Submental intubation is an interesting alternative to tracheostomy, especially when short-term postoperative control of airway desirable with the presence undisturbed access oral as well nasal airways and a good dental occlusion. midline incision has been used in 10 cases from October 2008 March 2010 Department Oral Maxillofacial Surgery, Manipal College Dental Sciences, Mangalore. All patients had fractures jaws disturbing occlusion associated fracture base skull, or/and displaced bone...

Impacted lower third molar surgeries involve trauma in a highly vascularized zone with loose connective tissue leading to inflammatory sequelae including postoperative pain, swelling, trismus and generalised oral dysfunction during the post-operative phase. In minor surgical procedures, an all-inclusive method protract anaesthesia reduce inevitable is yet be explored substantially.

To compare oral midazolam (0.5 mg/kg) versus clonidine (4 μg/kg) as a premedication in pediatric patients aged between 2-12 years with regard to sedation and anxiolysis.Sixty belonging the American Society of Anesthesiologists class I II age group scheduled for elective surgery were randomly allocated receive either (group I) 30 min before induction or II) 90 anesthesia. The children evaluated levels anxiety at time separation from parents, venepuncture, mask application anesthesia.After...

A prospective randomized clinical study was conducted to the efficacy and safety of ropivacaine with bupivacaine intrathecally for lower abdominal limb surgeries.70 patients aged between 18 65 years were into two groups, n = 35 in each group. Group received 3 ml (0.5%) isobaric (15 mg) B (0.75%) (22.5 mg). Spinal anesthesia procedure standardized. Haemodynamic parameters, onset duration sensory motor blockade, level achieved, regression side effects compared groups.Onset blockade group...

Nonsteroidal anti-inflammatory drugs used for postoperative analgesia have considerable adverse effects, with paracetamol having a different mechanism of action, superior side effect profile and availability in intravenous (IV) form, this study was conducted to compare intra-peritoneal bupivacaine IV following laparoscopic cholecystectomy.The aim the efficacy administration 0.5% acetaminophen patients undergoing cholecystectomy.Randomized, prospective trial.A total 60 American Society...

Background: To compare oral midazolam (0.5 mg/kg) with butorphanol (0.2 as a premedication in 60 pediatric patients regards to sedation, anxiolysis, rescue analgesic requirement, and recovery profile. Materials Methods: In double blinded study design, belonging ASA class I II between the age group of 2–12 years scheduled for elective surgery were randomized receive either (group I) or II) 30 min before induction anesthesia. The children evaluated levels sedation anxiety at time separation...

The cervical spine has to be stabilized in patients with suspected injury during laryngoscopy and intubation by manual in-line axial stabilization. This the propensity increase difficulty of intubation. An attempt been made compare TruView EVO2 McCoy immobilization, which will aid clinician choosing an appropriate device for securing airway endotracheal tube (ETT) clinical scenario trauma.To effectiveness laryngoscopes when performing tracheal neck immobilization using stabilization.K. M. C....

Introduction Patients admitted to the intensive care units (ICU) have limited mobility due their illness and its management are at a risk for immobility-related complications. Early mobilization has been suggested prevent or limit physical dysfunction these Effectiveness of early protocols is studied using various outcomes.Objective To study effectiveness an protocol on status patients in Medical ICU.Methods ICU were screened eligibility allotted into two groups. Intervention group received...

Hypotension is a common complication of spinal anesthesia and frequent in patients with hypertension. Antihypertensive agents decrease this effect by controlling blood pressure. There are conflicting reports on the continuation antihypertensive drugs day surgery undergoing anesthesia. Sudden hypotension could have detrimental organ systems. This study was undertaken to compare variation pressure hypertensive β-blockers calcium channel blockers anesthesia.Ninety were enrolled for study, 30...

Benzodiazepines primarily acts on the central nervous system. Most patients are extremely anxious in pre-operative period. Excessive anxiety adversely influences anaesthetic induction and often leads to functional impairment poor recovery after surgery.To determine whether amnesia, anxiety, sedation cardio respiratory symptoms affected while administering two different doses of intravenous midazolam (0.02 mg/kg & 0.06 mg/kg).Two forty posted for head neck surgeries were involved this double...

Background: Regional anesthesia has been the choice of preference for elective cesarean sections. This study was designed to determine whether preoperative administration 6% hetastarch decreases incidence hypotension. Materials and Methods: conducted on 50 nonlaboring American Society Anesthesiologists class I II women undergoing section. Patients were randomly divided into two groups preloaded either with 1000 ml Ringer's lactate (RL) or 500 30 min prior surgery. Spinal performed patients...

Down's syndrome is the most commonly encountered congenital anomaly in medical practice. These patients are of special concern to practice because their associated problems with regard respiratory, cardiovascular and other systemic problems. As these present for repeated surgeries like dental extraction, facial reconstruction fixation cervical spine, pose challenges anesthesiologist unique set problems, namely atlantoaxial instability, small trachea, heart disease chest infections due...

Noise is often considered as an undesirable sound. Excess noise a health threat that deteriorates one's concentration and communication. in the operating theater can be disturbing, impairs communication, lead to stress. The aim of this survey was assimilate information about perspective surgeons anesthesiologists regarding whether it affects their work atmosphere.A questionnaire consisting 15 closed-ended questions excluding one open-ended question given from various specialties...

Bupivacaine is available in isobaric and hyperbaric forms for intrathecal use opioids are used as additives to modify their effects. The aim of this study was compare the efficacy haemodynamic effect bupivacaine-fentanyl mixture common urological procedures.One hundred American Society Anesthesiologists physical status 1 2 patients undergoing procedures were randomized into two groups. Group received 3 ml 0.5% bupivacaine with 25 μg fentanyl while fentanyl. parameters measured include heart...

INTRODUCTION:
 Hypotension is common following spinal anesthesia. Various vasopressors have been indicated to prevent it. The study compares three such agents namely phenylephrine, ephedrine and mephentermine.
 METHODS:
 included 90 patients undergoing elective emergency cesarean section who developed hypotension subarachnoid blockade. Parturient were randomly divided into groups each group had 30 patients. Group P received bolus of Phenylephrine 25 microgram, where as E...

Congenital long QT syndrome (LQTS) is a rare genetic disorder that has been associated with various mutations including life-threatening cardiac arrhythmias and sudden death. Left thoracoscopic sympathectomy an effective treatment for patients who are refractory to medical therapy or need frequent epicardial internal cardio defibrillator intervention. The authors report three cases, one adult two children, underwent successful left sympathectomy. All remained clinically stable without...

Background: Emergence agitation (EA) is a well-recognised phenomenon often observed in children following general anaesthesia. The aim of this study was to compare the incidence and severity EA paediatric age group under sevoflurane or isoflurane anaesthesia using PAED Scale (Pediatric Anaesthesia Delirium Scale) (the primary outcome) its correlation with preinduction as well association pain FLACC (Face Legs Activity Cry Consolability) score secondary outcome).Method: In randomised...

Background: Hyperbaric bupivacaine along with either fentanyl or sufentanil as additive, has been widely used in spinal anesthesia. In the present study, we compared analgesic effects of intrathecal versus combined for surgical procedures over abdomen and lower limbs. Settings Design: This was randomized controlled study conducted a tertiary care hospital attached to medical school. Methods: Sixty American Society Anesthesiologists I II patients were into three groups by sealed envelope...