Lalit Kumar Raiger

• Rajasthan University of Health Sciences

Background : The advent of the COVID-19 pandemic has caused a significant psychological impact on the General Public, Health Care Workers, Elderly, High-risk groups, etc. Higher fear is likely among the quarantine population. Aim of this study : To evaluate the fear and stress of individuals in quarantine; to determine the possible factors that are...

Introduction: Thoracic Paravertebral Block (TPVB) appears promising for reduction of postoperative pain in Modified Radical Mastectomy (MRM). Various combinations of local anaesthetics and adjuvants have been tried in TPVB but search for an ideal combination is still on. Aim: To evaluate analgesic efficacy of clonidine (1 µg/kg) as adjuvant with di...

Introduction: Airway management has been a key to quality, efficacy and safety of anaesthesia. The Ambu® AuraGain™ is an anatomically curved Supraglottic Airway Device (SAD), which has gastric access port and is used for both ventilation and endotracheal intubation. Fastrach® Intubating Laryngeal Mask Airway (FT-LMA) serves as a conduit for intubat...

ARTICLE INFO ABSTRACT Paediatric microstomia may occur congenitally in rare instances but is more often acquired after thermal injury or chemical ingestion. Microstomia limits the oral intake of solid foods and often restricts oral intake to liquids and semisolids that can be aspirated by a straw. We report a case of acquired paediatric microstomia...

Background and Aims: Complications arising from difficult or failed tracheal intubation still remains a leading cause of anaesthetic morbidity and mortality.This has lead to development of multiple novel laryngoscopes. This study was designed to compare performance of Airtraq optical laryngoscope with Huge Med Video laryngoscope for laryngeal visua...

Background: Pneumothorax is a common complication with classic approach of supraclavicular brachial plexus block technique. Which may be appear immediately or delayed.

Introduction: The major responsibility of the anesthesiologist is to provide adequate ventilation to the patient because airway related problems are still the most common cause of anaesthesia related morbidity and mortality. The use of I-gel has been reported in laparoscopic surgeries and was found equally effective ventilatory device as PLMA. Ther...

Introduction: Superficial cervical plexus block is a mode of regional anaesthesia that is being used to provide intraoperative and postoperative analgesia for operations involving the neck including thyroid surgery. This study was done to assess the analgesic efficacy of ropivacaine (0.2%) with or without dexmedetomidine (1µg/kg) in bilateral super...

Background Eisenmenger syndrome belongs to the 0.4–4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the anesthesiologist. Case presentation Here, we report the successful outcome with the use of low-dose sequential combined spinal–epidu...

Laryngoscopy and intubation have been associated with increased sympathetic responses such as hypertension, tachycardia, arrhythmias, and myocardial infarction. This response is usually transient and variable but might be life threatening in cardiovascular and cerebrovascular compromised patients. So controlling this response is utmost goal of anae...

Spinal anaesthesia should be ideal for perianal surgeries due to its quick onset, reliable anaesthesia with minimal supplies making it cost-effective technique with rapid turnover time. 90 patients of ASA grade I-II scheduled for perianal surgeries divided into three groups of 30 each according to intrathecal dose of local anaesthetic: Group LB (Lo...

Modified Radical Mastectomy (MRM) is the commonly used surgical procedure for operable breast cancer, which involves extensive tissue dissection.We hypothesized that instillation of 0.25% bupivacaine and 0.2% ropivacaine through chest and axillary drains into the wound may provide postoperative analgesia, even better than infiltration along the lin...

In the modern setting the rectus sheath block (RSB) has been found effective in decreasing opioid requirement after both diagnostic and interventional laparoscopy and laparotomy. Efficacy of rectus sheath block (RSB) using ropivacaine versus bupivacaine for acute postoperative pain relief is not much investigated. 90 patients undergoing elective mi...

Background and aims: Hip fractures are painful and usually affects elderly patients. If left untreated or under-treated, post-operative pain may increase the length of hospital stay and delayed ambulation. The use of peripheral nerve blocks in this population can significantly reduce the associated mortality and morbidity, without the side effects...

Background: Present study was designed to evaluate the effect of intravenous dexmedetomidine on haemodynamics, sedation and quality of spinal anaesthesia with 0.5% hyperbaric bupivacaine.Methods: Sixty ASA grade 1 and 2, 18-60 years aged patients scheduled for elective lower limb surgeries were randomly divided into two groups: Group C (Control) an...

Patients with present or previous history of facio-maxillary trauma will mostly be associated with a difficult airway. Surgical correction of these injuries might not always correct the altered airway. We report a case of palatonasal fistula following an old facio-maxillary fracture, which has led to interpretation of a difficult airway into a norm...

: Airway exchange catheter is utilized to facilitate extubation or exchange of endotracheal tube1.Various studies show that it is better to extubate the patient with airway tube exchange catheter when patient has history of difficult intubation or anticipated re-intubation. 2

It was always been a matter of great-controversy regarding the dosage protocol of anti-snake venom (ASV) in the management of snake envenomation. The only definitive treatment of poisonous snake bite is ASV administration. MATERIAL AND METHODS: This study was carried out for a period of two years. All patients of neuroparaplytic snake bite who pres...

A 35-year-old, 50-kg female with a history of epilepsy was scheduled for elective breast surgery (fibroadenoma) under general anaesthesia. She was given glycopyrrolate 0.2 mg, ondansetron 4 mg and tramadol 100 mg i.v. as premedication. Within 5 min, she had an acute episode of generalised tonic-clonic seizure that was successfully treated with 75 m...

Non-cardiogenic pulmonary oedema (NCPE) is a clinical syndrome characterized by simultaneous presence of severe hypoxemia, bilateral alveolar infiltrates on chest radiograph, and no evidence of left atrial hypertension/congestive heart failure/fluid overload. The diagnosis of drug-related NCPE relies upon documented exclusion of other causes of NCP...

Interest in the speed with which patients recover post operatively, the type of deficits that anesthesia may induce in them and the overall profile of their physiologic and psychological states, has grown rapidly over the last two decades. Recovery from general anesthesia is dependent on factors governing drug sensitivity and drug disposition. In o...

A prospective and randomized study was conducted on 50 full term parturients undergoing labour analgesia at Panna Dai Hospital, R.N.T. Medical College, Udaipur. The parturients were allocated in two groups: group BF (n = 25) received an epidural injection of bupivacaine (0.15%; 15 mg) + Fentanyl (0.0002%); 2 microg/ml); group BEF (n = 25) bupivacai...

Kinking of an epidural catheter with resultant failure to inject drug is a complication of lumbar epidural analgesia. Here, we report a case of kinking of epidural catheter 1 cm proximal to its tip after 20 days of insertion. It was inserted to a female for pain relief, suffering from carcinoma of the cervix.