Applied Anatomy of the Maxillofacial and Mandibular Regions of Indian Mithun (Bos frontalis) and its Clinical Significance in Regional Anesthesia

2020 ◽  
Author(s):  
O.P. Choudhary ◽  
Priyanka . ◽  
P.C. Kalita ◽  
Keneisenuo . ◽  
B. Konwar ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Regional Anesthesia ◽  
Head Region ◽  
Nerve Blocks ◽  
Surgical Interventions ◽  
Applied Anatomy ◽  
Significant Statistical Difference ◽  
Intraoral Approach ◽  
Males And Females ◽  
Different Parts

Background: The topographic and morphometric anatomy of various foramina provides an easy approach in performing nerve blocks by their proper tracking for regional anesthesia in surgical interventions. There is no previously reported information on the applied anatomy and clinical significance of the maxillofacial and mandibular regions of the Indian mithun. The present study was designed to provide important clinical landmarks related to tracking of the infraorbital, mental and mandibular nerves with its clinical significance in regional anesthesia in mithun. Methods: The study was conducted on the maxillofacial and mandibular regions of twelve (n=12) adult Indian mithun of either sex (n=6, male and n=6, female). The head region samples of naturally died mithun were collected from different parts of the Mizoram and Nagaland state of India and processed as per the standard maceration technique. Altogether, a total of twelve measurements were taken in the maxillofacial and mandibular regions of mithun by using a digital vernier caliper and the results were expressed as mean±standard deviation. The obtained parameters from the present study can be useful for an extraoral and intraoral approach for nerve block of the infraorbital, mental and mandibular nerve in the maxillofacial and mandibular regions of mithun. Result: The present study revealed that all the obtained parameters related to regional anesthesia showed a significant statistical difference (P less than 0.01** and P less than 0.05*) between the males and females of mithun. It can be concluded from the present study that the various applied parameters of the present study will aid the clinicians in the implication of regional anesthesia in the head region of mithun.

Sex Wise Morphometrical Studies on the Skull Bones of Indian Mithun (Bos frontalis)

2020 ◽  
Author(s):  
O.P. Choudhary ◽  
Priyanka . ◽  
P.C. Kalita ◽  
Ozan Gündemir ◽  
Keneisenuo . ◽  
...  
Keyword(s):  
Foramen Magnum ◽  
Cranial Cavity ◽  
Head Region ◽  
Orbital Margin ◽  
Length Width ◽  
Males And Females ◽  
Scanty Information ◽  
Different Parts ◽  
Skull Bones

Background: There is scanty information on the morphometry of the skull of Indian mithun; therefore, the present study was designed to provide morphometric data of the skull of Indian mithun. Methods: The study was conducted on the skull bones of twelve (n=12) adult Indian mithun of either sex (n=6, male and n=6, female). The head region samples of naturally died mithun were collected from different parts of the Mizoram and Nagaland states of India from September, 2019 to March, 2020. In the present study, altogether, a total of forty-five parameters were taken in the skull bones of males and females of Indian mithun. Result: The biometrical observations on the different parameters of the skull of Indian mithun were found to be significantly (P less than 0.01, P less than 0.05) higher in the males than females. The measurements demonstrated that the skull of the mithun was elongated and dolichocephalic as per the value of the skull index. The skull index/ cephalic index was 48.76±0.03 in males and 48.71±0.02 in females of the mithun. The length, width of the skull was 44.52±0.02, 44.41±0.02 in males and 21.62±0.04, 21.57±0.05 in females of mithun, respectively. The orbital margin was circular and complete in mithun. The cranial cavity of mithun was oval in outline with a capacity of 530.00±0.27 cm3 in males and 523.00±0.31 cm3 in females. The foramen magnum was large, roughly oval with a foramen index as 96.93±0.06 in males and 97.19±0.04 in females. The present morphometrical studies on the skull of mithun can be useful to the wildlife professionals and zoo veterinarians for the determination of sex of this animal and distinguish from other domestic and wild animals for solving veterolegal cases.

Applied Anatomy of the Head Region of the Indian Wild Pig (Sus scrofa) and its Clinical Value during Regional Anesthesia

2017 ◽  
Vol 7 (2) ◽  
pp. 339
Author(s):  
Om Prakash Choudhary ◽  
Pranab Chandra Kalita ◽  
Probal Jyoti Doley ◽  
Arup Kalita
Keyword(s):  
Regional Anesthesia ◽  
Sus Scrofa ◽  
Clinical Value ◽  
Head Region ◽  
Applied Anatomy ◽  
Wild Pig

scholarly journals Peripheral nerve blocks and ultrasound navigation

2020 ◽  
Vol 14 (1) ◽  
pp. 4-5
Author(s):  
V. A. Koryachkin
Keyword(s):  
Peripheral Nerve ◽  
Regional Anesthesia ◽  
Peripheral Nerves ◽  
Tap Block ◽  
Nerve Blocks ◽  
New Techniques ◽  
Peripheral Nerve Blocks ◽  
Surgical Interventions ◽  
Anesthetic Practice ◽  
The Creation

