Journal of Surgery and Anesthesia addresses all aspects of surgery & anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, General Surgery, Robotic Surgery, Orthopedic Surgery, GI Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Urology, Surgical Oncology, Radiology, Ophthalmology, Pediatric Surgery, Trauma Services, Minimal Access Surgery, Endocrine Surgery, Colorectal Surgery, Laparoscopic and Endoscopic Techniques and Procedures, Preoperative and Postoperative Patient Management, Complications in Surgery and New Developments in Instrumentation and technology related to surgery, Intra-Operative Regional Anesthesia Administration Techniques, Peri-Operative Pain, Obstetric Anesthesia, Pediatric Anesthesia, General Anesthesia, Sedation, Regional Anesthesia, Outcome Studies and Associated Complications, etc. Journal of Surgery and Anesthesia accepts manuscripts in the form of original research articles, review articles, case reports, short communications, letters to editor and editorials for publication in an open access platform.

We are sharing one of the most cited article from our journal. Article entitled “Anesthetic Considerations and Perioperative Optimization of a Patient with Hereditary Hemorrhagic Telangiectasia in the Ambulatory Surgical Setting: A Case Report” was well written by Dr. Archana S. Hudson

ABSTRACT

Introduction: Caesarean section is a common procedure done in hospitals including in Ethiopian hospitals. Spinal anesthesia remains the preferred choice for Cesarean deliveries across the world with a low failure rate. However spinal anesthesia-induced hypotension is the commonest complication and the incidence ranges from 53.3% to 83%.

Objectives: To compare the preventive effect of crystalloid fluid preloading and co-loading for spinal-induced hypotension and its incidence, severity, and use of vasoconstrictors in obstetric mothers undergoing cesarean section at Gandhi Memorial hospital 2016 Addis Ababa, Ethiopia.

Methods: Cohort study design was used with a total of 96 mothers (48 of them preloaded and 48 of them coloaded with 1000 ml ringer lactate) involved in the study. Preoperative and other variables filled on the questioner than the Blood Pressure measured on an anesthesia monitor every 5 and 10-minute intervals till 60 minutes after spinal anesthesia was given. The data inter into EPI info and SPSS then finally analyzed with student T-test, chi-square or Fisher exact test and P value less than 0.05 declared as statistically significant.

Results: Incidence of spinal anesthesia-induced hypotension was high in the preload group 81.2% (39/48) and low in coload group 35.4% (17/48) and the result is statistically significant. Frequent Episode and more sever spinal anesthesia-induced hypotension were also common in the preload group.

Conclusion: Crystalloid fluid coloading to the operating mothers during the cesarean section was a better option for the prevention of spinal anesthesia-induced hypotension.

Here is the link to view complete article: https://www.longdom.org/open-access/anesthetic-considerations-and-perioperative-optimization-of-a-patient-with-hereditary-hemorrhagic-telangiectasia-in-the-.pdf

Authors are invited to submit their research work to our valuable journal. Manuscripts can be submitted at https://www.longdom.org/submissions/surgery-anesthesia.html or as an e-mail attachment to surgery@emedsci.com

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