China
Africa
Explore chapters and articles related to this topic
Principles of Intraoperative Management of Early-Onset Scoliosis
Published in Alaaeldin (Alaa) Azmi Ahmad, Aakash Agarwal, Early-Onset Scoliosis, 2021
Ashok N. Johari, Rashid Anjum, Vrushali Ponde
A well-hydrated patient to begin with and intraoperative fluid management guided by real-time clinical monitoring is advisable, including measurement of hourly urine output. Balanced salt solutions, such as Ringer’s lactate, is the choice of IV fluid. Ideally, dextrose should be given if hypoglycaemia is documented. It is usual for children to receive 100ml/kg fluid after a prolonged scoliosis surgery.
Burns
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Hartmann’s – Na+ 130 mmol, K+ 4, Ca2+ 1.5, Cl− 109, lactate 28. The original solution was described by Sydney Ringer (British physician and physiologist, 1836–1910), and lactate was added as a buffer, i.e. lactated Ringer’s or Ringer’s lactate; currently there is slight variability in the composition between different manufacturers.
Comparative time achieved VAS ≤ 3 oxycodone and fentanyl post-operative analgesia
Published in Cut Adeya Adella, Stem Cell Oncology, 2018
V. Kumar, A. Hanafie, H. Arifin, H.A. Nasution
The patients received an explanation about the procedure to be followed and provided informed consent. Both groups of patients were given preloading fluid Ringer Lactate 10 ml/kg BW. Both groups were prepared for general anaesthesia. Premedication with fentanyl 2 mcg/kg, midazolam 0.05 mg/kg, awaited onset 5 minutes. Patients were induced with propofol 2 mg/kg, rocuronium muscle paralytic 1 mg/kg, after the onset of 1 min, a direct laryngoscopy was performed with a laryngoscope and the trachea was intubated with an appropriate size endotracheal tube. Surgery begins, the maintenance of sedation using Iso- flurane, maintenance of analgesia with fentanyl according to hemodynamic response, and maintenance of muscle paralysis using rocuronium.
Comparative evaluation of intranasal midazolam, dexmedetomidine, ketamine for their sedative effect and to facilitate venous cannulation in pediatric patients: A prospective randomized study
Published in Egyptian Journal of Anaesthesia, 2022
Rasha Gamal Abusinna, Wael Sayed Algharabawy, Marwa Mostafa Mowafi
At the time of induction, a MOAA/S score of 1–4 indicated satisfactory sedation, while a score of 5 or 6 indicated unsatisfactory sedation. All patients were induced in the operating room (OR) using the same induction protocol. General anesthesia was induced with 1 mg/kg propofol, and intubation was performed after facilitation with 0.5 mg/kg atracurium. According to our hospital protocol, mechanical ventilation of the lungs was established, and anesthesia was maintained with oxygen, 2% sevoflurane, and incremental doses of atracurium. Ringer lactate maintained an intravenous fluid infusion in accordance with the patient’s fluid chart. At the conclusion of the surgery, the residual muscle relaxant was reversed with atropine 0.02 mg/kg and neostigmine 0.05 mg/kg, and tracheal extubation was performed.
A clinical prediction of skin to subarachnoid space depth in parturients undergoing caesarean delivery in a Nigerian population
Published in Journal of Obstetrics and Gynaecology, 2022
Simeon Olugbade Olateju, Adedapo Omowonuola Adetoye, Olurotimi Idowu Aaron, Sanyaolu Alani Ameye, Adebose Ibukunoluwa Oria, Patrick Nduyari Olomu, Olumide Adedotun Adeniyi, Aramide Folayemi Faponle
BMI (kg/m2) was classified into <18.50, 18.51–24.99, 25.00–29.99 and ≥30 as underweight, normal weight, overweight and obese, respectively (WHO 2000). In the obstetric theatre, standard monitors (non-invasive blood pressure, pulse oximetry and electrocardiogram) were applied, and venous access was established. A pre-load fluid bolus of 10 ml/kg of Ringer’s lactate solution was administered per protocol (Prakash et al.). A L3/4 midline subarachnoid block using a 25G Quincke needle was performed by either a Senior Registrar or Consultant Anaesthetist. Following intrathecal injection of 2.0–2.5 ml of 0.5% heavy (hyperbaric) bupivacaine, an assistant grasped the needle at the level of the skin as the needle was withdrawn. The insertion depth was then measured as the distance between the needle tip and the location of the assistant’s digits on the needle. Our primary outcome was the determination of a clinically effective formula for skin to subarachnoid depth in sub-Saharan African parturients. Secondary objectives were determination of patient factors that affect SSD and applicability of previously described formulae for SSD prediction in a subset of African parturients.
Comparative evaluation of normal saline, 1/3-2/3, and ringer's lactate infusion on labour outcome, PH, bilirubin, and glucose level of the umbilical cord blood in nulliparous women with labour induction: a randomised clinical trial
Published in Journal of Obstetrics and Gynaecology, 2022
Ladan Haghighi, Fatemeh Jahanshahi, Mojgan Mokhtari, Zahra Rampisheh, Mina Momeni
Abnormal progression of labour is an aetiology of primary caesarean section. In this regard, studies have shown that the type and amount of hydration during labour can affect its progression, need for oxytocin, failure to progress, rate of caesarean section, and neonatal outcomes. For instance, increasing Ringer's lactate fluid infusion rate from 125 to 250 ml/h has been associated with reducing labour duration, the need for oxytocin induction, and the caesarean section rate. Other studies have shown that adding 5% of dextrose to a normal saline fluid could reduce labour duration compared to a normal saline fluid at a given rate of 125 ml/h. In a study by Grami et al., the effects of infusion of Ringer lactate fluids with rates of 125 ml/h and 250 ml/h and normal saline fluid mixed with dextrose %5 at a rate of 125 ml/h were compared. However, surprisingly, the results of this study showed no significant difference in the parameters of labour progression between the two groups with Ringerlactate with a rate of 125 ml/h. This inconsistent result was attributed to the difference in study populations and the small sample size (Garmi et al. 2017).