The use of ultrasound in anesthetic practice has contributed to the creation of new techniques for blocking peripheral nerves (PEC I, PEC II, TAP-block, QL-block, IPACK). At the same time, the creation of new blocks with ultrasound navigation deepens the gap between more experienced anesthesiologists and their younger colleagues who prefer to avoid the use of regional anesthesia. A way out of this situation seems to us to create and introduce into practice a list of basic methods of regional anesthesia, which can provide anesthesia during the most frequently performed surgical interventions. We believe that there is every reason to change the paradigm many blockades for the elite to several blockades for all.

scholarly journals Interrelationships of body weight and bone weight with densitometric properties of tibiotarsal bone in geese during post-hatching development

2017 ◽  
Vol 60 (No. 12) ◽  
pp. 682-690
Author(s):  
A. Charuta ◽  
MR Tatara ◽  
M. Dzierzecka ◽  
E. Polawska ◽  
I. Ptaszynska-Sarosiek
Keyword(s):  
Computed Tomography ◽  
Body Weight ◽  
Correlation Coefficient ◽  
Quantitative Computed Tomography ◽  
Peripheral Quantitative Computed Tomography ◽  
Dual Energy ◽  
X Ray ◽  
Males And Females ◽  
Different Parts

The aim of this study was to evaluate interrelationships of body weight and bone weight and densitometric properties of the tibiotarsus in White Koluda Geese (W31) in the post-hatching period. The study was performed using dual-energy X-ray absorptiometry (DEXA) and peripheral quantitative computed tomography (pQCT) at two different parts of tibia: proximal metaphysis and mid-diaphysis. The investigation was performed on 100 bones obtained from males and females at the age of 1, 14, 28, 42 and 56 days of life. All the calculations were performed using the Statistica 9.0 software (StatSoft, Inc. Tulsa, USA). Pearson’s correlation coefficient of body weight and bone weight with all the investigated variables of bone was determined. Depending on the method used for densitometric measurements – DEXA or pQCT, the current study has revealed significant differences in the number of correlations of bone weight and body weight with the evaluated densitometric parameters. Sex-related differences in the investigated interrelationships were also found. In the case of proximal epiphysis, negative correlations of vBMD, tBMC, CTR_DEN and CRT_CNT with body weight and bone weight dominated in one-day-old males. Based on the current observations and the negative correlations of body weight and vBMD, CRT_DEN and TRAB_DEN obtained in the mid-diaphysis of tibiotarsus at the age of 14 days of life, it was concluded that this bone is much more prone to deformations and fractures in males than in females.

Automated text messaging follow-up for patients who receive peripheral nerve blocks

2021 ◽  
pp. rapm-2021-102472
Author(s):  
Daniel Gessner ◽  
Oluwatobi O Hunter ◽  
Alex Kou ◽  
Edward R Mariano
Keyword(s):  
Regional Anesthesia ◽  
Nerve Block ◽  
Text Messaging ◽  
Low Cost ◽  
Automated System ◽  
Phone Call ◽  
Nerve Blocks ◽  
Patient Response ◽  
Patient Reported

BackgroundRoutine follow-up of patients who receive a nerve block for ambulatory surgery typically consists of a phone call from a regional anesthesia clinician. This process can be burdensome for both patients and clinicians but is necessary to assess the efficacy and complication rate of nerve blocks.MethodsWe present our experience developing an automated system for completing follow-up via short message service text messaging and our preliminary results using it at three clinical sites. The system is built on REDCap, a secure online research data capture platform developed by Vanderbilt University and currently available worldwide.ResultsOur automated system queried patients who received a variety of nerve block techniques, assessed patient-reported nerve block duration, and surveyed patients for potential complications. Patient response rate to text messaging averaged 91% (higher than our rates of daily phone contact reported previously) for patients aged 18 to 90 years.ConclusionsGiven the wide availability of REDCap, we believe this automated text messaging system can be implemented in a variety of health systems at low cost with minimal technical expertise and will improve both the consistency of patient follow-up and the service efficiency of regional anesthesia practices.

scholarly journals Study of Acceptance of Indian Political Cartoons in Facebook Landscape

2021 ◽  
Vol 10 (10) ◽  
pp. 137-142
Author(s):  
Prasun Chakraborty* ◽  
◽  
Anirban Chowdhury ◽  
Keyword(s):  
Economic Status ◽  
Descriptive Statistics ◽  
Indian Society ◽  
Political Cartoons ◽  
The Political ◽  
Political Issues ◽  
The People ◽  
Males And Females ◽  
Female User ◽  
Different Parts

