Optimal patient positioning for spinal anesthesia using a visual aid in cesarean section patients: A randomized control trial.

Background And Aims: Spinal anesthesia is the safest technique of anesthesia in parturients for cesarean section. Usually, patients are instructed verbally to acquire the ideal position for spinal anesthesia, but there can be difficulty in attaining the best position if patients fail to understand the verbal command, which will lead to detainment in accomplishing the technique and increased possibility of patient's dissatisfaction. Hence, in our study, we hypothesized that using photographs with verbal commands would reduce the time taken for spinal needle placement, reduce the total number of skin pricks, and improve the success at the first attempt.

Ultrasound-guided costoclavicular vs. axillary brachial plexus block: A randomized clinical study.

Background And Aims: Brachial plexus is in a very compact state at the costoclavicular space (CCS) when compared to the axilla, where the individual nerves are separate. This study aimed to test the hypothesis that brachial plexus block (BPB) at the CCS would result in a faster onset of block as compared to the axillary approach of BPB.

Material And Methods: Fifty patients who underwent surgeries below the level of mid-arm under ultrasound-guided BPB were randomly allocated to any one of the two study groups.

Transcoccygeal neurolytic ganglion impar block for perineal pain: A case series.

Background And Aims: Chronic perineal pain (CPP) is a poorly localized pain. Its etiology may be benign or malignant. The ganglion impar is a solitary retroperitoneal structure at sacrococcygeal junction.

The Role of Nonpharmacological Methods in Attenuation of Pain Due to Peripheral Venous Cannulation: A Randomized Controlled Study.

Background: Establishing an intravenous access is indispensable for safe administration of anesthesia. Most of the times, it is executed without any analgesia although the pain associated with this procedure is quite agonizing to the patients.

Aims: This study aims to evaluate the role of 3 different nonpharmacological measures such as Valsalva maneuver, flash of light, and distraction method in attenuation of pain during venous cannulation.

Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial.

Background And Aims: We aimed to compare three techniques for insertion of ProSeal laryngeal mask airway (PLMA).

Material And Methods: Two hundred ten patients (American Society of Anaethesiologists I-II, aged 18-60 years) undergoing general anesthesia using the PLMA as an airway management device were randomly allocated to digital (D), rotational (R), or pharyngoscopic (P) techniques. In the D group ( = 70), the PLMA insertion was performed by using digital manipulation.

Aneurysmal bone cyst of medial end of clavicle in a child, a rare case report.

Aneurysmal bone cyst is a locally aggressive benign tumor accounting for 3 % of all benign bone tumors. It most commonly arises from ends of long bones and relatively rare in flat bones. Clavicle is a very rare site for bone tumors with secondaries more common than primaries.

Comparison of Propofol and Ketamine versus Propofol and Fentanyl for Puerperal Sterilization, A Randomized Clinical Trial.

Background: Puerperal sterilization requires a rapid recovery of the mother so that she can take care of her child. Propofol with fentanyl (PF) is an option, but is associated with intraoperative hypotension, respiratory depression and an unsatisfactory postoperative recovery profile. Propofol with ketamine (PK) appears to be an alternative in terms of haemodynamic stability and analgesia.

Anaesthetic implications and management of a giant ovarian cyst.

With improvement in health care, improved access to hospitals and better imaging modalities, huge abdominal tumours are rarely seen in modern day surgical practice. They present many challenges to anaesthesiologists. Difficult intubations, life threatening cardiovascular and pulmonary complications, are commonly encountered.

Ipsilateral Floating Hip and Floating Knee - A Rare Entity.

Introduction: Ipsilateral floating hip and floating knee are very rare injuries. These injuries so uncommon that only three cases of similar kind have been reported. These injuries are due to high velocity injuries following motor vehicle accidents.

Bilateral Traumatic Anterior Dislocation of Shoulder - A Rare Entity.

Introduction: Bilateral shoulder dislocation are most commonly posterior type. These are most commonly due to seizure disorder and electrocution. Anterior shoulder dislocations occurring bilaterally without any predisposing factors are very rare.