Academia Anesthesiologica International https://aijournals.com/index.php/aan <p><strong class="pull-left">Academia Anesthesiologica International </strong>is a double-blinded peer-reviewed, open access, Bi-annual, online journal that publishes original research articles, review articles, case reports, brief communications and clinical studies in all areas/advances of anesthesia, pain and intensive care. <br> <strong>Online ISSN: 2456-7388 | Print ISSN:&nbsp;2617-5479</strong></p> en-US drrohit.editor@gmail.com (Dr. Rohit Varshney) Thu, 15 Jun 2017 07:10:03 +0000 OJS 3.1.1.2 http://blogs.law.harvard.edu/tech/rss 60 Safety and Quality Issues in NORA (Non-Operating Room Anaesthesia) https://aijournals.com/index.php/aan/article/view/46 <p>Off -site anaesthesia (non-operating room anaesthesia) encompasses all sedation/anaesthesia provided by anaesthesiology services outside of the operating room environment. Anaesthesia providers are now asked more frequently to provide complete, integrated anesthetic care outside the traditional OR setting. Over the past few decades, requests for these services in remote locations have been steadily increasing. The sites at which services are needed include- radiology suites, interventional neuroradiology labs, oocyte retrieval, cardiac cath labs, electro convulsive therapy, oncology wards, endoscopy suites and the list is increasing day by day. Problems faced by the Anaesthesiologists are- Lack of adequate space, Unfamiliar surroundings and equipments, Central pipeline will be missing and cylinders will have to be used, Unphysiological postures needed for some procedures, Out patients for investigations are inadequately prepared/investigated/have associated medical illness, Adverse reactions to contrast media and lack of post anaesthetic care.</p> Pallavi Ahluwalia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0/ https://aijournals.com/index.php/aan/article/view/46 Thu, 15 Jun 2017 00:00:00 +0000 An Observational Study on Prevalence and Perioperative Impact of Arterial Hypertension and Diabetes Mellitus among Adult Surgical Patients https://aijournals.com/index.php/aan/article/view/47 <p><strong>Background</strong>: Arterial hypertension and diabetes mellitus is very common co-morbidities among surgical patients and can affect the perioperative management. Health care team even goes ahead with preoperative screening for undetected diabetes many a times. However, how much these diseases affects perioperative anaesthetic management is rarely evaluated. <strong>Aim</strong>: To assess the prevalence of new, controlled and uncontrolled hypertension, diabetes mellitus and their perioperative impact among adult surgical patients. Methods: With approval, this prospective observational study was conducted in a tertiary care teaching hospital of an island of India during December 2016 to May 2017. Total 958 adults of both sexes, planned for elective non-cardiac surgery were included. Arterial hypertension (AHTN) and Diabetes Mellitus (DM) was defined as per JNC-7 and ADA definition. The prevalence of new, controlled, uncontrolled AHTN and DM and their perioperative anaesthetic were assessed. INSTAT software was used for statistical analysis and p &lt; 0.05 was considered as significant. <strong>Results</strong>: Total 941 patients’ {438 (46.55%) male} with mean ± standard deviation age and weight of 46.26 ± 15.86 year and 59.19 ± 12.02 kilogram were included for analysis. The median ASA physical status and NICE surgical invasiveness grade were 2 for both. The prevalence of AHTN, DM and both were 20.72%, 13.71% and 6.695% respectively; not statistically different among male and female. 64.1% hypertensive and 48.06% diabetic patients had BP &gt; 140/90 mmHg and blood sugar &gt;180 mg% respectively. 20.51% hypertensive and 22.48% diabetic needed change in perioperative management leading to delay in surgery and extra hospital visits and stay. <strong>Conclusion</strong>: The prevalence of AHTN and DM is high among adults and increases significantly with age. Both gender is affected equally. Uncontrolled AHTN and DM are very high and are alarming to initiate measures to tackle these important non-communicable diseases.</p> Habib Md Reazaul Karim, Dr. (Capt.) A. L. Janardhan, Avinash Prakash, Sarasa Kumar Sahoo, Narayanan Rajaram, Anilkumar Narayan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0/ https://aijournals.com/index.php/aan/article/view/47 Thu, 15 Jun 2017 00:00:00 +0000