Wadeeah Bahaziq, Nada Noaman, Abeer AlHazmi, Baraa Tayeb, Abdulaziz M A. Boker Saudi Journal of Anaesthesia 2023 17(2):195-204 As the number of COVID-19 cases is rapidly increasing internationally, management, recommendations and guidelines of COVID-19 are rapidly evolving and changing. Formulating local clinical management policies among institutions adopting these recommendations is vital to staff as well as the patients' safety. Also, training multidisciplinary teams on these policies is an important, yet challenging, part of the process. The purpose of this paper is to present th ..read more

Abdul Zahoor, Ingrid Font, Juan C Silva, Lucia Garcia, Nauman Ahmad, Rajiv Khandekar Saudi Journal of Anaesthesia 2023 17(2):174-181 Purpose: To evaluate the efficacy, safety, and satisfaction for the use of adjuvant; magnesium sulfate (MgSO4) in sub-Tenon anesthesia for cataract surgery. Methods: This single centered randomized, double blind trial was held in 2021 after approval of ethical committee at the Eye Hospital, Riyadh, Saudi Arabia. Cataract patients to be operated using local anesthesia were randomly assigned to two groups; Group magnesium sulfate (MS) received 50 mg/0.5 ml of mag ..read more

Arash Farbood, Ghasem Tayyebi, Vida Naderi-Boldaji, Naeimehossadat Asmarian Saudi Journal of Anaesthesia 2023 17(2):182-186 Background and Goal: Laryngeal mask airway (LMA), a supraglottic device for airway management and ventilation, is used both in emergencies, out of the operating room, and in the operating room during general anesthesia. This study aims to compare the success rate and complications of the classic insertion method (with a semi-inflated cuff) and another technique using the index and middle fingers of the second hand to prevent retroversion of the mask tip (alternative met ..read more

Dheeraj Singha, Milind Masuta Kattimani, Manjeet Kanwar, Shyam Bhandari, Jai Singh Saudi Journal of Anaesthesia 2023 17(2):163-167 Background: Positioning of patients during surgery, whether prone or head down, can lead to airway edema which, in turn, may lead to a difficult airway, and enhanced chances for reintubation. We aimed to assess and evaluate modified Mallampati class (MMC) change in patients scheduled for lumbar spine surgery in the prone position. Materials and Methods: This prospective observational study included 80 patients scheduled for lumbar spine surgery. The MMC was asses ..read more

Shagun Bhatia Shah, Jiten Jaipuria, Mamta Dubey, Gunjan Vishnoi, Rajiv Chawla, Ajay Kumar Bhargava Saudi Journal of Anaesthesia 2023 17(2):155-162 Background: Supraclavicular brachial plexus blocks (SCBPB) are routinely placed prior to anaesthetic induction for post-operative pain relief after prolonged orthopaedic oncosurgery, since patients are required to remain awake for sensorimotor evaluation of block. If the window period after surgery but before anesthesia-reversal is employed for administering SCBPB, it bestows the quadruple advantage of being painless, not augmenting surgical bleed ..read more

Amrita Rath, Reena , Khushbu Karoo, Vaibhav Pandey, Sunil K S. Gaur, Rajat Kumar Singh Saudi Journal of Anaesthesia 2023 17(2):292-293 ..read more

Abhijit Nair, Nitin K Borkar Saudi Journal of Anaesthesia 2023 17(2):295-296 ..read more

Abhijit Nair, Manamohan Rangaiah, Nitin Borkar Saudi Journal of Anaesthesia 2023 17(2):214-222 Tizanidine is a centrally acting α2 agonist which has been used as a premedication due to its opioid-sparing and sympatholytic properties. This systematic review assessed the safety and feasibility of oral tizanidine. After registering the protocol with PROSPERO (CRD42022368546), randomized controlled trials and non-randomized observational studies were searched in various databases. The primary outcome was intraoperative opioid use; the secondary outcomes were 24-hr opioid consumption, pa ..read more

Shelly Singh, Rakesh Kumar, Sandeep Kumar, Manbir Kaur Saudi Journal of Anaesthesia 2023 17(2):301-302 ..read more

David De Bels, Ibrahim Bousbiat, Emily Perriens, Sydney Blackman, Patrick M Honoré Saudi Journal of Anaesthesia 2023 17(2):223-235 The optimization of patients' treatment in the intensive care unit (ICU) needs a lot of information and literature analysis. Many changes have been made in the last years to help evaluate sedated patients by scores to help take care of them. Patients were completely sedated and had continuous intravenous analgesia and neuromuscular blockades. These three drug classes were the main drugs used for intubated patients in the ICU. During these last 20 ..read more