Background and Aims: Post-dural puncture headache (PDPH) is a consequence of spinal epidural anaesthesia in approximately 1% obstetric patients. The gold standard for its treatment blood patch. Sphenopalatine ganglion block (SPGB) has been proposed as non-invasive intervention with minimal adverse effect. primary objective this study was to assess the efficacy SPGB PDPH. Secondary objectives were onset analgesia, duration effects. Methods: Twenty parturients diagnosed have PDPH, resistant...

Hypotension following spinal anaesthesia for caesarean section is common in spite of adequate fluid loading. Phenylephrine the recommended drug to treat hypotension during section. Recently, norepinephrine boluses are being suggested as an alternative phenylephrine boluses. The aim our study was compare effectiveness bolus doses with section.Fifty patients undergoing elective under were randomly assigned into two groups. Group P received 50 μg intravenous and group N 4 hypotension. primary...

Background: Liver transplant recipients are at greater risk of both maternal and fetal complications than healthy parturients. Methods: In this retrospective study, we looked the case files liver who came for safe confinement from 2011 to 2021. Patients’ demography, details, immunosuppressive regimen, pregnancy information, complication, graft function, outcomes were examined. Results: A total 12 delivered in institute during time interval. All patients had live-related transplants; mean...

Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) is a highly infectious disease and healthcare workers are at constant risk for contracting it. Nowadays, aerosol box used in conjunction with WHO-recommended safety kits, to avoid health from getting SARS-CoV-2 infection during aerosol-generating procedures. In our study, we compared the ease of oral intubation C-MAC video laryngoscope direct laryngoscopy, when was used. The secondary objectives were compare incidence airway loss,...

Use of high dose opioids following laparoscopic surgery delays discharge from the hospital. Unlike intraperitoneal instillation, nebulization has been reported to provide a homogeneous spread local anesthetics and better analgesia. In our study, we aimed assess efficacy anesthetic in alleviating postoperative pain patients undergoing cholecystectomy.This randomized control double-blinded study was conducted after obtaining approval hospital ethics committee informed consent cholecystectomy...

Context: Establishing a near perfect surgical field during functional endoscopic sinus surgery (FESS) is essential and even minor bleeding can severely compromise an already restricted view. So, if controlled hypotension be provided without compromising the safety of patient by relatively effortless method, improved greatly. Aims: The aim this study was to compare hemodynamic changes conditions FESS following oral premedication with clonidine metoprolol. Settings Design: A total 40 patients...

Context: Postoperative sore throat (POST) is a very common complaint following tracheal intubation. Although it resolves spontaneously, efforts must be taken to reduce it. Aims: This study aims compare the effect of cuff inflation using manometer versus conventional technique on incidence POST. Secondary objectives were assess postoperative hoarseness and cough. Settings Design: A total 120 patients included in this prospective observational comparative study. Subjects Methods: After...

Background: Facial nerve monitoring, often required during total parotidectomy, precludes use of long acting muscle relaxants and propofol infusion is used solely to ensure patient immobility. We aimed compare intraoperative immobility, hemodynamic stability consumption parotidectomy following a transtracheal block. Material Methods: Forty patients were allocated 2 equal groups. Preoperatively, group A received block with 4 ml 4% lidocaine, while no was given in B. If there movement,...

The patient's position during the insertion of epidural catheter plays a major role in success labour analgesia. In our study, we compared ease either traditional sitting (TSP) or crossed-legged (CLSP). primary objective was to compare number successful first attempts at placement between groups. Secondary included patient comfort, landmark palpation and needle-bone contacts.The prospective non-blinded randomised control study conducted on 50 parturient with uncomplicated pregnancy active...

INTRODUCTION Complaints of headache in a patient after spinal anaesthesia usually arouses the suspicion postdural puncture headache. Similarly, first diagnosis which comes to our minds if there is development seizures following caesarean section will be eclampsia. Though cases posterior reversible encephalopathy syndrome (PRES) at term are reported,[1] we tend overlook this increasingly reported neurologic syndrome. It gaining more and importance as timely proper treatment results complete...

Transverse abdominis plane (TAP) block has been used regularly as part of multimodal analgesia for caesarean sections and other lower abdominal surgeries. Adequate postoperative provided with regional blocks allows faster recovery better patient satisfaction. In our study, we are comparing the analgesic efficacy laparoscopic-guided TAP port infiltration using a local anaesthetic in patients undergoing gynaecologic robotic surgeries.After obtaining approval from hospital ethics committee,...

During paediatric cleft surgeries intraoperative heat loss is minimal and hence undertaking all possible precautions available to prevent hypothermia use of active warming measures may result in development hyperthermia. This study aims determine whether there will be hyperthermia on if no are undertaken. The rate temperature changes with without was also noted.This conducted 120 patients undergoing lip palate surgeries. In Group A, forced air at 38°C started after induction. B, done. Body...

