The role of magnesium as an adjuvant during general anaesthesia

Anaesthesia ◽  
2006 ◽  
Vol 61 (11) ◽  
pp. 1058-1063 ◽  
Author(s):  
K. Gupta ◽  
V. Vohra ◽  
J. Sood
Keyword(s):  
Author(s):  
J.D. Mande ◽  
P.M.F. Mbithi ◽  
S.W. Mbugua ◽  
I.B.J. Buoro ◽  
P.K. Gathumbi

Ventrodorsal pelvic radiographs were made of 32 adult dogs under general anaesthesia. The hip joints were evaluated according to the severity of osteoarthritic changes graded as 0, 1, 2 or 3. The dogs were euthanased, the hip joints opened and the ligamentum capitis femoris dissected out in toto. The volume of each ligament was determined using a water displacement technique and the mean volume compared to the four radiographic grades of osteoarthritis. There was an inverse correlation (r = -0.75) between the mean volume of the ligamentum capitis femoris and the increasing severity of osteoarthritis as assessed by radiography. The results confirmed the crucial role of radiography in the clinical evaluation of hip dysplasia and osteoarthritis in the adult dog. Assessment of the volume of the ligamentum capitis femoris revealed that it is an important tool for research in canine hip dysplasia and osteoarthritis.


Author(s):  
Pratibha Deshmukh ◽  
Parag Sable ◽  
Priyanka Deshmukh ◽  
Vivek Chakole

Currently we are at the peak of the second wave of pandemic.  Availability of beds & oxygen is at nadir. The patients coming to us for surgery are the ones where surgery cannot wait. Mainly the load is obstetric. As a matter of COVID pandemic policy we are using regional anaesthesia unless contraindicated or the surgery demands general anaesthesia. The aim is to avoid/reduce aerosolization which is part & parcel of GA, despite the efforts to minimise it. The policy is to protect the anaesthesiologists, surgeons, OT staff & other patients as well. The present manuscript is to review the role of regional anaesthesia & its safe performance.


1996 ◽  
Vol 76 ◽  
pp. 75
Author(s):  
Aphroditi Pavlakou ◽  
Anna Krespi ◽  
Ekaterini Andrianopoulou ◽  
Loukas Georgiou

2019 ◽  
Vol 6 (2) ◽  
pp. 45
Author(s):  
Babita Lahkar ◽  
Kalpajit Dutta

<p class="abstract"><strong>Background:</strong> The main aims of pre-anaesthetic medication are anxiolysis, analgesia, anti-emesis and reducing perioperative patient risk. Producing a state of amnesia for pre and post-operative events is desired by all. This study has been undertaken to evaluate the role of three of the benzodiazepines i.e. diazepam, lorazepam and midazolam during general anaesthesia, in providing anxiolysis, sedation and amnesia.</p><p class="abstract"><strong>Methods:</strong> The study included patients with ASA grade I and ASA grade II physical status of both sexes, age ranging between 18-60 years. Patients were divided into three groups of thirty patients each, every group receiving intramuscular injections of diazepam 0.1 mg/kg body weight, lorazepam 0.07 mg/kg body weight and midazolam 0.08 mg/kg body weight respectively; 45 minutes prior to induction of general anaesthesia. Anxiety assessment before premedication along with assessment of sedation after premedication was done.</p><p class="abstract"><strong>Results:</strong> Before premedication the mean values of pulse rate, blood pressure and respiratory rate were not significantly different among the three groups (p&gt;0.05). Maximum changes in these parameters were observed with Midazolam followed by lorazepam and diazepam. The dose of thiopentone used as inducing agent was also lowered significantly in case of midazolam (p&lt;0.05). One patient in midazolam group showed respiratory depression whereas four patients receiving lorazepam and diazepam showed delayed recovery and prolonged sedation, but the effects were self-limiting.</p><p class="abstract"><strong>Conclusions: </strong>Midazolam offers the maximum advantage in allaying anxiety and providing excellent sedation and amnesia during general anaesthesia and proves to be the most suitable premedicant before general anaesthesia.</p>


2015 ◽  
Vol 11 (7) ◽  
pp. 387-389
Author(s):  
Yvonne M Rooney ◽  
Carole A Boyle
Keyword(s):  

2011 ◽  
Vol 107 (6) ◽  
pp. 924-929 ◽  
Author(s):  
T. Kushikata ◽  
H. Yoshida ◽  
M. Kudo ◽  
T. Kudo ◽  
T. Kudo ◽  
...  

2021 ◽  
pp. 112067212110356
Author(s):  
Alessandro Vinciguerra ◽  
Alessandro Nonis ◽  
Antonio Giordano Resti ◽  
Mohammad Javed Ali ◽  
Mario Bussi ◽  
...  

Distal acquired lacrimal obstruction is a common adulthood pathology whose primary treatment is represented by EXT-DCR and END-DCR. When considering their influencing factors, the role of the type of anaesthesia applied during these surgeries has a major role. The aim of this study is to systematically analyse the influence of general and local/regional anaesthesia on the final success rates of EXT-DCR and END-DCR. Primary EXT-DCR and END-DCR articles published later than 2000 with at least 50 single clinician procedures were selected. Exclusion criteria included acute dacryocystitis, tumours, studies focussing on revision surgeries, surgeries with adjunctive procedures, not clearly demarcated surgeons, mixed cohort study of acquired and congenital disorders. This systematic review was conducted in accordance with MOOSE guidelines; where feasible, a meta-analysis of the collected results was conducted. As a result, 11,445 articles were selected of which 2741 were examined after screening, and 16 included after full text review (0.6% of the initial papers). Among all papers included, the number of EXT-DCR was not enough to provide a solid analysis of the effect of anaesthesia; conversely, a significant difference of success rate was noted between local anaesthesia + sedation (85.1%, IC 77.8%–90.4%), and general anaesthesia (90.8%, IC 88.8%–92.4%) in END-DCR ( p = 0.048). In conclusion, END-DCR performed with general anaesthesia should be considered as the solution of choice; however, local anaesthesia, eventually associated with a sedation, can be used as an alternative in selected cases. No meaningful conclusions could be drawn for EXT-DCR, due to the lack of data.


Sign in / Sign up

Export Citation Format

Share Document