References
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- An Evaluation of Retrograde Light-Guided Laryngoscopic Intubation and its Comparison with Conventional Direct Laryngoscopic Intubation
Abstract Views :432 |
PDF Views:171
Authors
Affiliations
1 Department of Anaesthesiology and Critical Care, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi – 110002, Delhi, IN
1 Department of Anaesthesiology and Critical Care, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi – 110002, Delhi, IN
Source
Northern Journal of ISA, Vol 3, No 1 (2018), Pagination: 15-20Abstract
Background: Conventional Direct Laryngoscopic (DL) tracheal intubation requires certain amount of skill for its successful outcome. To improve the success of intubation, various alternatives to conventional laryngoscopy have been described in recent years. Retrograde Light-Guided Laryngoscopy (RLGL) is a recently described technique for endotracheal intubation. Methods: A prospective randomized study was conducted in 100 patients, randomly intubated according to a computer generated procedure using either DL or RLGL by a single operator. The primary outcome was the success rate of tracheal intubation. The parameters evaluated were: success rate of tracheal intubation, time to glottic exposure and time to tracheal intubation, Cormack and Lehane grades, haemodynamic parameters and post operative sore-throat and hoarseness of voice. Results: Compared with DL, the overall success rate was greater in the RLGL group (P = 0.004). This was associated with a shorter time to glottic exposure [4.0(±1.09) vs 4.72±(1.16) sec, P = 0.001], shorter intubation time [5.28(±1.34) vs 6.10(±1.22) sec, P < 0.001]. The laryngoscopic grades using RLGL were better than using DL (p = 0.002). The haemodynamic responses were comparable in both the groups. There was decreased incidence of sore-throat (p = 0.083) and hoarseness (0.005) at 24 hrs with RLGL compared to DL. Conclusions: RLGL is an alternative approach for intubation. We conclude that the RLGL is a safe and effective device for achieving endotracheal intubation in normotensive adults with normal airways.Keywords
Airway, Endotracheal Intubation, Retrograde Light-Guided Laryngoscopy.References
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