Objective To describe maternal and fetal outcomes N Terminal pro-brain natriuretic peptide (NT-proBNP) trends in pregnancy with pulmonary arterial hypertension (PAH).Methods The medical records of all pregnant women PAH referred to Pulmonary Hypertension Clinic were retrospectively reviewed analyzed.Results We identified 35 pregnancies 22 (mean age 27.9 ± 4.7 years, mean weight 50.6 8.1 kg). diagnoses Eisenmenger syndrome (16, 72.7%), postoperative residual (3, 13.6%), idiopathic (2, 9.1%),...

The purpose of this study was to evaluate the efficacy transtracheal lidocaine injection reduce anesthetic requirements in patients who underwent brachial plexus surgery under general anesthesia.This a prospective randomized controlled conducted 40 consecutive adult patients.The were randomly allotted two groups 20 each. Group A received 4 ml 2% before induction anesthesia and group B did not receive it. compared terms intraoperative propofol hemodynamic parameters.Statistical analysis done...

The practice of avoiding sedatives or anxiolytics during caesarean section under general anaesthesia (GA) until delivery the baby could result in exaggerated haemodynamic responses and an increased risk awareness. We aimed to assess efficacy safety low-dose ketamine, used as adjunct analgesic amnesic, attenuating these GA.This prospective, randomised study was conducted 40 patients. Group K (n = 20) received 0.25 mg/kg whereas C 5 ml normal saline intravenously (IV) just before induction...

Various intravenous (i.v.) adjuvants have been used along with spinal anesthesia to delay the onset of postoperative pain.To compare effects i.v. dexmedetomidine midazolam on duration anesthesia.This prospective randomized control trial was conducted in a tertiary care institution.Forty-three patients presenting for elective infraumbilical surgery under were randomly allocated into two groups. Group A received loading dose 0.5 μg/kg followed by μg/kg/h dexmedetomidine. B 0.03 mg/kg mg/kg/h...

Optimal labor analgesia can be provided with epidural by addition of opioid to the local anesthetic.The aim this study is compare efficacy bolus regimes 20 mL 0.1% ropivacaine 40 μg fentanyl versus 15 as dose.This was prospective double-blinded randomized study.After approval from Institutional Ethical Committee, 50 consenting parturients in active were allotted into two groups closed envelope technique. Group A received fentanyl, whereas B an dose. The onset, duration analgesia, motor...

Context: Following cesarean section, pain is anticipated. An important component of after section from abdominal wall incision. Transverse abdominis plane (TAP) block can be used as a part multimodal analgesia for section. Aims: To assess the analgesic efficacy and safety ultrasound-guided TAP in postcesarean patients. Methods: Sixty patients undergoing under spinal anesthesia were included this randomized control study. They divided into three equal groups, A, B, C. All received diclofenac...

Abstract Background and Aims: The position of the patient during subarachnoid block has a role in its success. Landmarks spine can be easily identified sitting position. Sitting with legs parallel (LPSP) produces reversal lumbar lordosis. crossed-leg (CLSP) is an alternative In this study, we compared ease performing blocks these two positions. objectives were to compare attempts at placement, comfort, landmark palpation, level block, hypotension, neonatal outcomes. Material Methods: This...

Dear Sir, An ovarian malignancy during pregnancy is rare. Anesthesia for cesarean section in a patient with cancer challenging. We report case of 44-year-old primigravida at 31-week gestation diagnosed malignancy, posted emergency section. She conceived by vitro fertilization and was on treatment pregnancy-induced hypertension (PIH). At 30 weeks gestation, she presented to local hospital acute abdominal distension referred our institute further management. Ultrasound abdomen showed single...

Sir, Posterior reversible encephalopathy syndrome (PRES) is a rare acute neurologic disorder. PRES commonly observed in females and its cause unclear. The patient usually presents with headache, nausea, vomiting, visual disturbances, impairment the level of consciousness, seizures. Mental derangement could vary from restlessness, agitation, confusion, increased sleep, stupor, coma. They mostly present multiple seizures.[1] We case 28-year-old parturient P2L2, previous history uneventful...

Background: Postdural puncture headache (PDPH) is a known complication following spinal and epidural anesthesia. Study Design: This retrospective study to assess the incidence, risk factors, severity, management of PDPH. Materials: The data were extracted from medical records. All parturients who gave birth under anesthesia or analgesia included. Maternal demographics, size needle, position parturient, day onset noted. Categorical variables expressed using frequency percentage numerical as...

Sir, Peripartum cardiomyopathy (PPCM) is rare, with an incidence of 1 in 10,000 pregnancies. It usually presents the last trimester or up to 5 months postpartum.[1] The etiology PPCM not clear and assumed be due abnormal hemodynamic response changes pregnancy. Risk factors include obesity, advanced age, multiple pregnancies, pre-eclampsia, tocolytic therapy, viral infection.[2] We report a 31-year-old parturient at 36 weeks gestation PPCM. pregnancy was uneventful till 35 weeks, when she...