Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Juniper Publishers - Journal of Anesthesia Abstract Background: Stiff person syndrome (SPS) is a neurological condition with serious implications during anaesthesia if overlooked. Objective: Our purpose was to highlight the issues encountered during anaesthesia in patients with SPS and to evaluate the most appropriate anaesthetic management during surgery. Methods: A structured search was performed throughout various databases such as Ovid medline, Pubmed, Embase and Cochrane Collaboration for articles published from 1950s and after. The search included only humans and those who underwent procedures with anaesthesia. Results: Only 13 of such case studies were found due to the rarity of the condition. Amongst these 13 patients, most were in the middle to elderly aged groups and they underwent different procedures. Their response to different drugs used for induction, neuromuscular blockade or maintenance of anaesthesia also varied with some leading to life-thr...

Juniper Publishers - Journal of Anesthesia Abstract Introduction: Frequency of lower segment caesarean section (LSCS) is increasing today. All anaesthetic techniques used for LSCS may have certain advantages & disadvantages that affect short and long term neonatal outcome. This study aimed to compare effect of spinal, epidural and general anaesthesia on neonatal outcome in terms of Apgar score and umbilical arterial (UA) blood gas parameters. Method: Total 90 parturients belonging to age group of 20-30 yrs of ASA grade I and II who were scheduled to undergo elective LSCS were randomly allocated by chit method into three groups (n=30). Group SA received spinal anaesthesia, Group EA received epidural anaesthesia and Group GA received general anaesthesia. Duration between induction to skin incision (I-SI), skin incision to delivery (SI-D) and uterine incision to delivery (UI-D) were noted. Intraoperative vitals like HR, SBP, DBP, RR, SPO2 and ETCO2 at various tim...