Online ISSN: 2515-8260

Keywords : Anesthesia


Evaluation of general anesthesia and sedation during dental treatment in emotionally immature children: A Randomized Clinical Trial

Dr. Arunkumar Sajjanar; Dr. Nilesh Rojekar; Dr. Pankaj Chavan; Dr. Milind Wasnik; Dr. Niharika Gahlod; Dr. Harshita Shukla

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7645-7651

Background
Emotionally immature children are more likely to develop health problems, including dental
problems. Dental treatments require a good level of communication with the patient.
Therefore, in these patients, sedation and general anesthesia are an extremely humanistic
approach for comfortable and successful treatment. In such children, there is no standard
anesthetic approach due to varying clinical conditions. The aim of this study was to compare
general anesthesia and sedation during dental treatment of such children.
Methods
25 children with greater than 16 score on Rutters Child Behaviour Scale were treated under
general anesthesia or sedation. Demographic data, the American Society of Anesthesiologists
classification, Mallampati score, anesthesia duration, anesthesia type, anesthetic and
analgesic agents used, dental treatment performed, secondary diseases, and complications in
the perioperative period were recorded.

Improving the epidemiology, epizootology, and prevention of echinococcosis in Uzbekistan

Sh.M. Rasulov; G.S. Matnazarova; A. Mirtazayev; N.T. Xamzayeva

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 3029-3052

Echinococcus (Echinococcus granulosus) is a parasitic disease
that occurs in some mammals and humans, is transmitted orally, infects human
parenchymal organs (liver, lungs, spleen, and various other organs), and is
chronic, causing echinococcal vomiting. The Republic of Uzbekistan is an
endemic area for echinococcosis. According to official data, the damage rate is
6-9 people per 100,000 population. The number of surgeries performed
annually due to echinococcosis ranges from 1,000 to 1,500. The article
provides an analysis of the prevalence of echinococcosis among humans and
animals, the long-term (1994-2019) dynamics of echinococcosis among the
population of the Republic of Uzbekistan, routes of transmission, infectious
factors, epidemiological and epizootiological features.

Ease of Intubation While Using Macintosh and (Mccoy’s Type) Laryngoscope Blade Undergoing with Anaesthesiology

N.V. Kanase; Saudamini Gandhi; Saurabh R Todi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 70-73

Various anesthesia devices have been designed to overcome the difficult airway scenario in anesthesia practice. The ease of intubation, timing, and hemodynamic variability between the two groups during intubation are considered as primary results compare. The study was conducted in two groups, each group set aside of 65 patients, named Group A and Group B with normal physical status I-II to endothelial intubation. Determined to perform surgery under anesthesia by consent. This includes simple rigid laryngoscopes for complex fiber-optic incubating devices; However, there is weak evidence to support the superiority of one device over another. McCoy’s blade shows overall minimal haemodynamic response and provides better glottic view and ease of intubation as compared to Macintosh blade.

Anaesthesia for the elderly patients and Techniques: preoperative assessmentand evaluation, Peri and Postoperative care of the elderlypatients’painmanagement

Arunachala D Edukondalu,Yamuna Devi .V.R ,E.Prabhakar Reddy

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 103-113

Elderly person of 80 years of age and older presents a specific challenge to anesthetists,
who needs toacquire and maintain skill and expertise in the management of such patients.
Departments should havea lead clinician with an interest in the care of the elderly.
Development in anesthesia and operative techniques hasconsiderably reduced morbidity
and mortality in the elderly patients.Several anesthetic techniques have been used for
elderly patientsincluding general anesthesia, regional anesthesia, intravenoussedation and
monitored anesthesia care. However, anesthesiarelatedmortality in these patients is still
high. All elderly patientsundergoing surgical procedures require a preprocedural
evaluationto assess the risks of anesthesia and procedure and to manageproblems related
to the preexisting medical conditions, monitoringpatients during intraprocedural and
postprocedural periods aswell as postprocedural management. This article considers
theage-related physiological changes, preprocedure assessmentand preparation, anesthetic
techniques, intraoperative care andpostoperative care. Age does not obtund the perception
of pain. Acute and chronic pain management teams should be available totreat the elderly.
Prophylaxis for Thrombo embolic disease should initiated to prevent further complications.