Publications by authors named "Sinha Chandni"
Analgesic efficacy of ultrasound-guided retrolaminar block in truncal surgeries: A narrative review.
J Anaesthesiol Clin Pharmacol
July 2024
Postoperative pain management in patients undergoing thoracoabdominal surgery always remains challenging for the anesthesiologist. As a method of pain management, multimodal analgesia is commonly used. In recent years, interfascial plane blocks like erector spine plane block (ESPB), retrolaminar block (RLB), transverse thoracic plane block, and pectointercostal plane block have been increasingly utilized as important components of acute postoperative pain management in truncal surgeries.
View Article and Find Full Text PDFEffect of table height on supraglottic airway insertion (I-gel): A randomized control trial.
J Anaesthesiol Clin Pharmacol
July 2024
Background And Aims: Both operating table height and patient level in relation to the anesthesiologist influence supraglottic airway device (SAD) insertion and task performance in terms of physical and mental workload. The aim of the study was to find out the appropriate table height during SAD insertion in terms of time taken for insertion, success rate, ease of insertion, and anesthesiologist comfort.
Material And Methods: In this randomized controlled trial, 90 American Society of Anesthesiologists physical status I and II patients, aged between 18 and 60 years, scheduled for elective surgery were recruited.
Article Synopsis
- Upper abdominal surgeries often lead to intense postoperative pain, and this study compares the effectiveness of an external oblique intercostal (EOI) block versus a traditional subcostal transversus abdominis plane (TAP) block for pain management.
- Fifty patients scheduled for upper abdominal surgery received either EOI or TAP block and their postoperative pain management was monitored using a patient-controlled analgesia (PCA) pump.
- Results showed that the EOI block significantly increased the time to activate PCA, reduced opioid consumption, and improved patient satisfaction compared to the TAP block, indicating that EOI block is a more effective option for pain relief after upper abdominal surgery.
Superior trunk versus interscalene brachial plexus block in humerus surgery: a randomised controlled trial.
Anaesthesiol Intensive Ther
October 2024
Article Synopsis
- Ultrasound-guided interscalene (IS) block provides effective pain relief for shoulder surgeries but can lead to hemidiaphragmatic paralysis and breathing difficulties.
- This study compared the efficacy of a superior trunk (ST) block with the traditional IS block in patients undergoing humerus surgery, finding significantly lower rates of diaphragmatic paresis with the ST block.
- Both blocks offered similar pain relief and opioid usage post-surgery, but the ST block is recommended as a safer alternative for patients with breathing issues.
Article Synopsis
- Inguinal hernia surgeries often lead to significant postoperative pain, which can result in chronic pain if not properly managed.
- A study involving 60 patients examined three ultrasound-guided quadratus lumborum block approaches (transmuscular, lateral, and posterior) to assess their effectiveness in pain management after the surgery.
- Results showed that the transmuscular approach was the most effective, leading to lower pain medication needs and better pain scores, while all techniques had similar patient satisfaction and no adverse effects reported.
Article Synopsis
- - The study aimed to compare the effectiveness of two techniques for inserting perineural catheters in patients undergoing upper limb surgery: the costoclavicular (CC) technique and the conventional lateral sagittal (LS) technique in terms of postoperative local anesthetic (LA) consumption and patient satisfaction.
- - Results showed that patients in the CC group required significantly less LA (83.35 ml) than those in the LS group (121.40 ml) within 24 hours post-surgery and took longer to activate their patient-controlled regional analgesia (PCRA), but reported higher satisfaction scores.
- - The conclusion established that the CC technique not only reduces the amount of LA needed but also leads to greater patient satisfaction compared to the LS
Article Synopsis
- The study aimed to determine how the position of an anaesthesiologist (sitting vs. standing) affects the success and ease of endotracheal intubation during anesthesia.
- It involved 110 patients with specific physical characteristics scheduled for laparoscopic cholecystectomy, and results indicated easier intubation with the sitting position compared to the standing position.
- Findings showed that the sitting posture resulted in a higher ease of intubation, improved Cormack Lehane scores, and a strong first-attempt success rate, highlighting the benefits of sitting during the procedure.
Article Synopsis
- A study compared postoperative pain management in patients undergoing laparoscopic cholecystectomy using opioid-free anesthesia versus traditional opioid-based anesthesia.
- The opioid-free group showed significantly lower analgesic needs in the first 2 hours after surgery and had a reduced incidence of postoperative nausea and vomiting (PONV).
- Overall, while both groups required similar amounts of analgesia by 6 hours post-op, opioid-free anesthesia provided benefits in early pain management and lesser side effects.
Article Synopsis
- The study investigates the effectiveness of different doses of dexmedetomidine, a sedative, used alongside lignocaine for patients undergoing bronchoscopy to enhance safety and comfort.
- Ninety patients aged 18 to 60 were divided into three groups, receiving varying doses of dexmedetomidine (0.5, 1.0, and 1.5 µg/kg) combined with lignocaine before the procedure.
- Results showed that the highest dose of 1.5 µg/kg led to significantly lower cough scores and higher comfort levels during the bronchoscopy, indicating improved patient experience.
Background And Aims: The incidence of post-dural puncture headache (PDPH) following spinal anaesthesia in the obstetric population is around 0.5%-2%. Hydration, bed rest, caffeine, paracetamol, non-steroid anti-inflammatory drugs, epidural blood patches, etc.
View Article and Find Full Text PDFArticle Synopsis
- - The study aims to assess the impact of a single preoperative dose of gabapentin (15 mg/kg) on acute postoperative pain in children aged 8-14 undergoing urogenital surgeries under general anesthesia.
- - Sixty patients were divided into two groups, with one group receiving gabapentin mixed with honey and the other receiving only honey before surgery, measuring outcomes like fentanyl consumption and time to first pain relief.
- - Results showed that the gabapentin group used less fentanyl and experienced a longer time to first pain relief; however, it was also linked to increased sedation, highlighting the need to balance pain management with potential side effects.
Article Synopsis
- This study compares two pain management techniques, the fascia iliaca block (SFIB) and the pericapsular nerve group (PENG) block, in patients undergoing hip replacement surgery.
- The results show that the PENG block provides better pain relief and requires less morphine compared to the SFIB block, which is linked with some degree of quadriceps weakness.
- Overall, the PENG block is recommended for its effectiveness and lack of associated muscle weakness in total hip arthroplasties.