Georgevinding1290
For comparing categorical data, Chi-square (χ
) test was performed.
OSP was significantly higher in group B than in group G in all head and neck positions (neutral 33 ± 2.8 vs. 23.2 ± 1.8, flexion 35.5 ± 2.5 vs. 25.2 ± 1.6, extension 30.6 ± 2.7 vs. 21.4 ± 1.7, right lateral 32.6 ± 2.8 vs. 23.0 ± 1.5. left lateral 32.6 ± 2.7 vs. ULK-101 23.1 ± 1.7 cm H
O, respectively) (
= 0.000). PIP increased significantly in group G as compared to group B in flexion. (
= 0.009). Baska mask
had significantly higher ETV in flexion compared to I-gel™. (
= 0.009).
Baska mask
may provide a useful alternative to I-gel™ where the glottic seal has precedence over ease of insertion.
Baska mask® may provide a useful alternative to I-gel™ where the glottic seal has precedence over ease of insertion.
Quadratus lumborum block (QLB) provides somatic and visceral analgesia to the lower thoracic and abdominal wall. The aim was to investigate the analgesic effect of dexamethasone with levobupivacaine in QLB in patients undergoing unilateral inguinal hernia repair surgery.
A total of 90 patients of American Society of Anaesthesiologists (ASA) I/II were randomly divided into two groups. Group L received 0.25% levobupivacaine (20 ml) + normal saline (1 ml) and group D received 0.25% levobupivacaine (20 ml) + 4 mg dexamethasone (1 ml) in QL plane on the operated side using ultrasound, after completion of surgery under spinal anaesthesia. The primary objective was to compare time for first rescue analgesia. The secondary objectives were total rescue analgesic consumption and numeric rating scale (NRS) in the first 24 h.
The demographic data age, sex, height, weight and ASA were comparable in both groups. The mean time to request for first rescue analgesia was longer in group D compared to group L (1016.02 ± 205.97 min versus 640 ± 132.96 min;
< 0.0001). The mean total tramadol consumption in the first 24 h was lower in group D compared to group L (233.55 ± 86.92 mg versus 328.22 ± 78.74 mg;
< 0.0001). Patients in group D had significantly lower NRS scores at rest and on movement as compared to group L.
The addition of dexamethasone to levobupivacaine in QLB results in prolonged duration of postoperative analgesia, less rescue analgesic requirements and better quality of analgesia as compared to levobupivacaine in unilateral inguinal hernia repair surgery.
The addition of dexamethasone to levobupivacaine in QLB results in prolonged duration of postoperative analgesia, less rescue analgesic requirements and better quality of analgesia as compared to levobupivacaine in unilateral inguinal hernia repair surgery.
Evaluations of adverse heart rate (HR)-responses and HR-variations during anaesthesia in beach-chair-position (BCP) for shoulder surgeries have not been done earlier. We analysed the incidence, associations, and interpretations of adverse HR-responses in this clinical setting.
We performed a meta-analysis of trials that reported HR-related data in anaesthetised subjects undergoing elective shoulder surgeries in BCP. Studies included prospective, randomised, quasi-randomised and non-randomised, controlled clinical trials as well as observational cohorts. Literature search was conducted in MEDLINE, EMBASE, CINHAL and the Cochrane Central Register of Controlled Trials of the 21
century. In the first analysis, we studied the incidence and associations of bradycardia/hypotension-bradycardia episodes (HBE) with respect to the type of anaesthesia and different pharmacological agents. In the second, we evaluated anaesthetic influences, associations and inter-relationships between monitored parameters with respeorrelation analysis showed relationships between the HR and rSO
(regional cerebral oxygen saturation) or SjvO
(jugular venous oxygen saturation) values (r = 0.608, 95%CI, 0.439 to 0.735,
< 0.001,
= 77.4% and r = 0.397, 95%CI, 0.151 to 0.597,
< 0.001,
= 64.3%, respectively).
There is not enough evidence to claim the associations of adverse HR-responses with any specific factor. HR-fall is maximal with fentanyl and its variability is associated with changes in rSO
. Fall in rSO
could be the common link triggering adverse HR-responses in BCP.
There is not enough evidence to claim the associations of adverse HR-responses with any specific factor. HR-fall is maximal with fentanyl and its variability is associated with changes in rSO2. Fall in rSO2 could be the common link triggering adverse HR-responses in BCP.Using viscoelastic mass spring model simulations to track heat distribution inside a tidally perturbed body, we measure the near/far side asymmetry of heating in the crust of a spin synchronous Moon in eccentric orbit about the Earth. With the young Moon within. 8 Earth radii of the Earth, we find that tidal heating per unit area in a lunar crustal shell is asymmetric due to the octupole order moment in the Earth's tidal field and is 10 to 20% higher on its near side than on its far side. Tidal heating reduces the crustal basal heat flux and the rate of magma ocean crystallization. Assuming that the local crustal growth rate depends on the local basal heat flux and the distribution of tidal heating in latitude and longitude, a heat conductivity model illustrates that a moderately asymmetric and growing lunar crust could maintain its near/far side thickness asymmetry but only while the Moon is near the Earth.Objective. To determine whether students gained knowledge, confidence, and skills in identifying and preventing suicide in patients, peers, friends, and family after receiving training in suicide prevention. Methods. Student pharmacists participated in a 3.5-hour suicide prevention training program. A pre- and post- intervention assessment and pre- and post-intervention survey were administered before and after completion of the training program. Questions were designed to assess knowledge of, comfort with, and confidence in assessing and intervening with individuals at risk of suicide. A standardized patient prescription counseling session was conducted two weeks after the training session. Videos of the counseling sessions were reviewed to determine whether student pharmacists assessed the patient for suicide risk. Additionally, a post-counseling reflection was completed asking students to reflect on incorporation of the suicide prevention training into their prescription counseling session. Results. One-hundred seventy-one student pharmacists participated in the training.