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Journals
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Bhardwaj, A.
- Comparative Analysis of Unilateral Subarachnoid Block with Ankle Block for Elective Foot Surgery
Abstract Views :256 |
PDF Views:134
Authors
Affiliations
1 Department of Anesthesia and Critical Care, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
2 Department of Community Medicine, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
1 Department of Anesthesia and Critical Care, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
2 Department of Community Medicine, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 5, No 2 (2016), Pagination: 1150-1155Abstract
Background:There are many accepted anesthesia techniques for elective foot surgery ranging from general anesthesia to regional anesthesia, regional anesthesia being the preferred method. Regional anesthesia techniques employed for foot surgery includes subarachnoid block, epidural anesthesia and ankle block.Objective: The present study is aimed at providing comparative analysis of ankle block with unilateral subarachnoid block for elective foot surgeries in terms of hemodynamic safety profile and post operative analgesia.
Material and Methods: Study includes prospective analysis of 80 ASA II and III patients who underwent elective foot surgery. Patients were randomly divided into two groups of 40 each, Ankle block group (AB) and Unilateral subarachnoid group (US). The parameters recorded for study includes systolic blood pressure, diastolic blood pressure, heart rate, visual analogue scale for pain severity, time of first analgesic need and the complications.
Results: There were minimal blood pressure changes and heart rate variability in AB group as compared to US group when compared with basal values (p<0.05). The time for first analgesic requirement is prolonged in AB group as compared to US group. The visual analogue scale score was assessed at 2nd, 4th and 6th hours for group AB were lowered as compared to group US (p < 0.05).
Conclusion: Ankle block is associated with lesser hemodynamic variations and better postoperative analgesia as compared to unilateral subarachnoid block.
Keywords
Elective Foot Surgery, Unilateral Subarachnoid Block, Ankle Block, Hemodynamic Stability, Post Operative Analgesia.Full Text
References
- Reilley TE, Gerhardt MA. Anesthesia for foot and ankle surgery. Clin Podiatr Med Surg 2002 Jan;19(1):125-47.
- Lin R, Hingorani A, Marks N, Ascher E, Jimenez R, Mclntyre T, et al. Effects of anesthesia versus regional nerve block on major leg amputation mortality rate. Vascular 2013 Apr;21(2):83-6.
- Latifzai K, Sites BD, Koval KJ.Orthopaedic anesthesia-part 2.Common techniques of regional anaesthesia in orthopaedics. Bull NYU Hosp Jt Dis 2008;66:306-16.
- Williams BA, Spratt D, Kentor ML.Continuous nerve blocks for outpatient knee surgery. Tech Reg Anesth Pain Man 2004;8:76-84.
- Erdine S. Future and education regional anesthesia. İstanbul: Nobel bookstores; 2005.p. 315-9.
- Mineo R, Sharrock N. Venous levels of lidocaine and bupivacaine after midtarsal ankle block. RegAnesth 1992;17:47-9.
- Auroy Y, Narchi P, Messiah A, Litt L, Rouvier B, Samii K. Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 1997; 87:479-86.
- Sarrfian SK, Ibrahim IN, Breihan JH. Ankle-foot peripheral nerve block for mid and forefoot surgery. Foot Ankle 1983;4:86-9.
- Ozhan M, Orhan E, Kurklu M, Demiralp B, Suzer A, Cekmen N, Ozhan C. Comparision of peripheral nerve blocks,spinal anesthesia and general anesthesia for ambulatory surgery of the lower limb. Nobel Medicus 2012;8:73-80.
- Casati A, Cappelleri G, Fanelli G, Borghi B, Anelati D, Berti M, et al. Regional anaesthesia for outpatient knee arthroscopy: A randomized clinical comparison of two different anaesthetic techniques. Acta Anaesthesiol Scand 2000;44:543-7.
- Pilny J, Kubes J. Forefoot surgery under regional anesthesia. Acta Chir Orthop Traumatol Cech 2005;72:122-4.
- Lee TH, Wapner KL, Hecht PJ, Hunt PJ. Regional anesthesia in foot and ankle surgery. Orthopedics 1996;19:577-80.
- Urafalioglu A, Gokdemir O, Hanbeyoglu O, Bilal B, Oksuz G, Toker M, et al. A comparison of ankle block and spinal anesthesia for foot surgery. Int J Clin Exp Med 2015; 8(10):19388-93.
- Studner O, Danninger T, Memtsoudis SG. Regional anesthesia in patients with significant comorbid disease. Minerva Anestesiol 2013 Nov; 79(11):1281-90.
- Dexter F, Macario A. What is relative frequency of uncommon ambulatory surgery procedures performed in the United States with an anesthesia provider. Anesth Analg 2000;90: 1343-7.
- Wooden SR, Sextro PB. The ancle block: Anatomical review and anesthetic technique. AANA J 1990;58:105-11.
- Rudkin GE, Rudkin AK, Dracopoulos GC. Bilateral ankle blocks: a prospective auidit. ANZ J Surg 2005;75:39-42.
