Publications in the Year: 2013

Journal Article

R., S, S. PD, K. J, S. V.  2013.  Effect of yoga therapy on selected psychological variables among male patients with insomnia. Journal of clinical and diagnostic research . 013:7(1):55-57.
S.Parthasarathy.  2013.  Keep the epidural hub sterile.. Srilankan Journal Of Anaesthesiology. 21(1):49.
R., S, VR. HK, M. R.  2013.  Internal leaks into anaesthesia machines: an unaddressed problem.. British journal of anaesthesia . 111(1):126-127.
R., S, Prabhu R, VR. HK, M. R.  2013.  Intraoperative anaphylaxis to ranitidine during cesarean section, 2013. Journal of natural science, biology, and medicine. 4(1):257-259. Abstract

Ranitidine, a widely used drug, is known to be well tolerated. This case report illustrates a severe anaphylactic reaction after a single intravenous dose of 50 mg ranitidine during the emergency cesarean section under spinal anesthesia. Anaphylaxis was successfully managed with Inj. adrenaline, Inj. hydrocortisone, ventilatory, and inotropic support following which she had a full recovery. Awareness of this rare but fatal adverse reaction to this commonly used drug could help in early recognition of the event if faced suddenly.

Hemanth Kumar, V, Sripriya R, Ravishankar M.  2013.  Internal leaks into anaesthesia machines: an unaddressed problem, 2013. British journal of anaesthesia. 111(1):126-127. Abstract
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Maclean, J, DK. T, S. P, M. R.  2013.  Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility, 2013. Indian journal of anaesthesia. 57(3):248-252. Abstract

BACKGROUND: The ProSeal laryngeal mask airway (PLMA) is a unique laryngeal mask with a modified cuff to improve seal and a channel to facilitate gastric tube placement. This is a better device in difficult airway situations compared to classic laryngeal mask airway. This prompted us to study the ease of insertion and positioning of PLMA in patients with simulated restricted neck mobility while using gum elastic bougie (GEB) group or introducer tool (group IT) to aid insertion.METHODS: Sixty ASA I or II patients, aged between 18 years and 60 years, undergoing minor non-head and neck surgeries in the supine position were studied. A rigid neck collar was used to simulate restricted neck mobility in all patients. After anaesthetising the patients with a standard protocol, the PLMA was inserted using either of the technique using the tongue depressor to open the mouth. The ease of insertion, positioning, haemodynamic responses to insertion and other complications related to the procedure were noted.
RESULTS: Regarding demographic variables, both groups were similar. The mean time taken for insertion of PLMA in group GEB was 67.80 s as compared to 46.79 s in group IT (P<0.05). Patients of group GEB had better positioning assessed by an intubating fiberscope with less end tidal carbon-di-oxide (ETCO2) values. Systolic and diastolic blood pressures were similar. The incidence of sore throat, dysphagia, and dysphonia were higher in IT group in the 12 h, but similar in 24 h.
CONCLUSION: Guided insertion technique with GEB took a longer time, but had a better positioning and lower ETCO2 values when compared to IT technique.