Indian society changed after digitalization and economical reformation. Currently, the Facebook is the most popular social media in India. The political cartoonist took that platform as an opportunity to share their thoughts and raise socio-political issues through their cartoons. The aim of the paper is to study responses (likingness and affective) to political cartoons in respect to responsiveness towards cartoons, gender, and socio-economic status. The study was conducted among 875 Indians from different parts of India including males and females with various socio-economic backgrounds. The data captured in the form of sentiments (love, sadness, angry and happiness emotions) for each cartoon shared in the Facebook timeline. Then, relevant descriptive statistics were computed using IBM SPSS 20.0 software. Results showed that maximum Facebook users expressed their thoughts about political cartoons through emoticons in terms of like, sad, angry, and happiness. It is found that male user are more likely to be expressive to political cartoons than female user. Mostly user from low and middle socio-economic backgrounds relate themselves with the cartoon scenarios and shown interest than users from higher class of the society. Hence, political socio-political scenarios can be communicated effectively using political cartoons in Facebook as the people of India are relating themselves with various cartoons.

scholarly journals Validation of the soft-embalmed Thiel cadaver as a high-fidelity simulator of pressure during targeted nerve injection

2021 ◽  
pp. rapm-2020-102132
Author(s):  
Graeme McLeod ◽  
Shengli Zihang ◽  
Amy Sadler ◽  
Anu Chandra ◽  
Panpan Qiao ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Regional Anesthesia ◽  
Simulation Training ◽  
Historical Data ◽  
Injection Pressure ◽  
Opening Pressure ◽  
Nerve Blocks ◽  
Geometric Ratio ◽  
Fresh Frozen ◽  
Training Opportunities

IntroductionAlthough administration of regional anesthesia nerve blocks has increased during the COVID-19 pandemic, training opportunities in regional anesthesia have reduced. Simulation training may enhance skills, but simulators must be accurate enough for trainees to engage in a realistic way—for example, detection of excessive injection pressure. The soft-embalmed Thiel cadaver is a life-like, durable simulator that is used for dedicated practice and mastery learning training in regional anesthesia. We hypothesized that injection opening pressure in perineural tissue, at epineurium and in subepineurium were similar to opening pressures measured in experimental animals, fresh frozen cadavers, glycol soft-fix cadavers and patients.MethodsWe systematically reviewed historical data, then conducted three validation studies delivering a 0.5 mL hydrolocation bolus of embalming fluid and recording injection pressure. First, we delivered the bolus at 12 mL/min at epimysium, perineural tissue, epineurium and in subepineurium at 48 peripheral nerve sites on three cadavers. Second, we delivered the bolus at using three infusion rates: 1 mL/min, 6 mL/min and 12 mL/min on epineurium at 70 peripheral nerve sites on five cadavers. Third, we repeated three injections (12 mL/min) at 24 epineural sites over the median and sciatic nerves of three cadavers.ResultsMean (95%) injection pressure was greater at epineurium compared with subepineurium (geometric ratio 1.2 (95% CI: 0.9 to 1.6)), p=0.04, and perineural tissue (geometric ratio 5.1 (95% CI: 3.7 to 7.0)), p<0.0001. Mean (95%) injection pressure was greater at 12 mL/min compared with 1 mL/min (geometric ratio 1.6 (95% CI: 1.2 to 2.1), p=0.005). Pressure measurements were similar in study 3 (p>0.05 for all comparisons).DiscussionWe conclude that the soft-embalmed Thiel cadaver is a realistic simulator of injection opening pressure.

scholarly journals REGIONAL ANESTHESIA OF THE TRIGEMINAL NERVE IN CRANIOFACIAL SURGERY

2018 ◽  
Vol 12 (1) ◽  
pp. 15-23
Author(s):  
Andrey Yu. Zajcsev ◽  
V. A Svetlov ◽  
K. V Dubrovin
Keyword(s):  
Regional Anesthesia ◽  
Trigeminal Nerve ◽  
Craniofacial Surgery ◽  
3D Ct ◽  
Maxillofacial Region ◽  
Actual Problem ◽  
Muscle Response ◽  
Surgical Interventions ◽  
Maxillary Nerve ◽  
Combined Anesthesia

This article is devoted to the actual problem of regional blocks as a component of combined anesthesia with long andsuper-long surgical interventions in the maxillofacial region. The article describes in detail the anatomical and physiological features of the person’s innervation, the methods of performing regional blocks, describes the difficulties in performing them, the characteristics of performing neurostimulation, indications and probable complications. In particular, the incorrect interpretation of the appearance of a muscle response when stimulating the maxillary nerve is explained. The methods of neuroimaging are described in detail, from neurostimulation to ultrasound navigation and 3D-CT navigation.

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