- Hyderally H. Complications of spinal anesthesia. Mt Sinai J Med 2002;69(12):55-6.
- Comparative Study of Preloading with Ringer Lactate V/S 6% Hexa Starch Solutions to Prevent Hypotension Following Spinal Anaesthesia in Elective Surgery
Abstract Views :270 |
PDF Views:109
Authors
Affiliations
1 Department of Anesthesia and Critical Care, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
1 Department of Anesthesia and Critical Care, Punjab Institute of Medical Sciences Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 5, No 2 (2016), Pagination: 1178-1183Abstract
Background:Hemodynamic variations are commonly encountered following subarchnoid block and can attribute to significant mortality and morbidity. To counteract the hypotension, fluid adminstration before spinal anaesthesia is recommended (preloading). Crystalloids and colloids are recommended as preloading fluids but both have their own merits and demerits.Objective: This comparative study was done to compare the effectiveness of ringer lactate versus 6% hydroxyl ethyl starch for preventing spinal anesthesia induced hypotension.
Material and Methods: In this prospective study, we compare the effectiveness of ringer lactate versus 6% hydroxy ethyl starch at 10ml/kg over a period of 20 minutes before spinal anaesthesia in preventing hypotension. After administration of spinal anaestheisa mean arterial pressure were recorded at 1, 5, 10, 15, 30, 45, 60, 90 minutes and 3 hours after spinal anaesthesia. Number of patient, recieving injection Mephentermine sulphate for persistent hypotension was also recorded.
Results: We found that hydroxy ethyl starch is more effective than ringer lactate solution as a preloading fluid in prevention of hypotension following spinal anaesthesia.
Conclusion: Hydroxy ethyl starch is superior to ringer lactate in preventing hypotension in patients undergoing elective lower abdominal surgeries under spinal anaesthesia but the incidence of hypotension is not completely eliminated.
Keywords
Hypotension, Pre-Loading, Ringer Lactate, Hydroxy Ethyl Starch, Spinal Anaesthesia.Full Text
References
- Rout CC, Rocke DA. Prevention of hypotension following spinal anaesthesia for caesarean section. Int anaesthesiol Clin 1994;32:117-35.
- Pout CC, Akoojee SS, Rocke DA, Gouws E. Rapid administration of crystalloid preload does not decrease the incidence of hypotension after spinal anaesthesia for elective caesarean section. Br J Anaesth 1992;68:394-7.
- McConachie I, McGeachie J, Barrie J. Regional anesthetic techniques. In: Healy TEJ, Knight PR, editor. Wylie and Churchill-Davidson's A Practice of Anaesthesia. 7th ed. London: Arnold; 2003.p.608-16.
- Drummond JC, Petrovitch CT, Lane TA. Hemostasis and transfusion medicine. In: Barash G, Cullen BF, Stoelting RK, editor.Clinical Anesthesia. 5th ed. Philadelphia USA: Lippincott Williams and Wilkins; 2009.p.374-75.
- Kaye AD, Riopelle JM. Intravascular fluid and electrolyte physiology. In: Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, editor. Miller's Anaesthesia 7th ed. Philadelphia USA: Churchill Livingstone; 2010.p.1722-35.
- Perel P, Roberts I, Ker K. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database of Syst Rev 2013 Feb 28;2:CD000567.
- Mojica JL, Melendez HJ, Bautista LE. The timing of intravenous crystalloid administration and incidence of cardiovascular side effects during spinal anesthesia: the results from a randomized controlled trial. Anesth Analg 2002 Feb;94(2):432-7.
- Bridenbaugh PO, Greene NM, Brull SJ. Spinal neural blockade. In: Cousins MJ, Bridenbaugh PO, Carr DB, Horlocker TT, editor. Cousins and Bridenbaugh's Neural Blockade in Clinical Anesthesia and Pain Medicine. 3rd ed. Philadelphia: Lippincott Raven; 1998.p.215-25.
- Fu-qing Lin, Cheng Li, Li-jun Zhang, Shukun Fu, Guo-qiang Chen, Xiao-hu Yang, et al. Effect of rapid plasma volume expansion during anesthesia Induction on haemodynamics and oxygen balance in patients undergoing gastrointestinal surgery. Int Journal Med Sci 2013;10(4): 355-61.
- Sharma SK, Gajraj NM, Sidawi JE. Prevention of hypotension during spinal anaesthesia: A comparison of intravascular administration of Hetastarch versus Lactated Ringer’s solution. Anesth Analg 1997Jan;84(1):111-4.
- Buggy DJ, Power CK, Meeke R, O Callaghans S, Moran C, O Brien GT. Prevention of spinal anaesthesia induced hypotension in elderly: IM. methoxamine or combined hetastarch and crystalloid.Br J Anaesth 1998 Feb;80(2):199-203.
- Marhofer P, Faryniak B, Oismüller C, Koinig H, Kapral S, Mayer N. Cardiovascular effects of 6% hetastarch and lactated Ringer's solution during spinal anesthesia. Regional Anesthesia & Pain Medicine 1999 Sep-Oct;24(5):399-404.
