Newer drug delivery systems in anesthesia

Dave, Sona; Shriyan, Deepa; Gujjar, Pinakin

doi:10.4103/joacp.joacp_63_16

Cited by 14 publications

(3 citation statements)

References 85 publications

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“…The use of highly accurate Target Controlled Infusion (TCI) pumps are demonstrating promising results and could in fact curtail such complications. 12 Few surgeons check the integrity of cochlear implant intraoperatively by doing electrically evoked stapedius reflex threshold (ESRT), which defines the loudest sound tolerated without pain. ESRT can be affected by the level of hypnosis and the use of volatile anesthetic agents leading to wrong estimate of the maximum comfort level for sound.…”

Section: Discussionmentioning

confidence: 99%

A retrospective analysis of anesthetic techniques and their related perioperative complications in children undergoing cochlear implant surgeries – our preliminary experience at a tertiary care referral centre

Puri,

Kundal,

Varshney

et al. 2024

IJCA

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: Cochlear implants serve as a favorable option for treatment of hearing loss in children. However, there is limited data regarding the type of anesthetic techniques used and its associated complications in such patients. Hence, the primary objective of this study was evaluation of postoperative nausea vomiting (PONV) with three different general anesthesia techniques in pediatric cochlear implant surgeries. The secondary objectives included assessment of intraoperative and postoperative complications: A retrospective analysis of all children less than 13 years, who underwent cochlear implant surgery at our hospital between December 2019 to February 2022 was performed. Appropriate data were noted. Nine patients each were classified into three groups (Group A, B and C) on the basis of anesthetic techniques used in our institution. Group A received inhalational agent for induction and maintenance, with no Non-Depolarizing Muscle Relaxant (NDMR), Group B patients received Total Intravenous Anesthesia with NDMR and Group C received intravenous induction and inhalational agent for maintenance with NDMR. Twenty-seven patients were included. There were no major intraoperative complications. PONV was noticed in two patients of Group A and one patient of Group C. One patient belonging to Group A developed laryngospasm and desaturation. Delayed Awakening was seen in one patient each of Group A, B and C. Overall, four complications were noted in patients of Group A, one in Group B and two in Group C. All complications were mild and were managed successfully.This preliminary study suggests that peri-operative anesthetic complications with all three anesthestic techniques were comparable and safe.

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Section: Discussionmentioning

confidence: 99%

A retrospective analysis of anesthetic techniques and their related perioperative complications in children undergoing cochlear implant surgeries – our preliminary experience at a tertiary care referral centre

Puri,

Kundal,

Varshney

et al. 2024

IJCA

View full text Add to dashboard Cite

show abstract

“…The concentration of TDS drugs tends to be higher in the first 24 h and several factors like variability in body temperature, factors that increase cutaneous blood flow (warming blanket, sepsis or regional anesthesia), previous opioid use, hemodynamics, and patient’s general condition may make TDS opioid absorption unpredictable. [ 4 ] There have been reports of serious, life-threatening respiratory depression and death following transdermal fentanyl, mentioned as an important warning by the drug manufacturers themselves. [ 1 ]…”

mentioning

confidence: 99%

Transdermal opioids for acute postoperative pain: A road less travelled!

Gupta

2022

Journal of Anaesthesiology Clinical Pharmacology

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“…The concentration of TDS drugs tends to be higher in the first 24 h and several factors like variability in body temperature, factors that increase cutaneous blood flow (warming blanket, sepsis or regional anesthesia), previous opioid use, hemodynamics, and patient’s general condition may make TDS opioid absorption unpredictable. [ 3 ] There have been reports of serious, life-threatening respiratory depression and death following transdermal fentanyl. [ 4 ]…”

mentioning

confidence: 99%

Transdermal opioids for acute postoperative pain: A road less travelled!

Gupta

2022

Journal of Anaesthesiology Clinical Pharmacology

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Newer drug delivery systems in anesthesia

Cited by 14 publications

References 85 publications

A retrospective analysis of anesthetic techniques and their related perioperative complications in children undergoing cochlear implant surgeries – our preliminary experience at a tertiary care referral centre

A retrospective analysis of anesthetic techniques and their related perioperative complications in children undergoing cochlear implant surgeries – our preliminary experience at a tertiary care referral centre

Transdermal opioids for acute postoperative pain: A road less travelled!

Transdermal opioids for acute postoperative pain: A road less travelled!

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