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Protocolized approach to a COVID-19 parturient undergoing a cesarean section & #8211; A case report
Kompal Jain, John Alen, Subodh Kumar, Sukanya MitraJournal of Anaesthesiology Clinical Pharmacology 2020 36(3):407-410 The health care workers working in the operation theater (OT) face many unique challenges to deal with the corona virus disease (COVID-19) patients undergoing surgery. We hereby report the management of a COVID-19 parturient undergoing cesarean section in the dedicated COVID health center. Patient care of this special and vulnerable subset of population with least exposure of COVID-19 to health care worker was the cornerstone of the management. We have summarized some of the important precautionary measur...
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Kompal Jain John Alen Subodh Kumar Sukanya Mitra Source Type: research

A comparative evaluation of different doses of dexmedetomidine as an adjuvant to bupivacaine in transversus abdominis plane block for postoperative analgesia in unilateral inguinal hernioplasty
Conclusion: Dexmedetomidine in a dose of 0.5 mcg/kg is better than dose of 0.25 mcg/kg as an adjuvant to 0.25% bupivacaine in transversus abdominis plane block for post-operative pain relief in unilateral inguinal hernioplasty. However, it causes mores sedation and hemodynamic changes. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Rathi Mitesh Madangopal Aashish Dang Megha Aggarwal Jay Kumar Source Type: research

Comparison of hemodynamic responses to laryngoscopy and intubation using Macintosh or McCoy or C-MAC laryngoscope during uniform depth of anesthesia monitored by entropy
Conclusions: It is the depth of anesthesia that decides the magnitude of hemodynamic responses and not the choice of laryngoscope. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: M Rajasekhar Monu Yadav Dilip Kulkarni R Gopinath Source Type: research

Avoidance of deep anesthesia and artificial airways in 1000 neonates and infants using regional anesthesia: A retrospective observational analysis
Conclusion: It is feasible to conduct surface surgeries in the most vulnerable population such as neonates and infants under regional anesthesia without intubation and airway instrumentation. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Vrushali C Ponde Dilip N Chavan Ankit P Desai Anuya A Gursale Vinit V Bedekar Kiran A Puranik Source Type: research

Effect of intrathecal dexmedetomidine versus intravenous dexmedetomidine on subarachnoid anesthesia with hyperbaric bupivacaine
Conclusion: Intrathecal dexmedetomidine prolongs the effect of subarachnoid anesthesia with arousable sedation when compared with intravenous dexmedetomidine. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Anshu Sharma Nita Varghese Ramkumar Venkateswaran Source Type: research

The comparison of effects of fentanyl and dexmedetomidine as adjuvants to ropivacaine for ultrasound-guided transversus abdominis plane block for postoperative pain in cesarean section under spinal anesthesia & #8211;A randomized controlled trial
Conclusion: Fentanyl and dexmedetomidine as adjuvants to ropivacaine in ultrasound-guided TAP block were equally effective in both prolongation of analgesia and reducing the total consumption of analgesics. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Bincy Joseph Sunitha K Zachariah Saramma P Abraham Source Type: research

Comparison of efficacy of thoracic paravertebral block with oblique subcostal transversus abdominis plane block in open cholecystectomy
Conclusion: Ultrasound-guided TPVB is superior to OSTAP block because of its association with decreased postoperative opioid consumption, lower VAS score, and reduction in opioid-related side effects. Thus, it should be strongly considered as a part of multimodal analgesia regimen in upper abdominal surgeries. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Seema Jindal Gurkaran Kaur Sidhu Gurpreet Kaur Baryha Baltej Singh Samiksha Kumari Rupali Mahajan Source Type: research

Preemptive local anesthetic infiltration reduces opioid requirements without attenuation of the intraoperative electrical stapedial reflex threshold in pediatric cochlear implant surgery
Conclusion: Preemptive local anesthetic infiltration reduced opioid requirements without attenuation of the ESRT in pediatric cochlear implant surgery performed under TIVA. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Wahba Z Bakhet Hassan A Wahba Lobna M El Fiky Hossam Debis Source Type: research

A mixed-method study to assess the knowledge-practice gap regarding hand hygiene among healthcare providers in a tertiary care hospital
Conclusions: In our study, we found that despite adequate knowledge, consultants and residents showed lower compliance with HH practices as compared to nurses. Increasing awareness regarding HH guidelines through frequent sensitization sessions decreased workload, and strict surveillance may help in bridging the knowledge-practice gap. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Manvi Sagar Sarit Sharma Anurag Chaudhary Shruti Sharma Source Type: research

A survey of physicians & #39; appreciation and knowledge about airway safety measures in the wake of COVID-19 pandemic
Conclusion: Our study found satisfactory knowledge and appreciable concern among the practicing physicians regarding airway safety measures in the wake of COVID-19 pandemic. However, more physicians were aware about the measures required to be adopted 'during' airway intervention. The survey highlights the need for a more focused training of the caregivers about safety measures 'before' and 'after' airway intervention. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Sakshi Duggal Bhuvna Ahuja Partha S Biswas Anirban Hom Choudhuri Source Type: research

Study of risk factors and psychological impact in physicians diagnosed with COVID-19: An online, postexposure, cross-sectional survey
Conclusion: Medical doctors working in direct contact with confirmed cases of COVID-19 are at increased risk of contracting the infection and it has a major impact on physical and mental health of medical doctors. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Jhanvi S Bajaj Sohan Lal Solanki Source Type: research

Assessment of knowledge gaps and perceptions about COVID-19 among health care workers and general public-national cross-sectional study
Conclusion: HCWs had moderate level of knowledge, whereas GPPs had low to moderate knowledge, with large scope of improvement in both groups. Continued education, both at professional and community level will not only be helpful but also necessary to improve knowledge, avert negative attitudes and control the devastating pandemic. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Gunchan Paul Shruti Sharma Guneet Singh Gurparvesh Singh Sarit Sharma Birinder Singh Paul Parshotam Lal Gautam Source Type: research

Impact of the COVID-19 pandemic on anesthesiologists in India: A cross-sectional online survey of the practices, preparedness, and mind-set
Conclusion: COVID-19 has had grave impact on anesthesiologists, on the professional and personal front, and will possibly cause near-permanent changes in the work culture. Restarting elective surgical procedures, will require meticulous planning. In spite of their self-perceived under-preparedness to combat COVID-19, an overwhelming majority of participating anesthesiologists were prepared to contribute to the management of COVID-19. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Gauri Raman Gangakhedkar Sohan Lal Solanki Source Type: research

A rational approach to manage surgical procedures in COVID Era & #8211; A perspective based on experience in a private referral hospital
Conclusion: A robust preoperative screening and testing can enable safe scheduling of essential elective surgeries. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: Rama Gupta Bishav Mohan Kamakshi Garg Ashima Taneja Satpal S Virk Anju Grewal Rajesh Mahajan Source Type: research

Shared decision making in peri-operative medicine: Miles to go in Indian scenario
GV Krishna PrasadJournal of Anaesthesiology Clinical Pharmacology 2020 36(3):316-324 Shared Decision Making (SDM) in peri-operative medicine is increasingly encouraged as an ideal model of treatment decision making in the medical encounter. Moreover, it has the potential to improve the quality of the decision-making process for patients and ultimately, patient outcomes. This review focuses on several published literature on SDM in peri-operative medicine, its Implementation, barriers faced by Patient and the Provider, Myths regarding SDM and current scenario of SDM in India. Within the anesthetic community, patient consen...
Source: Journal of Anaesthesiology Clinical Pharmacology - October 16, 2020 Category: Anesthesiology Authors: GV Krishna Prasad Source Type: research