JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2013
Randomized Controlled TrialI-gel for positive pressure ventilation.
I-gel is a relatively new supra-glotitc airway device which is claimed to be superior to laryngeal mask airway. It can be used ingeneral anesthesia with spontaneous ventilation as well as with positive pressure ventilation.This study was designed to assess whether I-gel creates adequate laryngeal seal during positive pressure ventilation in patients undergoing laparoscopic surgery. ⋯ I- gel may be an alternate to tracheal tube during general anesthesia with positive pressure ventilation in patients with normal airway pressure with acceptable leak, adequate oxygenation and ventilation.
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JNMA J Nepal Med Assoc · Apr 2011
Randomized Controlled Trial Comparative StudyUltrasound versus the landmark technique: a prospective randomized comparative study of internal jugular vein cannulation in an intensive care unit.
The aim of this study is to find out if an ultrasound technique has advantages over the conventional landmark technique. ⋯ Ultrasound improves success rate, minimizes cannulation time and complications during internal jugular vein cannulation. It can be employed as a rescue technique in cases of a failed landmark technique.
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JNMA J Nepal Med Assoc · Jan 2011
Randomized Controlled Trial Comparative StudyThe effect of height and weight adjusted dose of intrathecal hyperbaric bupivacaine for elective caesarean section.
The study compared spinal anesthesia using intrathecal hyperbaric bupivacaine between height and weight adjusted dose and fixed dose during caesarean section. ⋯ The bupivacaine dose was significantly reduced on its dose adjustment for the body weight and height of patients for cesearean section. This adjusted-dose use suitably restricted spinal block level for cesarean section with a distinct advantage of less hypotension and with a similar neonatal outcome as fixed compared with the dose use.
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JNMA J Nepal Med Assoc · Oct 2010
Randomized Controlled TrialKetamine gargling and postoperative sore throat.
Tracheal intubation is a foremost cause of trauma to the airway mucosa, resulting in postoperative sorethroat (POST). The aim of the study was to compare the effectiveness of ketamine gargle with placebo in preventing POST after endotracheal intubation. ⋯ Ketamine gargle reduces the incidence of POST after endotracheal intubation.
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JNMA J Nepal Med Assoc · Jan 2010
Randomized Controlled Trial Comparative StudyComparison of bolus phenylephrine, ephedrine and mephentermine for maintenance of arterial pressure during spinal anesthesia in cesarean section.
Hypotension is common following spinal anesthesia. Various vasopressors have been indicated to prevent it. The study compares three such agents namely phenylephrine, ephedrine and mephentermine. ⋯ All three drugs maintained hemodynamics within 20 percent of the baseline values on intravenous administration.