- Singh J, Ranjit S, Shrestha S, Sharma R, Marahatta SB. A study to investigate the effects of volume preload on changes of patient’s hemodynamic. Kathmandu University Medical Journal. 2010;8(2):216-21.
- Siddik-Sayyid SM, Nasr VG, Taha SK, Zbeide RA, Shehade JM, Al Alami AA, et al. A Randomized trail comparing colloid preload to coload during spinal anaesthesia for elective caesarean delivery. Anesth Analg Oct 2009;109(4): 1219-24.
- Riesmeier A, Schellhaass A, Boldt J, Suttner S. A study to compare the effects of crystalloid/colloid versus crystalloid administration before spinal anaesthesia on cardiac output (CO) in elderly patients undergoing transurethral resection of the prostate. Anesth Analg Feb2009;108(2): 650-4.
- In silico Microsatellite Development in Arum Lily (Zantedeschia aethiopica)
Abstract Views :346 |
PDF Views:157
Authors
Affiliations
1 Division of Biotechnology, Indian Institute of Horticultural Research, Hessaraghatta Lake P.O., Bangalore - 560 089, IN
1 Division of Biotechnology, Indian Institute of Horticultural Research, Hessaraghatta Lake P.O., Bangalore - 560 089, IN
Source
Journal of Horticultural Sciences, Vol 6, No 1 (2011), Pagination: 37-40Abstract
Microsatellites are an important class of molecular markers having wide application in genetic research. Development of microsatellites using conventional methods is laborious and expensive. Alternatively, in silico approach can be followed to detect simple sequence repeats (SSRs) from expressed sequence tags (ESTs) available in public biological databases. The in silico developed EST-SSRs have been found to be transferrable across species and genera. A study was undertaken to mine simple sequence repeats (SSRs) from the expressed sequence tags (ESTs) of arum lily, Zantedeschia aethiopica, belongs to the family Araceae. A total of 4283 ESTs of Zantedeschia aethiopica, downloaded from dbEST of NCBI, were pre-processed and subjected to clustering and assembly. In all, 1968 clusters (800 contigs and 1168 singletons) were obtained, resulting in 54 % reduction in ESTs. In addition, 1936 SSRs were obtained, which included 617 mono, 101 di-, 201 tri-, 80 tetra-, 23 penta- and 898 hexa-nucleotide repeats. The plant has an abundance of 0.70 SSRs/ kb. We designed 1091 primers for these SSRs. A few in silico designed SSR primers were tested for polymorphism in Anthurium, belonging to the Araceae family, resulting in 40% amplification success.Keywords
Anthurium, Araceae, Expressed Sequence Tag (EST), Microsatellite, Simple Sequence Repeat (SSR).Full Text
- Utilization of Ash as a Structural Fill in Low-Lying Areas
Abstract Views :107 |
PDF Views:0
Authors
R. Pathak
1,
A. Bhardwaj
1
Affiliations
1 Department of Civil Engineering, Thapar University, Patiala (Punjab), IN
1 Department of Civil Engineering, Thapar University, Patiala (Punjab), IN
Source
International Journal of Scientific Engineering and Technology, Vol 3, No 8 (2014), Pagination: 1088-1090Abstract
Thermal power stations using pulverised coal as fuel, generate large quantity of ash as waste by product, which poses dual problem of environment and disposal. Flyash is a versatile material with many possible applications such as land filling and in land reclamation of low lying areas. An experimental investigation has been carried out to study the behaviour of compacted ash overlying sand deposit. The upper layer of ash is deposited at a relative density of 64% and 81% respectively on natural water content and lower layer of sand is deposited at relative densities of 40% and 70% respectively. Plate load test were conducted in plane strain conditions on footing for D/B=0,1,1.5,2, and 4 where 'D' is thickness of upper flyash overlying sand deposit have been studied. From the study it can be concluded that the settlement of footing decreases as D/B ratio increases and also with the increases of relative density of ash and sand.Keywords
Ash, Lowlying Areas, Utilisation, Modulus of Deformation.Full Text
- The Diyodar Meteorite Fall in India
Abstract Views :81 |
PDF Views:52
Authors
Y. Srivastava
1,
A. Kumar
1,
A. Basu Sarbadhikari
1,
D. Ray
1,
V. M. Nair
1,
A. Das
1,
A. D. Shukla
1,
S. Sathiyaseelan
1,
R. Ramachandran
1,
B. Sivaraman
1,
S. Vijayan
1,
N. Panwar
1,
A. J. Verma
1,
N. Srivastava
1,
A. Rani
1,
G. Arora
1,
R. R. Mahajan
1,
A. Bhardwaj
1
Affiliations
1 Physical Research Laboratory, Ahmedabad 380 009, India., IN
1 Physical Research Laboratory, Ahmedabad 380 009, India., IN
Source
Current Science, Vol 124, No 2 (2023), Pagination: 152-154Abstract
No Abstract.Full Text
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