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Garg, Rakesh
- Do we Need to have the National Airway Management Guidelines?
Abstract Views :337 |
PDF Views:104
Authors
Affiliations
1 Dept. of Anaesthesiology & Critical Care, J N Medical College, AMU, Aligarh, IN
1 Dept. of Anaesthesiology & Critical Care, J N Medical College, AMU, Aligarh, IN
Source
Central Journal of ISA, Vol 1, No 1 (2017), Pagination: 1-2Abstract
Difficult airway happens in clinical practice and may lead to catastrophic outcome. The guidelines are promulgated to provide safe, evidence base practice for well-being of patients, physicians and health care system. This is in line with a paradigm shift towards evidence based medicine approach in clinical practice. Such document also helps in judging the standard of care at all levels, raise quality of care and maintain cost benefit. The guidelines and algorithms exists for various nations around the world. They have drafted the document based on the local need taking into considerations logistics, infrastructure and the cost, based on evidence.Full Text
- Need for the Development of National Cardiopulmonary Resuscitation Guidelines
Abstract Views :231 |
PDF Views:82
Authors
Affiliations
1 Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, IN
2 Dept of Anaesthesiology, Jawahar Lal Nehru Medical College, Aligarh Muslim University, IN
3 Dept of Anaesthesiology, Sarojini Naidu Medical College, Agra, IN
4 Convenient Hospital Limited Hospital, Indore, IN
1 Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, IN
2 Dept of Anaesthesiology, Jawahar Lal Nehru Medical College, Aligarh Muslim University, IN
3 Dept of Anaesthesiology, Sarojini Naidu Medical College, Agra, IN
4 Convenient Hospital Limited Hospital, Indore, IN
Source
Central Journal of ISA, Vol 1, No 2 (2017), Pagination: 42-43Abstract
The cardiopulmonary arrest can happen in many situations and places warranting immediate management. There are many guidelines promulgated around the world for management of such victims. The guidelines provide safe, evidence base practice for optimal outcome of the patients along with appropriate support to physicians and health care system. This is in current line with a paradigm shift towards evidence based medicine approach in clinical practice.Full Text
References
- Nolan JP, Hazinski MF, Aicken R, et al. Part I. Executive summary: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2015; 95:e1–32. https://doi.org/10.1016/j.resuscitation. 2015.07.039.
- Monsieurs K, Nolan JP, Bossaert LL, et al. European resuscitation council guidelines for resuscitation 2015 section 1 executive summary. Resuscitation. 2015; 95:1–80. https://doi.org/10.1016/j.resuscitation. 2015.07.038 PMid:26477410.
- Ananthraman V. The national resuscitation council, Singapore and 34 years of resicitation traning: 1993 to 2017. Singapore Med J. 2017; 58:418–23. https://doi.org/10.11622/smedj.2017069 PMid:28741008 PMCid:PMC5523094.
- Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Potential benefits, limitations and harms of clinical guidelines. BMJ. 1999; 318:527– 30. https://doi.org/10.1136/bmj.318.7182.527 PMid:10024268 PMCid: PMC1114973.
- Smith A, Alderson P. Guidelines in anaesthesia: Support or constraint? Br J Anaesth. 2012; 109:1–4. https://doi.org/10.1093/bja/aes149 PMid:22696551.
- Successful Application of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) after Intraoperative Occurrence of Malignant Hyperthermia in a Patient of Uterine Leiomyosarcoma for Cytoreduction Surgery
Abstract Views :238 |
PDF Views:62
Authors
Affiliations
1 Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, IN
1 Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, IN
Source
Central Journal of ISA, Vol 1, No 2 (2017), Pagination: 94-97Abstract
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a technique used in combination with cytoreductive surgery to treat various cancers with local spread and not fully resectable. Anaesthetic complications are common during this procedure with disturbances in haemodynamics, coagulation, respiratory gas exchange and impact on various body systems. Sudden increase in temperature may be related to occurrence of Malignant Hyperthermia (MH) and remains a challenge requiring immediate recognition and aggressive management. We hereby report a case of hyperthermia in a patient posted for cytoreduction and HIPEC surgery emphasizing that a prompt identification; rational symptomatic and supportive therapy can be lifesaving.Keywords
Anaesthesia, Cytoreduction, Hyperthermia, Hyperthermic Intraperitoneal Chemotherapy.Full Text
References
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- Gillard EF, Otsu K, Fujii J, Khanna VK, de Leon S, Derdemezi J, et al. A substitution of cysteine for arginine 614 in the ryanodine receptor is potentially causative of human malignant hyperthermia. Genomics. 1991; 11:751–5. https://doi.org/10.1016/0888-7543(91)90084-R.
- Sugarbaker PH, van der Speeten K, Stuart OA. Pharmacologic rationale for treatments of peritoneal surface malignancy from colorectal cancer. World J Gastrointest Oncol. 2010; 2:19–30. https://doi.org/10.4251/ wjgo.v2.i1.19 PMid:21160813 PMCid:PMC2999152.
- Glahn KP, Ellis FR, Halsall PJ, Muller CR, Snoeck MM, Urwyler A, Wappler F. Recognizing and managing a malignant hyperthermia crisis: guidelines from the European Malignant Hyperthermia Group. Br J Anaesth. 2010; 105:417–20. https://doi.org/10.1093/bja/aeq243 PMid:20837722.
- Hopkins PM. Malignant hyperthermia: Pharmacology of triggering Br J Anaesth. 2011; 107:48–56. https://doi.org/10.1093/bja/aer132 PMid:21624965.
- Larach MG. North American Malignant Hyperthermia Group. Aclinical grading scale to predict malignant hyperthermia susceptibility. Anesthesiology. 1994; 80:771–9. https://doi.org/10.1097/00000542199404000-00008 PMid:8024130.
- Coccolini F, Corbella D, Finazzi P, Catena F, Germandi C, Melotti MR, Sonzogni V, Ansaloni L. Perioperative management of patients undergoing cytoreduction surgery and hyperthermic intraperitoneal chemotherapy. Canc Oncol Res. 2014; 2:29–34.
- Allen GC, Larach MG, Kunselman AR. The sensitivity and specificity of the caffeine-halothane contracture test: A report from the North American Malignant Hyperthermia Registry. The North American Malignant Hyperthermia Registry of MHAUS. Anesthesiology. 1998; 88:579–88. https://doi.org/10.1097/00000542-199803000-00006 PMid:9523799
- Issacs H, Badenhorst M. False-negative results with muscle caffeine halothane contracture testing for malignant hyperthermia. Anesthesiology. 993; 79:5–9. https://doi.org/10.1097/00000542-19930700000003.