Anaesthesia News

MARCH 23, 2024

[link] Dr Vipin Kumar Goel Consultant Anaesthesiologist, Ganga Hospital, Coimbatore.

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Anaesthesia News

MARCH 18, 2024

[link] DR. RAMYA GNANASEKAR ASST. PROFESSOR, Dept of Anaesthesiology, Kanyakumari Govt Medical College, Nagercoil, Tamilnadu.

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Anaesthesia News

MARCH 12, 2024

1. CONGENITAL HEART DISEASE (CHD) Atrial septal / ventricular septal defects in pregnancy are often well tolerated during pregnancy. When anaesthetizing patients with CHD, using either a regional technique or general anaesthesia, the following factors must be kept in mind; prevention of accidental intravenous infusion of air bubbles, when planning epidural anaesthesia, loss of resistance to saline rather than air should be used to identify the epidural space , a slow onset of epidural analgesia

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Anaesthesia News

MARCH 12, 2024

2. VALVULAR HEART DISEASE i) MITRAL STENOSIS: Anaesthetic considerations are to maintain a slow heart rate, venous return and SVR, avoid aorto-caval compression, treat atrial fibrillation (AF) aggressively, try and maintain sinus rhythm, prevent pain, hypoxaemia, hypercarbia and acidosis as these can increase PVR. Both general anaesthesia and regional techniques have been used.

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Anaesthesia News

MARCH 12, 2024

iii) AORTIC STENOSIS: Anaesthetic management in AS is to avoid tachycardia, and bradycardia, maintain intravascular volume and venous return, avoid aortocaval compression, and myocardial depression, maintain a normal heart rate as a slow heart rate decreases cardiac output (CO). Tachycardia may decrease time for coronary perfusion of the hypertrophied LV.

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Anaesthesia News

MARCH 12, 2024

3. PRIMARY PULMONARY HYPERTENSION: Anaesthetic management is similar to that of the Eisenmenger syndrome. Elective caesarean section is the preferred method of delivery. Both regional and general anaesthesia can be used for caesarean delivery. For regional anaesthetic technique using a slow induction epidural anaesthesia is advised. Vasopressors are only used if absolutely necessary, as they increase pulmonary artery pressure.

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Anaesthesia News

MARCH 12, 2024

5. MATERNAL ARRHYTHMIAS DURING PREGNANCY: Management of arrhythmias during pregnancy is similar to that in the non-pregnant patient. Congenital heart block and bradyarythmias If congenital heart block is recognized in a pregnant woman, cardiac consultation should be taken, to determine whether there is need of a pacemaker. A pacemaker is indicated in patients with symptoms, when Q-T interval is prolonged or there is left atrial enlargement.

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Anaesthesia News

MARCH 12, 2024

ANESTHESIA FOR CESAREAN DELIVERY FOR CARDIAC PATIENTS: • Patients with mWHO class I or II cardiac disease typically tolerate a traditional intrathecal dose of local anesthesia (eg, hyperbaric bupivacaine 10–15 mg) for cesarean delivery. Depending on the cardiovascular lesion, patients with mWHO class III or IV lesions may benefit from a more gradual-onset sympathectomy. • Neuraxial anesthesia for most patients with cardiac disease undergoing caesarean delivery should be considered.

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Anaesthesia News

MARCH 9, 2024

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Anaesthesia News

JANUARY 30, 2024

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Anaesthesia News

JANUARY 31, 2024

1. Immediately communicate to the surgery team and the operating room (OR) staff that the patient’s status may be compromised. 2. Ensure adequate oxygenation; increase the fraction of inspired oxygen (FiO2) to 100% to improve oxygen saturation as measured by pulse oximetry (SpO2) 3. Decrease anesthetic depth 4. Expand monitoring to include 12-lead ECG, or order it immediately if in the pre- or postoperative area 5.

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Anaesthesia News

FEBRUARY 3, 2024

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Anaesthesia News

FEBRUARY 13, 2024

INTRODUCTION: Perioperative ARF (Acute Renal Failure) accounts for 20–25% of cases of hospital-acquired renal failure. It is also associated with a high risk of infection, prolonged intensive care unit (ICU) and hospital stay, progression to chronic renal failure (CRF), and dialysis-dependent end-stage renal disease (ESRD). The chance of full recovery from an episode of ARF in the surgical setting is only 15%—many patients progress to develop varying degrees of chronic renal dysfunction.

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Anaesthesia News

FEBRUARY 13, 2024

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Anaesthesia News

FEBRUARY 22, 2024

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Anaesthesia News

FEBRUARY 24, 2024

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Anaesthesia News

FEBRUARY 29, 2024

I. ACUTE KIDNEY INJURY 1. What are the significant risk factors of perioperative renal failure? Acute kidney injury (AKI) occurs in about 1% of patients undergoing general surgery procedures. An AKI risk prediction model developed has found significant independent risk factors to be: Age 56 years Male sex Active congestive heart failure Hypertension Emergency surgery Intraperitoneal surgery Renal insufficiency – mild or moderate Diabetes mellitus – oral or insulin therapy The risk index is class

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Anaesthesia News

MARCH 2, 2024

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Anaesthesia News

MARCH 6, 2024

Introduction: The classic laryngeal mask airway was invented by Dr Archie Brain in the UK in 1981 1. It became commercially available in the United Kingdom in 1988 and in the United States in 1991. The LMA Classic (cLMA) received wide recognition in a short time and has had a major impact on anesthesia practice and airway management. Some authors refer to these as extraglottic 2-3 , periglottic 4 or supralaryngeal airways 5 , but the term ‘supraglottic airways’ is the most widely use

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